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Questions 164

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Question 1 of 5

The nurse is observing a certified nursing assistant move a client. Which action, if observed, indicates that the nursing assistant needs more instruction?

Correct Answer: B

Rationale: Bending from the waist strains the back, indicating improper technique. Wide stance, whole-body turning, and straight back are correct for safe client movement.

Question 2 of 5

The 11:00 AM routine fingerstick (glucose monitoring) test for a client was assigned to the unlicensed assistive personnel by the nurse. At 11:15 AM, the client tells the nurse that no one checked the blood level. The nurse should take what action first?

Correct Answer: C

Rationale: Performing the test ensures timely glucose monitoring, which is critical for the client's care.

Question 3 of 5

The nurse is caring for a client newly prescribed crutches. Which finding indicates the need for further teaching?

Correct Answer: A

Rationale:
Torn axillary pads can cause discomfort and injury, indicating a need for replacement and further teaching.

Question 4 of 5

Which of the following indicates failure of a ventriculoperitoneal shunt?

Correct Answer: A

Rationale: Projectile vomiting is a sign of increased intracranial pressure due to ventriculoperitoneal shunt failure, indicating obstruction or malfunction.

Question 5 of 5

The nurse is discussing prostatectomies with a group of men. One man asks which kind of prostatectomy is done for someone who has benign prostatic hyperplasia (BPH). What answer should the nurse give?

Correct Answer: A

Rationale: Transurethral resection prostatectomy (TURP) is the most common procedure for BPH, removing prostate tissue via the urethra, minimally invasive compared to open approaches.

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