RN Concept-Based Assessment Level 2 Online
Practice B Questions with Detailed Verified
Answers (100% Correct Answers) /Already Graded
A+
A nurse is caring for a client who has pneumonia. Which of the following
actions is the priority for the nurse to take?
-Monitor intake and output
-Provide teaching about antibiotic therapy
-Administer the influenza vaccine
-Observe the client perform incentive spirometry Answer: Observe the client
perform incentive spirometry
When using the airway, breathing, and circulation framework, the priority
action the nurse should take is to observe the client perform incentive
spirometry. Incentive spirometry improves gas exchange and oxygenation and
stimulates coughing, which assists in clearing secretions.
A nurse is assessing a client who has hyperthyroidism and has been taking
methimazole for 6 months. Which of the following findings indicates a
therapeutic response to the medication
-The client's skin is warm and moist
-The client reports sleeping longer during the night
-The client is experiencing increased bowel movements
-The client's weight is 1.4 kg (3.1 lb) less than baseline Answer: The client
reports sleeping longer during the night
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,The nurse should recognize that insomnia is a manifestation of
hyperthyroidism. The client's ability to sleep longer during the night indicates a
therapeutic response to the medication.
A nurse is planning discharge teaching for the guardian of a child who had a
cardiac catheterization. Which of the following instructions should the nurse
include?
-Monitor the site daily for drainage
-Leave the pressure dressing on the 48 hr
-Administer aspirin if the child reports pain
-Resume tub baths in 24hr Answer: Monitor the site daily for drainage
The nurse should instruct the guardian to monitor the site daily for
manifestations of infection, such as drainage, redness, and swelling. The
guardian should report these findings to the provider.
A nurse is reviewing the medical record of a client who is receiving total
parenteral nutrition for a malabsorption disorder. Which of the following
findings should the nurse identify as an indication that the client's nutritional
status is improving?
-Intake of fluid is less than output of urine over the past 2 days
-1kg (2.2 lb) weight gain over the past 2 days
-Blood glucose 206 mg/dL
-Prealbumin 13 mg/dL Answer: 1 kg (2.2 lb) weight gain over the past 2 days
Total parenteral nutrition is administered to clients who have inflammatory
bowel disorders and are unable to tolerate enteral nutrition. A weight gain of
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,0.5 kg (1.1 lb) daily is an indication that the client is responding to the
parenteral nutrition.
A nurse is performing a focused assessment on a client who has cholelithiasis
and reports pain. Which of the following areas should the nurse assess?
Answer: Right upper quadrant
The nurse should assess the gallbladder for the presence of pain or discomfort
as a result of biliary colic, which is caused by a gallbladder stone obstructing
the bile duct. The pain can radiate from the right upper quadrant of the client's
abdomen to the client's right shoulder.
The nurse is providing discharge teaching to a client about managing
diverticulitis. Which of the following statements should the nurse include in
the teaching?
-"Use bisacodyl suppositories to stimulate a bowel movement"
-"Avoid lifting objects greater than 50 pounds"
-"Consume a clear liquid diet until symptoms resolve"
-"Take a probiotic 15 minutes after taking a prescribed antibiotic to prevent
antibiotic-related diarrhea" Answer: "Consume a clear liquid diet until
symptoms resolve"
The nurse should recommend the client consume a clear liquid diet until
manifestations such as abdominal pain, nausea, and vomiting have resolved. A
clear liquid diet is low in fiber and does not stimulate intestinal motility.
A nurse is providing teaching to a client who has a methicillin-resistant
Staphylococcus aureus (MRSA) skin infection. Which of the following client
statements indicates an understanding of the management of antibiotic
resistant infections?
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, -I will keep the infected area open to air to help it heal
-I can sleep in the same bed as my partner after I have been taking antibiotics
for 24 hours
-I should sit on upholstered chairs instead of hardback chairs
-I will wash all uninfected skin areas with a fresh washcloth Answer: I will wash
all uninfected skin areas with a fresh washcloth
The nurse should instruct the client to wash the uninfected skin areas with a
fresh washcloth to prevent contamination of the unaffected areas of the skin
with the MRSA infection.
A nurse is providing teaching to a client about preventing hearing loss from
trauma. Which of the following instructions should the nurse include in the
teaching?
-Keep your mouth open when sneezing
-Block one nostril when blowing your nose
-Use an ear wick candle to remove excess cerumen from the canal
-Lubricate cotton-tipped applicators with mineral oil to clean the ear canal
Answer: Keep your mouth open when sneezing
The nurse should instruct the client to keep the mouth open while sneezing to
reduce the pressure in the middle ear. Sudden pressure changes can damage
the ossicles and perforate the ear drum.
A nurse is teaching a client who recently lost his partner to a terminal illness.
The client asks how his 4-year-old son is expected to react to the death of his
partner. Which of the following information should the nurse include in the
teaching?
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Practice B Questions with Detailed Verified
Answers (100% Correct Answers) /Already Graded
A+
A nurse is caring for a client who has pneumonia. Which of the following
actions is the priority for the nurse to take?
-Monitor intake and output
-Provide teaching about antibiotic therapy
-Administer the influenza vaccine
-Observe the client perform incentive spirometry Answer: Observe the client
perform incentive spirometry
When using the airway, breathing, and circulation framework, the priority
action the nurse should take is to observe the client perform incentive
spirometry. Incentive spirometry improves gas exchange and oxygenation and
stimulates coughing, which assists in clearing secretions.
A nurse is assessing a client who has hyperthyroidism and has been taking
methimazole for 6 months. Which of the following findings indicates a
therapeutic response to the medication
-The client's skin is warm and moist
-The client reports sleeping longer during the night
-The client is experiencing increased bowel movements
-The client's weight is 1.4 kg (3.1 lb) less than baseline Answer: The client
reports sleeping longer during the night
© 2025 Get it right Stuvia US All rights reserved
,The nurse should recognize that insomnia is a manifestation of
hyperthyroidism. The client's ability to sleep longer during the night indicates a
therapeutic response to the medication.
A nurse is planning discharge teaching for the guardian of a child who had a
cardiac catheterization. Which of the following instructions should the nurse
include?
-Monitor the site daily for drainage
-Leave the pressure dressing on the 48 hr
-Administer aspirin if the child reports pain
-Resume tub baths in 24hr Answer: Monitor the site daily for drainage
The nurse should instruct the guardian to monitor the site daily for
manifestations of infection, such as drainage, redness, and swelling. The
guardian should report these findings to the provider.
A nurse is reviewing the medical record of a client who is receiving total
parenteral nutrition for a malabsorption disorder. Which of the following
findings should the nurse identify as an indication that the client's nutritional
status is improving?
-Intake of fluid is less than output of urine over the past 2 days
-1kg (2.2 lb) weight gain over the past 2 days
-Blood glucose 206 mg/dL
-Prealbumin 13 mg/dL Answer: 1 kg (2.2 lb) weight gain over the past 2 days
Total parenteral nutrition is administered to clients who have inflammatory
bowel disorders and are unable to tolerate enteral nutrition. A weight gain of
© 2025 Get it right Stuvia US All rights reserved
,0.5 kg (1.1 lb) daily is an indication that the client is responding to the
parenteral nutrition.
A nurse is performing a focused assessment on a client who has cholelithiasis
and reports pain. Which of the following areas should the nurse assess?
Answer: Right upper quadrant
The nurse should assess the gallbladder for the presence of pain or discomfort
as a result of biliary colic, which is caused by a gallbladder stone obstructing
the bile duct. The pain can radiate from the right upper quadrant of the client's
abdomen to the client's right shoulder.
The nurse is providing discharge teaching to a client about managing
diverticulitis. Which of the following statements should the nurse include in
the teaching?
-"Use bisacodyl suppositories to stimulate a bowel movement"
-"Avoid lifting objects greater than 50 pounds"
-"Consume a clear liquid diet until symptoms resolve"
-"Take a probiotic 15 minutes after taking a prescribed antibiotic to prevent
antibiotic-related diarrhea" Answer: "Consume a clear liquid diet until
symptoms resolve"
The nurse should recommend the client consume a clear liquid diet until
manifestations such as abdominal pain, nausea, and vomiting have resolved. A
clear liquid diet is low in fiber and does not stimulate intestinal motility.
A nurse is providing teaching to a client who has a methicillin-resistant
Staphylococcus aureus (MRSA) skin infection. Which of the following client
statements indicates an understanding of the management of antibiotic
resistant infections?
© 2025 Get it right Stuvia US All rights reserved
, -I will keep the infected area open to air to help it heal
-I can sleep in the same bed as my partner after I have been taking antibiotics
for 24 hours
-I should sit on upholstered chairs instead of hardback chairs
-I will wash all uninfected skin areas with a fresh washcloth Answer: I will wash
all uninfected skin areas with a fresh washcloth
The nurse should instruct the client to wash the uninfected skin areas with a
fresh washcloth to prevent contamination of the unaffected areas of the skin
with the MRSA infection.
A nurse is providing teaching to a client about preventing hearing loss from
trauma. Which of the following instructions should the nurse include in the
teaching?
-Keep your mouth open when sneezing
-Block one nostril when blowing your nose
-Use an ear wick candle to remove excess cerumen from the canal
-Lubricate cotton-tipped applicators with mineral oil to clean the ear canal
Answer: Keep your mouth open when sneezing
The nurse should instruct the client to keep the mouth open while sneezing to
reduce the pressure in the middle ear. Sudden pressure changes can damage
the ossicles and perforate the ear drum.
A nurse is teaching a client who recently lost his partner to a terminal illness.
The client asks how his 4-year-old son is expected to react to the death of his
partner. Which of the following information should the nurse include in the
teaching?
© 2025 Get it right Stuvia US All rights reserved
