RN CONCEPT-BASED ASSESSMENT LEVEL 1
EXAMINATION SCRIPT 2026 QUESTIONS WITH
FULL ANSWERS GRADED A+
◉ 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 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?
-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?
-A preschooler has no concept of death
-A preschooler is often interested in what happens to the body after
death
-A preschooler often believes that death is reversible
-A preschooler understands that death happens to everyone.
Answer: A preschooler often believes that death is reversible
EXAMINATION SCRIPT 2026 QUESTIONS WITH
FULL ANSWERS GRADED A+
◉ 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 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?
-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?
-A preschooler has no concept of death
-A preschooler is often interested in what happens to the body after
death
-A preschooler often believes that death is reversible
-A preschooler understands that death happens to everyone.
Answer: A preschooler often believes that death is reversible
