CMS Fundamentals Practice A
Questions and Answers
A charge nurse smells smoke, enters the visitor restroom, and sees flames in the trash
can. What is the sequence of actions that the nurse should take? - 1. Evacuate clients
from the area
2. Pull the lever on the fire alarm box
3. Close the fire doors on the unit
4. Use a fire extinguisher to put out the fire
A client who has advanced cancer tells the nurse that they have a difficult time talking to
anyone about the illness. Which of the following actions should the nurse take to
encourage therapeutic communications? - Let the client know that, as their nurse, they
are available and willing to listen
A nurse at a long-term care facility is caring for a client who is alert. Which of the
following actions should the nurse take to protect the client's privacy? - Speak with the
client about their condition after visitors have left
A nurse has delegated various client care tasks to the assistive personnel (AP) on the
care team. Which of the following actions by the Ap should the nurse identify as
correct? - Donning a mask to measure the vital signs of a client who has pertussis
A nurse is assisting with a presentation to a group of older adults at a community center
about hypothermia and hyperthermia. Which of the following information should the
nurse include about age-related changes? - Circulation becomes less efficient with age
A nurse is assisting with the admission of a client who has active tuberculosis. Which of
the following actions should the nurse plan to take? - Assign the client to a negative-
pressure airflow room
A nurse is assisting with the admission of a client who has brought their medication to
the facility. Which of the following actions should the nurse take? - Compare the
medications the provider has prescribed with the client's medications from home
A nurse is assisting with the care of a recently deceased client. Which of the following
actions should the nurse complete prior to the facility viewing the body? - Clean soiled
areas of the body
A nurse is assisting with the plan of care for a client who has a bacterial infection and a
persistent oral temperature of 38.9 C (102 F). Which of the following interventions
should the nurse include in the plan of care to treat the fever? - Administer
acetaminophen
, A nurse is assisting with the plan of care for a client who has aphasia following a
stroke? Which of the following interventions should the nurse use to assist the client
with communication? - Ask the client close-ended questions
A nurse is assisting with the plan of care for four clients. Which of the following tasks
should the nurse assign to an assistive personnel (AP)? - Assist client to get out of bed
after a breathing treatment
A nurse is calculating the intake and output for a client over the last 8 hr. The client is
receiving a continuous IV infusion at 150 mL/hr and had 4 oz of juice and 0.5 L of water.
How many mL of fluid should the nurse document as the client's intake for the last 8 hr?
(Round your answer to the nearest whole number" - 1,820 mL
A nurse is caring for a client who has a prescription for a potassium supplement. The
client tells the nurse that the pill is too large to swallow and refuses to take it. The nurse
offers to break the pill into smaller pieces. The nurse is demonstrating which of the
following ethical principles? - Beneficence
A nurse is caring for a client who has a terminal illness and a family member asks why
the client's mouth is continually open. Which of the following responses should the
nurse make? - "The reduced muscle tone has relaxed the jaw muscles"
A nurse is caring for a client who has an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent urinary tract infections? - Drain urine
from the tubing before ambulation
A nurse is caring for a client who has Clostridium difficile infection. Which of the
following solutions should the nurse use to perform hand hygiene while caring for this
patient? - Mild soap
A nurse is caring for a client who has just died and practiced the islamic faith. Which of
the following cultural practices should the nurse expect? - The client's face should be
turned toward Mecca
A nurse is caring for a client who has metastatic cancer and practices Catholicism. The
client asks the nurse to discuss the afterlife with them. Which of the following
statements by the nurse assists in meeting the client's spiritual needs? - "Tell me what
the after life means to you"
A nurse is caring for a client who has recently undergone a total bilateral mastectomy.
Which of the following statements by the client requires immediate action by the nurse?
- "When i look at myself in the mirror, I don't know if i can go on"
A nurse is caring for a client who is postoperative and is experiencing nausea and
vomiting. The nurse should identify which of the following findings as indication that the
client has fluid volume deficit? (Select all that apply? - - cool extremities
Questions and Answers
A charge nurse smells smoke, enters the visitor restroom, and sees flames in the trash
can. What is the sequence of actions that the nurse should take? - 1. Evacuate clients
from the area
2. Pull the lever on the fire alarm box
3. Close the fire doors on the unit
4. Use a fire extinguisher to put out the fire
A client who has advanced cancer tells the nurse that they have a difficult time talking to
anyone about the illness. Which of the following actions should the nurse take to
encourage therapeutic communications? - Let the client know that, as their nurse, they
are available and willing to listen
A nurse at a long-term care facility is caring for a client who is alert. Which of the
following actions should the nurse take to protect the client's privacy? - Speak with the
client about their condition after visitors have left
A nurse has delegated various client care tasks to the assistive personnel (AP) on the
care team. Which of the following actions by the Ap should the nurse identify as
correct? - Donning a mask to measure the vital signs of a client who has pertussis
A nurse is assisting with a presentation to a group of older adults at a community center
about hypothermia and hyperthermia. Which of the following information should the
nurse include about age-related changes? - Circulation becomes less efficient with age
A nurse is assisting with the admission of a client who has active tuberculosis. Which of
the following actions should the nurse plan to take? - Assign the client to a negative-
pressure airflow room
A nurse is assisting with the admission of a client who has brought their medication to
the facility. Which of the following actions should the nurse take? - Compare the
medications the provider has prescribed with the client's medications from home
A nurse is assisting with the care of a recently deceased client. Which of the following
actions should the nurse complete prior to the facility viewing the body? - Clean soiled
areas of the body
A nurse is assisting with the plan of care for a client who has a bacterial infection and a
persistent oral temperature of 38.9 C (102 F). Which of the following interventions
should the nurse include in the plan of care to treat the fever? - Administer
acetaminophen
, A nurse is assisting with the plan of care for a client who has aphasia following a
stroke? Which of the following interventions should the nurse use to assist the client
with communication? - Ask the client close-ended questions
A nurse is assisting with the plan of care for four clients. Which of the following tasks
should the nurse assign to an assistive personnel (AP)? - Assist client to get out of bed
after a breathing treatment
A nurse is calculating the intake and output for a client over the last 8 hr. The client is
receiving a continuous IV infusion at 150 mL/hr and had 4 oz of juice and 0.5 L of water.
How many mL of fluid should the nurse document as the client's intake for the last 8 hr?
(Round your answer to the nearest whole number" - 1,820 mL
A nurse is caring for a client who has a prescription for a potassium supplement. The
client tells the nurse that the pill is too large to swallow and refuses to take it. The nurse
offers to break the pill into smaller pieces. The nurse is demonstrating which of the
following ethical principles? - Beneficence
A nurse is caring for a client who has a terminal illness and a family member asks why
the client's mouth is continually open. Which of the following responses should the
nurse make? - "The reduced muscle tone has relaxed the jaw muscles"
A nurse is caring for a client who has an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent urinary tract infections? - Drain urine
from the tubing before ambulation
A nurse is caring for a client who has Clostridium difficile infection. Which of the
following solutions should the nurse use to perform hand hygiene while caring for this
patient? - Mild soap
A nurse is caring for a client who has just died and practiced the islamic faith. Which of
the following cultural practices should the nurse expect? - The client's face should be
turned toward Mecca
A nurse is caring for a client who has metastatic cancer and practices Catholicism. The
client asks the nurse to discuss the afterlife with them. Which of the following
statements by the nurse assists in meeting the client's spiritual needs? - "Tell me what
the after life means to you"
A nurse is caring for a client who has recently undergone a total bilateral mastectomy.
Which of the following statements by the client requires immediate action by the nurse?
- "When i look at myself in the mirror, I don't know if i can go on"
A nurse is caring for a client who is postoperative and is experiencing nausea and
vomiting. The nurse should identify which of the following findings as indication that the
client has fluid volume deficit? (Select all that apply? - - cool extremities
