ATI CMS Fundamentals Practice Exam | Questions and Correct Answers with Rationale | Rated A+ | Latest 2024/2025
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ATI Fundamentals
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ATI Fundamentals
ATI CMS Fundamentals Practice Exam | Questions and Correct Answers with Rationale | Rated A+ | Latest 2024/2025
ATI CMS Fundamentals Practice Exam | Questions and Correct Answers with Rationale | Rated A+ | Latest 2024/2025
ATI CMS Fundamentals Practice Exam | Questions and Correct Answers wi...
ATI CMS Fundamentals Practice
Exam | Questions and Correct
Answers with Rationale | Rated A+ |
Latest 2024/2025
A nurse is caring for a client whose left leg is in a cast about using
crutches. Which of the following statements should
the nurse identify as an indication that the client understands the teaching?
a) "When descending stairs, I will first shift my weight to my right leg."
b) "I should place my crutches 12 inches in front and to the side of each
foot."
c) "As I sit down, I will hold one crutch in each hand."
d) "I will make sure the shoulder rests are snug against my armpits."
- Correct Answer - A.-
Rationale: To descend stairs, the client should first shift his body weight to
his right, unaffected leg. The client should place his crutches 15 cm (6 in) in
front and to the side of each foot. Just before sitting down, the client should
hold both crutches by their hand bars in one hand. To avoid injury to the
underlying nerves, the shoulder rests should be at least 2.5 to 5 cm (1 to 2
in) below the axillae
,A nurse is caring for a group of clients on a medical-surgical unit. In which
of the following situations does the nurse demonstrate the ethical principle
of veracity?
a) A client who is unaware of her recent cancer diagnosis asks the nurse if
she has cancer, and the nurse responds affirmatively.
b) A client who has a prescription for a nasogastric tube refuses it, and the
nurse complies with the client's wishes.
c) A client who has a do-not-resuscitate (DNR) order has a cardiac arrest,
and the nurse does not perform CPR despite requests from the client's
family.
d) A client who is about to undergo a painful procedure receives pain
medication 30 min before the procedure that the nurse previously promised
to administer.
- Correct Answer - A.-
Rationale: Following the ethical principle of veracity, the nurse must tell the
truth at all times and never deceive
others
A nurse is caring for a client who has an indwelling urinary catheter. Which
of the following findings indicates that
the catheter requires irrigation?
a) Urine has an unusual odor.
b) Urine specific gravity is 1.035.
c) Bladder scan shows 525 mL of urine.
d) Urine is positive for ketones.
- Correct Answer - C.-
,Rationale: A client who has an indwelling urinary catheter should have a
continuous urine flow without an accumulation of urine in the bladder;
therefore, the nurse should irrigate the catheter to resolve any existing
blockage
The nurse is providing discharge teaching for a client who has a new
prescription for a home oxygen concentrator.
Which of the following instructions should the nurse provide to the client
and his family? select all that apply.
a) Check the cord routinely for frays or tearing.
b) Keep the unit at least 1.2 m (4 feet) away from a gas stove.
c) Consider purchasing a generator for power backup.
d) Observe for signs of hypoxia.
e) Select synthetic clothing and bedding.
- Correct Answer - A, C, D.-
Rationale: Check the cord routinely for frays or tearing is correct. Oxygen
concentrators require electrical power. Safe use of this delivery system
includes assessing the electrical function of the device; therefore, the nurse
should instruct the client to routinely check the condition of the cord. Keep
the unit at least 1.2 m (4 feet) away from a gas stove is incorrect. Safe use
of home oxygen equipment includes keeping the unit at least 3.05 m (10
feet) away from open flames, such as from a fireplace or a gas stove, and
at least 2.4 m (8 feet) away from other heat sources. Consider
purchasing a generator for power backup is correct. Loss of electricity
prevents the oxygen concentrator from functioning and could deprive the
client of necessary oxygen. The nurse should also instruct the family to
, have the client placed on their municipality's priority list for restoring power
after an outage occurs. Observe for signs of hypoxia is correct. The
nurse should instruct the family to observe for and report signs of hypoxia,
such as anxiety, worsening fatigue, dizziness,
rapid pulse and respirations, pallor, and cyanosis. Even with supplemental
oxygen, the client's status can worsen, resulting in the development of
hypoxia. Select synthetic clothing and bedding is incorrect. Safe use of
oxygen therapy includes choosing clothing and bedding made from
material that does not generate static electricity; therefore, the nurse
should instruct the client to select materials made from cotton.
A nurse is caring for a client who requires 24 hr urine collection. Which of
the following statements by the client indicates an understanding of the
teaching?
a) "I had a bowel movement, but I was able to save the urine."
b) "I have a specimen in the bathroom from about 30 minutes ago."
c) "I flushed what I urinated at 7:00 a.m. and have saved all urine since."
d) "I drink a lot, so I will fill up the bottle and complete the test quickly."
- Correct Answer - C.-
Rationale: For a 24-hr urine collection, the client should discard the first
voiding and save all subsequent voiding
A nurse is caring for a client who is receiving fluid through a peripheral IV
catheter. Which of the following findings at the IV site should the nurse
identify as indicating infiltration?
a) Purulent exudate
b) Warmth
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