• 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
: A nurse is caring for a client who is receiving continuous enteral feedings. Which of the following nursing
interventions is the highest priority when the nurse suspects aspiration of the feeding?
A. Auscultate breath sounds
B. Stop the feeding
C. Obtain a chest x-ray
D. Initiate oxygen therapy - Correct Answer :B
Ch. 54: A nurse is preparing to instill an enteral feeding for a client who has an NG tube in place. Which of the
following actions is the nurse's highest assessment priority before performing this procedure?
P 1
, • CMS ACTUAL EXAM 09/15/2026
A. Check how long the feeding container has been open
B. Verify the placement of the NG tube
C. Confirm that the client does not have diarrhea
D. Make sure the client is alert and oriented - Correct Answer :B
Ch. 54: A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via an NG tube.
Which of the following actions should the nurse complete prior to administering the tube feeding? (Select all
that apply.)
A. Auscultate bowel sounds
B. Assist the client to an upright position
C. Test the pH of gastric aspirate
D. Warm the formula to body temperature
E. Discard any residual gastric contents - Correct Answer :A, B, C
Ch. 54: A nurse is preparing to insert an NG tube for a client who requires gastric decompression. Which of the
following actions should the nurse perform before beginning the procedure? (Select all that apply.)
A. Review a signal the client can use if feeling any distress
B. Lay a towel across the client's chest
C. Administer oral pain medication
D. Obtain a Dobhoff tube for insertion
E. Have a petroleum-based lubricant available - Correct Answer :A, B
Ch. 55: A nurse is caring for a client who is 2 days postoperative following an appendectomy and has type I
diabetes mellitus. Their Hgb is 12 g/dL and BMI is 17.1. The incision is approximated and free of redness, with
scant serous drainage on the dressing. The nurse should recognize that the client has which of the following risk
factors for impaired wound healing? (Select all that apply.)
A. Extremes in age
B. Chronic illness
P 2
, • CMS ACTUAL EXAM 09/15/2026
C. Low hemoglobin
D. Malnutrition
E. Poor wound care - Correct Answer :B, C, D
Ch 49 (#1): A nurse is demonstrating how to insert an IV catheter. Which of the following statements by a nurse
viewing the demonstration indicates understanding of the procedure?
A. "I will thread the needle all the way into the vein until the hub rests against the insertion site after I see a
flashback of blood."
B. "I will insert the needle into the clients skin at an angle of 10-30 degrees with the bevel up."
C. "I will apply pressure approximately 1.2 in below the insertion site prior to removing the needle."
D. "I will choose a vein in the antecubital fossa for IV insertion due to its size and easily accessible location." -
Correct Answer :B
Ch 49 (#2): A nurse is collecting data from a client who is receiving IV therapy and reports pain in the arm, chills,
and 'not feeling well'. The nurse notes warmth, edema, induration, and red, streaking on the clients arm close to
the IV insertion site. Which of the following actions should the nurse plan to take first?
A. Obtain a specimen for culture.
B. Apply a warm compress.
C. Administer an analgesic.
D. Discontinue the infusion. - Correct Answer :D
Ch 49 (#3): During a new employee orientation, a nurse is explaining how to prevent IV infections. Which of the
following statements by an orientee indicates understanding of the preventative strategies?
A. "I will leave the IV catheter in place after the client completes the coarse of IV antibiotics."
B. "As long as I am working with the same client, I can use the same IV catheter for the second insertion
attempt."
C. "If my client needs to use the restroom, it would be safer to disconnect their IV infusions as long as i can clean
the injection ports thoroughly with an antiseptic swab."
D. "I will replace any IV catheter when I suspect contamination during insertion." - Correct Answer :D
P 3
, • CMS ACTUAL EXAM 09/15/2026
Ch 49 (#4): A nurse of the IV team is conducting an in-service education program about the complications of IV
therapy. which of the following statements by an attendee indicates an understanding of the manifestations of
infiltration? (Select all that apply.)
A. "A temperature around the IV site is cooler"
B. "The rate of the infusion increases"
C. "The skin at the IV site is red"
D. "The IV dressing is damp."
E. "The tissue around the veni puncture site is swollen" - Correct Answer :A, D, E
Ch. 55: A nurse is collecting data from a client who is 5 days postoperative following abdominal surgery. The
surgeon suspects an incisional wound infection and has prescribed antibiotic therapy for the nurse to initiate
after collecting wound and blood specimens for culture and sensitivity. Which of the following findings should
the nurse expect? (Select all that apply.)
A. Increase in incisional pain
B. Fever and chills
C. Reddened wound edges
D. Increase in serosanguineous drainage
E. Decrease in thirst - Correct Answer :A, B, C
Ch. 55: A nurse educator is reviewing the wound healing process with a group of nurses. The nurse educator
should include in the information which of the following alterations for wound healing by secondary intention?
(Select all that apply.)
A. Stage 3 pressure ulcer
B. Sutured surgical incision
C. Casted bone fracture
D. Laceration sealed with adhesive
E. Open burn area - Correct Answer :A, E
P 4
ATI RN COMMUNITY HEALTH CMS ACTUAL EXAM 2026/2027
| 100 Questions & Correct Answers | Proctored Test Bank |
Pass Guaranteed - A+ Graded
: A nurse is caring for a client who is receiving continuous enteral feedings. Which of the following nursing
interventions is the highest priority when the nurse suspects aspiration of the feeding?
A. Auscultate breath sounds
B. Stop the feeding
C. Obtain a chest x-ray
D. Initiate oxygen therapy - Correct Answer :B
Ch. 54: A nurse is preparing to instill an enteral feeding for a client who has an NG tube in place. Which of the
following actions is the nurse's highest assessment priority before performing this procedure?
P 1
, • CMS ACTUAL EXAM 09/15/2026
A. Check how long the feeding container has been open
B. Verify the placement of the NG tube
C. Confirm that the client does not have diarrhea
D. Make sure the client is alert and oriented - Correct Answer :B
Ch. 54: A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via an NG tube.
Which of the following actions should the nurse complete prior to administering the tube feeding? (Select all
that apply.)
A. Auscultate bowel sounds
B. Assist the client to an upright position
C. Test the pH of gastric aspirate
D. Warm the formula to body temperature
E. Discard any residual gastric contents - Correct Answer :A, B, C
Ch. 54: A nurse is preparing to insert an NG tube for a client who requires gastric decompression. Which of the
following actions should the nurse perform before beginning the procedure? (Select all that apply.)
A. Review a signal the client can use if feeling any distress
B. Lay a towel across the client's chest
C. Administer oral pain medication
D. Obtain a Dobhoff tube for insertion
E. Have a petroleum-based lubricant available - Correct Answer :A, B
Ch. 55: A nurse is caring for a client who is 2 days postoperative following an appendectomy and has type I
diabetes mellitus. Their Hgb is 12 g/dL and BMI is 17.1. The incision is approximated and free of redness, with
scant serous drainage on the dressing. The nurse should recognize that the client has which of the following risk
factors for impaired wound healing? (Select all that apply.)
A. Extremes in age
B. Chronic illness
P 2
, • CMS ACTUAL EXAM 09/15/2026
C. Low hemoglobin
D. Malnutrition
E. Poor wound care - Correct Answer :B, C, D
Ch 49 (#1): A nurse is demonstrating how to insert an IV catheter. Which of the following statements by a nurse
viewing the demonstration indicates understanding of the procedure?
A. "I will thread the needle all the way into the vein until the hub rests against the insertion site after I see a
flashback of blood."
B. "I will insert the needle into the clients skin at an angle of 10-30 degrees with the bevel up."
C. "I will apply pressure approximately 1.2 in below the insertion site prior to removing the needle."
D. "I will choose a vein in the antecubital fossa for IV insertion due to its size and easily accessible location." -
Correct Answer :B
Ch 49 (#2): A nurse is collecting data from a client who is receiving IV therapy and reports pain in the arm, chills,
and 'not feeling well'. The nurse notes warmth, edema, induration, and red, streaking on the clients arm close to
the IV insertion site. Which of the following actions should the nurse plan to take first?
A. Obtain a specimen for culture.
B. Apply a warm compress.
C. Administer an analgesic.
D. Discontinue the infusion. - Correct Answer :D
Ch 49 (#3): During a new employee orientation, a nurse is explaining how to prevent IV infections. Which of the
following statements by an orientee indicates understanding of the preventative strategies?
A. "I will leave the IV catheter in place after the client completes the coarse of IV antibiotics."
B. "As long as I am working with the same client, I can use the same IV catheter for the second insertion
attempt."
C. "If my client needs to use the restroom, it would be safer to disconnect their IV infusions as long as i can clean
the injection ports thoroughly with an antiseptic swab."
D. "I will replace any IV catheter when I suspect contamination during insertion." - Correct Answer :D
P 3
, • CMS ACTUAL EXAM 09/15/2026
Ch 49 (#4): A nurse of the IV team is conducting an in-service education program about the complications of IV
therapy. which of the following statements by an attendee indicates an understanding of the manifestations of
infiltration? (Select all that apply.)
A. "A temperature around the IV site is cooler"
B. "The rate of the infusion increases"
C. "The skin at the IV site is red"
D. "The IV dressing is damp."
E. "The tissue around the veni puncture site is swollen" - Correct Answer :A, D, E
Ch. 55: A nurse is collecting data from a client who is 5 days postoperative following abdominal surgery. The
surgeon suspects an incisional wound infection and has prescribed antibiotic therapy for the nurse to initiate
after collecting wound and blood specimens for culture and sensitivity. Which of the following findings should
the nurse expect? (Select all that apply.)
A. Increase in incisional pain
B. Fever and chills
C. Reddened wound edges
D. Increase in serosanguineous drainage
E. Decrease in thirst - Correct Answer :A, B, C
Ch. 55: A nurse educator is reviewing the wound healing process with a group of nurses. The nurse educator
should include in the information which of the following alterations for wound healing by secondary intention?
(Select all that apply.)
A. Stage 3 pressure ulcer
B. Sutured surgical incision
C. Casted bone fracture
D. Laceration sealed with adhesive
E. Open burn area - Correct Answer :A, E
P 4
