Fundamentals CMS Midterm Questions
With Complete Solutions
A charge nurse is assigning rooms for the clients to be admitted
to the unit. To prevent falls, which of the following clients just
the nurse assigned to the room closest to the nurses station?
A. A middle adult who is postoperative following a laparoscopic
cholecystectomy
B. A middle adult who requires telemetry for a possible
myocardial infarction
C. Young adult who is postoperative following an open
reduction internal fixation of the ankle
D. An older adult who is postoperative following a below the
knee amputation Correct Answer D
A charge nurse is explaining the various stages of the lifespan to
a group of newly licensed nurses. Which of the following
examples should the charge nurse include as a developmental
task for a young adult?
A. Becoming actively involved in providing guidance to the next
generation
B. Adjusting to major changes in roles and relationships due to
losses
C. Devoting a great deal of time to establishing an occupation
D. Finding oneself "sandwiched" between and being responsible
for two generations Correct Answer C
,A charge nurse is observing a newly licensed nurse perform
tracheostomy care for a client.
Which of the following actions by the newly licensed nurse
requires intervention?
A. Obtaining hydrogen peroxide for the trachesotomy care.
B. Obtainging cotton balls for the tracheostomy care.
C. Obtaining sterile gloves for the tracheostomy care.
D. Obtaining a sterile brush for the tracheostomy care. Correct
Answer B) Obtaining cotton balls for the tracheostomy
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 clients partner states, "he said he hurts after walking
about 10 minutes."
C. Pain rating is three on a scale of 0 to 10
D. Skin is pink, warm, and dry
E. The AP reports the client walked with a limp Correct Answer
A
D
E
A charge nurse is talking with a newly licensed nurse and is
reviewing nursing interventions that do not require a providers
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. Re-positioning a client every two hours to reduce pressure
ulcer risk. Correct Answer C
D
E
A charge nurse is teaching adult cardiopulmonary resusciation
(CPR) to a group of newly licensed nurses.
Which of the following actions should the charge nurse teach as
the first response in CPR?
A. Call for assisstance
B. Begin Chest compressions
C. Confirm unresponsiveness.
D. Give rescue breaths. Correct Answer C) Confirm
unresponsiveness
A client who has had a CVA (cerebrovascular accident) has
persistent problems with dysphasia. The nurse caring for the
client should initiate a referral with which of the following
members of the interprofessional team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist Correct Answer D
A client who is postoperative following knee arthroplasty is
concerned about the adverse effects of the medication he is
receiving for pain management. Which of the following
, members of the interprofessional care team can assist the client
in understanding the medications affects? (Select all that apply)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist Correct Answer A
C
D
A community health nurse is preparing a campaign about
seasonal influenza.
Which of the following plans should the nurse include as a
secondary prevention.
A. Holding a community clinic to adminster influenza
immunizations.
B. Screening groups of older adults in nursing care facilites for
early influenza manifestations.
C. Educating parents of young children about dangers of
influenza.
D. Finding rehabilitation programs for older adults who have
complications from influenza. Correct Answer B) Screening
groups of older adults and nursing care facilities for early
influencer manifestations
A goal for a client who has difficulty with self-feeding due to
rheumatoid arthritis is to use adaptive devices. The nurse caring
for the client should initiate a referral to which of the following
members of the interprofessional care team?
With Complete Solutions
A charge nurse is assigning rooms for the clients to be admitted
to the unit. To prevent falls, which of the following clients just
the nurse assigned to the room closest to the nurses station?
A. A middle adult who is postoperative following a laparoscopic
cholecystectomy
B. A middle adult who requires telemetry for a possible
myocardial infarction
C. Young adult who is postoperative following an open
reduction internal fixation of the ankle
D. An older adult who is postoperative following a below the
knee amputation Correct Answer D
A charge nurse is explaining the various stages of the lifespan to
a group of newly licensed nurses. Which of the following
examples should the charge nurse include as a developmental
task for a young adult?
A. Becoming actively involved in providing guidance to the next
generation
B. Adjusting to major changes in roles and relationships due to
losses
C. Devoting a great deal of time to establishing an occupation
D. Finding oneself "sandwiched" between and being responsible
for two generations Correct Answer C
,A charge nurse is observing a newly licensed nurse perform
tracheostomy care for a client.
Which of the following actions by the newly licensed nurse
requires intervention?
A. Obtaining hydrogen peroxide for the trachesotomy care.
B. Obtainging cotton balls for the tracheostomy care.
C. Obtaining sterile gloves for the tracheostomy care.
D. Obtaining a sterile brush for the tracheostomy care. Correct
Answer B) Obtaining cotton balls for the tracheostomy
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 clients partner states, "he said he hurts after walking
about 10 minutes."
C. Pain rating is three on a scale of 0 to 10
D. Skin is pink, warm, and dry
E. The AP reports the client walked with a limp Correct Answer
A
D
E
A charge nurse is talking with a newly licensed nurse and is
reviewing nursing interventions that do not require a providers
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. Re-positioning a client every two hours to reduce pressure
ulcer risk. Correct Answer C
D
E
A charge nurse is teaching adult cardiopulmonary resusciation
(CPR) to a group of newly licensed nurses.
Which of the following actions should the charge nurse teach as
the first response in CPR?
A. Call for assisstance
B. Begin Chest compressions
C. Confirm unresponsiveness.
D. Give rescue breaths. Correct Answer C) Confirm
unresponsiveness
A client who has had a CVA (cerebrovascular accident) has
persistent problems with dysphasia. The nurse caring for the
client should initiate a referral with which of the following
members of the interprofessional team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist Correct Answer D
A client who is postoperative following knee arthroplasty is
concerned about the adverse effects of the medication he is
receiving for pain management. Which of the following
, members of the interprofessional care team can assist the client
in understanding the medications affects? (Select all that apply)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist Correct Answer A
C
D
A community health nurse is preparing a campaign about
seasonal influenza.
Which of the following plans should the nurse include as a
secondary prevention.
A. Holding a community clinic to adminster influenza
immunizations.
B. Screening groups of older adults in nursing care facilites for
early influenza manifestations.
C. Educating parents of young children about dangers of
influenza.
D. Finding rehabilitation programs for older adults who have
complications from influenza. Correct Answer B) Screening
groups of older adults and nursing care facilities for early
influencer manifestations
A goal for a client who has difficulty with self-feeding due to
rheumatoid arthritis is to use adaptive devices. The nurse caring
for the client should initiate a referral to which of the following
members of the interprofessional care team?
