Fundamentals CMS Midterm
2023/2026
A charge nurse is assigning rooms for the clients to be admitted to the unit. To
prevent falls, which of the following clients just the nurse assigned to the room
closest to the nurses station?
A. A middle adult who is postoperative following a laparoscopic
cholecystectomy
B. A middle adult who requires telemetry for a possible myocardial infarction
C. Young adult who is postoperative following an open reduction internal
fixation of the ankle
D. An older adult who is postoperative following a below the knee amputation -
ANSWER-D
.A charge nurse is explaining the various stages of the lifespan to a group of
newly licensed nurses. Which of the following examples should the charge nurse
include as a developmental task for a young adult?
A. Becoming actively involved in providing guidance to the next generation
B. Adjusting to major changes in roles and relationships due to losses
C. Devoting a great deal of time to establishing an occupation
,D. Finding oneself "sandwiched" between and being responsible for two
generations - ANSWER-C
.A charge nurse is observing a newly licensed nurse perform tracheostomy care
for a client.
Which of the following actions by the newly licensed nurse requires
intervention?
A. Obtaining hydrogen peroxide for the trachesotomy care.
B. Obtainging cotton balls for the tracheostomy care.
C. Obtaining sterile gloves for the tracheostomy care.
D. Obtaining a sterile brush for the tracheostomy care. - ANSWER-B) Obtaining
cotton balls for the tracheostomy
.A charge nurse is reviewing the steps of the nursing process with a group of
nurses. Which of the following data should the charge nurse identify as
objective data? (Select all that apply)
A. Respiratory rate is 22/min with even, unlabored respirations.
B. The clients partner states, "he said he hurts after walking about 10 minutes."
C. Pain rating is three on a scale of 0 to 10
D. Skin is pink, warm, and dry
E. The AP reports the client walked with a limp - ANSWER-A
D
E
,.A charge nurse is talking with a newly licensed nurse and is reviewing nursing
interventions that do not require a providers prescription. Which of the
following interventions should the charge nurse include? (Select all that apply)
A. Writing a prescription for morphine sulfate as needed for pain
B. Inserting a nasogastric (NG tube) to relieve gastric distention
C. Showing a client how to use progressive muscle relaxation
D. Performing a daily bath after the evening meal
E. Re-positioning a client every two hours to reduce pressure ulcer risk. -
ANSWER-C
D
E
.A charge nurse is teaching adult cardiopulmonary resusciation (CPR) to a group
of newly licensed nurses.
Which of the following actions should the charge nurse teach as the first
response in CPR?
A. Call for assisstance
B. Begin Chest compressions
C. Confirm unresponsiveness.
D. Give rescue breaths. - ANSWER-C) Confirm unresponsiveness
.A client who has had a CVA (cerebrovascular accident) has persistent problems
with dysphasia. The nurse caring for the client should initiate a referral with
which of the following members of the interprofessional team?
, A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist - ANSWER-D
.A client who is postoperative following knee arthroplasty is concerned about
the adverse effects of the medication he is receiving for pain management.
Which of the following members of the interprofessional care team can assist
the client in understanding the medications affects? (Select all that apply)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist - ANSWER-A
C
D
.A community health nurse is preparing a campaign about seasonal influenza.
Which of the following plans should the nurse include as a secondary
prevention.
A. Holding a community clinic to adminster influenza immunizations.
B. Screening groups of older adults in nursing care facilites for early influenza
manifestations.
C. Educating parents of young children about dangers of influenza.
2023/2026
A charge nurse is assigning rooms for the clients to be admitted to the unit. To
prevent falls, which of the following clients just the nurse assigned to the room
closest to the nurses station?
A. A middle adult who is postoperative following a laparoscopic
cholecystectomy
B. A middle adult who requires telemetry for a possible myocardial infarction
C. Young adult who is postoperative following an open reduction internal
fixation of the ankle
D. An older adult who is postoperative following a below the knee amputation -
ANSWER-D
.A charge nurse is explaining the various stages of the lifespan to a group of
newly licensed nurses. Which of the following examples should the charge nurse
include as a developmental task for a young adult?
A. Becoming actively involved in providing guidance to the next generation
B. Adjusting to major changes in roles and relationships due to losses
C. Devoting a great deal of time to establishing an occupation
,D. Finding oneself "sandwiched" between and being responsible for two
generations - ANSWER-C
.A charge nurse is observing a newly licensed nurse perform tracheostomy care
for a client.
Which of the following actions by the newly licensed nurse requires
intervention?
A. Obtaining hydrogen peroxide for the trachesotomy care.
B. Obtainging cotton balls for the tracheostomy care.
C. Obtaining sterile gloves for the tracheostomy care.
D. Obtaining a sterile brush for the tracheostomy care. - ANSWER-B) Obtaining
cotton balls for the tracheostomy
.A charge nurse is reviewing the steps of the nursing process with a group of
nurses. Which of the following data should the charge nurse identify as
objective data? (Select all that apply)
A. Respiratory rate is 22/min with even, unlabored respirations.
B. The clients partner states, "he said he hurts after walking about 10 minutes."
C. Pain rating is three on a scale of 0 to 10
D. Skin is pink, warm, and dry
E. The AP reports the client walked with a limp - ANSWER-A
D
E
,.A charge nurse is talking with a newly licensed nurse and is reviewing nursing
interventions that do not require a providers prescription. Which of the
following interventions should the charge nurse include? (Select all that apply)
A. Writing a prescription for morphine sulfate as needed for pain
B. Inserting a nasogastric (NG tube) to relieve gastric distention
C. Showing a client how to use progressive muscle relaxation
D. Performing a daily bath after the evening meal
E. Re-positioning a client every two hours to reduce pressure ulcer risk. -
ANSWER-C
D
E
.A charge nurse is teaching adult cardiopulmonary resusciation (CPR) to a group
of newly licensed nurses.
Which of the following actions should the charge nurse teach as the first
response in CPR?
A. Call for assisstance
B. Begin Chest compressions
C. Confirm unresponsiveness.
D. Give rescue breaths. - ANSWER-C) Confirm unresponsiveness
.A client who has had a CVA (cerebrovascular accident) has persistent problems
with dysphasia. The nurse caring for the client should initiate a referral with
which of the following members of the interprofessional team?
, A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist - ANSWER-D
.A client who is postoperative following knee arthroplasty is concerned about
the adverse effects of the medication he is receiving for pain management.
Which of the following members of the interprofessional care team can assist
the client in understanding the medications affects? (Select all that apply)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist - ANSWER-A
C
D
.A community health nurse is preparing a campaign about seasonal influenza.
Which of the following plans should the nurse include as a secondary
prevention.
A. Holding a community clinic to adminster influenza immunizations.
B. Screening groups of older adults in nursing care facilites for early influenza
manifestations.
C. Educating parents of young children about dangers of influenza.
