CMA Flashcards
(42 cards)
1
Q
- A nurse is providing dietary instructions to a client who has cardiovascular disease.
The nurse should identify that which of following statements by the client indicates an
understanding of the teaching?
a.”I will limit my portions of meat to 8 ounces.”
b. “I will increase my intake of canned vegetables.”
c. “I will use canola oil when making salad dressing.”
d. “I will drink whole milk with my cereal.”
A
Answer: c. “I will use canola oil when making salad dressing.”
2
Q
- A nurse is providing teaching for a client who has diabetes mellitus about the self
administration of insulin. The client has prescriptions for regular and NPH insulins.
Which of the following statements by the client indicates an understanding of the
teaching?
a. “I will draw up the regular insulin into the syringe first.”
b. “I will shake the NPH vial vigorously before drawing up the insulin.”
c. “I will store prefilled syringes in the refrigerator with the needle pointed downward.”
d. “I will insert the needle at a 15-degree angle.”
A
Answer: a. “I will draw up the regular insulin into the syringe first.”
3
Q
- A nurse on a medical-surgical unit is planning care for a client who has dementia and
a history of wandering. Which of the following actions should the nurse plan to
implement?
a. Move client to a double room.
b. Use chemical restraints at bedtime.
c. Use a bed alarm.
d. Encourage participation in activities that provide excessive stimulation
A
Answer: c. Use a bed alarm.
4
Q
- A nurse is caring for a client who has acute angina. Which of the following actions
should the nurse take first?
a. Measure blood pressure.
b. Administer aspirin.
c. administer nitroglycerin
d. initiate IV access
A
Answer: c. administer nitroglycerin
5
Q
- A nurse in the emergency department is evaluating a young adult client for bacterial
meningitis. Which of the following actions should the nurse take as part of the focused
assessment?
a. Run a tongue blade on the outside of the client’s sole and note any flaring of the toes.
b. Tap the client’s facial nerve and note any facial twitching.
c. Gently elevate the client’s head and note any nuchal rigidity.
d. Strike the client’s patellar tendon with a percussion hammer and note any increase in
response.
A
Answer: c. Gently elevate the client’s head and note any nuchal rigidity.
6
Q
- A nurse is planning care for a client who is postoperative following insertion of an
arteriovenous graft in their left forearm. Which of the following actions should the nurse
include in the plan of care?
a. Splint the left forearm to prevent damage to the graft.
b. Collect blood specimens from the graft.
c. Check the pulse distal to the graft.
d. Keep the left forearm below the level of the heart.
A
Answer: c. Check the pulse distal to the graft.
7
Q
- A nurse in a clinic is assessing a client who has type 1 diabetes mellitus. The client
is diaphoretic, has a heart rate of 92/min, and reports palpitations. The client states, “I
went for my morning run and feel exhausted.” Which of the following responses should
the nurse make?
a. “Did you decrease your insulin intake before you exercised?”
b. “It is normal to feel this way after a morning run.”
c. “It becomes easier when exercise is a routine.”
d. “Were you careful to not have carbohydrates after the run?”
A
Answer: a. “Did you decrease your insulin intake before you exercised?”
8
Q
- A nurse is teaching about food choices to a client who has chronic kidney disease
and must limit potassium intake. Which of the following choices should the nurse
recommend as containing the least potassium?
a.1 cup white rice
b.1 medium baked potato with skin
c.2 tbsp peanut butter
d.1/2 cup nonfat yogurt
A
Answer: a.1 cup white rice
9
Q
- A nurse is preparing a teaching plan for a client who has mucositis related to
chemotherapy treatment. Which of the following instructions should the nurse include?
a. “Brush your teeth for 60 seconds twice daily.”
b. “Wear your dentures only during meals.”
c. “Floss your teeth gently following each meal.”
d. “Rinse your mouth with hydrogen peroxide.”
A
c. “Floss your teeth gently following each meal.”
10
Q
- A nurse is assessing a client who has myasthenia gravis. Which of the following
client statements should indicate to the nurse that the client needs a referral for
occupational therapy?
a. “I’ve been having problems with bladder control.”
b. “I would rather be in a wheelchair than use a walker to get around.”
c. “I have a hard time with brushing my hair.”
d. “I have difficulty swallowing food.”
A
c. “I have a hard time with brushing my hair.”
11
Q
- A nurse is caring for a client in the ICU. The client’s ECG monitor tracing reveals
sinus bradycardia and S-T segment elevation. The client reports shortness of breath
and feeling dizzy and faint. Which of the following medications should the nurse
administer?
a. Atropine
b. Lidocaine
c .Sotalol
d. Digoxin
A
Answer: a. Atropine
12
Q
- A charge nurse receives a call from the house supervisor requesting room
assignments for four new clients. Based on the admission diagnoses, which of the
following clients requires a private room?
a. A client who has diabetes mellitus and is presenting with acute ketoacidosis
b. A client who has a compound fracture of the right femur
c. An older adult client who was admitted with aspiration pneumonia
d. A client who reports having fever, night sweats, and cough for 2 days
A
d. A client who reports having fever, night sweats, and cough for 2 days
13
Q
- A nurse is caring for a client immediately following a cardiac catheterization through
the right femoral artery. Which of the following actions should the nurse take?
a. Elevate the head of the client’s bed to a 45° angle.
b. Instruct the client not to bend the affected leg.
c. Monitor the client’s vital signs once every hour.
d. Restrict the client’s fluid intake.
A
Answer: b. Instruct the client not to bend the affected leg
14
Q
- A nurse is caring for a client who is using a continuous passive motion (CPM)
machine following a total knee arthroplasty. Which of the following actions should the
nurse take?
a. Increase the range of motion rapidly when the CPM machine is used intermittently.
b. Check settings of the CPM machine every 12 hr.
c. Turn the CPM machine off while the client is eating.
d. Store the CPM machine on the floor when not in use
A
Answer: c. Turn the CPM machine off while the client is eating
15
Q
- A nurse is teaching a group of young adult clients about risk factors for hearing loss.
Which of the following factors should the nurse include in the teaching?
(Select all that apply.)
a. Chronic infections of the middle ear
b. Frequent exposure to low-volume noise
c. Perforation of the eardrum
d. Use of a loop diuretic
e. Born with a high birth weight
A
a. Chronic infections of the middle ear
c. Perforation of the eardrum
d. Use of a loop diuretic
16
Q
- A nurse is caring for a client who has been prescribed an antibiotic. The client tells
the nurse, “I don’t like taking medications because I don’t think I need them.” Which of the
following responses should the nurse make?
a. “Your provider wouldn’t prescribe this medication if it weren’t necessary.
b. “I will tell your provider that you do not want to take this medication.”
c. “If you don’t take this medication, you will feel worse.”
d. “Most clients feel better after taking the antibiotic.”
A
Answer: b. “I will tell your provider that you do not want to take this medication.”
17
Q
- A nurse is caring for a client who is postoperative following a complete
thyroidectomy. Which of the following findings is the priority for the nurse to report to the
provider?
a. Muscle twitching
b. Client report of nausea
c. Client report of incisional pain
d. Serosanguineous drainage
A
a. Muscle twitching
18
Q
- A nurse is assessing a client who has heart failure and a new prescription for
metoprolol. Which of the following findings should the nurse identify as an adverse
effect of the medication?
a. Blood pressure 138/76 mm Hg
b. Respiratory rate 10/min
c. Temperature 36.3° C (97.3° F)
d. Heart rate 48/min
A
d. Heart rate 48/min
19
Q
- A nurse is providing teaching for the family of a client who has Alzheimer’s disease.
Which of the following statements should the nurse include?
a. “Keep the client’s room dark at night to promote sleep.”
b. “Display a monthly calendar in the client’s room.”
c. “Provide the client with structured activities to fill their time.”
d. “Provide plenty of stimulation in the client’s room.”
A
c. “Provide the client with structured activities to fill their time.”
20
Q
- A nurse is assessing a client following the administration of an initial dose of
captopril. Which of the following findings indicates an anaphylactic response?
a. Arrythmia
b. Laryngeal edema
c. Fever
d. Hypertension
A
b. Laryngeal edema
21
Q
- A nurse is planning care for a client who has dementia. Which of the following
interventions should the nurse plan to include?
a. Assist the client with toileting at least once every 4 hr.
b. Place the client’s bed at the lowest height.
c. Request a prescription for a nightly sedative.
d. Turn off all lights in the client’s room at night
A
b. Place the client’s bed at the lowest height.
22
Q
- A nurse is providing teaching to a client who is to start furosemide therapy for heart
failure. Which of the following statements indicates that the client understands a
potential adverse effect of this medication?
a. “I’m going to include more cantaloupe in my diet.”
b. “ I will try to limit foods that contain salt.”
c. “I’Il check my blood pressure so it doesn’t get too high.”
d. “I will check my pulse before I take the medication.”
Answer: b. “ I will try to limit foods that contain salt.”
A
a. “I’m going to include more cantaloupe in my diet.”
23
Q
- A nurse suspects that a client who has diabetes mellitus is experiencing
hypoglycemia. Which of the following assessment findings supports this suspicion?
a. Cool, clammy skin
b. Acetone breath
c. Kussmaul respirations
d. Increased urine output
A
a. Cool, clammy skin
24
Q
- A charge nurse on a neurological unit is making room assignments for a group of
clients. Which of the following clients should the nurse assign to the room closest to the
nurses’ station?
a. A client who has experienced brain death and is awaiting organ procurement
b. A client who has a headache following a grade 1 concussion
c. A client who has a score of 10 on the Glasgow Coma Scale following a motor vehicle
crash
d Aclient who has a score of 0 on the NIH Stroke Scale following a transient ischemic
Attack
A
Answer: c. A client who has a score of 10 on the Glasgow Coma Scale following a
motor vehicle crash
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26. A nurse working in the emergency department is admitting a client who has
pertussis. Which of the following actions should the nurse take?
a. Perform a Mantoux skin test on the client.
b. Assign the client to a negative-pressure airflow room.
c. Recommend that the client's family members receive antiviral therapy.
d. Wear a surgical mask when providing care to the client.
d. Wear a surgical mask when providing care to the client.
26
27. A nurse is assessing a client who has skeletal traction for a femoral fracture. The
nurse notes that the weights are resting on the floor. Which of the following actions
should the nurse take?
a. Remove one of the weights.
b. Tie knots in the ropes near the pulleys to shorten them.
c. Increase the elevation of the affected extremity.
d. Pull the client up in bed.
d. Pull the client up in bed.
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28. A nurse is caring for a client who is receiving morphine through a PCA device.
Which of the following actions should the nurse take?
a. Teach the client how to self-medicate using the PCA device.
b. Encourage family members to press the PCA button for the client.
c. Monitor the client's respiratory status every 4 hr.
d. Administer an oral opioid for breakthrough pain.
a. Teach the client how to self-medicate using the PCA device.
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29. A nurse is teaching a client who has AIDS and wishes to continue self-care at home
despite living alone. Which of the following actions by the nurse demonstrates client
advocacy?
a. Instruct the client to avoid eating raw vegetables.
b. Remind the client of the importance of medication adherence.
c. Tell the client to avoid places where there are large crowds of people.
d. Initiate a referral for the client to a home health agency.
d. Initiate a referral for the client to a home health agency.
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30. A nurse is caring for a client who has a peripherally inserted central catheter (PICC)
line in her left forearm. The client is receiving an antibiotic via intermittent IV bolus every
12 hr. Which of the following actions should the nurse take in managing the client's
PICC line?
a. Access the catheter using a non-coring needle.
b. Change the transparent membrane dressing daily.
c. Maintain a continuous IV infusion through the PICC line.
d. Flush the catheter with a 0.9% sodium chloride solution after each use.
Answer: d. Flush the catheter with a 0.9% sodium chloride solution after each use.
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31. A nurse is providing discharge teaching for a client who is receiving treatment for
genital herpes. Which of the following statements by the client indicates effectiveness of
the teaching?
a. "I should apply antibiotic ointment to the lesions."
b. "I should use natural skin condoms during sexual intercourse."
c. "I should expect my lesions to resolve in 6 weeks."
d. "I should expect to take my medication for 3 weeks."
d. "I should expect to take my medication for 3 weeks."
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32. A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus
and has a referral for dietary consult. The client tells the nurse, "I will have to eat
whatever the dietitian tells me." Which of the following statements by the nurse
encourages the client's involvement in their plan of care?
a. "The dietitian will provide you with the best food choices to manage your diabetes."
b. "I understand that the dietary choices can seem overwhelming."
c. "I can assist you with making a list of foods you like for the dietitian."
d. "Managing your diabetes will require you to make accommodations."
Answer: c. "I can assist you with making a list of foods you like for the dietitian."
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33. A nurse is planning care for a client who is 12 hr postoperative following a kidney
transplant. Which of the following actions should the nurse include in the plan of care?
a. Check the client's blood pressure every 8 hr.
b. Assess urine output hourly.
c. Administer opioids PO.
d. Monitor for hypokalemia as a manifestation of acute rejection.
Answer: b. Assess urine output hourly.
33
A nurse is caring for a client immediately following a lumbar puncture. Which of the
following actions should the nurse take?
a. Limit the client's fluid intake.
b. Measure blood glucose every 2 hr.
c. Instruct the client to expect tingling in their extremities.
d. Instruct the client to lie flat.
Answer: d. Instruct the client to lie flat.
34
35. A nurse is planning care for a client who has a seizure disorder. Which of the
following equipment should the nurse place in the client's room?
a. NG tube
b. Tongue blade
c. Wrist restraints
d. Oral airway
d. Oral airway
35
36. A PACU nurse is monitoring the drainage from a client's NG tube following
abdominal surgery. Which of the following findings in the first postoperative hour should
the nurse report to the provider?
a. 100 mL of red drainage
b. 75 mL of greenish-yellow drainage
c. 200 mL of brown drainage
d. 150 mL of serosanguineous drainage
a. 100 mL of red drainage
36
37. A nurse in the PACU is caring for a client. Which of the following assessments is the
nurse's priority?
a. Level of consciousness
b. Surgical site
c. Pain level
d. Respiratory status
d. Respiratory status
37
38. A nurse is caring for a client who has oral achalasia. The nurse should ask the client
which of the following questions to assess their ability to swallow?
a. "Do you feel like you have food stuck at the base of your throat?"
b. "Do you have any feelings of fullness in the neck?"
c. "Do you feel any burning sensations in your throat?"
d. "Do you have any problems with pain while swallowing?"
a. "Do you feel like you have food stuck at the base of your throat?"
38
A nurse is caring for a client who has acute heart failure and received morphine IV
30 min ago. Which of the following findings should the nurse identify as an indication
that the medication was effective?
a. Decreased anxiety
b. Emesis of 250 mL
c. Increased respiratory rate to 26/min
d. Decreased urinary output
a. Decreased anxiety
39
A nurse is monitoring an older adult client who has an exacerbation of chronic
lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the
following actions should the nurse take?
a. Determine the client's blood type.
B. avoid administering IV pain medication.
c. Institute bleeding precautions.
d. Implement airborne precautions
c. Institute bleeding precautions.
40
A nurse is caring for a client who has emphysema. Which of the following
interventions should the nurse include in the client's plan of care?
a. Limit fluid intake to 1,000 mL per day.
b. Administer oxygen at 2 L/min.
c. Encourage use of incentive spirometry for 5 min every 2 hr.
d. Teach the client a breathing exercise with a longer inhalation phase.
b. Administer oxygen at 2 L/min.
41
A nurse is caring for a client who is postoperative and develops respiratory
depression after receiving morphine for pain control. Which of the following medications
should the nurse expect the provider to prescribe?
a. Flumazenil
b. Calcium gluconate
c. Diphenhydramine
d. Naloxone
d. Naloxone
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