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Questions 164

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Question 1 of 5

The nurse is teaching a client newly diagnosed with asthma how to use the metered-dose inhaler (MDI). The client asks when they will know the canister is empty. The best response is

Correct Answer: A

Rationale: Dropping the canister into a bowl of water assesses the amount of medication remaining in a metered-dose inhaler. The client should obtain a refill when the inhaler rises to the surface and begins to tip over.

Question 2 of 5

The nurse is observing a nursing assistant move a client from bed to chair. Which action by the nursing assistant indicates a lack of understanding about transfer techniques?

Correct Answer: A

Rationale: Bending from the waist risks back injury, indicating improper technique. Wide stance, whole-body turning, and seeking help are correct.

Question 3 of 5

During change-of-shift report, the nurse going off duty notes that the nurse coming on has an alcohol smell on the breath and slurred speech. What actions are most important for the nurse to take?

Correct Answer: B,C

Rationale: Notifying the charge nurse (
C) and documenting (
B) ensure patient safety and follow protocol. Stopping handoff (
A) disrupts care continuity. Watching silently (
D) delays action, and confronting directly (E) may escalate the situation.

Question 4 of 5

Which teaching instructions should the nurse reinforce to a client with advanced chronic obstructive pulmonary disease?

Correct Answer: B,C,E

Rationale: Pneumococcal vaccine (
B), reporting increased sputum (
C), and incentive spirometry (E) manage COPD. A high-calorie diet, not low-calorie (
A), is needed. Iron (
D) is only indicated for confirmed anemia.

Question 5 of 5

The nurse preceptor observes a graduate practical nurse collecting a urine sample for urinalysis and culture as pictured in the exhibit. What is the preceptor's best action?

Question Image

Correct Answer: C

Rationale: Urine for culture requires a midstream clean catch or catheterization (
C) to avoid contamination. A graduated container (
B) is acceptable if sterile. Discarding (
A) is unnecessary, and cooling (
D) is secondary.

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