CMS Complete Study Guide_ Summer 2025
LATEST UPDATED
A nurse is receiving change-of-shift report for four clients. Which of the following clients should the
nurse plan to see first? - AnswerA client who is taking clozapine and reports a sore throat and chills
When using the urgent vs. nonurgent approach to client care, the nurse should determine to first see
the client who is taking clozapine and reports a sore throat and chills. Clozapine can cause
agranulocytosis, a serious adverse effect that causes neutropenia. The nurse should withhold the
medication and notify the provider of these findings.
A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the following laboratory
findings should the nurse expect? - AnswerIncreased creatine phosphokinase (CPK)
An increase in CPK, a muscle enzyme released when muscle tissue is damaged, occurs with
cardiomyopathy.
A nurse is planning discharge teaching for a client who has severe schizoaffective disorder. The nurse
should identify that which of the following treatment options can offer interdiscplinary services for the
client at home? - AnswerAssertive community treatment
Assertive community treatment provides comprehensive, community-based services to clients who have
severe mental illness based upon individualized needs. Services are available in any setting, including the
client's home, 24 hr per day and provide crisis intervention, medication services, and advocacy.
A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hr ago following a
motor-vehicle crash. The client's admission blood alcohol level was 325 mg/dL. Which of the following
findings should indicate to the nurse that the client is experiencing alcohol withdrawal? - AnswerBlood
pressure 154/96 mm Hg