CMS FUNDAMENTALS 2024 2025
QUESTIONS WITH GOLDEN TIPS 100%
VERIFIED SOLUTIONS LATEST UPDATE
GRADED A+
1. A nurse is caring for a client who is in the terminal stage of cancer. Which
of the following actions should the nurse take when she observes the client
crying?
A. Contact the family and ask them to stay with the client
B. Offer to call the client's minister
C. Sit and hold the client's hand
D. Leave the room and allow the client to cry privately: C. Sit and hold the
client's hand
2. A nurse is caring for a client who requires wrist restraints. Which of
the following actions should the nurse take? A. Tie a secure knot with
the restraint straps
B. Attach the restraints' straps to the bed's side rails
C. Make sure 3 fingers fit beneath the restraints
D. Remove the restraints at least every 2 hrs: D. Remove the restraints at least
every 2 hrs
3. After collecting data on a client's radial pulses, the nurse documents "radial
pulses 4+ bilaterally." This finding indicates which of the following pulse
qualities?
A. Bounding
B. Full
C. Variable
D. Weak: A. Bounding
,4. A nurse is reinforcing teaching with a client regarding protein intake. Which
of the following foods should the nurse include as an example of an
incomplete protein? A. Eggs
B. Soybeans
C. Lentils
D. Yogurt: C. Lentils
5. A nurse is planning weight loss strategies for a group of clients who are
obese. Which of the following actions by the nurse will improve the
clients' commitment to a long-term goal of weight loss? A. Attempting to
increase the clients' self-motivation
B. Keeping detailed records of each client's progress
C. Testing client learning after each teaching session
D. Avoiding discussing topics that might cause client anxiety: A. Attempting to
increase the clients' self-motivation
6. A nurse is reinforcing teaching with a client who is using a patient-
controlled analgesia (PA) pump to deliver morphine for pain management.
Which of the following statements should the nurse identify as an indication
that the client understands the instructions?
C A. "l'Il limit pushing the button so I don't get an overdose."
B. "If I push the button and still have pain after 2 minutes, I'll push it again."
C. "I'll ask my niece to push the button when I am sleeping."
D. "I can still use my TENS unit even though I'm pushing the PCA button.": D.
"I can still use my TENS unit even though I'm pushing the PCA button."
7. A nurse is caring for a client who had a stroke and is at risk of falling. Which
of the following actions should the nurse take?
A. Assign the client to a private room
B. Keep 4 side rails up while the client is in bed
C. Monitor the client at least once every hour
D. Request a PRN prescription for restraints: C. Monitor the client at least once
every hour
,8. A nurse is caring for a client who has a history of dysrhythmias. Upon
entering the room, the nurse discovers client is unresponsive to verbal or
painful stimuli, has no respirations, and is pulseless. Which of the following
actions should the nurse take first?
A. Start chest compressions
B. Provide breaths with a manual resuscitation bag
C. Administer oxygen
D. Establish an airway: A. Start chest compressions
9. A nurse is collecting data from a client. Which of the following statements
by the nurse reflects the communication technique of clarifying?
A. "Now that we have talked about your medications, let's talk about your
pain."
B. "Are you having other symptoms?"
C. "It sounds like your pain is intermittent."
D. "It seems as though you have really had a rough time these past few
weeks.": C. "It sounds like your pain is intermittent."
10. A nurse is obtaining the blood pressure in a client's lower extremity.
Which of the following actions should the nurse take?
A. Auscultate for the blood pressure at the dorsalis pedis artery
B. Measure the blood pressure with the client sitting on the side of the bed
C. Place the cuff 7.6 cm (3 in) above the popliteal artery
D. Place the bladder of the cuff over the posterior aspect of the thigh: D. Place
the bladder of the cuff over the posterior aspect of the thigh
11. A nurse is reinforcing teaching with a preschooler about how to use a
metered-dose inhaler. Which of the following methods should the nurse use
during this instructional session? A. A simple demonstration of inhaler use
B. A discussion of health problems
C. Collaboration in instruction
D. Mutual goal-setting: A. A simple demonstration of inhaler use
, 12. A nurse is reinforcing teaching for a client who has a new prescription
for home oxygen therapy. Which of the following instructions should the
nurse include?
A. Do not use any electrical devices when receiving oxygen
B. Keep the oxygen tank lying on the floor when there is any risk of knocking
it over
C. Do not use any materials containing oil or alcohol when using oxygenD.
Use synthetic blankets and clothing when using oxygen: C. Do not use any
materials containing oil or alcohol when using oxygen
13. A nurse is caring for a client who has major fecal incontinence and reports
irritation in the perianal area. Which of the following actions should the nurse
take first?
A. Apply a fecal collection system
B. Apply a barrier cream
C. Cleanse and dry the area
D. Check the client's perineum: D. Check the client's perineum
14. A nurse is preparing to insert an NG tube for a client who has a bowel
obstruction. Which of the following actions should the nurse take first?
A. Provide the client with a glass of water
B. Assist the client into a sitting position
C. Explain the procedure to the client
D. Measure the length of tubing to be inserted: C. Explain the procedure to the
client
15. A nurse is preparing to measure a client's blood pressure with a
sphygmomanometer and a stethoscope. Which of the following actions
should the nurse take?
A. Wrap the cuff loosely around the client's arm
B. Use a cuff with a bladder that encircles 60% of the client's upper arm
C. Place the cuff so its lower edge is 1.3 cm (0.5 in) above the antecubital
spaceD. Have the client place both feet flat on the floor: D. Have the client
place both feet flat on the floor
QUESTIONS WITH GOLDEN TIPS 100%
VERIFIED SOLUTIONS LATEST UPDATE
GRADED A+
1. A nurse is caring for a client who is in the terminal stage of cancer. Which
of the following actions should the nurse take when she observes the client
crying?
A. Contact the family and ask them to stay with the client
B. Offer to call the client's minister
C. Sit and hold the client's hand
D. Leave the room and allow the client to cry privately: C. Sit and hold the
client's hand
2. A nurse is caring for a client who requires wrist restraints. Which of
the following actions should the nurse take? A. Tie a secure knot with
the restraint straps
B. Attach the restraints' straps to the bed's side rails
C. Make sure 3 fingers fit beneath the restraints
D. Remove the restraints at least every 2 hrs: D. Remove the restraints at least
every 2 hrs
3. After collecting data on a client's radial pulses, the nurse documents "radial
pulses 4+ bilaterally." This finding indicates which of the following pulse
qualities?
A. Bounding
B. Full
C. Variable
D. Weak: A. Bounding
,4. A nurse is reinforcing teaching with a client regarding protein intake. Which
of the following foods should the nurse include as an example of an
incomplete protein? A. Eggs
B. Soybeans
C. Lentils
D. Yogurt: C. Lentils
5. A nurse is planning weight loss strategies for a group of clients who are
obese. Which of the following actions by the nurse will improve the
clients' commitment to a long-term goal of weight loss? A. Attempting to
increase the clients' self-motivation
B. Keeping detailed records of each client's progress
C. Testing client learning after each teaching session
D. Avoiding discussing topics that might cause client anxiety: A. Attempting to
increase the clients' self-motivation
6. A nurse is reinforcing teaching with a client who is using a patient-
controlled analgesia (PA) pump to deliver morphine for pain management.
Which of the following statements should the nurse identify as an indication
that the client understands the instructions?
C A. "l'Il limit pushing the button so I don't get an overdose."
B. "If I push the button and still have pain after 2 minutes, I'll push it again."
C. "I'll ask my niece to push the button when I am sleeping."
D. "I can still use my TENS unit even though I'm pushing the PCA button.": D.
"I can still use my TENS unit even though I'm pushing the PCA button."
7. A nurse is caring for a client who had a stroke and is at risk of falling. Which
of the following actions should the nurse take?
A. Assign the client to a private room
B. Keep 4 side rails up while the client is in bed
C. Monitor the client at least once every hour
D. Request a PRN prescription for restraints: C. Monitor the client at least once
every hour
,8. A nurse is caring for a client who has a history of dysrhythmias. Upon
entering the room, the nurse discovers client is unresponsive to verbal or
painful stimuli, has no respirations, and is pulseless. Which of the following
actions should the nurse take first?
A. Start chest compressions
B. Provide breaths with a manual resuscitation bag
C. Administer oxygen
D. Establish an airway: A. Start chest compressions
9. A nurse is collecting data from a client. Which of the following statements
by the nurse reflects the communication technique of clarifying?
A. "Now that we have talked about your medications, let's talk about your
pain."
B. "Are you having other symptoms?"
C. "It sounds like your pain is intermittent."
D. "It seems as though you have really had a rough time these past few
weeks.": C. "It sounds like your pain is intermittent."
10. A nurse is obtaining the blood pressure in a client's lower extremity.
Which of the following actions should the nurse take?
A. Auscultate for the blood pressure at the dorsalis pedis artery
B. Measure the blood pressure with the client sitting on the side of the bed
C. Place the cuff 7.6 cm (3 in) above the popliteal artery
D. Place the bladder of the cuff over the posterior aspect of the thigh: D. Place
the bladder of the cuff over the posterior aspect of the thigh
11. A nurse is reinforcing teaching with a preschooler about how to use a
metered-dose inhaler. Which of the following methods should the nurse use
during this instructional session? A. A simple demonstration of inhaler use
B. A discussion of health problems
C. Collaboration in instruction
D. Mutual goal-setting: A. A simple demonstration of inhaler use
, 12. A nurse is reinforcing teaching for a client who has a new prescription
for home oxygen therapy. Which of the following instructions should the
nurse include?
A. Do not use any electrical devices when receiving oxygen
B. Keep the oxygen tank lying on the floor when there is any risk of knocking
it over
C. Do not use any materials containing oil or alcohol when using oxygenD.
Use synthetic blankets and clothing when using oxygen: C. Do not use any
materials containing oil or alcohol when using oxygen
13. A nurse is caring for a client who has major fecal incontinence and reports
irritation in the perianal area. Which of the following actions should the nurse
take first?
A. Apply a fecal collection system
B. Apply a barrier cream
C. Cleanse and dry the area
D. Check the client's perineum: D. Check the client's perineum
14. A nurse is preparing to insert an NG tube for a client who has a bowel
obstruction. Which of the following actions should the nurse take first?
A. Provide the client with a glass of water
B. Assist the client into a sitting position
C. Explain the procedure to the client
D. Measure the length of tubing to be inserted: C. Explain the procedure to the
client
15. A nurse is preparing to measure a client's blood pressure with a
sphygmomanometer and a stethoscope. Which of the following actions
should the nurse take?
A. Wrap the cuff loosely around the client's arm
B. Use a cuff with a bladder that encircles 60% of the client's upper arm
C. Place the cuff so its lower edge is 1.3 cm (0.5 in) above the antecubital
spaceD. Have the client place both feet flat on the floor: D. Have the client
place both feet flat on the floor
