FUNDAMENTAL CMS PROCTORED EXAM
Questions and Answers 2026 | Simplified
Study Notes with Rationales | A+ Verified
• What is required by medical asepsis that is not required by surgical
asepsis? -✓✓good hand washing technique
• A nurse is preparing to administer dexamethasone 1.5 mg/kg/day PO to
divide equally every 6 hours to a preschool-age child who weighs 22 lb.
Available is dexamethasone oral solution 1 mg/mL. How many mL
should the nurse administer per dose? (Round the answer to the nearest
tenth.) -✓✓3.8
• A postoperative client who has no previous medical conditions is
difficult to arouse when transferred to the surgical unit from the post-
anesthesia care unit. A nurse monitors the pulse oximeter and gets a
reading of 85%. The nurse arouses the client and has him cough and
perform deep breathing; the pulse oximeter is now reading 83% what
should be the nurse's next action? -✓✓Start oxygen at 2 liters per nasal
cannula.
• A nurse in the emergency department knows that tissue damage has
probably occurred in a person with hypothermia when a rectal
temperature of _____ is assessed. (do not use degree sign,) -✓✓95
• At 0330, a nurse is caring for a client who is postoperative. The client's
IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should
,infuse by 0600? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.) -✓✓300
• 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 reading of 112/64 mm Hg places him in which of the following
categories? -✓✓Within the expected reference range
• A nurse is reinforcing teaching with a client who has type 2 diabetes
mellitus. The nurse determines that teaching has been effective when the
client identifies which of the following manifestations of hypoglycemia?
(Select all that apply.) -✓✓-Blurry vision
-tachycardia
-sweating
• A nurse is reinforcing teaching with a client who has diabetes mellitus
and self-administers insulin. The client reports drinking an occasional
glass of wine. Which of the following is an appropriate response by the
nurse? -✓✓"It is best for you to drink an occasional glass of wine with a
meal".
• A nurse is caring for a client who has type 1 diabetes mellitus. The
nurse misread the client's morning fasting blood glucose level as 210
mg/dL instead of 120 mg/dL and administered the insulin dose
appropriate for a reading over 200 mg/dL. Which of the following
actions should the nurse identify as the priority? -✓✓Check the client's
blood glucose level.
, • A nurse is assisting with the plan of care for a client who has a new
deep-vein thrombosis (DVT) in his leg. Which of the following
interventions should the nurse include in the plan? -✓✓Keep the clients
affected leg elevated
• A nurse is collecting data from a client who is postoperative following
abdominal surgery. Which of the following findings should cause the
nurse to suspect deep-vein thrombosis (DVT)? -✓✓unilateral leg edema
• A nurse is collecting data from a client who has hypertension and a
prescription for propranolol. A history of which of the following
conditions should be reported to the provider? -✓✓Heart failure
• A nurse is caring for an older adult client who has colon cancer. The
client asks the nurse several questions about his treatment plan. Which
of the following actions should the nurse take? -✓✓Help the client write
down questions to ask his provider.
• A nurse is collecting data from client who has received chemotherapy
to treat lung cancer. Which of the following adverse effects should the
nurse report to the provider? -✓✓Manifestations of infection.
• A nurse is assisting with the plan of care for a client who has
pneumonia and requires chest percussion, vibration, and postural
drainage. Which of the following actions should the nurse plan to
complete first? -✓✓Auscultate lung fields
Questions and Answers 2026 | Simplified
Study Notes with Rationales | A+ Verified
• What is required by medical asepsis that is not required by surgical
asepsis? -✓✓good hand washing technique
• A nurse is preparing to administer dexamethasone 1.5 mg/kg/day PO to
divide equally every 6 hours to a preschool-age child who weighs 22 lb.
Available is dexamethasone oral solution 1 mg/mL. How many mL
should the nurse administer per dose? (Round the answer to the nearest
tenth.) -✓✓3.8
• A postoperative client who has no previous medical conditions is
difficult to arouse when transferred to the surgical unit from the post-
anesthesia care unit. A nurse monitors the pulse oximeter and gets a
reading of 85%. The nurse arouses the client and has him cough and
perform deep breathing; the pulse oximeter is now reading 83% what
should be the nurse's next action? -✓✓Start oxygen at 2 liters per nasal
cannula.
• A nurse in the emergency department knows that tissue damage has
probably occurred in a person with hypothermia when a rectal
temperature of _____ is assessed. (do not use degree sign,) -✓✓95
• At 0330, a nurse is caring for a client who is postoperative. The client's
IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should
,infuse by 0600? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.) -✓✓300
• 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 reading of 112/64 mm Hg places him in which of the following
categories? -✓✓Within the expected reference range
• A nurse is reinforcing teaching with a client who has type 2 diabetes
mellitus. The nurse determines that teaching has been effective when the
client identifies which of the following manifestations of hypoglycemia?
(Select all that apply.) -✓✓-Blurry vision
-tachycardia
-sweating
• A nurse is reinforcing teaching with a client who has diabetes mellitus
and self-administers insulin. The client reports drinking an occasional
glass of wine. Which of the following is an appropriate response by the
nurse? -✓✓"It is best for you to drink an occasional glass of wine with a
meal".
• A nurse is caring for a client who has type 1 diabetes mellitus. The
nurse misread the client's morning fasting blood glucose level as 210
mg/dL instead of 120 mg/dL and administered the insulin dose
appropriate for a reading over 200 mg/dL. Which of the following
actions should the nurse identify as the priority? -✓✓Check the client's
blood glucose level.
, • A nurse is assisting with the plan of care for a client who has a new
deep-vein thrombosis (DVT) in his leg. Which of the following
interventions should the nurse include in the plan? -✓✓Keep the clients
affected leg elevated
• A nurse is collecting data from a client who is postoperative following
abdominal surgery. Which of the following findings should cause the
nurse to suspect deep-vein thrombosis (DVT)? -✓✓unilateral leg edema
• A nurse is collecting data from a client who has hypertension and a
prescription for propranolol. A history of which of the following
conditions should be reported to the provider? -✓✓Heart failure
• A nurse is caring for an older adult client who has colon cancer. The
client asks the nurse several questions about his treatment plan. Which
of the following actions should the nurse take? -✓✓Help the client write
down questions to ask his provider.
• A nurse is collecting data from client who has received chemotherapy
to treat lung cancer. Which of the following adverse effects should the
nurse report to the provider? -✓✓Manifestations of infection.
• A nurse is assisting with the plan of care for a client who has
pneumonia and requires chest percussion, vibration, and postural
drainage. Which of the following actions should the nurse plan to
complete first? -✓✓Auscultate lung fields
