2024 ATI CMS FUNDAMENTAL EXAM WITH RATIONALE

2024 ATI CMS FUNDAMENTAL EXAM WITH RATIONALE
1.Ch. 1) A nurse is discussing restorative health care with a newly licensednurse. Which of the 
following examples should the nurse include in the teaching? (Select all that apply.)
A. Home health care
B. Rehabilitation facilities
C. Diagnosticcenters
D. Skilled nursing facilities
E. Oncology centers: A, B, D
Rationale: A. Restorative health care involves immediate follow up care for restor-ing health and prolonged selfcarehomehealthcareisatypeofrestorativehealth-care
B. Rehabilitation facilities are atype of restorative health care
D. Skilled nursingfacilities area typeof restorative healthcare
2.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 carefinancingmechanismsshould the nurse include asfederally
funded? (Selectall that apply.)
A. Preferred provider organization (PPO)
B. Medicare
C. Long-term care insurance
D. Exclusive provider organization (EPO)E. Medicaid: B,ERationale: Medicare and
Medicaid are federally funded.
PPOs, Long-term care insurance and EPOs are privately funded
3.Ch. 1) A nurse manageris developing strategiesto care forthe increasingnumber of clients who 
have obesity. Which of the following actions should the nurse include as a primary health care
strategy?
A. Collaboratingwith providersto performobesityscreenings during routineoffice visits
B. Ensuring the availability ofspecialized bedsin rehabilitation centersforclients who have obesity
C. Providing specialized intraoperative training in surgical treatments for obesity D.Educating acute
care nurses about postoperative complicationsrelated to obesity: A
Rationale: identify obesity screenings at office visit as an example of primary
healthcare.primaryhealthcareemphasizeshealthpromotionanddiseasecontrol,is often delivered during office
visit, and includes screenings.
4.Ch. 1) A nurse is explaining the various levels of health care services toa group of newly licensed
nurses.Which of the following examples of careor 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. Cardiacrehabilitation
E. Home health care: A, B, C
Rationale: tertiaryhealthcareinvolves theprovisionofspecialized andhighlytechnical care (icu, oncology
treatment center, and burn centers)
5.Ch.2) A nurse iscaring fora group ofclients on amedical-surgical unit.Forwhich 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 aboutcommunity resourcesavailable 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, DRationale:
A. initiateareferral forasocial worker toprovideinformation and assistanceincoordinating hospice care 
for a patient
B. Initiate areferral for asocial worker toprovideinformation and assistancein
coordinatingcareforcommunity resources availableforclients
D. Initiate a referral for asocial worker to assist theclient in obtaining medicalequipment for use after 
discharge
6.Ch. 1) A nurse is discussing the purpose of regulatory agencies during astaff meeting. Which of the 
following tasks should the nurse identify as theresponsibility of state licensing boards?
A. Monitoring evidence-based practice forclients who have aspecific diag-nosis
B. Ensuring that health care providers comply with regulations
C. Setting quality standards for accreditation of health care facilities
D. Determining whether medicationsare safe foradministration to clients: BRationale: identify that state 
licensing boards are responsible for ensuring that healthcare providers and agencies comply with state
regulations.
7.Ch. 2) A goal for a client who has difficulty with self-feeding due to rheuma-toid arthritis is to use
adaptive devices.The nurse caring for the client should initiate a referral to which of the following
members of the interprofessionalcare team?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist: D
Rationale:anoccupational therapist canassist clients whohavephysical chal-lenges touse adaptive devices
and strategies to help with self-care activities
8.Ch. 2) A client who is postoperative following knee arthroplasty is con- cerned about the adverse 
effects of the medication prescribed for pain management. Which of the following members of the 
interprofessional careteam can assist the client in understanding themedication's effects? (Selectall
that apply.)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratorytherapist: A, C, DRationale:
A.Theprovider mustbe knowledgeable about any medication prescribed for theclient including its actions, effects,
and interactions
C. A pharmacist mustbe knowledgeable about any medication dispensed for theclient, including its actions,
effects, and interactions.
D.A registerednurse mustbeknowledgeableaboutany medicationadministered,including its actions, effects, and
interactions.
9.Ch. 2) A client who had a cerebrovascular accident has persistent prob- lems with dysphagia.The
nurse caring forthe clientshould initiate areferralwith 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 speechlanguagepathologist caninitiatespecific therapy forclientswhohave difficulty with feeding
due to swallowing difficulties