Fundamental CMS exam with complete
solutions 2024/2025
A nurse prepares an injection of morphine to administer to a client who reports
pain. Prior to administering the medication, the nurse assists another client onto
a bedpan. She ask a second nurse to give the injection, which of the following
actions should the second nurse take?
A. Offer to assist the client who needs the bedpan
B. Administer the injection the other nurse prepared
C. Prepare another syringe and administer the injection
D. Tell the client who needs the bedpan she will have to wait - ANSWER-A.
Offered to assist the client who needs a bed pan
A nurse is preparing to administer a 0900 medication to a client. Which of the
following are acceptable administration times for this medication (select all that
apply)
A. 0905
B. 0825
C. 1000
D. 0840
E. 0935 - ANSWER-A. 0905
D. 0840
**time must be within 30min of scheduled dose
,A nurse is working with a newly licensed nurse who is administering medications
to clients. Which of the following actions should the nurse identify as an
indication that the newly hired nurse understands medication error prevention?
A. Taking all medications out of the unit dose wrappers before entering the
clients room
B. Checking with the provider when a single dose requires administration of
multiple tablets
C. Administering a medication, then looking up the usual dose range
D. Relying on another nurse to clarify the medication prescription - ANSWER-B.
Checking with the provider when a single dose requires administration of
multiple tablets
*This is an indication that prescription or transcription errors may have occurred
A nurse educator is teaching a module about safe medication administration to
newly licensed nurses. Which of the following statements should the nurse
identify as an indication that one of the groups understands how to implement
medication therapy? (Select all that apply)
A. " I will observe for side effects"
B. " I will monitor for therapeutic effects"
C. " I will prescribe the appropriate dose"
D. " I will change the dose if adverse effects occur"
E. " I will refuse to give a medication if I believe that it is unsafe" - ANSWER-A. " I
will observe for side effects"
B. " I will monitor for therapeutic effects"
E. " I will refuse to give a medication if I believe that it is unsafe"
*other options are outside of your scope of practice
A nurse is preparing to administer digoxin to a client who states " I don't want to
take that medication. I do not want one more pill." Which of the following
responses should the nurse make?
A. " your physician prescribed it for you, so you really should take it."
B. " well, let's get it over with quickly then"
C. " OK I will just give you your other medications"
D. " tell me about your concerns with taking this medication" - ANSWER-D. Tell
me your concerns with taking this medication
, A nurse is caring for a client diagnosed with severe respiratory syndrome. The
nurse is aware that healthcare professionals are required to report communicable
and infectious diseases. Which of the following illustrates the rationale for
reporting? (Select all that apply)
A. Planning and evaluating control and prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
D. Identifying endemic disease
E. Monitoring for common source outbreaks - ANSWER-A. Planning and
evaluating control and prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
E. Monitoring for common source outbreaks
A nurse is caring for a client who presents with linear clusters of fluid containing
vesicles with some crustings. The nurse should identify the client has
manifestations of what following condition?
A. Allergic reaction
B. Ringworm
C. Systemic lupus erythematosus
D. Herpes zoster - ANSWER-D. Herpes zoster
A nurse is caring for a client who reports a severe sore throat, pain when
swallowing, and swollen lymph nodes. The client is experiencing which of the
following stages of infection?
A. Prodromal
B. Incubation
C. Convalescence
D. Illness - ANSWER-D. Illness
A nurse educator is reviewing with a newly hired nurse the difference in
manifestation of a localized versus a systemic infection. The nurse indicates
understanding when she states which of the following are manifestations of a
systemic infection? (Select all that apply)
A. Fever
B. Malaise
C. Edema
solutions 2024/2025
A nurse prepares an injection of morphine to administer to a client who reports
pain. Prior to administering the medication, the nurse assists another client onto
a bedpan. She ask a second nurse to give the injection, which of the following
actions should the second nurse take?
A. Offer to assist the client who needs the bedpan
B. Administer the injection the other nurse prepared
C. Prepare another syringe and administer the injection
D. Tell the client who needs the bedpan she will have to wait - ANSWER-A.
Offered to assist the client who needs a bed pan
A nurse is preparing to administer a 0900 medication to a client. Which of the
following are acceptable administration times for this medication (select all that
apply)
A. 0905
B. 0825
C. 1000
D. 0840
E. 0935 - ANSWER-A. 0905
D. 0840
**time must be within 30min of scheduled dose
,A nurse is working with a newly licensed nurse who is administering medications
to clients. Which of the following actions should the nurse identify as an
indication that the newly hired nurse understands medication error prevention?
A. Taking all medications out of the unit dose wrappers before entering the
clients room
B. Checking with the provider when a single dose requires administration of
multiple tablets
C. Administering a medication, then looking up the usual dose range
D. Relying on another nurse to clarify the medication prescription - ANSWER-B.
Checking with the provider when a single dose requires administration of
multiple tablets
*This is an indication that prescription or transcription errors may have occurred
A nurse educator is teaching a module about safe medication administration to
newly licensed nurses. Which of the following statements should the nurse
identify as an indication that one of the groups understands how to implement
medication therapy? (Select all that apply)
A. " I will observe for side effects"
B. " I will monitor for therapeutic effects"
C. " I will prescribe the appropriate dose"
D. " I will change the dose if adverse effects occur"
E. " I will refuse to give a medication if I believe that it is unsafe" - ANSWER-A. " I
will observe for side effects"
B. " I will monitor for therapeutic effects"
E. " I will refuse to give a medication if I believe that it is unsafe"
*other options are outside of your scope of practice
A nurse is preparing to administer digoxin to a client who states " I don't want to
take that medication. I do not want one more pill." Which of the following
responses should the nurse make?
A. " your physician prescribed it for you, so you really should take it."
B. " well, let's get it over with quickly then"
C. " OK I will just give you your other medications"
D. " tell me about your concerns with taking this medication" - ANSWER-D. Tell
me your concerns with taking this medication
, A nurse is caring for a client diagnosed with severe respiratory syndrome. The
nurse is aware that healthcare professionals are required to report communicable
and infectious diseases. Which of the following illustrates the rationale for
reporting? (Select all that apply)
A. Planning and evaluating control and prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
D. Identifying endemic disease
E. Monitoring for common source outbreaks - ANSWER-A. Planning and
evaluating control and prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
E. Monitoring for common source outbreaks
A nurse is caring for a client who presents with linear clusters of fluid containing
vesicles with some crustings. The nurse should identify the client has
manifestations of what following condition?
A. Allergic reaction
B. Ringworm
C. Systemic lupus erythematosus
D. Herpes zoster - ANSWER-D. Herpes zoster
A nurse is caring for a client who reports a severe sore throat, pain when
swallowing, and swollen lymph nodes. The client is experiencing which of the
following stages of infection?
A. Prodromal
B. Incubation
C. Convalescence
D. Illness - ANSWER-D. Illness
A nurse educator is reviewing with a newly hired nurse the difference in
manifestation of a localized versus a systemic infection. The nurse indicates
understanding when she states which of the following are manifestations of a
systemic infection? (Select all that apply)
A. Fever
B. Malaise
C. Edema
