CMS Fundamentals Practice A
A nurse is reinforcing teaching about health promotion with a group of young adult clients. Which of the
following information should the nurse include? - ANS Young adults should receive a dental assessment
every 6 months
A nurse is caring for a client who has a prescription for a potassium supplement. The client tells the
nurse that the pill is too large to swallow and refuses to take it. The nurse offers to break the pill into
smaller pieces. The nurse is demonstrating which of the following ethical principles? - ANS Beneficence
A client who has advanced cancer tells the nurse that they have a difficult time talking to anyone about
the illness. Which of the following actions should the nurse take to encourage therapeutic
communications? - ANS Let the client know that, as their nurse, they are available and willing to listen
A nurse has delegated various client care tasks to the assistive personnel (AP) on the care team. Which
of the following actions by the Ap should the nurse identify as correct? - ANS Donning a mask to
measure the vital signs of a client who has pertussis
A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. The nurse
should identify which of the following findings as indication that the client has fluid volume deficit?
(Select all that apply? - ANS - cool extremities
- orthostatic hypotension
- flat neck veins
A nurse is taking notes of client information on a piece of paper while receiving report. Which of the
following actions should the nurse take to dispose of the paper? - ANS Shred the paper in a secure
container
A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by
the client indicates an understanding of the teaching? - ANS The client advances the unaffected leg first
while climbing stairs
, A nurse is providing wound care for a group of clients. Which of the following wounds should the nurse
identify as healing by secondary intention? - ANS A stage 3 pressure injury on the coccyx
A nurse is preparing to administer a topical medication to a client. Which of the following actions should
the nurse take? - ANS Compare the label of the medication container with the medication
administration record three times
A nurse is reinforcing preoperative teaching with a client about how to turn, cough, and deep breathe.
Which of the following statements by the client indicates an understanding of the teaching? - ANS "This
can help prevent pneumonia"
A nurse is reinforcing teaching about hospice care measures with the family of a client who is dying.
Which of the following statements by a member of the client's family indicates an understanding of the
teaching? - ANS "We will keep her room cool to help her breathe better."
A nurse is planning to perform wound irrigation for a client who has a large abdominal wound. Which of
the following actions should the nurse plan to take? - ANS Administer an analgesic 30 min before
starting the procedure
A nurse is planning care for a client for a client who is disorientated and at risk for falls. Which of the
following interventions should the nurse include? (Select all that apply) - ANS - ensure that the client is
wearing nonskid slippers
- place the client in a room near the nurses' station
- reinforce teaching about how to use the call bell
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions
should the nurse take to prevent urinary tract infections? - ANS Drain urine from the tubing before
ambulation
A nurse is reinforcing teaching about health promotion with a group of young adult clients. Which of the
following information should the nurse include? - ANS Young adults should receive a dental assessment
every 6 months
A nurse is caring for a client who has a prescription for a potassium supplement. The client tells the
nurse that the pill is too large to swallow and refuses to take it. The nurse offers to break the pill into
smaller pieces. The nurse is demonstrating which of the following ethical principles? - ANS Beneficence
A client who has advanced cancer tells the nurse that they have a difficult time talking to anyone about
the illness. Which of the following actions should the nurse take to encourage therapeutic
communications? - ANS Let the client know that, as their nurse, they are available and willing to listen
A nurse has delegated various client care tasks to the assistive personnel (AP) on the care team. Which
of the following actions by the Ap should the nurse identify as correct? - ANS Donning a mask to
measure the vital signs of a client who has pertussis
A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. The nurse
should identify which of the following findings as indication that the client has fluid volume deficit?
(Select all that apply? - ANS - cool extremities
- orthostatic hypotension
- flat neck veins
A nurse is taking notes of client information on a piece of paper while receiving report. Which of the
following actions should the nurse take to dispose of the paper? - ANS Shred the paper in a secure
container
A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by
the client indicates an understanding of the teaching? - ANS The client advances the unaffected leg first
while climbing stairs
, A nurse is providing wound care for a group of clients. Which of the following wounds should the nurse
identify as healing by secondary intention? - ANS A stage 3 pressure injury on the coccyx
A nurse is preparing to administer a topical medication to a client. Which of the following actions should
the nurse take? - ANS Compare the label of the medication container with the medication
administration record three times
A nurse is reinforcing preoperative teaching with a client about how to turn, cough, and deep breathe.
Which of the following statements by the client indicates an understanding of the teaching? - ANS "This
can help prevent pneumonia"
A nurse is reinforcing teaching about hospice care measures with the family of a client who is dying.
Which of the following statements by a member of the client's family indicates an understanding of the
teaching? - ANS "We will keep her room cool to help her breathe better."
A nurse is planning to perform wound irrigation for a client who has a large abdominal wound. Which of
the following actions should the nurse plan to take? - ANS Administer an analgesic 30 min before
starting the procedure
A nurse is planning care for a client for a client who is disorientated and at risk for falls. Which of the
following interventions should the nurse include? (Select all that apply) - ANS - ensure that the client is
wearing nonskid slippers
- place the client in a room near the nurses' station
- reinforce teaching about how to use the call bell
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions
should the nurse take to prevent urinary tract infections? - ANS Drain urine from the tubing before
ambulation
