CMS Fundamentals Test Questions and Answers Graded A+
A nurse administers subcutaneous lispro insulin applies. Do not use a trailing zero.) -
at 0700 to a client who has diabetes. At which of ANSWERS - 300
the following times should the nurse observe for
hypoglycemia caused by the onset of the
medication? - ANSWERS - 0715 A nurse is reinforcing teaching with a client who
has a family history of hypertension. The nurse
should inform the client that his blood pressure
What is required by medical asepsis that is not reading of 112/64 mm Hg places him in which of
required by surgical asepsis? - the following categories? - ANSWERS -
ANSWERS - good hand washing technique Within the expected reference range
A nurse is preparing to administer A nurse is reinforcing teaching with a client who
dexamethasone 1.5 mg/kg/day PO to divide has type 2 diabetes mellitus. The nurse
equally every 6 hours to a preschool-age child determines that teaching has been effective
who weighs 22 lb. Available is dexamethasone when the client identifies which of the following
oral solution 1 mg/mL. How many mL should the manifestations of hypoglycemia? (Select all that
nurse administer per dose? (Round the answer apply.) - ANSWERS - -Blurry vision
to the nearest tenth.) - ANSWERS - 3.8 -tachycardia
-sweating
A postoperative client who has no previous
medical conditions is difficult to arouse when A nurse is reinforcing teaching with a client who
transferred to the surgical unit from the post- has diabetes mellitus and self-administers insulin.
anesthesia care unit. A nurse monitors the pulse The client reports drinking an occasional glass of
oximeter and gets a reading of 85%. The nurse wine. Which of the following is an appropriate
arouses the client and has him cough and response by the nurse? - ANSWERS - "It is
perform deep breathing; the pulse oximeter is best for you to drink an occasional glass of wine
now reading 83% what should be the nurse's with a meal".
next action? - ANSWERS - Start oxygen at
2 liters per nasal cannula.
A nurse is caring for a client who has type 1
diabetes mellitus. The nurse misread the client's
A nurse in the emergency department knows that morning fasting blood glucose level as 210 mg/dL
tissue damage has probably occurred in a instead of 120 mg/dL and administered the
person with hypothermia when a rectal insulin dose appropriate for a reading over 200
temperature of _____ is assessed. (do not use mg/dL. Which of the following actions should the
degree sign,) - ANSWERS - 95 nurse identify as the priority? - ANSWERS -
Check the client's blood glucose level.
At 0330, a nurse is caring for a client who is
postoperative. The client's IV fluids are infusing A nurse is assisting with the plan of care for a
at 120 mL/hr. How many mL of IV fluid should client who has a new deep-vein thrombosis
infuse by 0600? (Round the answer to the (DVT) in his leg. Which of the following
nearest whole number. Use a leading zero if it interventions should the nurse include in the
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, CMS Fundamentals Test Questions and Answers Graded A+
plan? - ANSWERS - Keep the clients ANSWERS - Decreased level of
affected leg elevated consciousness
A nurse is collecting data from a client who is A nurse is caring for a client who is postoperative
postoperative following abdominal surgery. open reduction and internal fixation with
Which of the following findings should cause the placement of a wound drain to repair a hip
nurse to suspect deep-vein thrombosis (DVT)? - fracture. Which of the following actions should
ANSWERS - unilateral leg edema the nurse take? - ANSWERS - Empty the
suction device every 4 hours.
A nurse is collecting data from a client who has
hypertension and a prescription for propranolol. A nurse is reinforcing teaching with an older adult
A history of which of the following conditions client who has had a newly inserted permanent
should be reported to the provider? - pacemaker. Which of the following manifestations
ANSWERS - Heart failure should the nurse include in the teaching as a
pacemaker malfunction that the client should
report to the provider? - ANSWERS -
A nurse is caring for an older adult client who has Fatigue
colon cancer. The client asks the nurse several
questions about his treatment plan. Which of the
following actions should the nurse take? - A nurse is caring for a client who has just been
ANSWERS - Help the client write down diagnosed with angina pectoris. The client tells
questions to ask his provider. the nurse that he is afraid of dying from a heart
attack. Which of the following is an appropriate
nursing response? - ANSWERS - "Tell me
A nurse is collecting data from client who has more about these fears".
received chemotherapy to treat lung cancer.
Which of the following adverse effects should the
nurse report to the provider? - ANSWERS - A nurse is assisting with the care of a client who
Manifestations of infection. was admitted to the emergency department with
reports of chest pain and severe epigastric
distress. The nurse should anticipate that in the
A nurse is assisting with the plan of care for a presence of an acute myocardial infarction the
client who has pneumonia and requires chest client's creatinine kinase-MB (CK-MB) is
percussion, vibration, and postural drainage. expected to peak how many hours after the onset
Which of the following actions should the nurse of chest pain? - ANSWERS - 24 hours
plan to complete first? - ANSWERS -
Auscultate lung fields
A nurse is assisting in the plan of care for a client
who has a suspected myocardial infarction.
A nurse is collecting data from a client who has Which of the following medication should the
pneumonia and is experiencing acute respiratory nurse plan to administer first? -
acidosis. Which of the following manifestations ANSWERS - Oxygen
should the nurse expect to find? -
2/9
A nurse administers subcutaneous lispro insulin applies. Do not use a trailing zero.) -
at 0700 to a client who has diabetes. At which of ANSWERS - 300
the following times should the nurse observe for
hypoglycemia caused by the onset of the
medication? - ANSWERS - 0715 A nurse is reinforcing teaching with a client who
has a family history of hypertension. The nurse
should inform the client that his blood pressure
What is required by medical asepsis that is not reading of 112/64 mm Hg places him in which of
required by surgical asepsis? - the following categories? - ANSWERS -
ANSWERS - good hand washing technique Within the expected reference range
A nurse is preparing to administer A nurse is reinforcing teaching with a client who
dexamethasone 1.5 mg/kg/day PO to divide has type 2 diabetes mellitus. The nurse
equally every 6 hours to a preschool-age child determines that teaching has been effective
who weighs 22 lb. Available is dexamethasone when the client identifies which of the following
oral solution 1 mg/mL. How many mL should the manifestations of hypoglycemia? (Select all that
nurse administer per dose? (Round the answer apply.) - ANSWERS - -Blurry vision
to the nearest tenth.) - ANSWERS - 3.8 -tachycardia
-sweating
A postoperative client who has no previous
medical conditions is difficult to arouse when A nurse is reinforcing teaching with a client who
transferred to the surgical unit from the post- has diabetes mellitus and self-administers insulin.
anesthesia care unit. A nurse monitors the pulse The client reports drinking an occasional glass of
oximeter and gets a reading of 85%. The nurse wine. Which of the following is an appropriate
arouses the client and has him cough and response by the nurse? - ANSWERS - "It is
perform deep breathing; the pulse oximeter is best for you to drink an occasional glass of wine
now reading 83% what should be the nurse's with a meal".
next action? - ANSWERS - Start oxygen at
2 liters per nasal cannula.
A nurse is caring for a client who has type 1
diabetes mellitus. The nurse misread the client's
A nurse in the emergency department knows that morning fasting blood glucose level as 210 mg/dL
tissue damage has probably occurred in a instead of 120 mg/dL and administered the
person with hypothermia when a rectal insulin dose appropriate for a reading over 200
temperature of _____ is assessed. (do not use mg/dL. Which of the following actions should the
degree sign,) - ANSWERS - 95 nurse identify as the priority? - ANSWERS -
Check the client's blood glucose level.
At 0330, a nurse is caring for a client who is
postoperative. The client's IV fluids are infusing A nurse is assisting with the plan of care for a
at 120 mL/hr. How many mL of IV fluid should client who has a new deep-vein thrombosis
infuse by 0600? (Round the answer to the (DVT) in his leg. Which of the following
nearest whole number. Use a leading zero if it interventions should the nurse include in the
1/9
, CMS Fundamentals Test Questions and Answers Graded A+
plan? - ANSWERS - Keep the clients ANSWERS - Decreased level of
affected leg elevated consciousness
A nurse is collecting data from a client who is A nurse is caring for a client who is postoperative
postoperative following abdominal surgery. open reduction and internal fixation with
Which of the following findings should cause the placement of a wound drain to repair a hip
nurse to suspect deep-vein thrombosis (DVT)? - fracture. Which of the following actions should
ANSWERS - unilateral leg edema the nurse take? - ANSWERS - Empty the
suction device every 4 hours.
A nurse is collecting data from a client who has
hypertension and a prescription for propranolol. A nurse is reinforcing teaching with an older adult
A history of which of the following conditions client who has had a newly inserted permanent
should be reported to the provider? - pacemaker. Which of the following manifestations
ANSWERS - Heart failure should the nurse include in the teaching as a
pacemaker malfunction that the client should
report to the provider? - ANSWERS -
A nurse is caring for an older adult client who has Fatigue
colon cancer. The client asks the nurse several
questions about his treatment plan. Which of the
following actions should the nurse take? - A nurse is caring for a client who has just been
ANSWERS - Help the client write down diagnosed with angina pectoris. The client tells
questions to ask his provider. the nurse that he is afraid of dying from a heart
attack. Which of the following is an appropriate
nursing response? - ANSWERS - "Tell me
A nurse is collecting data from client who has more about these fears".
received chemotherapy to treat lung cancer.
Which of the following adverse effects should the
nurse report to the provider? - ANSWERS - A nurse is assisting with the care of a client who
Manifestations of infection. was admitted to the emergency department with
reports of chest pain and severe epigastric
distress. The nurse should anticipate that in the
A nurse is assisting with the plan of care for a presence of an acute myocardial infarction the
client who has pneumonia and requires chest client's creatinine kinase-MB (CK-MB) is
percussion, vibration, and postural drainage. expected to peak how many hours after the onset
Which of the following actions should the nurse of chest pain? - ANSWERS - 24 hours
plan to complete first? - ANSWERS -
Auscultate lung fields
A nurse is assisting in the plan of care for a client
who has a suspected myocardial infarction.
A nurse is collecting data from a client who has Which of the following medication should the
pneumonia and is experiencing acute respiratory nurse plan to administer first? -
acidosis. Which of the following manifestations ANSWERS - Oxygen
should the nurse expect to find? -
2/9
