RN CONCEPT-BASED ASSESSMENT LEVEL 2 ONLINE PRACTICE B 2026 – 2027 QUESTIONS AND ANSWERS
ALREADY GRADED A+. 100% VERIFIED SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+...
Question 1
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Which finding indicates a
need for immediate intervention?
A. Fasting blood glucose of 140 mg/dL
B. Fruity breath odor and Kussmaul respirations
C. Mild polyuria and polydipsia
D. Glycosylated hemoglobin of 7.5%
🟢 Correct Answer:
B. Fruity breath odor and Kussmaul respirations
🔴 RATIONALE:
Fruity breath odor and Kussmaul respirations are signs of diabetic ketoacidosis, a life-threatening complication
requiring immediate intervention. A fasting glucose of 140 mg/dL is elevated but not emergent; mild polyuria
and polydipsia are common manifestations; an HbA1c of 7.5% indicates suboptimal but not immediate risk.
Question 2
A nurse is assessing a client who has fluid volume excess. Which finding should the nurse expect?
A. Orthostatic hypotension
B. Jugular venous distention
C. Poor skin turgor
D. Dry mucous membranes
,🟢 Correct Answer:
B. Jugular venous distention
🔴 RATIONALE:
Fluid volume excess causes increased venous pressure, leading to jugular venous distention. Orthostatic
hypotension, poor skin turgor, and dry mucous membranes are findings associated with fluid volume deficit.
Question 3
A client with heart failure is receiving furosemide. Which laboratory value is most important for the nurse to
monitor?
A. Serum sodium
B. Serum potassium
C. Serum calcium
D. Serum magnesium
🟢 Correct Answer:
B. Serum potassium
🔴 RATIONALE:
Furosemide is a loop diuretic that promotes potassium excretion, placing the client at risk for hypokalemia and
cardiac dysrhythmias. Serum potassium must be monitored closely. Sodium, calcium, and magnesium are less
directly affected by furosemide.
Question 4
A nurse is teaching a client about a low-sodium diet. Which food choice by the client indicates understanding?
A. Canned tomato soup
B. Fresh fruit salad
,C. Salted pretzels
D. Smoked sausage
🟢 Correct Answer:
B. Fresh fruit salad
🔴 RATIONALE:
Fresh fruits are naturally low in sodium. Canned soup, salted pretzels, and smoked sausage are high in sodium
and should be avoided on a low-sodium diet.
Question 5
A nurse is caring for a client who is at risk for impaired skin integrity. Which intervention is most effective for
preventing pressure injuries?
A. Massage reddened areas to promote circulation
B. Reposition the client at least every 2 hours
C. Keep the head of the bed elevated 90 degrees
D. Apply a heating pad to bony prominences
🟢 Correct Answer:
B. Reposition the client at least every 2 hours
🔴 RATIONALE:
Frequent repositioning relieves pressure on bony prominences and is essential for pressure injury prevention.
Massaging reddened areas can damage fragile capillaries; elevating the head of the bed to 90 degrees increases
shearing forces; heat application increases metabolic demand and may cause burns.
, Question 6
A client with a nasogastric tube connected to low intermittent suction is at risk for which acid-base imbalance?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
🟢 Correct Answer:
B. Metabolic alkalosis
🔴 RATIONALE:
Nasogastric suction removes hydrochloric acid from the stomach, leading to metabolic alkalosis. Metabolic
acidosis results from base loss or acid gain; respiratory imbalances are not directly caused by gastric suctioning.
Question 7
A nurse is assessing a client who has hypokalemia. Which finding is most consistent with this condition?
A. Peaked T waves on ECG
B. Muscle weakness and hyporeflexia
C. Bounding peripheral pulses
D. Tall, narrow QRS complexes
🟢 Correct Answer:
B. Muscle weakness and hyporeflexia
🔴 RATIONALE:
Hypokalemia causes muscle weakness, hyporeflexia, and flaccid paralysis. Peaked T waves and tall QRS
complexes are associated with hyperkalemia. Bounding pulses are more consistent with fluid volume excess.
ALREADY GRADED A+. 100% VERIFIED SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+...
Question 1
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Which finding indicates a
need for immediate intervention?
A. Fasting blood glucose of 140 mg/dL
B. Fruity breath odor and Kussmaul respirations
C. Mild polyuria and polydipsia
D. Glycosylated hemoglobin of 7.5%
🟢 Correct Answer:
B. Fruity breath odor and Kussmaul respirations
🔴 RATIONALE:
Fruity breath odor and Kussmaul respirations are signs of diabetic ketoacidosis, a life-threatening complication
requiring immediate intervention. A fasting glucose of 140 mg/dL is elevated but not emergent; mild polyuria
and polydipsia are common manifestations; an HbA1c of 7.5% indicates suboptimal but not immediate risk.
Question 2
A nurse is assessing a client who has fluid volume excess. Which finding should the nurse expect?
A. Orthostatic hypotension
B. Jugular venous distention
C. Poor skin turgor
D. Dry mucous membranes
,🟢 Correct Answer:
B. Jugular venous distention
🔴 RATIONALE:
Fluid volume excess causes increased venous pressure, leading to jugular venous distention. Orthostatic
hypotension, poor skin turgor, and dry mucous membranes are findings associated with fluid volume deficit.
Question 3
A client with heart failure is receiving furosemide. Which laboratory value is most important for the nurse to
monitor?
A. Serum sodium
B. Serum potassium
C. Serum calcium
D. Serum magnesium
🟢 Correct Answer:
B. Serum potassium
🔴 RATIONALE:
Furosemide is a loop diuretic that promotes potassium excretion, placing the client at risk for hypokalemia and
cardiac dysrhythmias. Serum potassium must be monitored closely. Sodium, calcium, and magnesium are less
directly affected by furosemide.
Question 4
A nurse is teaching a client about a low-sodium diet. Which food choice by the client indicates understanding?
A. Canned tomato soup
B. Fresh fruit salad
,C. Salted pretzels
D. Smoked sausage
🟢 Correct Answer:
B. Fresh fruit salad
🔴 RATIONALE:
Fresh fruits are naturally low in sodium. Canned soup, salted pretzels, and smoked sausage are high in sodium
and should be avoided on a low-sodium diet.
Question 5
A nurse is caring for a client who is at risk for impaired skin integrity. Which intervention is most effective for
preventing pressure injuries?
A. Massage reddened areas to promote circulation
B. Reposition the client at least every 2 hours
C. Keep the head of the bed elevated 90 degrees
D. Apply a heating pad to bony prominences
🟢 Correct Answer:
B. Reposition the client at least every 2 hours
🔴 RATIONALE:
Frequent repositioning relieves pressure on bony prominences and is essential for pressure injury prevention.
Massaging reddened areas can damage fragile capillaries; elevating the head of the bed to 90 degrees increases
shearing forces; heat application increases metabolic demand and may cause burns.
, Question 6
A client with a nasogastric tube connected to low intermittent suction is at risk for which acid-base imbalance?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Respiratory acidosis
D. Respiratory alkalosis
🟢 Correct Answer:
B. Metabolic alkalosis
🔴 RATIONALE:
Nasogastric suction removes hydrochloric acid from the stomach, leading to metabolic alkalosis. Metabolic
acidosis results from base loss or acid gain; respiratory imbalances are not directly caused by gastric suctioning.
Question 7
A nurse is assessing a client who has hypokalemia. Which finding is most consistent with this condition?
A. Peaked T waves on ECG
B. Muscle weakness and hyporeflexia
C. Bounding peripheral pulses
D. Tall, narrow QRS complexes
🟢 Correct Answer:
B. Muscle weakness and hyporeflexia
🔴 RATIONALE:
Hypokalemia causes muscle weakness, hyporeflexia, and flaccid paralysis. Peaked T waves and tall QRS
complexes are associated with hyperkalemia. Bounding pulses are more consistent with fluid volume excess.
