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RN CONCEPT-BASED ASSESSMENT LEVEL 2 EXAM
QUESTIONS AND VERIFIED ANSWERS. TOP MARK
GUARANTEED
A nurse is caring for a client who has renal calculi and is taking oxybutynin for pain. Which of
the following findings should the nurse identify as an adverse effect of this medication?
-Increased salivation
-Bradycardia
-Tinnitus
-Distended bladder - - ANS✔️--Distended bladder
The nurse should identify oxybutynin as having anticholinergic effects that can result in urinary
retention. The nurse should monitor the client's intake and output and assess for bladder
distention.
A nurse is planning discharge for a postpartum client. The client tells the nurse she is having
subdermal implant placed for contraception at her 6 week follow-up examination and asks about
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the adverse effects of the implant. Which of the following manifestations should the nurse
include?
-Irregular bleeding
-Fatigue
-Shoulder pain
-Recurrent urinary tract infections (UTIs) - - ANS✔️--Irregular bleeding
The nurse should inform the client that irregular bleeding is possible when using a subdermal
implant as a form of contraception. Other possible adverse effects include amenorrhea, heavy
bleeding, headaches, nervousness, nausea, skin changes, and vertigo. With this method, a very
small rod is placed on the underside of the upper arm, just underneath the skin. The implant is
hardly noticeable and compared to oral contraceptives, the failure rate is less than 1%. One of the
major advantages with this method is that fertility rapidly returns after its removal.
A nurse in a community health clinic is reviewing data from the medical records of four clients.
Which of the following communicable diseases requires reporting by the nurse?
-Gonorrhea
-Herpes genitalis
-Human papillomavirus
-Bacterial vaginosis - - ANS✔️--Gonorrhea
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Gonorrhea is an infectious condition listed on the Nationally Notifiable Infectious Conditions
Listing. The nurse should report this communicable disease to the Centers for Disease Control
and Prevention.
A nurse is caring for a group of clients. Which of the following clients should the nurse identify
as being at risk for developing respiratory acidosis?
-fever
-abdominal ascites
-anxious
-nasogastric suctioning - - ANS✔️--A client who has abdominal ascites
The nurse should identify that a client who has abdominal ascites can experience a restriction of
chest expansion, which impairs gas exchange and places the client at an increased risk for
developing respiratory acidosis.
A nurse is assessing a client who has peripheral arterial disease. Which of the following findings
should the nurse expect?
-Brown discoloration of the lower extremities
-Superficial ulcer on the medial aspect of the ankle
-Dependent rubor
-Telangiectasias - - ANS✔️--Dependent rubor
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The nurse should expect redness to the lower extremities, or dependent rubor, when the client's
legs are dangling or in a dependent position.
A nurse is assessing a client for manifestations of right-sided heart failure. Which of the
following findings should the nurse expect?
-Jugular vein distention
-Fatigue
-Angina
-Hacking cough - - ANS✔️--Jugular vein distention
The nurse should expect to find jugular vein distention (JVD) in the client who has right-sided
heart failure due to right ventricular failure and pressure building in the venous system.
A nurse is assessing a client for manifestations of GERD. Which of the following findings
indicates to the nurse that the client might have GERD?
-Decreased salivation
-Diarrhea
-Tonsillitis
-Globus - - ANS✔️--Globus
The client who has manifestations of GERD will have globus, which is a feeling of something
being in the back of the throat.
RN CONCEPT-BASED ASSESSMENT LEVEL 2 EXAM
QUESTIONS AND VERIFIED ANSWERS. TOP MARK
GUARANTEED
A nurse is caring for a client who has renal calculi and is taking oxybutynin for pain. Which of
the following findings should the nurse identify as an adverse effect of this medication?
-Increased salivation
-Bradycardia
-Tinnitus
-Distended bladder - - ANS✔️--Distended bladder
The nurse should identify oxybutynin as having anticholinergic effects that can result in urinary
retention. The nurse should monitor the client's intake and output and assess for bladder
distention.
A nurse is planning discharge for a postpartum client. The client tells the nurse she is having
subdermal implant placed for contraception at her 6 week follow-up examination and asks about
,2|Page
the adverse effects of the implant. Which of the following manifestations should the nurse
include?
-Irregular bleeding
-Fatigue
-Shoulder pain
-Recurrent urinary tract infections (UTIs) - - ANS✔️--Irregular bleeding
The nurse should inform the client that irregular bleeding is possible when using a subdermal
implant as a form of contraception. Other possible adverse effects include amenorrhea, heavy
bleeding, headaches, nervousness, nausea, skin changes, and vertigo. With this method, a very
small rod is placed on the underside of the upper arm, just underneath the skin. The implant is
hardly noticeable and compared to oral contraceptives, the failure rate is less than 1%. One of the
major advantages with this method is that fertility rapidly returns after its removal.
A nurse in a community health clinic is reviewing data from the medical records of four clients.
Which of the following communicable diseases requires reporting by the nurse?
-Gonorrhea
-Herpes genitalis
-Human papillomavirus
-Bacterial vaginosis - - ANS✔️--Gonorrhea
,3|Page
Gonorrhea is an infectious condition listed on the Nationally Notifiable Infectious Conditions
Listing. The nurse should report this communicable disease to the Centers for Disease Control
and Prevention.
A nurse is caring for a group of clients. Which of the following clients should the nurse identify
as being at risk for developing respiratory acidosis?
-fever
-abdominal ascites
-anxious
-nasogastric suctioning - - ANS✔️--A client who has abdominal ascites
The nurse should identify that a client who has abdominal ascites can experience a restriction of
chest expansion, which impairs gas exchange and places the client at an increased risk for
developing respiratory acidosis.
A nurse is assessing a client who has peripheral arterial disease. Which of the following findings
should the nurse expect?
-Brown discoloration of the lower extremities
-Superficial ulcer on the medial aspect of the ankle
-Dependent rubor
-Telangiectasias - - ANS✔️--Dependent rubor
, 4|Page
The nurse should expect redness to the lower extremities, or dependent rubor, when the client's
legs are dangling or in a dependent position.
A nurse is assessing a client for manifestations of right-sided heart failure. Which of the
following findings should the nurse expect?
-Jugular vein distention
-Fatigue
-Angina
-Hacking cough - - ANS✔️--Jugular vein distention
The nurse should expect to find jugular vein distention (JVD) in the client who has right-sided
heart failure due to right ventricular failure and pressure building in the venous system.
A nurse is assessing a client for manifestations of GERD. Which of the following findings
indicates to the nurse that the client might have GERD?
-Decreased salivation
-Diarrhea
-Tonsillitis
-Globus - - ANS✔️--Globus
The client who has manifestations of GERD will have globus, which is a feeling of something
being in the back of the throat.
