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A nurse is assisting with a presentation to a group of older adults at a community center about hypothermia and hyperthermia. Which of the following information should the nurse include about agerelated changes? - ️️Circulation becomes less efficient with age A nurse is assisting with the adm...

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  • September 12, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • cms fundamentals practice a

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  • CMS Fundamentals Practice A
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CMS Fundamentals Practice A
A nurse is assisting with a presentation to a group of older adults at a community center about
hypothermia and hyperthermia. Which of the following information should the nurse include about age-
related changes? - ✔️✔️Circulation becomes less efficient with age



A nurse is assisting with the admission of a client who has active tuberculosis. Which of the following
actions should the nurse plan to take? - ✔️✔️Assign the client to a negative-pressure airflow room



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? -
✔️✔️"This can help prevent pneumonia"



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? - ✔️✔️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? - ✔️✔️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? - ✔️✔️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? - ✔️✔️- 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? - ✔️✔️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? - ✔️✔️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? - ✔️✔️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? - ✔️✔️Compare the label of the medication container with the medication
administration record three times



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? - ✔️✔️"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? - ✔️✔️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) - ✔️✔️- 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? - ✔️✔️Drain urine from the tubing before
ambulation

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