LEADERSHIP CMS PROCTORED EXAM Latest Update 2024-2025 Actual Exam from Credible Sources with 140 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor
- A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a
change in the wound care procedure. Which of the following findings indicate wound healing.
- Erythema on the skin surrounding a client's wound
- Deep red color on the center of the clients wound
- Inflammation noted on the tissue edges of a client's wound
d. Increase in serosanguineous exudate from the clients wound - CORRECT ANSWER:
- Deep red color on the center of the clients wound
- A nurse is caring for a group of clients. Which of the following should the nurse see
first?
- A client who is postoperative and has a fever.
- A client whose pressure ulcer has serosanguineous drainage on the dressing
- A client who has diabetes mellitus and is diaphoretic
- A client who has a fractured hip and reports a pain level of 7 on a scale from 0-10 -
CORRECT ANSWER: c. A client who has diabetes mellitus and is diaphoretic
- A nurse is receiving change-of-shift report for four clients. Which of the following
clients should the nurse care for first?
- A client who is 4 hr postoperative following a hernia repair and has pitting
edema of the right leg 1 / 4
- A client who is scheduled for an intermittent enteral feeding in 2 hr and reports
- A client who has pneumonia and requires a tracheostomy dressing change
- A client who has a new colostomy and requires discharge teaching - CORRECT
diarrhea
ANSWER: a. A client who is 4 hr postoperative following a hernia repair and has pitting
- A nurse manager discovers there is a conflict between nurses working the day shift
and nurses working on the night shift. Which of the following actions should the nurse manager take first?
- Acknowledge the conflict and encourage the nurses to focus on working as a team
- Gather information regarding the situation
- Encourage the nurses to resolve the conflict autonomously
- Meet with a committee from each shift to discuss issues related to the conflict -
CORRECT ANSWER: b. Gather information regarding the situation
- A nurse in an urgent care clinic is admitting a client who has been exposed to a
liquid chemical in an industrial setting. Which of the following actions should the nurse take first?
- Don personal protective equipment
- Irrigate the exposed area with water
- Remove the client's clothing
d. Report the incident to OSHA - CORRECT ANSWER: a. Don personal protective
equipment
- A newly licensed nurse realizes that she administered metoprolol 25 mg PO to the
wrong client. Which of the following actions should the nurse perform first?
- Complete an incident report
- Measure the client's vital signs 2 / 4
- Inform the nurse manager
d. Call the provider - CORRECT ANSWER: b. Measure the client's vital signs
- A nurse is assessing a client who has meningitis. Which of the following findings
should the nurse report to the provider immediately?
- Decreased level of consciousness
- Generalized rash over trunk
- Increased temperature
d. Report of photophobia - CORRECT ANSWER: a. Decreased level of consciousness
- A client who is febrile is admitted to the hospital for treatment of pneumonia. In
accordance with the care pathway, antibiotic therapy is prescribed. Which of the following situations requires the nurse to complete a variance report with regard to the care pathway?
- Antibiotic therapy was initiated 2 hr after implementation of the care pathway.
- A blood culture was obtained after antibiotic therapy had been initiated
- An allergy to penicillin required an alternative antibiotic to be prescribed
- The route of antibiotic therapy on the care pathway was changed from IV to PO -
CORRECT ANSWER: b. A blood culture was obtained after antibiotic therapy had been initiated
- A nurse manager is making staffing assignments for the maternal newborn unit.
Which of the following clients should the nurse manager assign to a float nurse from the medical-surgical unit?
- A client who is post term and is receiving oxytocin for labor induction
- A client who gave birth to her first child and requires instruction on breastfeeding
techniques 3 / 4
- A client who is 2 days post-operative following a caesarean birth and is having
- A client who has preeclampsia and is receiving a continuous magnesium sulfate
difficulty ambulating
infusion - CORRECT ANSWER: c. A client who is 2 days post-operative following a
caesarean birth and is having difficulty ambulating
- A nurse is coordinating an interprofessional team to review proposed standards to
reduce the transmission of methicillin-resistant Staphylococcus aureus (MRSA). Which of the following members of the interprofessional team should the nurse consult?
- Risk management coordinator
- Clinical pharmacist
- Nursing supervisor
d. Infection control nurse - CORRECT ANSWER: d. Infection control nurse
- A nurse is caring for a client who has uterine prolapse. The provider has
recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take?
- Discuss with the client her concerns regarding the procedure
- Provide the client with information on treatment options and outcomes
- Inform the client of the consequences of uterine prolapse and the need for
- Initiate a mental health consult to determine the client's reasons for refusing surgery -
intervention
CORRECT ANSWER: a. Discuss with the client her concerns regarding the procedure
- A nurse received change of shift report at 0700 for four clients. Which of the following
actions should the nurse perform first?
- Obtain a breakfast tray for a client who received a morning dose of insulin as part
- / 4