CMS FUNDAMENTALS PROCTORED (250 QS & ANS)
EXAM QUESTIONS AND CORRECT ANSWERS (100%
COMPLETE)AGRADE
A nurse administers subcutaneous lispro insulin at 0700 to a client who has diabetes.
At which of the following times should the nurse observe for hypoglycemia caused
by the onset of the medication? - ANSWER: 0715
What is required by medical asepsis that is not required by surgical asepsis? -
ANSWER: good hand washing technique
A nurse is preparing to administer dexamethasone 1.5 mg/kg/day PO to divide
equally every 6 hours to a preschool-age child who weighs 22 lb. Available is
dexamethasone oral solution 1 mg/mL. How many mL should the nurse administer
per dose? (Round the answer to the nearest tenth.) - ANSWER: 3.8
A postoperative client who has no previous medical conditions is difficult to arouse
when transferred to the surgical unit from the post-anesthesia care unit. A nurse
monitors the pulse oximeter and gets a reading of 85%. The nurse arouses the client
and has him cough and perform deep breathing; the pulse oximeter is now reading
83% what should be the nurse's next action? - ANSWER: Start oxygen at 2 liters per
nasal cannula.
A nurse in the emergency department knows that tissue damage has probably
occurred in a person with hypothermia when a rectal temperature of _____ is
assessed. (do not use degree sign,) - ANSWER: 95
At 0330, a nurse is caring for a client who is postoperative. The client's IV fluids are
infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? (Round the
answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.) - ANSWER: 300
A nurse is reinforcing teaching with a client who has a family history of hypertension.
The nurse should inform the client that his blood pressure reading of 112/64 mm Hg
places him in which of the following categories? - ANSWER: Within the expected
reference range
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The
nurse determines that teaching has been effective when the client identifies which
of the following manifestations of hypoglycemia? (Select all that apply.) - ANSWER: -
Blurry vision
-tachycardia
-sweating
A nurse is reinforcing teaching with a client who has diabetes mellitus and self-
administers insulin. The client reports drinking an occasional glass of wine. Which of
, the following is an appropriate response by the nurse? - ANSWER: "It is best for you
to drink an occasional glass of wine with a meal".
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the
client's morning fasting blood glucose level as 210 mg/dL instead of 120 mg/dL and
administered the insulin dose appropriate for a reading over 200 mg/dL. Which of
the following actions should the nurse identify as the priority? - ANSWER: Check the
client's blood glucose level.
A nurse is assisting with the plan of care for a client who has a new deep-vein
thrombosis (DVT) in his leg. Which of the following interventions should the nurse
include in the plan? - ANSWER: Keep the clients affected leg elevated
A nurse is collecting data from a client who is postoperative following abdominal
surgery. Which of the following findings should cause the nurse to suspect deep-vein
thrombosis (DVT)? - ANSWER: unilateral leg edema
A nurse is collecting data from a client who has hypertension and a prescription for
propranolol. A history of which of the following conditions should be reported to the
provider? - ANSWER: Heart failure
A nurse is caring for an older adult client who has colon cancer. The client asks the
nurse several questions about his treatment plan. Which of the following actions
should the nurse take? - ANSWER: Help the client write down questions to ask his
provider.
A nurse is collecting data from client who has received chemotherapy to treat lung
cancer. Which of the following adverse effects should the nurse report to the
provider? - ANSWER: Manifestations of infection.
A nurse is assisting with the plan of care for a client who has pneumonia and
requires chest percussion, vibration, and postural drainage. Which of the following
actions should the nurse plan to complete first? - ANSWER: Auscultate lung fields
A nurse is collecting data from a client who has pneumonia and is experiencing acute
respiratory acidosis. Which of the following manifestations should the nurse expect
to find? - ANSWER: Decreased level of consciousness
A nurse is caring for a client who is postoperative open reduction and internal
fixation with placement of a wound drain to repair a hip fracture. Which of the
following actions should the nurse take? - ANSWER: Empty the suction device every
4 hours.
A nurse is reinforcing teaching with an older adult client who has had a newly
inserted permanent pacemaker. Which of the following manifestations should the
nurse include in the teaching as a pacemaker malfunction that the client should
report to the provider? - ANSWER: Fatigue
EXAM QUESTIONS AND CORRECT ANSWERS (100%
COMPLETE)AGRADE
A nurse administers subcutaneous lispro insulin at 0700 to a client who has diabetes.
At which of the following times should the nurse observe for hypoglycemia caused
by the onset of the medication? - ANSWER: 0715
What is required by medical asepsis that is not required by surgical asepsis? -
ANSWER: good hand washing technique
A nurse is preparing to administer dexamethasone 1.5 mg/kg/day PO to divide
equally every 6 hours to a preschool-age child who weighs 22 lb. Available is
dexamethasone oral solution 1 mg/mL. How many mL should the nurse administer
per dose? (Round the answer to the nearest tenth.) - ANSWER: 3.8
A postoperative client who has no previous medical conditions is difficult to arouse
when transferred to the surgical unit from the post-anesthesia care unit. A nurse
monitors the pulse oximeter and gets a reading of 85%. The nurse arouses the client
and has him cough and perform deep breathing; the pulse oximeter is now reading
83% what should be the nurse's next action? - ANSWER: Start oxygen at 2 liters per
nasal cannula.
A nurse in the emergency department knows that tissue damage has probably
occurred in a person with hypothermia when a rectal temperature of _____ is
assessed. (do not use degree sign,) - ANSWER: 95
At 0330, a nurse is caring for a client who is postoperative. The client's IV fluids are
infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? (Round the
answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.) - ANSWER: 300
A nurse is reinforcing teaching with a client who has a family history of hypertension.
The nurse should inform the client that his blood pressure reading of 112/64 mm Hg
places him in which of the following categories? - ANSWER: Within the expected
reference range
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The
nurse determines that teaching has been effective when the client identifies which
of the following manifestations of hypoglycemia? (Select all that apply.) - ANSWER: -
Blurry vision
-tachycardia
-sweating
A nurse is reinforcing teaching with a client who has diabetes mellitus and self-
administers insulin. The client reports drinking an occasional glass of wine. Which of
, the following is an appropriate response by the nurse? - ANSWER: "It is best for you
to drink an occasional glass of wine with a meal".
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the
client's morning fasting blood glucose level as 210 mg/dL instead of 120 mg/dL and
administered the insulin dose appropriate for a reading over 200 mg/dL. Which of
the following actions should the nurse identify as the priority? - ANSWER: Check the
client's blood glucose level.
A nurse is assisting with the plan of care for a client who has a new deep-vein
thrombosis (DVT) in his leg. Which of the following interventions should the nurse
include in the plan? - ANSWER: Keep the clients affected leg elevated
A nurse is collecting data from a client who is postoperative following abdominal
surgery. Which of the following findings should cause the nurse to suspect deep-vein
thrombosis (DVT)? - ANSWER: unilateral leg edema
A nurse is collecting data from a client who has hypertension and a prescription for
propranolol. A history of which of the following conditions should be reported to the
provider? - ANSWER: Heart failure
A nurse is caring for an older adult client who has colon cancer. The client asks the
nurse several questions about his treatment plan. Which of the following actions
should the nurse take? - ANSWER: Help the client write down questions to ask his
provider.
A nurse is collecting data from client who has received chemotherapy to treat lung
cancer. Which of the following adverse effects should the nurse report to the
provider? - ANSWER: Manifestations of infection.
A nurse is assisting with the plan of care for a client who has pneumonia and
requires chest percussion, vibration, and postural drainage. Which of the following
actions should the nurse plan to complete first? - ANSWER: Auscultate lung fields
A nurse is collecting data from a client who has pneumonia and is experiencing acute
respiratory acidosis. Which of the following manifestations should the nurse expect
to find? - ANSWER: Decreased level of consciousness
A nurse is caring for a client who is postoperative open reduction and internal
fixation with placement of a wound drain to repair a hip fracture. Which of the
following actions should the nurse take? - ANSWER: Empty the suction device every
4 hours.
A nurse is reinforcing teaching with an older adult client who has had a newly
inserted permanent pacemaker. Which of the following manifestations should the
nurse include in the teaching as a pacemaker malfunction that the client should
report to the provider? - ANSWER: Fatigue
