ATI CMS Exam Questions with 100% Correct
Answers
A nurse is preparing an in-service for an annual skills fair at a community medical
facility about fire safety. Place the steps in the order in which they should be performed
in the case of a fire emergency. (Move the steps into the box on the right, placing them
in the selected order of performance. Use all the steps.)
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the fire.
D. Rescue the clients.
D. Rescue the clients.
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the fire.
A nurse is caring for a client who is dying of metastatic breast cancer. She has a
prescription for an opioid pain medication PRN. The nurse is concerned that
administering a dose of pain medication might hasten the client's death. Which of the
following ethical principles should the nurse use to support the decision not to
administer the medication?
A. Utilitarianism
B. Nonmaleficence
C. Fidelity
D. Veracity
B. Nonmaleficence
,A charge nurse is reviewing the list of tasks that have been delegated to the assistive
personnel (AP) by the staff nurse. Which of the following tasks should the charge nurse
reassign to a licensed nurse?
A. Transporting a client who experienced a stroke 72 hr ago to the radiology
department
B. Providing a back rub to a client who has right-sided paralysis
C. Removing and cleaning the cannula of a client who has a new tracheostomy
D. Performing oral hygiene for a client who is 1 day postoperative following an
amputation of the right arm
C. Removing and cleaning the cannula of a client who has a new tracheostomy
A nurse working in an emergency department is caring for a client who has been
exposed to sarin gas following a bioterrorism attack. Which of the following
interventions should the nurse plan to take?
A. Vigorously rub the skin following a decontamination shower.
B. Initiate seizure precautions.
C. Provide respiratory support with a plastic oral airway.
D. Prepare to administer amyl nitrate.
B. Initiate seizure precautions.
.A nurse in the emergency department is triaging clients following a mass casualty
event. The nurse should identify which of the following clients as emergent?
A. A client who has a punctured femoral artery
B. A client who has multiple fractures
C. A client who has a red rash over his abdomen
D. A client who reports severe flank pain radiating to the groin
,A. A client who has a punctured femoral artery
A nurse manager received a client request not to have a specific staff nurse care for her
while at the acute care facility. Which of the following is the appropriate action by the
nurse manager?
A. Ask other staff nurses about the level of care the specific staff nurse provides.
B. Address the concern with the specific staff nurse.
C. Recommend the specific staff nurse be transferred to another unit.
D. Notify the human resources department about the request.
B. Address the concern with the specific staff nurse.
A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix).
Which of the following should the nurse include in the incident/variance report? (Select
all that apply.)
A. The date of the incident
B. The name of the provider who prescribed the medication
C. The potential adverse effects of the medication
D. The time the client was to receive the medication
E. The client's vital signs
A. The date of the incident
D. The time the client was to receive the medication
E. The client's vital signs
A nurse is caring for a client who has a history of dementia. The client is alert and
oriented to person, place, and time, and has advance directives. The client is scheduled
for a procedure that requires informed consent. Which of the following persons should
sign the informed consent?
, A. The client's partner
B. The client
C. The client's daughter, who is the primary caregiver
D. The client's son, who has a durable power of attorney
B. The client
A nurse manager is observing the care provided by a nurse who is in orientation to the
unit. Which of the following actions by the nurse indicates the nurse manager should
intervene?
A. The nurse uses clean gloves when discontinuing a client's intravenous infusion.
B. The nurse empties a client's drainable colostomy pouch when it is one-third full.
C. The nurse uses the client's telephone number as one form of identification when
administering medications to a client.
D. The nurse opens the top flap of a sterile tray toward the body when assisting the
provider with a thoracentesis.
D. The nurse opens the top flap of a sterile tray toward the body when assisting the provider
with a thoracentesis.
A nurse is caring for four clients who are postoperative from surgery 24 hr ago. At 1200
the nurse assesses the clients. Which of the following clients is the nurse's priority?
A. A client who has a prescription for insulin and his pre-meal capillary blood glucose
was 110 mg/dL and his post-meal capillary blood glucose is now 160 mg/dL
B. A client whose wound drainage at 0800 was sanguineous and now it is
serosanguineous
C. A client who reports pain as 4 on a scale of 1 to 10 at 0800 now reports pain as 6
Answers
A nurse is preparing an in-service for an annual skills fair at a community medical
facility about fire safety. Place the steps in the order in which they should be performed
in the case of a fire emergency. (Move the steps into the box on the right, placing them
in the selected order of performance. Use all the steps.)
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the fire.
D. Rescue the clients.
D. Rescue the clients.
A. Pull the fire alarm.
B. Confine the fire.
C. Extinguish the fire.
A nurse is caring for a client who is dying of metastatic breast cancer. She has a
prescription for an opioid pain medication PRN. The nurse is concerned that
administering a dose of pain medication might hasten the client's death. Which of the
following ethical principles should the nurse use to support the decision not to
administer the medication?
A. Utilitarianism
B. Nonmaleficence
C. Fidelity
D. Veracity
B. Nonmaleficence
,A charge nurse is reviewing the list of tasks that have been delegated to the assistive
personnel (AP) by the staff nurse. Which of the following tasks should the charge nurse
reassign to a licensed nurse?
A. Transporting a client who experienced a stroke 72 hr ago to the radiology
department
B. Providing a back rub to a client who has right-sided paralysis
C. Removing and cleaning the cannula of a client who has a new tracheostomy
D. Performing oral hygiene for a client who is 1 day postoperative following an
amputation of the right arm
C. Removing and cleaning the cannula of a client who has a new tracheostomy
A nurse working in an emergency department is caring for a client who has been
exposed to sarin gas following a bioterrorism attack. Which of the following
interventions should the nurse plan to take?
A. Vigorously rub the skin following a decontamination shower.
B. Initiate seizure precautions.
C. Provide respiratory support with a plastic oral airway.
D. Prepare to administer amyl nitrate.
B. Initiate seizure precautions.
.A nurse in the emergency department is triaging clients following a mass casualty
event. The nurse should identify which of the following clients as emergent?
A. A client who has a punctured femoral artery
B. A client who has multiple fractures
C. A client who has a red rash over his abdomen
D. A client who reports severe flank pain radiating to the groin
,A. A client who has a punctured femoral artery
A nurse manager received a client request not to have a specific staff nurse care for her
while at the acute care facility. Which of the following is the appropriate action by the
nurse manager?
A. Ask other staff nurses about the level of care the specific staff nurse provides.
B. Address the concern with the specific staff nurse.
C. Recommend the specific staff nurse be transferred to another unit.
D. Notify the human resources department about the request.
B. Address the concern with the specific staff nurse.
A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix).
Which of the following should the nurse include in the incident/variance report? (Select
all that apply.)
A. The date of the incident
B. The name of the provider who prescribed the medication
C. The potential adverse effects of the medication
D. The time the client was to receive the medication
E. The client's vital signs
A. The date of the incident
D. The time the client was to receive the medication
E. The client's vital signs
A nurse is caring for a client who has a history of dementia. The client is alert and
oriented to person, place, and time, and has advance directives. The client is scheduled
for a procedure that requires informed consent. Which of the following persons should
sign the informed consent?
, A. The client's partner
B. The client
C. The client's daughter, who is the primary caregiver
D. The client's son, who has a durable power of attorney
B. The client
A nurse manager is observing the care provided by a nurse who is in orientation to the
unit. Which of the following actions by the nurse indicates the nurse manager should
intervene?
A. The nurse uses clean gloves when discontinuing a client's intravenous infusion.
B. The nurse empties a client's drainable colostomy pouch when it is one-third full.
C. The nurse uses the client's telephone number as one form of identification when
administering medications to a client.
D. The nurse opens the top flap of a sterile tray toward the body when assisting the
provider with a thoracentesis.
D. The nurse opens the top flap of a sterile tray toward the body when assisting the provider
with a thoracentesis.
A nurse is caring for four clients who are postoperative from surgery 24 hr ago. At 1200
the nurse assesses the clients. Which of the following clients is the nurse's priority?
A. A client who has a prescription for insulin and his pre-meal capillary blood glucose
was 110 mg/dL and his post-meal capillary blood glucose is now 160 mg/dL
B. A client whose wound drainage at 0800 was sanguineous and now it is
serosanguineous
C. A client who reports pain as 4 on a scale of 1 to 10 at 0800 now reports pain as 6
