• CMS ACTUAL EXAM 09/15/2026
ATI RN COMMUNITY HEALTH CMS ACTUAL EXAM 2026/2027
| 100 Questions & Correct Answers | Proctored Test Bank |
Pass Guaranteed - A+ Graded
Ch. 3) A nurse questions a medication prescription as too extreme in light of the client's advanced age and
unstable status. The nurse understands that this action is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - Correct Answer :D
Rationale: Non-malfeasance is a commitment to do no harm. In this situation, administering the medication
could harm the patient. By questioning it, the nurse is demonstrating the ethical principle
P 1
, • CMS ACTUAL EXAM 09/15/2026
Ch. 3) A nurse is instructing a group of newly licensed nurses about how to know and what to expect when
ethical dilemmas arise. Which of the following situations should the newly licensed nurses identify as an ethical
dilemma?
A. A nurse on a medical-surgical unit demonstrates signs of chemical impairment
B. A nurse overhears another nurse telling an older adult client that if he does not stay in bed, she will have to
apply restraints
C. A family has conflicting feelings about the initiation of enteral tube feedings for their father who is terminally ill
D. A client who is terminally ill hesitates to name their partner on their durable power of attorney form - Correct
Answer :C
Rationale: making the decision about initiating enteral tube feedings is an example of an ethical dilemma. A
review of scientific data cannot resolve the issue, and it is not easy to resolve. The decision will have a profound
effect on the situation and on the client.
Ch. 5) A nurse is discussing occurrences that require completion of an incident report with a newly licensed
nurse. Which of the following should the nurse include in the teaching (SATA)
A. Medication error
B. Needlesticks
C. Conflict with provider and nursing staff
D. Omission of prescription
E. Missed specimen collection of a prescribed laboratory test - Correct Answer :A, B, D
Rationale: complete an incident report regarding a medication error, a needlestick, and omission of a
prescription
Ch. 5) A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting
moderate to severe pain. Which of the following nursing actions are appropriate? (SATA)
A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the provider's signature on the prescription within 24 hours
D. Decline the verbal prescription because this is not an emergency situation
P 2
, • CMS ACTUAL EXAM 09/15/2026
E. Tell the charge nurse that the provider has prescribed morphine by telephone - Correct Answer :A, B, C
Rationale:
A. The nurse should repeat the medications name, dosage, time or interval, route, and any other pertinent
information back to the provider and receive and document confirmation
B. Having another nurse listen to the telephone prescription is a safety precaution that helps prevent medication
errors due to miscommunication.
C. The provider must sign the prescription within the timeframe the facility specifies in its policies generally 24
hours
Ch. 6) A nurse on a medical-surgical unit has received change-of-shift report and will care for four patients. Which
of the following tasks should the nurse assign the assistive personnel (AP)?
A. Updating the plan of care for a client who is postop?
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure injury - Correct Answer :C
Rationale: The application of a condom catheter is a non-invasive, routine procedure that can be delegated to an
AP
Ch. 6) A nurse manager is assigning care of a client who is bring admitted from the PACU following thoracic
surgery. The nurse manager should assign the client to which of the following staff members?
A. Charge nurse
B. Registered Nurse
C. Practical Nurse
D. Assistive Personnel - Correct Answer :B
Rationale: A client who is post operative following thoracic surgery requires professional nursing knowledge,
skills, and judgment of an RN to provide safe and effective client care
Ch. 6) A nurse is delegating the ambulation of a client who had a knee arthroplasty 5 days ago to an AP. Which of
the following information should the nurse share with the AP? (SATA)
P 3
, • CMS ACTUAL EXAM 09/15/2026
A. The roommate ambulates independently
B. The client ambulates wearing slippers over anti embolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of breakfast this morning - Correct Answer :B, C, D
Rationale: to complete this assignment safely, the assistive personnel should make sure the client wear
stockings and slippers, uses a front wheeled walker, and the client should be feeling the effects of pain medicine
Ch. 6) A charge nurse is assigning client care for four clients. Which of the following tasks should the nurse assign
to a PN?
A. Creating a plan of care for a client who is recovering following a stroke
B. Assessing a pressure injury on a client who is on bed rest
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Teaching a client who has asthma to use a metered-dose inhaler - Correct Answer :C
Rationale: providing nasopharyngeal suctioning is within the scope of a practical nurse
Ch. 6) A nurse is preparing an in-service program about delegation. Which of the following are components of
the five rights of delegation (SATA)?
A. Right place
B. Right supervision and evaluation
C. Right direction and communication
D. Right documentation
E. Right circumstances - Correct Answer :B, C, E (rights not in question- person and task)
Ch. 7) By the second postoperative day, a
client has not achieved satisfactory pain
relief. Based on this evaluation, which of
P 4
ATI RN COMMUNITY HEALTH CMS ACTUAL EXAM 2026/2027
| 100 Questions & Correct Answers | Proctored Test Bank |
Pass Guaranteed - A+ Graded
Ch. 3) A nurse questions a medication prescription as too extreme in light of the client's advanced age and
unstable status. The nurse understands that this action is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - Correct Answer :D
Rationale: Non-malfeasance is a commitment to do no harm. In this situation, administering the medication
could harm the patient. By questioning it, the nurse is demonstrating the ethical principle
P 1
, • CMS ACTUAL EXAM 09/15/2026
Ch. 3) A nurse is instructing a group of newly licensed nurses about how to know and what to expect when
ethical dilemmas arise. Which of the following situations should the newly licensed nurses identify as an ethical
dilemma?
A. A nurse on a medical-surgical unit demonstrates signs of chemical impairment
B. A nurse overhears another nurse telling an older adult client that if he does not stay in bed, she will have to
apply restraints
C. A family has conflicting feelings about the initiation of enteral tube feedings for their father who is terminally ill
D. A client who is terminally ill hesitates to name their partner on their durable power of attorney form - Correct
Answer :C
Rationale: making the decision about initiating enteral tube feedings is an example of an ethical dilemma. A
review of scientific data cannot resolve the issue, and it is not easy to resolve. The decision will have a profound
effect on the situation and on the client.
Ch. 5) A nurse is discussing occurrences that require completion of an incident report with a newly licensed
nurse. Which of the following should the nurse include in the teaching (SATA)
A. Medication error
B. Needlesticks
C. Conflict with provider and nursing staff
D. Omission of prescription
E. Missed specimen collection of a prescribed laboratory test - Correct Answer :A, B, D
Rationale: complete an incident report regarding a medication error, a needlestick, and omission of a
prescription
Ch. 5) A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting
moderate to severe pain. Which of the following nursing actions are appropriate? (SATA)
A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the provider's signature on the prescription within 24 hours
D. Decline the verbal prescription because this is not an emergency situation
P 2
, • CMS ACTUAL EXAM 09/15/2026
E. Tell the charge nurse that the provider has prescribed morphine by telephone - Correct Answer :A, B, C
Rationale:
A. The nurse should repeat the medications name, dosage, time or interval, route, and any other pertinent
information back to the provider and receive and document confirmation
B. Having another nurse listen to the telephone prescription is a safety precaution that helps prevent medication
errors due to miscommunication.
C. The provider must sign the prescription within the timeframe the facility specifies in its policies generally 24
hours
Ch. 6) A nurse on a medical-surgical unit has received change-of-shift report and will care for four patients. Which
of the following tasks should the nurse assign the assistive personnel (AP)?
A. Updating the plan of care for a client who is postop?
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure injury - Correct Answer :C
Rationale: The application of a condom catheter is a non-invasive, routine procedure that can be delegated to an
AP
Ch. 6) A nurse manager is assigning care of a client who is bring admitted from the PACU following thoracic
surgery. The nurse manager should assign the client to which of the following staff members?
A. Charge nurse
B. Registered Nurse
C. Practical Nurse
D. Assistive Personnel - Correct Answer :B
Rationale: A client who is post operative following thoracic surgery requires professional nursing knowledge,
skills, and judgment of an RN to provide safe and effective client care
Ch. 6) A nurse is delegating the ambulation of a client who had a knee arthroplasty 5 days ago to an AP. Which of
the following information should the nurse share with the AP? (SATA)
P 3
, • CMS ACTUAL EXAM 09/15/2026
A. The roommate ambulates independently
B. The client ambulates wearing slippers over anti embolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of breakfast this morning - Correct Answer :B, C, D
Rationale: to complete this assignment safely, the assistive personnel should make sure the client wear
stockings and slippers, uses a front wheeled walker, and the client should be feeling the effects of pain medicine
Ch. 6) A charge nurse is assigning client care for four clients. Which of the following tasks should the nurse assign
to a PN?
A. Creating a plan of care for a client who is recovering following a stroke
B. Assessing a pressure injury on a client who is on bed rest
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Teaching a client who has asthma to use a metered-dose inhaler - Correct Answer :C
Rationale: providing nasopharyngeal suctioning is within the scope of a practical nurse
Ch. 6) A nurse is preparing an in-service program about delegation. Which of the following are components of
the five rights of delegation (SATA)?
A. Right place
B. Right supervision and evaluation
C. Right direction and communication
D. Right documentation
E. Right circumstances - Correct Answer :B, C, E (rights not in question- person and task)
Ch. 7) By the second postoperative day, a
client has not achieved satisfactory pain
relief. Based on this evaluation, which of
P 4
