CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) MEDSURG EXAM 2023/2024 COMPLETE WITH 100% VERIFIED ANSWERS | RATED A+

CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) MEDSURG EXAM 2023/2024 COMPLETE WITH 100% VERIFIED ANSWERS | RATED A+ A nurse is assisting with the plan of care for a client who has aspiration pneumonia and hypoxia. Which of the following actions should the nurse plan to take? A. Apply petroleum jelly to the client's nares. B. Initiate fall precautions. C. Implement contact precautions. D. Maintain the client in a supine position. - AnswerB. Initiate fall precautions. A nurse is caring for an older adult client immediately following a bronchoscopy with biopsy. Which of the following is the priority action the nurse should take? A. Document sputum color and consistency. B. Check for a gag reflex. C. Offer ice chips. D. Instruct the client to gargle with warm saline. - AnswerB. Check for gag reflex. A nurse is reinforcing health promotion education at a community health fair. Which of the following statements by attendees indicates understanding of the teaching? A. "I will examine my breasts a week after each menstrual period." B. "I should get a hepatitis B vaccine on a yearly basis." C. "I do my testicular self-exam every 6 months without fail." D. "The flu shot I received last year will last me for 2 years." - AnswerA. "I will examine my breasts a week after each menstrual period." A nurse in a long-term care facility is collecting data from an older adult client. Which of the following findings indicates that the client might be dehydrated? A. Cool, clammy skin B. Decrease in pulse rate C. increase in blood pressure D. Recent onset of confusion - AnswerD. Recent onset of confusion A nurse is collecting data from a client who had a long arm cast applied 2 hr ago. Which of the following findings of the affected extremity should the nurse report to the provider immediately? A. The client's fingers are cool to the touch. B. The client's capillary refill is 3 seconds. C. The client reports Increased pain at the area of the fracture. D. The client reports severe itching under the cast. - AnswerA. The client's fingers are cool to the touch. A nurse in a long-term care unit is assisting in the care of a client who has Alzheimer's disease. Which of the following actions should the nurse take? A. Alternate the client's daily routine B. Keep the lights dimmed. C. Raise the four side rails on the client's bed. D. Participate in reminiscence therapy with the client. - AnswerD. Participate in reminiscence therapy with the client. A nurse is caring for a client who is postoperative following a right radical mastectomy. Which of the following actions should the nurse take to prevent the development of lymphedema? A. Limit range of-motion exercises with the affected arm. B. Use the client's left arm to obtain blood samples. C. Keep both arms below the level of the client's heart. D. Obtain blood pressure readings using the client's right arm. - AnswerB. Use the client's left arm to obtain blood samples.