RN CONCEPT BASED ASSESSMENT LEVEL 12
TEST PAPER 2026 FULL QUESTIONS AND
ANSWERS VERIFIED STUDY GUIDE FINAL PREP
◉ 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
The nurse should identify that preschoolers tend to have difficulty
understanding the reality of death and often believe that it is
reversible. Because of magical thinking, the preschooler might think
that his thoughts or behavior might have caused the person to die.
◉ A nurse is assessing a client who has gestational diabetes and
ketoacidosis. Which of the following manifestations should the nurse
expect?
,-Increased urination
-Sweating
-Dizziness
-Loose stools.
Answer: Increased urination
The nurse should expect the client to exhibit manifestations of
hyperglycemia, including increased thirst, nausea, vomiting,
increased urination, flushed dry skin, acetone breath odor, and a
weak, rapid pulse.
◉ A nurse is assessing a client who has an external fixator to the
right lower arm following musculoskeletal trauma. Which of the
following findings should indicate to the nurse that the client has
developed compartment syndrome?
-Serous drainage is present on the pin site dressings
-Flushing of the skin on the right arm
-Bounding pulse palpated in the radial artery
-Numbness to the fingers on the right arm.
Answer: Numbness to the fingers on the right arm
The nurse should identify a decrease in sensation, such as numbness
and tingling of the fingers, as one of the first indications that the
client might be developing compartment syndrome of the right
,lower arm. Compartment syndrome is the result of edema and
ischemia, a complication following musculoskeletal injury. Other
manifestations include increased pain, paralysis, pallor, and
decreased or absent pulses.
◉ A nurse is providing teaching about home care with an adolescent
client who has a skin infection caused by MRSA. Which of the
following client statements indicates an understanding of the
teaching?
-I will soak in a bathtub filled one-fourth full of water with one-half
cup of bleach
-I will wash my clothes in cold water and detergent
-I will throw away my razor after using it three times
-I will apply imiquimod cream to the lesions before going to bed
each night.
Answer: I will soak in a bathtub filled one-fourth full of water with
one-half cup of bleach
The client should soak for at least 5 min in a bathtub filled one-
fourth full of water with ½ cup of bleach once or twice per week.
This will help prevent reoccurrence of the infection.
◉ A nurse is caring for a client who is experiencing an asthma
attack. Which of the following procedures should the nurse use to
assess the client's respiratory status?
, -Peak expiratory flow meter testing
-Spirometry monitoring
-Pulmonary function testing
-Chest x-ray.
Answer: Peak expiratory flow meter testing
The peak expiratory flow meter provides a means of evaluating the
maximum flow of air the client expels during forceful exhalation. It
provides information on how well asthma is being controlled as a
part of daily monitoring and can be used when a client is having an
asthma attack. The flow meter testing helps to gauge the peak-
expiratory zone the client is experiencing and determines if the
client should use immediate-acting bronchial dilator inhalers or
seek emergency help.
◉ 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.
Answer: Distended bladder
TEST PAPER 2026 FULL QUESTIONS AND
ANSWERS VERIFIED STUDY GUIDE FINAL PREP
◉ 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
The nurse should identify that preschoolers tend to have difficulty
understanding the reality of death and often believe that it is
reversible. Because of magical thinking, the preschooler might think
that his thoughts or behavior might have caused the person to die.
◉ A nurse is assessing a client who has gestational diabetes and
ketoacidosis. Which of the following manifestations should the nurse
expect?
,-Increased urination
-Sweating
-Dizziness
-Loose stools.
Answer: Increased urination
The nurse should expect the client to exhibit manifestations of
hyperglycemia, including increased thirst, nausea, vomiting,
increased urination, flushed dry skin, acetone breath odor, and a
weak, rapid pulse.
◉ A nurse is assessing a client who has an external fixator to the
right lower arm following musculoskeletal trauma. Which of the
following findings should indicate to the nurse that the client has
developed compartment syndrome?
-Serous drainage is present on the pin site dressings
-Flushing of the skin on the right arm
-Bounding pulse palpated in the radial artery
-Numbness to the fingers on the right arm.
Answer: Numbness to the fingers on the right arm
The nurse should identify a decrease in sensation, such as numbness
and tingling of the fingers, as one of the first indications that the
client might be developing compartment syndrome of the right
,lower arm. Compartment syndrome is the result of edema and
ischemia, a complication following musculoskeletal injury. Other
manifestations include increased pain, paralysis, pallor, and
decreased or absent pulses.
◉ A nurse is providing teaching about home care with an adolescent
client who has a skin infection caused by MRSA. Which of the
following client statements indicates an understanding of the
teaching?
-I will soak in a bathtub filled one-fourth full of water with one-half
cup of bleach
-I will wash my clothes in cold water and detergent
-I will throw away my razor after using it three times
-I will apply imiquimod cream to the lesions before going to bed
each night.
Answer: I will soak in a bathtub filled one-fourth full of water with
one-half cup of bleach
The client should soak for at least 5 min in a bathtub filled one-
fourth full of water with ½ cup of bleach once or twice per week.
This will help prevent reoccurrence of the infection.
◉ A nurse is caring for a client who is experiencing an asthma
attack. Which of the following procedures should the nurse use to
assess the client's respiratory status?
, -Peak expiratory flow meter testing
-Spirometry monitoring
-Pulmonary function testing
-Chest x-ray.
Answer: Peak expiratory flow meter testing
The peak expiratory flow meter provides a means of evaluating the
maximum flow of air the client expels during forceful exhalation. It
provides information on how well asthma is being controlled as a
part of daily monitoring and can be used when a client is having an
asthma attack. The flow meter testing helps to gauge the peak-
expiratory zone the client is experiencing and determines if the
client should use immediate-acting bronchial dilator inhalers or
seek emergency help.
◉ 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.
Answer: Distended bladder
