CMS FUNDAMENTALS QUIZ BANK 2023/ 2024 LATEST UPDATE!!! | More than 250 QUESTIONS AND 100% CORRECT VERIFIED ANSWERS
1. A nurse is caring for a client
... [Show More] who was admitted to a long-term care facility for rehabilitation after a total hip arthroplasty. At which of the following times should the nurse begin assisting with discharge planning?
A. 1 week prior to discharge
B. Upon admission to the care facility
C. Once the discharge date is identified
D. When the client addresses the topic with the nurse:
Answer: B. Upon admission to the care facility
2. A nurse is assisting with preparing a client for discharge and providing instructions about performing dressing changes at home. Which of the fol- lowing statements indicates that the client understands medical asepsis?
A. "I'll wrap the old dressing in a paper bag and put it in the trash."
B. "I'll wash my hands before I remove the old dressing and again before putting on the new one."
C. "I'Il need to take a pain pill 30 min before I change the dressing.
D. "I'll wear sterile gloves when I apply the new dressing.":
Answer: B. "I'll wash my hands before I remove the old dressing and again before putting on the new one."
3. A nurse in a provider's office is measuring an adult client and notes a decrease in height from the previous year. The nurse should identify this finding as a manifestation of which of the following musculoskeletal system disorders?
A. Osteoporosis
B. Scoliosis
C. Kyphosis
D. Lordosis:
Answer: A. Osteoporosis
4. A nurse is preparing to insert an indwelling urinary catheter for a male client. Which of the following locations should the nurse secure the urinary catheter tubing?
A. Lateral thigh
B. Lower abdomen
C. Mid-abdominal region
D. Medial thigh:
Answer: B. Lower abdomen
5. A nurse is reinforcing teaching with a client about how to remove a soiled dressing. Which of the following statements by the client indicates an understanding of the teaching?
A. "I'll wear nonsterile gloves."
B. "I'Il use adhesive remover each time."
C. "I'll take my pain pill after I change the dressing."
D. "I'll fold the dressing with the soiled surface facing outward.":
Answer: A. "I'll wear nonsterile gloves."
6. A nurse is providing discharge teaching to an older adult client about personal safety. Which of the following statements by the client indicates an understanding of the teaching?
A. "I will have the steps to my house painted a dark color."
B. "I will put a night-light in the hallway."
C. "I will put on socks when I get out of bed."
D. "I will secure any wires in my home under rugs.":
Answer: B. "I will put a night-light in the hallway."
7. A nurse is in the facility's cafeteria when she notices a person grasping at the front of the neck in apparent distress. Which of the following behav- iors should the nurse identify as an indication that the person requires an abdominal thrust intervention immediately?
A. Uncontrollable cough
B. Inability to speak
C. Regurgitation
D. Open mouth:
Answer: B. Inability to speak
8. During a client care staff meeting, a charge nurse discusses potential problems with data security that affect confidential client information. Which of the following environments should the charge nurse identify as an accept- able area for discussing clients' information?
A. In the unit medication room
B. Outside the door of a client's room
C. In the cafeteria during a break
D. In the hallway near the nurses' station:
Answer: A. In the unit medication room
9. A nurse is reviewing the laboratory results for a client who has a non-heal- ing wound. Wound cultures have identified vancomycin-resistant entero- cocci (VRE). Which of the following types of precautions should the nurse initiate?
A. Airborne
B. Droplet
C. Contact
D. Protective:
Answer: C. Contact
10. A nurse is preparing to administer an otic antibiotic to an adult client who has otitis media. Which of the following actions should the nurse plan to take?
A. Hold the dropper 1 cm (0.5 in) above the ear canal during administration
B. Apply pressure to the nasolacrimal duct following administration
C. Place a cotton ball into the inner ear canal for 30 minutes following administration
D. Straighten the ear canal by pulling the auricle down and back prior to administration:
Answer: A. Hold the dropper 1 cm (0.5 in) above the ear canal during administration
11. A nurse is preparing to administer timolol eye drops for a client who has glaucoma. When instilling the medication, which of the following actions should the nurse take?
A. Instruct the client to blink several times after instillation of the medication
B. Ask the client to look straight ahead during instillation of the medication
C. Apply pressure to the bridge of the nose after instillation of the medication
D. Place each drop of the medication directly on to the client's cornea:
Answer: C. Apply pressure to the bridge of the nose after instillation of the medication
12. A nurse is preparing to administer a bolus feeding to a client through an NG tube and observes that the exit mark on the tube has moved since the last feeding. Which of the following actions should the nurse plan to take?
A. Auscultate over the client's stomach while injecting air
B. Request an X-ray of the client's abdomen [Show Less]