Complex CMS Questions

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1. A nurse is reviewing the medical record of a client who is scheduled for a CTscan with contrast media. Which of the following medications should the nurse instruct the client to withhold for 48 h... r following the procedure? a. Clopidogrel b. Furosemide c. Carvedilol d. Metformin 2. A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit sodium intake to 2 g per day. Which of the following statements by the client indicates an understanding of the teaching? a. “I can have mayonnaise on my sandwiches.” b. “I can season my food with garlic and onion salts.” c. “I can drink vegetable juice with a meal.” d. “I can have a frozen fruit juice bar for dessert.” 3. A nurse is assessing a client who is receiving valsartan to treat heart failure. Which of the following findings should the nurse identify as an indication that the medication is effective? a. Increased potassium level b. Increased heart rate c. Decreased urinary output d. Decreased blood pressure 4. A nurse is caring for a client who has cervical cancer and a sealed radiation implant. Which of the following actions should the nurse take? a. Attach a dosimeter badge to the client’s gown b. Leave unused equipment in the client’s room until discharge c. Place long-handled forceps at the client’s bedside d. Move the client’s soiled linens to a designated container outside the room 5. A nurse is assessing the pain status of a group of clients. Which of the following findings indicate a client is experiencing referred pain? a. A client who has angina reports substernal chest pain b. A client who is postoperative reports incisional pain c. A client who has pancreatitis reports pain in the left shoulder d. A client who has peritonitis reports generalized abdominal pain 6. A nurse is caring for a client who is postoperative following a partial thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider? a. High pitched sound on inspiration b. Hypoactive bowel sounds c. Loose tracheal secretions d. Client report of pain at the incision site 7. A nurse is caring for a client who is receiving chemotherapy and requests information about acupuncture to relieve some of the side effects. Which of the following findings should the nurse identify as a contraindication to receiving the alternative therapy? a. Urticaria b. Lymphedema c. Mouth sores d. Headaches 8. A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching? a. “I will empty my bag when it is full.” b. “I will eat a high-fiber diet.” c. “I expect my stools to be loose.” d. “I will take a laxative when I’m constipated.” 9. A nurse is caring for a client who has bladder cancer and WBC count of 900/mm. Which of the following actions should the nurse take? a. Use contact isolation while providing care b. Instruct the client to avoid eating raw fruit c. Apply pressure to venipuncture sites of 10 minutes d. Move the client to a negative pressure room 10. A nurse is providing discharge teaching to a client who has chronic urinary tract infection. The client has a prescription for ciprofloxacin 250 mg PO twice daily. Which of the following instructions should the nurse include in the teaching? a. Monitor heart rate once daily b. Drink 2 to 3 L of fluids daily c. Take a laxative to prevent constipation d. Take an antacid 30 minutes before taking the medication 11. A nurse is performing a cranial nerve assessment on a client following a head injury. Which of the following findings should the nurse expect if the client has impaired function of the vestibulocochlear nerve (cranial nerve VIII)? a. Deviation of the tongue from midline b. Loss of peripheral vision c. Disequilibrium with movement d. Instability to smell 12. A nurse is caring for a client who has IV in the left forearm and whose infusion pump has alarmed several times. Which of the following actions should the nurse take first? a. Flush the IV catheter b. Reposition the client’s arm c. Ensure the tubing connections are secure d. Check the IV site for redness 13. A nurse is caring for a client who has severe burn injury. The nurse should recognize which of the following as an indication of hypovolemic shock? a. PaCO2 37 mm Hg b. Potassium 5.2 mEq/L c. Urine output 45 mL/hr d. Capillary refill 1.5 seconds 14. A nurse is providing instructions about foot care for a client who has peripheral arterial disease. The nurse should identify which of the following statements by the client indicates an understanding of the teaching? a. “I rest in my recliner with my feet elevated for about an hour every afternoon.” b. “I apply a lubrication lotion to the cracked areas on the soles of my feet every evening.” c. “I use my heating pad on a low setting to keep my feet warm.” d. “I soak my feet in hot water before trimming my toenails.” 15. A nurse is caring for a client who is taking digoxin 0.125 mg PO daily and is at risk for developing digoxin toxicity. The nurse should monitor the client for an imbalance of which of the following electrolytes because it can increase the risk for digoxin toxicity? a. Calcium b. Potassium c. Magnesium d. Phosphate 16. A nurse is monitoring a client who is receiving 2 units of packed RBCs. which of the following manifestations indicates a hemolytic transfusion reaction? a. Bradycardia b. Chills c. Back pain d. Hypertension 17. A nurse is reviewing the medical record of a cl [Show More]

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