CMS FUNDAMENTALS PROCTORED
EXAM | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | 100%
CORRECT | 2024 UPDATE!!
A nurse has prepared a sterile field for assisting a provider with a chest
tube insertion. Which of the following events should the nurse
recognize as contaminating the sterile field? (Select all that apply.)
A. The provider drops a sterile instrument onto the near side of the
sterile field.
B. The nurse moistens a cotton ball with sterile normal saline and
places it on the sterile field.
C. The procedure is delayed 1 hr because the provider receives an
emergency call.
D. The nurse turns to speak to someone who enters through the door
behind the nurse.
E. The client's hand brushes against the outer edge of the sterile field. -
✔✔✔ Correct Answer > B, C, D
,B. Fluid permeation of the sterile drape or barrier contaminates the
field.
C. Prolonged exposure to air contaminates a sterile field.
D. Turning away from the sterile field contaminates the field because
the nurse cannot see if a piece of clothing or hair made contact with
the field.
A nurse is preparing an in-service program about delegation. Which of
the following are components of the five rights of delegation? (Select
all that apply.)
A. Right place
B. Right supervision and evaluation
C. Right direction and communication
D. Right documentation
E. Right circumstances - ✔✔✔ Correct Answer > B, C, E
The right supervision and evaluation, the right direction and
communication, and the right circumstances are some of the five rights
of delegation. They also include the right task and the right person.
A charge nurse is talking with a newly licensed nurse and is reviewing
nursing interventions that do not require a provider's prescription.
Which of the following interventions should the charge nurse include?
(Select all that apply.)
,A. Writing a prescription for morphine sulfate as needed for pain
B. Inserting a nasogastric (NG) tube to relieve gastric distention
C. Showing a client how to use progressive muscle relaxation
D. Performing a daily bath after the evening meal
E. Repositioning a client every 2 hr to reduce pressure injury risk -
✔✔✔ Correct Answer > C, D, E
C. Showing a client how to use progressive muscle relaxation is an
appropriate nurse-initiated intervention for stress relief. Unless there is
a contraindication for a specific client, use this technique with clients
without a provider's prescription.
D. Performing a bath is a routine nursing care procedure. Unless there
is a contraindication for a specific client, determine when bathing is
optimal for a client without a provider's prescription.
E. Repositioning a client every 2 hr is an appropriate nurse-initiated
intervention for clients. Unless there is a contraindication for a specific
client, use this strategy without a provider's prescription.
By the second postoperative day, a client has not achieved satisfactory
pain relief. Based on this evaluation, which of the following actions
should the nurse take, according to the nursing process?
A. Reassess the client to determine the reasons for inadequate pain
relief.
, B. Wait to see whether the pain lessens during the next 24 hr.
C. Change the plan of care to provide different pain relief interventions.
D. Teach the client about the plan of care for managing the pain. -
✔✔✔ Correct Answer > A
Collect further data from the client to determine why they have not
achieved satisfactory pain relief, because various factors might be
interfering with their comfort. The nursing process repeats in an
ongoing manner across the span of client care
A charge nurse is observing a newly licensed nurse care for a client who
reports pain. The nurse checked the client's MAR and noted the last
dose of pain medication was 6 hr ago. The prescription reads every 4 hr
PRN for pain. The nurse administered the medication and checked with
the client 40 min later, when the client reported improvement. The
newly licensed nurse left out which of the following steps of the nursing
process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation - ✔✔✔ Correct Answer > A
The newly licensed nurse should have used the assessment step of the
nursing process by asking the client to evaluate the severity of pain on a
EXAM | NEWEST ACTUAL EXAM
COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS GRADED A+ | 100%
CORRECT | 2024 UPDATE!!
A nurse has prepared a sterile field for assisting a provider with a chest
tube insertion. Which of the following events should the nurse
recognize as contaminating the sterile field? (Select all that apply.)
A. The provider drops a sterile instrument onto the near side of the
sterile field.
B. The nurse moistens a cotton ball with sterile normal saline and
places it on the sterile field.
C. The procedure is delayed 1 hr because the provider receives an
emergency call.
D. The nurse turns to speak to someone who enters through the door
behind the nurse.
E. The client's hand brushes against the outer edge of the sterile field. -
✔✔✔ Correct Answer > B, C, D
,B. Fluid permeation of the sterile drape or barrier contaminates the
field.
C. Prolonged exposure to air contaminates a sterile field.
D. Turning away from the sterile field contaminates the field because
the nurse cannot see if a piece of clothing or hair made contact with
the field.
A nurse is preparing an in-service program about delegation. Which of
the following are components of the five rights of delegation? (Select
all that apply.)
A. Right place
B. Right supervision and evaluation
C. Right direction and communication
D. Right documentation
E. Right circumstances - ✔✔✔ Correct Answer > B, C, E
The right supervision and evaluation, the right direction and
communication, and the right circumstances are some of the five rights
of delegation. They also include the right task and the right person.
A charge nurse is talking with a newly licensed nurse and is reviewing
nursing interventions that do not require a provider's prescription.
Which of the following interventions should the charge nurse include?
(Select all that apply.)
,A. Writing a prescription for morphine sulfate as needed for pain
B. Inserting a nasogastric (NG) tube to relieve gastric distention
C. Showing a client how to use progressive muscle relaxation
D. Performing a daily bath after the evening meal
E. Repositioning a client every 2 hr to reduce pressure injury risk -
✔✔✔ Correct Answer > C, D, E
C. Showing a client how to use progressive muscle relaxation is an
appropriate nurse-initiated intervention for stress relief. Unless there is
a contraindication for a specific client, use this technique with clients
without a provider's prescription.
D. Performing a bath is a routine nursing care procedure. Unless there
is a contraindication for a specific client, determine when bathing is
optimal for a client without a provider's prescription.
E. Repositioning a client every 2 hr is an appropriate nurse-initiated
intervention for clients. Unless there is a contraindication for a specific
client, use this strategy without a provider's prescription.
By the second postoperative day, a client has not achieved satisfactory
pain relief. Based on this evaluation, which of the following actions
should the nurse take, according to the nursing process?
A. Reassess the client to determine the reasons for inadequate pain
relief.
, B. Wait to see whether the pain lessens during the next 24 hr.
C. Change the plan of care to provide different pain relief interventions.
D. Teach the client about the plan of care for managing the pain. -
✔✔✔ Correct Answer > A
Collect further data from the client to determine why they have not
achieved satisfactory pain relief, because various factors might be
interfering with their comfort. The nursing process repeats in an
ongoing manner across the span of client care
A charge nurse is observing a newly licensed nurse care for a client who
reports pain. The nurse checked the client's MAR and noted the last
dose of pain medication was 6 hr ago. The prescription reads every 4 hr
PRN for pain. The nurse administered the medication and checked with
the client 40 min later, when the client reported improvement. The
newly licensed nurse left out which of the following steps of the nursing
process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation - ✔✔✔ Correct Answer > A
The newly licensed nurse should have used the assessment step of the
nursing process by asking the client to evaluate the severity of pain on a
