Fundamentals CMS Final Latest Update 2024-

Fundamentals CMS Final Latest Update 2024- 2025 Actual Exam Questions and 100% Verified Correct Answers Guaranteed A+

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?

• Obtaining hydrogen peroxide for the trachesotomy care.
• Obtainging cotton balls for the tracheostomy care.
• Obtaining sterile gloves for the tracheostomy care.

D. Obtaining a sterile brush for the tracheostomy care. - CORRECT ANSWER: B

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?

• Call for assisstance
• Begin Chest compressions
• Confirm unresponsiveness.

D. Give rescue breaths. - CORRECT ANSWER: C

A community health nurse is preparing a campaign about seasonal influenza. Which of the following plans should the nurse include as a secondary prevention.

• Holding a community clinic to adminster influenza immunizations.
• Screening groups of older adults in nursing care facilites for early influenza

manifestations.

• Educating parents of young children about dangers of influenza.
• Finding rehabilitation programs for older adults who have complications from

influenza. - CORRECT ANSWER: B

A nurse at a screening clinic is assessing a client who reports a history of a heart murmur related to aortic valve stenosis. At which of the following anatomical areas should the nurse place the stethescope to auscultate the aortic valve?

• Fifth intercostal space just medical to the midclavicular line
• Second intercostal space to the left of the sternum
• Fifth intercostal space to the left of the sternum

D. Second intercostal space to the right of the sternum. - CORRECT ANSWER: D

A nurse in an emergency department is assessing a client who reports diarrhea and decreased urination for 4 days. Which of the following actions should the nurse take to assess the client's skin turgor?

• Push on a fingernail bed until it blanches, release it, and observe how long it takes

the skin to become pink.

• Grasp a skin fold on the chest under the clavicle, release it, and notse whether is

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• Press the skin in above the ankle for 5 seconds, release it, and note the depth of the

impression.

• Measure the skin fold thickness at the upper arm using a pair of calbrated skinfold

calipers. - CORRECT ANSWER: B

A nurse in an oncology clinic is assessing a client who is undergoing treatment for ovarian cancer. Which of the following statements by the client indicates she is experiencing psychological distress?

• My parents are retired, and they have come to help out with our children.
• I am going to ask my husband to go to counseling with me.
• I keep having nightmares about my upcoming surgery.

D. My girlfriends bought me a nice wig. - CORRECT ANSWER: C

A nurse is admitting a client who has decreased circulation in his left leg. Which of the following actions should the nurse take first?

• Evaluate pedal pulses.
• Obtain a medical history.
• Measure vital signs.

D. Assess for leg pain. - CORRECT ANSWER: A

A nurse is assessing the heart sounds of a client who has developed chest pain that becomes worse with inspiration. The nurse auscultates a high-pitched scratching sound during both systole and diastole with the diaphragm of the stethoscope positioned at the left sternal border. Which of the following heart sounds should the nurse document?

• Audible Click
• Murmur
• Third heart sound

D. Pericardial friction rub - CORRECT ANSWER: D

A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following actions should the nurse take?

• Encourage the child to cough frequently to clear congestion from anesthesia.
• Place a heating pad at the child's neck for comfort.
• Administer analgesics to the child on a routine schedule throughout the day and

night.

• Provide the child with ice cream when oral intake is initiated. - CORRECT ANSWER:

C

A nurse is caring for a client who has terminal illness. The client asks several questions about the nurse's religion beliefs related to death and dying. Which of the following actions should the nurse take?

• Change the topic because the client is trying to divert attention from the illness to the

nurse.

• Encourage the client to express his thoughts about death and dying.
• Tell the client that religious beliefs are a personal matter.
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