Fundamental CMS Final Exam Unitek College Newest
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A nurse is assessing the heart sounds of a client who has
developed chest pain that becomes worse with inspiration.
The nurse auscultates a high-pitched scratching sound
during both systole and diastole with the diaphragm of the
stethoscope positioned at the left sternal border. Which of
the following heart sounds should the nurse document?
A. Audible Click
B. Murmur
C. Third heart sound
D. Pericardial friction rub - Answer-D
A nurse is obtaining the blood pressure in a client's lower
extremity. Which of the following action should the nurse
take?
A. Auscultate for the blood presure at the dorsalis pedis
artery.
B. Measure the blood pressure with the client sitting on the
side of the bed.
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C. Place the cuff 7.6cm (3in) above the popliteal artery.
D. Place the bladder of the cuff over the posterior aspect
of the thigh. - Answer-D
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
A nurse is caring for a client who requires a chest x-ray.
Prior to the client being transported for the procedure,
which of the following actions should the nurse take first?
A. Explain the x-ray procedure to the client.
B. Help the client into a wheelchair before the transporter
arrives.
C. Ask if the client has any questions.
D. Identify the client using two identifiers. - Answer-D
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A nurse is caring for a child who is postoperative following
a tonsillectomy. Which of the following actions should the
nurse take?
A. Encourage the child to cough frequently to clear
congestion from anesthesia.
B. Place a heating pad at the child's neck for comfort.
C. Administer analgesics to the child on a routine schedule
throughout the day and night.
D. Provide the child with ice cream when oral intake is
initiated. - Answer-C
A nurse is providing taching to a client who has heart
failure about how to reduce his daily intake of sodium.
Which of the following factors is the most important in
determining the client's ability to learn new dietary habits?
A. The involvement of the client in planning the change.
B. The emphasis the provider places on the dietary
changes.
C. The learning theory the nurse uses to teach the dietary
changes.
D. The extent of the dietary changes planned for the client.
- Answer-A