Certified Nursing Assistant Tasks and Ethical Principles, Exams of Nursing

Download Certified Nursing Assistant Tasks and Ethical Principles and more Exams Nursing in PDF only on Docsity! CMS Fundamentals ATI New 2024 Version with All Questions from Actual Past Exam and 100% Correct Answers A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the healthcare team they will encounter on a medical surgical unit. When providing examples of the types of tasks certified nursing assistance 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 ---------- Correct Answer ---------- A. Bathing B. Ambulating C. Toileting E. Measuring vital signs A patient who had a below-the-knee amputation 24 hours earlier is complaining of burning pain in his left foot. Which intervention is most appropriate for the nurse to implement? ----------- Correct Answer ----------- Medicate the patient with the prescribed pain remedy. What has most likely occurred in a patient who has been diagnosed with endogenous hypoglycemia? ----------- Correct Answer ----------- Excessive secretion of insulin or an increase in glucose metabolism. A nurse reminds a client with type I diabetes to rotate the insulin injection sites to prevent _____. ----------- Correct Answer ----------- Lipohypertrophy 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 intra- professional care team can assist the client and understanding the medications effects ? ( select all that apply) A. Provider B. Certified nursing assistant C. Pharmacist D. Registered nurse E. Respiratory therapist ---------- Correct Answer ---------- A. Provider C. Pharmacist D. Registered nurse A client who has a cerebrovascular accident has persistent problems with dysphagia. The nurse is caring for a 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 ---------- Correct Answer ---------- D. Speech language pathologist A nurse is caring for a client who decides not to have surgery despite significant blockages of the coronary arteries. The nurse understands that this clients choice is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice D. Nonmaleficence ---------- Correct Answer ---------- B. Autonomy A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice D. Beneficence ---------- Correct Answer ---------- D. Beneficence A nurse is instructing a group of newly licensed nurses about the responsibilities organ donation and procurement involve. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications the newly licensed nurses should understand that this aspect of care delivery is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice D. Nonmaleficence ---------- Correct Answer ---------- C. Justice A nurse questions a medication prescription as to extreme in light of the clients advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Document objective data leaving out opinions A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. which of the following should the nurse include in the teaching ? (select all that apply) A. Medication error B. Needlesticks C. Conflict with provider and nursing staff D. Omission of prescription E. Missed specimen collection of a prescribed laboratory test ---------- Correct Answer --- ------- A. Medication error B. Needlesticks D. Omission of prescription A nurse is receiving a providers prescription by telephone from morphine for a client who is reporting moderate to severe pain. which of the following nursing actions are appropriate? (select all that apply) A. Repeat the details of the prescription back to the provider B. Have another nurse listen to the telephone prescription C. Obtain the providers signature on the prescription within 24 hr D. Declined the verbal prescription because it is not an emergency situation E. Tell the charge nurse that the provider has prescribed morphine by telephone --------- - Correct Answer ---------- A. Repeat the details of the prescription back to the provider B. Have another nurse listen to the telephone prescription C. Saying the provider signature on the prescription within 24 hr Immersed on a medical surgical unit has received change of shift report and will care for four clients. which of the following task should the nurse assigned to an assistive personnel (AP)? A. Updating the product here for a client who is postoperative B. Reinforcing teaching with a client who is learn to walk using a quad cane C. Reapplying a condom catheter for a client who has urinary incontinence D. Applying sterile dressing a pressure injury ---------- Correct Answer ---------- C. Reapplying a condom catheter for a client who has urinary incontinence A nurse manager is assigning care of A client who is being admitted from the PACU following thoracic surgery. the nurse manager should assign the client to which of the following staff members? A. Charge nurse B. Registered nurse C. Practical nurse D. Assistive personnel ---------- Correct Answer ---------- B. Registered nurse 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 ---------- Correct Answer ---------- A. Home health care B. Rehabilitaion facilities D. Skilled nursing facilities Nurse is explaining the various types of health care coverage clients might have to a group 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 ---------- Correct Answer ---------- B. Medicare E. Medicaid 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 healthcare strategy? A. Collaborating with providers to perform obesity screening's during routine office visit B. Ensuring The availability of specialize 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 ---- ------ Correct Answer ---------- A. Collaborating with providers to perform obesity screenings during routine office visits 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 B. Ensuring that healthcare providers comply with regulations C. Setting quality standards for accreditation of healthcare facilities D. Determining whether medications are safe for administration to clients ---------- Correct Answer ---------- B. Ensuring that healthcare providers comply with regulations 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 ---------- Correct Answer ---------- A. Intensive care unit B. Oncology treatment center C. Burn center 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. The client who has terminal cancer request hospice care in the home B. A client ask about community resources available for older adults C. A client states, " I would like to have my child baptized before surgery" D. A client request an electric wheelchair for use after discharge E. Client states, " I do not understand how to use a nebulizer" ---------- Correct Answer -- -------- A. Client who has terminal cancer request hospice care in the home B. A client us about community resources available for older adults D. A client request an electric wheelchair for use after discharge Hey go for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse is 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 ---------- Correct Answer ---------- D. Occupational therapist The nurse is delegating the ambulation of a client who had knee arthroplasty five days ago to an AP. which of the following information should the nurse share with the AP? (select all that apply) A. The roommate ambulate's independently B. The client ambulate's wearing slippers over antiembolic stockings C. The client uses a front wheeled walker when ambulating D. The client had pain medication 30 minutes ago E. The client is allergic to codeine F. The client ate 50% of breakfast this morning ---------- Correct Answer ---------- B. The client ambulate's wearing slippers over antiembolic stockings oral solution 1 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.) ----------- Correct Answer ----------- 3.8 A postoperative client who has no previous medical conditions is difficult to arouse when transferred to the surgical unit from the post-anesthesia care unit. A nurse monitors the pulse oximeter and gets a reading of 85%. The nurse arouses the client and has him cough and perform deep breathing; the pulse oximeter is now reading 83% what should be the nurse's next action? ----------- Correct Answer ----------- Start oxygen at 2 liters per nasal cannula. A nurse in the emergency department knows that tissue damage has probably occurred in a person with hypothermia when a rectal temperature of _____ is assessed. (do not use degree sign,) ----------- Correct Answer ----------- 95 At 0330, a nurse is caring for a client who is postoperative. The client's IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) ----------- Correct Answer ----------- 300 A nurse is reinforcing teaching with a client who has a family history of hypertension. The nurse should inform the client that his blood pressure reading of 112/64 mm Hg places him in which of the following categories? ----------- Correct Answer ----------- Within the expected reference range A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.) ----------- Correct Answer ----------- -Blurry vision -tachycardia -sweating A nurse is reinforcing teaching with a client who has diabetes mellitus and self- administers insulin. The client reports drinking an occasional glass of wine. Which of the following is an appropriate response by the nurse? ----------- Correct Answer ----------- "It is best for you to drink an occasional glass of wine with a meal". A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning fasting blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL. Which of the following actions should the nurse identify as the priority? ----------- Correct Answer ------ ----- Check the client's blood glucose level. A nurse is assisting with the plan of care for a client who has a new deep-vein thrombosis (DVT) in his leg. Which of the following interventions should the nurse include in the plan? ----------- Correct Answer ----------- Keep the clients affected leg elevated A nurse is collecting data from a client who is postoperative following abdominal surgery. Which of the following findings should cause the nurse to suspect deep-vein thrombosis (DVT)? ----------- Correct Answer ----------- unilateral leg edema A nurse is collecting data from a client who has hypertension and a prescription for propranolol. A history of which of the following conditions should be reported to the provider? ----------- Correct Answer ----------- Heart failure A nurse is caring for an older adult client who has colon cancer. The client asks the nurse several questions about his treatment plan. Which of the following actions should the nurse take? ----------- Correct Answer ----------- Help the client write down questions to ask his provider. A nurse is collecting data from client who has received chemotherapy to treat lung cancer. Which of the following adverse effects should the nurse report to the provider? - ---------- Correct Answer ----------- Manifestations of infection. A nurse is assisting with the plan of care for a client who has pneumonia and requires chest percussion, vibration, and postural drainage. Which of the following actions should the nurse plan to complete first? ----------- Correct Answer ----------- Auscultate lung fields A nurse is collecting data from a client who has pneumonia and is experiencing acute respiratory acidosis. Which of the following manifestations should the nurse expect to find? ----------- Correct Answer ----------- Decreased level of consciousness A nurse is caring for a client who is postoperative open reduction and internal fixation with placement of a wound drain to repair a hip fracture. Which of the following actions should the nurse take? ----------- Correct Answer ----------- Empty the suction device every 4 hours. A nurse is reinforcing teaching with an older adult client who has had a newly inserted permanent pacemaker. Which of the following manifestations should the nurse include in the teaching as a pacemaker malfunction that the client should report to the provider? ----------- Correct Answer ----------- Fatigue A nurse is caring for a client who has just been diagnosed with angina pectoris. The client tells the nurse that he is afraid of dying from a heart attack. Which of the following is an appropriate nursing response? ----------- Correct Answer ----------- "Tell me more about these fears". A nurse is assisting with the care of a client who was admitted to the emergency department with reports of chest pain and severe epigastric distress. The nurse should anticipate that in the presence of an acute myocardial infarction the client's creatinine kinase-MB (CK-MB) is expected to peak how many hours after the onset of chest pain? ----------- Correct Answer ----------- 24 hours A nurse is assisting in the plan of care for a client who has a suspected myocardial infarction. Which of the following medication should the nurse plan to administer first? -- --------- Correct Answer ----------- Oxygen A nurse is caring for a client who has heart failure and respiratory arrest. Which of the following actions should the nurse take first? ----------- Correct Answer ----------- Feel for a carotid pulse A nurse is caring for a client who is receiving furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client? ----------- Correct Answer ----------- Serum potassium A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? ------ ----- Correct Answer ----------- Take temperature once a day A nurse is reviewing a recent laboratory report for a client who has Human Immunodeficiency Virus (HIV). Which of the following laboratory values should the nurse report to the provider? ----------- Correct Answer ----------- CD4-T-Cell count 140/mm3 A nurse is caring for a client who has partial-thickness and full-thickness burns of his head, neck, and chest. The nurse should recognize which of the following is the priority risk to the client? ----------- Correct Answer ----------- Airway obstruction A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor? (Select all that apply.) ----------- Correct Answer ----------- -Shallow respirations -cardiac dysthymias -hyperactive reflexes A nurse is reviewing the laboratory results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas (ABG) values include: pH 7.22 PaCO2 68 mm Hg Base excess -2 PaO2 78 mm Hg Oxygen saturation 80% Bicarbonate 28 mEq/L Which of the following interpretations of the ABG values should the nurse make? ----------- Correct Answer ----------- Respiratory acidosis A nurse is collecting data from a client whose arterial blood gas values reveal a pH of 7.24, PaCO2 of 53, and an HCO3- of 24. The nurse should prepare to treat the client for which of the following acid-base imbalances? ----------- Correct Answer ----------- respiratory acidosis A nurse is collecting data from a client who has multiple fractures in his left leg and reports severe pain and tingling in the extremity. The nurse should suspect which of the following complications? ----------- Correct Answer ----------- Acute compartment syndrome. A nurse is caring for a client who is 1-day postoperative following gynecologic surgery and reports incisional pain. Which of the following actions should the nurse take first? --- -------- Correct Answer ----------- Ask the client to rate her pain on a scale from 0 to 10. A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client? ----------- Correct Answer ----------- regular A nurse is reinforcing teaching with a client who has hyperlipidemia and is taking atorvastatin daily. Which of the following statements by the client indicates understanding? ----------- Correct Answer ----------- "I will notify my provider if my arms feel weak". A nurse in a provider's office is reviewing the laboratory results of four clients who take digoxin. Which of the following clients is at risk for developing digoxin toxicity? ----------- Correct Answer ----------- A client who takes furosemide for hypertension. A nurse is reinforcing teaching for a client who has type 2 diabetes mellitus and is prescribed glipizide. The client should be taught that glipizide works in which of the following ways? ----------- Correct Answer ----------- Glipizide stimulates the pancreas to release adequate insulin. A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect? ----------- Correct Answer ----------- peripheral edema A nurse is collecting data from a client who takes metformin for type 2 diabetes. Which of the following medications is contraindicated for this client due its effect on blood glucose levels? ----------- Correct Answer ----------- Prednisone A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes. At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication? ----------- Correct Answer ----------- 0900 The nurse is discussing discharge planning with the family and patient, who has a history of falls and lives alone. What should the nurse include in this discussion? --------- -- Correct Answer ----------- The ability of this patient to signal for help. A nurse is reinforcing teaching about placement of a prosthesis with a client who is having a below the knee amputation. Which of the following information should the nurse include in the teaching? ----------- Correct Answer ----------- "This will improve your ability to ambulate sooner". A nurse is caring for a client who has hypertension and experiences acute epistaxis. What is the sequence of steps the nurse should follow when caring for this client? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) ----------- Correct Answer ----------- - Initiate standard precautions for the client. - Tilt the client's head forward. - Apply direct pressure to the client's nares. - Place ice on the bridge of the client's nose. Eicosanoids are a class of fatty acids that regulates: ----------- Correct Answer ----------- Dilation of the blood vessels A nurse is alerted by the laboratory regarding a patient's complete blood count that shows a large shift to the left. What should the nurse assess this to mean about cell level count? ----------- Correct Answer ----------- Neutrophils have increased by 60% A nurse is reinforcing teaching with a client who has a family history of hypertension. The nurse should inform the client that his blood pressure reading of 124/84 mm Hg places him in which of the following categories? ----------- Correct Answer ----------- Prehypertension A nurse is reinforcing teaching with a client who has peripheral vascular disease. Which of the following instructions should the nurse include in the teaching? ----------- Correct Answer ----------- "incorporate walking into your daily routine" Which assessment should indicate the necessity for a nurse to suction a patient with a tracheostomy? ----------- Correct Answer ----------- Becomes restless and has increases in vitals. When a patient with sleep apnea says, "I'm not wearing that silly mask. I look like something out of Star Wars," what should the nurse remind the patient about the function of the mask? ----------- Correct Answer ----------- Uses positive pressure to keep airway open. What does the lack of insulin in patients with type 1 diabetes cause, that then increases their risk for cardiovascular disorders? ----------- Correct Answer ----------- Increased fatty acid levels A nurse is caring for a client who has a deep vein thrombosis, who received IV heparin for the past 5 days, and now has a new prescription for oral warfarin in addition to the heparin. The client asks the nurse if both medications are necessary. Which of the following is an appropriate response by the nurse? ----------- Correct Answer ----------- "Heparin will be continued until the warfarin reaches a therapeutic level." A nurse is reinforcing teaching with a client who has a prescription for lisinopril. Which of the following statements indicates an understanding of the teaching? ----------- Correct Answer ----------- "I will contact my provider if I become pregnant while taking this medication." What should the home health nurse recommend to a patient if a fall occurs at home? --- -------- Correct Answer ----------- Pull self-up using sturdy furniture. A fracture that occurs because of osteoporosis is classified as a(n) _____ fracture ------- ---- Correct Answer ----------- pathological A client with an irregular sinoatrial (SA) node conduction has a permanent pacemaker with the code AAIOO and is now going home. The patient asks, "What happens when my real SA node fires on its own?" How should the nurse respond regarding what the pacemaker should do? ----------- Correct Answer ----------- The pacemaker should not fire A nurse is reviewing a provider's admission orders for a client who has acute heart failure. For which of the following prescriptions should the nurse obtain clarification? ----- ------ Correct Answer ----------- Ambulate three times daily. The client is scheduled for cardioversion, the nurse knows that the purpose of this procedure is to: ----------- Correct Answer ----------- Deliver an electrical shock to terminate a tachydysrhythmia. Which of the following drugs slows the replication and progression of HIV by blocking protease enzymes? ----------- Correct Answer ----------- Reyetaz / atazanavir What information should a nurse include in a client's discharge instruction after an acute myocardial infarction (MI)? ----------- Correct Answer ----------- Written instructions on diet and follow-up appointments. The priority nursing diagnosis for a cardiac surgery client immediately following surgery is: ----------- Correct Answer ----------- Ineffective breathing pattern A client with HIV is diagnosed with progressive multifocal leukoencephalopathy (PML). What should a nurse encourage the client to do? ----------- Correct Answer ----------- Prepare advance directives What indicates that a patient has entered the third stage of HIV infection? ----------- Correct Answer ----------- T-helper CD4 cell count of 450 What do fibrous plaques of atherosclerosis serve as when they are laid down in the vessels? ----------- Correct Answer ----------- Trap to which other substances adhere.