COMPLEX CMS QUESTIONS AND ANSWERS

COMPLEX CMS QUESTIONS AND ANSWERS 1. A nurse is reviewing the medical record of a client who is scheduled for a CTscan with contrast media. Which of the following medications should the nurse instruct the client to withhold for 48 hr following the procedure? a. Clopidogrel b. Furosemide c. Carvedilol d. Metformin 2. A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit sodium intake to 2 g per day. Which of the following statements by the client indicates an understanding of the teaching? a. “I can have mayonnaise on my sandwiches.” b. “I can season my food with garlic and onion salts.” c. “I can drink vegetable juice with a meal.” d. “I can have a frozen fruit juice bar for dessert.” 3. A nurse is assessing a client who is receiving valsartan to treat heart failure. Which of the following findings should the nurse identify as an indication that the medication is effective? a. Increased potassium level b. Increased heart rate c. Decreased urinary output d. Decreased blood pressure 4. A nurse is caring for a client who has cervical cancer and a sealed radiation implant. Which of the following actions should the nurse take? a. Attach a dosimeter badge to the client’s gown b. Leave unused equipment in the client’s room until discharge c. Place long-handled forceps at the client’s bedside d. Move the client’s soiled linens to a designated container outside the room 5. A nurse is assessing the pain status of a group of clients. Which of the following findings indicate a client is experiencing referred pain? a. A client who has angina reports substernal chest pain b. A client who is postoperative reports incisional pain c. A client who has pancreatitis reports pain in the left shoulder d. A client who has peritonitis reports generalized abdominal pain 6. A nurse is caring for a client who is postoperative following a partial thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider? a. High pitched sound on inspiration b. Hypoactive bowel sounds c. Loose tracheal secretions d. Client report of pain at the incision site