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CMS Fundamentals Exam with 100% verified solutions- A nurse administers subcutaneous lispro insulin at 0700 to a client who has diabetes. At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication? 0715 What is required by medical ase...

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  • August 20, 2024
  • 18
  • 2024/2025
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  • CMS Fundamentals
  • CMS Fundamentals
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CMS Fundamentals Exam with 100% verified
solutions- 2024-2025
A nurse administers subcutaneous lispro insulin at 0700 to a client who has diabetes. At which
of the following times should the nurse observe for hypoglycemia caused by the onset of the
medication?

0715



What is required by medical asepsis that is not required by surgical asepsis?

good hand washing technique



A nurse is preparing to administer dexamethasone 1.5 mg/kg/day PO to divide equally every 6
hours to a preschool-age child who weighs 22 lb. Available is dexamethasone oral solution 1
mg/mL. How many mL should the nurse administer per dose? (Round the answer to the
nearest tenth.)

3.8



A postoperative client who has no previous medical conditions is difficult to arouse when
transferred to the surgical unit from the post-anesthesia care unit. A nurse monitors the pulse
oximeter and gets a reading of 85%. The nurse arouses the client and has him cough and
perform deep breathing; the pulse oximeter is now reading 83% what should be the nurse's
next action?

Start oxygen at 2 liters per nasal cannula.



A nurse in the emergency department knows that tissue damage has probably occurred in a
person with hypothermia when a rectal temperature of is assessed. (do not use degree
sign,)

95



At 0330, a nurse is caring for a client who is postoperative. The client's IV fluids are infusing at
120 mL/hr. How many mL of IV fluid should infuse by 0600? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.)

300



A nurse is reinforcing teaching with a client who has a family history of hypertension. The nurse
should inform the client that his blood pressure reading of 112/64 mm Hg places him in which
of the following categories?

,Within the expected reference range

, A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse
determines that teaching has been effective when the client identifies which of the following
manifestations of hypoglycemia? (Select all that apply.)

-Blurry vision

-tachycardia

-sweating



A nurse is reinforcing teaching with a client who has diabetes mellitus and self-administers
insulin. The client reports drinking an occasional glass of wine. Which of the following is an
appropriate response by the nurse?

"It is best for you to drink an occasional glass of wine with a meal".



A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's
morning fasting blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the
insulin dose appropriate for a reading over 200 mg/dL. Which of the following actions should
the nurse identify as the priority?

Check the client's blood glucose level.



A nurse is assisting with the plan of care for a client who has a new deep-vein thrombosis
(DVT) in his leg. Which of the following interventions should the nurse include in the plan?

Keep the clients affected leg elevated



A nurse is collecting data from a client who is postoperative following abdominal surgery.
Which of the following findings should cause the nurse to suspect deep-vein thrombosis
(DVT)?

unilateral leg edema



A nurse is collecting data from a client who has hypertension and a prescription for
propranolol. A history of which of the following conditions should be reported to the provider?

Heart failure



A nurse is caring for an older adult client who has colon cancer. The client asks the nurse
several questions about his treatment plan. Which of the following actions should the nurse
take?

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