Exam (elaborations)
CMS FUNDAMENTALS PROCTORED QUESTIONS WITH COMPLETE SOLUTIONS
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CMS FUNDAMENTALS PROCTORED QUESTIONS WITH COMPLETE SOLUTIONS
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CMS FUNDAMENTALS PROCTORED QUESTIONSWITH COMPLETE SOLUTIONS
25 (BMI) Correct Answer the upper boundary of a healthy
weight
25 to 29.9 (BMI) Correct Answer overweight
30 to 34.9 (BMI) Correct Answer obesity class I
35 to 39.9 (BMI) Correct Answer obesity class 2
40 and above (BMI) Correct Answer obesity class 3
A charge nurse is assigning client care for four clients. Which of
the following tasks should the nurse assign to a PN?
A. Creating a plan of care for a client who is recovering
following a stroke.
B. Assessing a pressure injury on a client who is on bed rest
C. Providing nasopharyngeal suctioning for a client who has
pneumonia
D. Teaching a client who has asthma to use a metered-dose
inhaler Correct Answer C
Providing nasopharyngeal suctioning is within the scope of
practice of the PN.
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 0 to 10 scale. The nurse also should have
asked about the characteristics of the pain and assessed for any
changes that might have contributed to worsening of the pain.
A charge nurse is reviewing documentation with a group of
newly licensed nurses. Which of the following legal guidelines
should be followed when documenting in a client's record?
(Select all that apply.)
A. Cover errors with correction fluid, and write in the correct
information.
B. Put the date and time on all entries.
C. Document objective data, leaving out opinions.
D. Use as many abbreviations as possible.
E. Wait until the end of the shift to document. Correct Answer
B, C
,B. The day and time confirm the recording of the correct
sequence of events.
C. Documentation must be factual, descriptive, and objective,
without opinions or criticism.
A charge nurse is reviewing the steps of the nursing process
with a group of nurses. Which of the following data should the
charge nurse identify as objective data? (Select all that apply.)
A. Respiratory rate is 22/min with even, unlabored respirations.
B. The client's partner states, "They said they hurt after walking
about 10 minutes."
C. The client's pain rating is 3 on a scale of 0 to 10.
D. The client's skin is pink, warm, and dry.
E. The assistive personnel reports that the client walked with a
limp. Correct Answer A, D, E
A. Objective data includes information the nurse measures (vital
signs).
D. Objective data includes information the nurses observes (skin
appearance).
E. Objective data includes information from the observations of
others (family and staff).
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.
A client who had a cerebrovascular accident has persistent
problems with dysphagia. The nurse caring for the client should
initiate a referral with which of the following members of the
interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist Correct Answer D
A speech-language pathologist can initiate specific therapy for
clients who have difficulty with feeding due to swallowing
difficulties.
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