This document provides a comprehensive collection of key questions and answers related to the ATI CMS (Content Mastery Series) Fundamentals exam. It is designed for nursing students preparing for their NCLEX and other certification exams, covering critical topics such as patient care, infection con...
1. A nurse is caring for a client with terminal cancer. Which of the following actions should the
nurse take if she sees the client crying?
A. Contact the family and ask them to stay with the client
B. Offer to call the client's minister
C. Sit and hold the client's hand
D. Leave the room and allow the client to cry privately
2. A nurse cares for a client who needs wrist restraints.
Which of the following actions should the nurse perform?
A. Tie a secure knot with the restraint straps
B. Attach the restraints' straps to the bed's side rails
C. Make sure 3 fingers fit beneath the restraints
D. Remove the restraints at least every 2 hrs
3. After gathering information about a client's radial pulses, the nurse records "radial pulses 4+
bilaterally." This finding suggests which of the following pulse characteristics?
A. Bounding
B. Full
C. Variable
D. Weak
4. A nurse is reinforcing teaching a client about protein intake.
Which of the following foods should the nurse use as an example of an incomplete protein?
A. Eggs
B. Soybeans
C. Lentils
D. Yogurt
,5. A nurse is developing weight-loss strategies for a group of obese clients.
Which of the following actions by the nurse will increase the client's commitment to a long-
term weight loss goal?
A. Attempting to increase the clients' self-motivation
B. Keeping detailed records of each client's progress
C. Testing client learning after each teaching session
D. Avoiding discussing topics that might cause client anxiety
6. A nurse teaches a client about using a patientcontrolled analgesia (PA) pump to manage pain
with morphine. Which of the following statements should the nurse recognize as evidence
that the client understands the instructions?
A. "l'Il limit pushing the button so I don't get an overdose."
B. "If I push the button and still have pain after 2 minutes, I'll push it again."
C. "I'll ask my niece to push the button when I am sleeping."
D. "I can still use my TENS unit even though I'm pushing the PCA button."
7. A nurse is caring for a stroke patient who is at risk of falling.
Which of the following actions should the nurse perform?
A. Assign the client to a private room
B. Keep 4 side rails up while the client is in bed
C. Monitor the client at least once every hour
D. Request a PRN prescription for restraints
8. A nurse is treating for a client with a history of dysrhythmias.
The nurse enters the room and discovers that the client is unresponsive to verbal or painful sti
muli, does not breathe, and has no pulse.
Which of the following actions should the nurse complete first?
A. Begin chest compressions
B. administer breaths with a manual resuscitation bag
C. provide oxygen
D. secure an airway
,9. A nurse collects information from a client. Which of the following statements by the nurse
demonstrates the communication technique of clarifying?
A. "Now that we have talked about your medications, let's talk about your pain."
B. "Are you having other symptoms?"
C. "It sounds like your pain is intermittent."
D. "It seems as though you have really had a rough time these past few Weeks
10. A nurse measures the blood pressure in a client's lower extremity.
Which of the following actions should nurses take?
A. Check for the blood pressure at the dorsalis pedis artery
B. Measure the client's blood pressure while sitting on the side of the bed
C. Place the cuff 7.6 cm (3 in) above the popliteal artery
D. Place the bladder of the cuff over the back of the thigh
11. A nurse reinforces teaching a preschooler how to use a metered-dose inhaler.
Which of the following approaches should the nurse take during this instructional session?
A. demonstrating inhaler use
B. discussing health issues
C. Collaborative instructions
D. Mutual goal-setting
12. A nurse is teaching a client about home oxygen therapy after receiving a new prescription.
Which of the following instructions should the nurse provide?
A. Avoid using any electrical devices while receiving oxygen
B. Keep the oxygen tank on the floor to prevent it from being knocked over
C. Avoid any materials containing oil or alcohol when using oxygen
D. Use synthetic blankets and clothing while using oxygen
, 13. A nurse is treating a client with severe fecal incontinence and perianal irritation.
Which of the following actions should the nurse complete first?
A. Apply a fecal collection system
B. Apply a barrier cream
C. Cleanse and dry the area
D. Check the client's perineum
14. A nurse is about to insert an NG tube for a client with a bowel obstruction.
Which of the following actions should the nurse complete first?
A. Provide the client with a glass of water
B. Assist the client into a sitting position
C. Explain the procedure to the client
D. Measure the length of tubing to be inserted
15. A nurse is preparing to take a client's blood pressure using a sphygmomanometer and a stetho
scope. Which of the following actions should the nurse perform?
A. Wrap the cuff loosely around the client's arm
B. Use a cuff with a bladder that encircles 60% of the client's upper arm
C. Place the cuff so its lower edge is 1.3 cm (0.5 in) above the antecubital space
D. Have the client place both feet flat on the floor
16. A nurse is teaching a client how to obtain a capillary finger-stick blood sample.
Which of the following client actions requires the nurse's intervention?
A. Elevates the finger above heart level
B. Rubs the fingertip with an alcohol pad
C. Punctures the side of the fingertip
D. Wraps the finger in a warm cloth
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