ATI: CMS FUNDAMENTAL EXAM BANK
Ch. 1) A nurse is discussing restorative health care with a newly licensed nurse. Which
of the following examples should the nurse include in the teaching? (Select all that
apply.)
A. Home health care
B. Rehabilitation facilities
C. Diagnostic centers
D. Skilled nursing facilities
E. Oncology centers – A, B, D
Rationale: A. Restorative health care involves immediate follow up care for restoring
health and prolonged self-care home healthcare is a type of restorative healthcare
B. Rehabilitation facilities are a type of restorative health care
D. Skilled nursing facilities are a type of restorative healthcare
Ch. 1) A nurse is explaining the various types of health clients might have to a group
care coverage of nurses. Which of the following health care financing mechanisms
should the nurse include as federally funded? (Select all that apply.)
A. Preferred provider organization (PPO)
B. Medicare
C. Long-term care insurance
D. Exclusive provider organization (EPO) E. Medicaid – B, E
Rationale: Medicare and Medicaid are federally funded.
PPOs, Long-term care insurance and EPOs are privately funded
Ch. 1) A nurse manager is developing strategies to care for the increasing number of
clients who have obesity. Which of the following actions should the nurse include as a
primary health care strategy?
A. Collaborating with providers to perform obesity screenings during routine office visits
B. Ensuring the availability of specialized beds in rehabilitation centers for clients who
have obesity
C. Providing specialized intraoperative training in surgical treatments for obesity D.
Educating acute care nurses about postoperative complications related to obesity – A
Rationale: identify obesity screenings at office visit as an example of primary
healthcare. primary healthcare emphasizes health promotion and disease control, is
often delivered during office visit, and includes screenings.
Ch. 1) A nurse is discussing the purpose of regulatory agencies during a staff meeting.
Which of the following tasks should the nurse identify as the responsibility of state
licensing boards?
A. Monitoring evidence-based practice for clients who have a specific diagnosis<\/p>\n\n\n\n
B. Ensuring that health care providers comply with regulations
C. Setting quality standards for accreditation of health care facilities
D. Determining whether medications are safe for administration to clients – B
Rationale: identify that state licensing boards are responsible for ensuring that
healthcare providers and agencies comply with state regulations.
Ch. 1) A nurse is explaining the various levels of health care services to a group of
newly licensed nurses. Which of the following examples of care or care settings should
the nurse classify as tertiary care? (Select all that apply)
A. Intensive care unit
B. Oncology treatment center
C. Burn center
D. Cardiac rehabilitation
E. Home health care – A, B, C
Rationale: tertiary healthcare involves the provision of specialized and highly technical
care (icu, oncology treatment center, and burn centers)
Ch. 2) A nurse is caring for a group of clients on a medical-surgical unit. For which of
the following client care needs should the nurse initiate a referral for a social worker?
(Select all that apply.)
A. A client who has terminal cancer requests hospice care in the home.
B. A client asks about community resources available for older adults.
C. A client states, “I would like to have my child baptized before surgery.”
D. A client requests an electric wheelchair for use after discharge.
E. A client states, “I do not understand how to use a nebulizer.” – A, B, D
Rationale:
A. initiate a referral for a social worker to provide information and assistance in
coordinating hospice care for a patient
B. Initiate a referral for a social worker to provide information and assistance in
coordinating care for community resources available for clients
D. Initiate a referral for a social worker to assist the client in obtaining medical
equipment for use after discharge
Ch. 2) A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis
is to use adaptive devices. The nurse caring for the client should initiate a referral to
which of the following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist – D
Rationale: an occupational therapist can assist clients who have physical challenges to
use adaptive devices and strategies to help with self-care activities<\/p>\n\n\n\n
Ch. 2) A client who is postoperative following knee arthroplasty is concerned about the
adverse effects of the medication prescribed for pain management. Which of the
following members of the interprofessional care team can assist the client in
understanding the medication’s effects? (Select all that apply.)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist – A, C, D
Rationale:
A. The provider must be knowledgeable about any medication prescribed for the client
including its actions, effects, and interactions
C. A pharmacist must be knowledgeable about any medication dispensed for the client,
including its actions, effects, and interactions.
D. A registered nurse must be knowledgeable about any medication administered,
including its actions, effects, and interactions.
Ch. 2) A client who had a cerebrovascular accident has persistent problems with
dysphagia. The nurse caring for the client should initiate a referral with which of the
following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist – D
Rationale: A speech language pathologist can initiate specific therapy for clients who
have difficulty with feeding due to swallowing difficulties
Ch. 2) A nurse is acquainting a group of newly licensed nurses with the roles of the
various members of the health care team they will encounter on a medical-surgical unit.
When providing examples of the types of tasks certified nursing assistants (CNAS) can
perform, which of the following client activities should the nurse include? (Select all that
apply.)
A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs – A, B, C, E
Rationale: it is within the range of function for a CNA to provide basic care to patients
(bathing, assisting with ambulation, assisting with toileting, measuring and recording
vital signs)<\/p>\n\n\n\n
Ch. 4) A nurse observes an assistive personnel (AP) reprimanding a client for not using
the urinal properly. The AP tells the client that diapers will be used next time the urinal is
used improperly. Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy – A
Rationale: by threatening the client, the AP is committing a salt. The AP’s threats could
make the client become fearful and apprehensive.
Ch. 4) A nurse is caring for a competent adult client who tells the nurse, “I am leaving
the hospital this morning whether the doctor discharges me or not.” The nurse believes
that this is not in the client’s best interest, and prepares to administer a PRN sedative
medication the client has not requested along with the scheduled morning medication.
Which of the following types of tort is the nurse about to commit?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality – B
Rationale: administering a medication as a chemical restraint to keep the client from
leaving the facility against medical advice is false imprisonment, because the client
neither requested nor consented to receiving the sedative.
Ch. 4) A nurse in a surgeon’s office is providing preoperative teaching for a client who is
scheduled for surgery the following week. The client tells the nurse that “I plan to
prepare my advance directives before I come to the hospital.” Which of the following
statements made by the client should indicate to the nurse an understanding of advance
directives?
A. “I’d rather have my brother make decisions for me, but I know it has to be my wife.”
B. “I know they won’t go ahead with the surgery unless I prepare these forms.”
C. “I plan to write that I don’t want them to keep me on a breathing machine.”
D. “I will get my regular doctor to approve my plan before I hand it in at the hospital.” – C
Rationale: The patient has the right to decide and specify which medical procedures he
wants when a life-threatening situation arises.
Ch. 4) A nurse is caring for a client who is about to undergo an elective surgical
procedure. The nurse should take which of the following actions regarding informed
consent? (Select all that apply.)
A. Make sure the surgeon obtained the client’s consent.
B. Witness the client’s signature on the consent form.
C. Explain the risks and benefits of the procedure.
D. Describe the consequences of choosing not to have the surgery.<\/p>\n","protected":false},"excerpt":{"rendered":"
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