CMS LEADERSHIP PROCTORED EXAM
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) | A+ GRADE 2024-
2025
A nurse is reviewing a clients clinical pathway upon
discharge following hip arthroplasty. Which of the following
information can assist the nurse in evaluating the cost
effectiveness of the care?
A. The age of client
B. Availability of community support groups
C. Length of clients stay
D. Type of insurance the client carries Correct Answer C.
Length of clients stay
A nurse is reviewing the plan of care for a client following
a total hip arthroplasty. Which of the following actions
should the nurse plan to take?
A. Assess clients incision Q8 hours for first 48 hours
B. Inform AP of clients weight bearing status
C. Instruct client to cross legs at ankles when sitting
D. Teach clients partner to assist the client to flex the hip
at least 120° each hour Correct Answer B. Inform the AP
of the clients weight bearing status
A case manager is planning interprofessional conference
for a client who is three days postop following ORIF of
,right hip. Which of the following concerns is the priority for
discussion at the conference?
A. Client does not have transportation for DC home
B. Client refuses to attend PT sessions
C. Clients home health nurse has not completed the home
assessment
D. Client describes feelings of depression after family
visits Correct Answer B. Client refuses to attend PT
sessions.
The greatest risk to this client is postoperative
complications due to immobility, such as atelectasis
or pneumonia
A nurse is caring for a client who has osteoarthritis and
reports difficulty buttoning their clothes. The nurse should
recommend a referral for the client to which of the
following members of the inter-professional team?
A. Podiatrist
B. Social worker
C. Para medical technologist
D. Occupational therapist Correct Answer D. Occupational
therapist
The nurse should recommend a referral to an
occupational therapist for a client who has
osteoarthritis and reports difficulty with ADLs, such
as buttoning clothing. Occupational therapy can
assist the client with exercises to help the client
complete these tasks.
, A podiatrist specializes in the care of clients who have
conditions involving the feet and ankles.
A social worker specializes in counseling and care of
clients who have concerns related to psychosocial
needs, such as financial or domestic issues.
A paramedical technologist specializes in the
performance of medical procedures such as
phlebotomy or ECG monitoring.
A charge nurse is observing a newly licensed nurses use
of time management skills. Which of the following actions
by the newly licensed nurse indicates effective use of the
skill?
A. Documents client tasks at end of shift
B. Gather supplies as needed while completing activity
C. Groups tasks that are in same location
D. Skips breaks throughout the day to complete work on
time Correct Answer C. Groups tasks that are in same
location
The newly licensed nurse should group tasks that are
in the same location to effectively use time. This
prevents the nurse from going back and forth from
one area to another. This action promotes effective
time-management skills.
A nurse is caring for a client who requests pain
medication. The nurse fulfills a promise to return with the
med within 15 minutes. The nurse is demonstrating which
of the following ethical principles?
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