PN Fundamentals B CMS Exam 2023/2024 Verified Questions and Answers Graded A+

1. A nurse is planning to administer medication to a client who has a Clostridium difficile infection. Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others? • Remove the cover gown in the client's room after providing care. • Place the client in a room with negative-pressure airflow 2. A nurse is reinforcing teaching with a client who is scheduled for a bladder scan. Which of the following instructions should the nurse include in the teaching? • "I will place a gel pad directly above your pubic area before I place the probe." (The nurse should use a gel pad, which promotes ultrasound transmission and accurate measurement. The correct placement of the ultrasound device is just above the symphysis pubis.) 3. A nurse is checking a client for a pulse deficit after detecting an irregular heart rate. Which of the following actions should the nurse take? • Count the client's radial and apical pulses simultaneously with another nurse. (The nurse should have another nurse count the radial pulse as they count the apical pulse. A pulse deficit occurs when there are differences between the radial and apical pulse rates.) 4. A nurse is preparing to obtain a clients vital signs. Which of the following actions should the nurse take when washing their hands? • Turn off the faucet with a clean paper towel after drying hands. (If the nurse's hands are wet or the paper towel is wet when they turn off the faucet, they increase the risk of transferring micro-organisms from the faucet back to their hands.) 5. A nurse is preparing to perform a wound irrigation for a client who has a stage 3 pressure injury. Which of the following supplies should the nurse plan to use? • A piston syringe (The nurse should use an irrigation or piston syringe with an angiocatheter attached to irrigate wounds because it provides a gentle flow of solution to flush exudate and debris from the wound. 6. A nurse is caring for a client who has dyspnea caused by a respiratory infection. The nurse should assist the client into which of the following positions. • Orthopneic. (The nurse should assist the client into the orthopedic position by having the client sit upright either in bed or in a chair and lean forward. This position allows maximal chest expansion and facilitates breathing). 7. A nurse in reinforcing teaching about carbohydrate counting with a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first? • Ask the client what they already know about meal planning. (The first action the nurse should take using the nursing process is to collect data to determine the client's current level of knowledge. Then, the nurse can plan education to meet the client's needs). 8. A nurse is caring for a client who has a new prescription for oxygen at 7 L/min via simple face mask. Which of the following actions should the nurse take to ensure client safety? • Attach a humidifier to the base of the flow meter. (The nurse should attach a humidifier at the base of the flow meter to moisten the air for the client. This action will prevent dying mucous membranes when the client is receiving oxygen at a rate greater than 4 L/min). 9. A nurse is contributing to the plan of care for a client who practices Islam. Which of the following questions should the nurse ask the client to clarify the client's religious preferences • "Do you consume pork products?" (Some clients who practice Islam do not consume pork or alcohol). 10. A nurse is caring for a client who has limited mobility. Which of the following actions should the nurse take to maintain the client's skin integrity? • Use warm water when bathing the client. (The nurse should use warm water to bathe the client because hot water can dry and damage the skin). 11. A nurse is caring for four clients. For which of the following clients should the nurse use the therapeutic communication technique of silence? • A client who has just experienced the death of their child. (Silence is a therapeutic communication technique to use when a client is grieving. It demonstrates caring and patience and allows the client to speak when they are ready to do so). 12. A nurse is caring for a group of clients in a long-term care facility. Which of the following actions should the nurse take to prevent health care-associated infections for these clients? (Select all that apply)