[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 heart failure. The client has 3+ pitting edema in the
lower extremities and crackles in the lung bases. Which of the following medications should the nurse anticipate
administering?
A. Furosemide
B. Metoprolol
C. Digoxin
D. Spironolactone
🟢 Correct Answer: A. Furosemide
🔴 RATIONALE: Furosemide is a loop diuretic that promotes fluid excretion, reducing edema and pulmonary
congestion. It is the first-line medication for managing fluid overload in heart failure. Metoprolol is a beta-
,blocker used for long-term management, digoxin improves contractility, and spironolactone is a potassium-
sparing diuretic used adjunctively.
Question 2
A nurse is preparing to insert a urinary catheter for a female client. Which of the following actions should the
nurse take to maintain sterile technique?
A. Use sterile gloves only
B. Open the catheter kit before washing hands
C. Clean the labia from front to back
D. Place the sterile field on the client's bed
🟢 Correct Answer: C. Clean the labia from front to back
🔴 RATIONALE: Cleaning the labia from front to back prevents contamination of the urethra from perianal
flora. Sterile gloves are used, hands should be washed before opening the kit, and the sterile field should be
placed on a clean, dry surface at waist level.
Question 3
,A nurse is providing discharge teaching to a client prescribed warfarin. Which of the following statements by
the client indicates an understanding of the teaching?
A. "I will take ibuprofen for my headaches."
B. "I will have my blood drawn regularly to check my INR."
C. "I will eat large amounts of green leafy vegetables."
D. "I will stop taking the medication if I notice bruising."
🟢 Correct Answer: B. "I will have my blood drawn regularly to check my INR."
🔴 RATIONALE: Regular INR monitoring is essential to ensure therapeutic anticoagulation and prevent
bleeding complications. Ibuprofen increases bleeding risk, green leafy vegetables contain vitamin K which
counteracts warfarin, and bruising is a common side effect that requires reporting, not stopping the medication.
Question 4
A nurse is caring for a client who is 2 days postoperative following abdominal surgery. The client reports a
sudden onset of chest pain and shortness of breath. Which of the following actions should the nurse take first?
A. Administer oxygen via nasal cannula
B. Notify the healthcare provider
, C. Assess the client's vital signs
D. Elevate the head of the bed
🟢 Correct Answer: C. Assess the client's vital signs
🔴 RATIONALE: The nurse should first assess the client's vital signs to determine the severity of the condition.
Sudden chest pain and shortness of breath postoperatively may indicate a pulmonary embolism. Administering
oxygen, notifying the provider, and elevating the head of the bed are appropriate but should follow assessment.
Question 5
A nurse is caring for a client who has a sealed radiation implant for cervical cancer. Which of the following
actions is appropriate?
A. Place the client in a semi-private room
B. Limit visitors to 30 minutes per visit
C. Wear a lead apron when providing care
D. Position the client on the affected side
🟢 Correct Answer: C. Wear a lead apron when providing care
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 heart failure. The client has 3+ pitting edema in the
lower extremities and crackles in the lung bases. Which of the following medications should the nurse anticipate
administering?
A. Furosemide
B. Metoprolol
C. Digoxin
D. Spironolactone
🟢 Correct Answer: A. Furosemide
🔴 RATIONALE: Furosemide is a loop diuretic that promotes fluid excretion, reducing edema and pulmonary
congestion. It is the first-line medication for managing fluid overload in heart failure. Metoprolol is a beta-
,blocker used for long-term management, digoxin improves contractility, and spironolactone is a potassium-
sparing diuretic used adjunctively.
Question 2
A nurse is preparing to insert a urinary catheter for a female client. Which of the following actions should the
nurse take to maintain sterile technique?
A. Use sterile gloves only
B. Open the catheter kit before washing hands
C. Clean the labia from front to back
D. Place the sterile field on the client's bed
🟢 Correct Answer: C. Clean the labia from front to back
🔴 RATIONALE: Cleaning the labia from front to back prevents contamination of the urethra from perianal
flora. Sterile gloves are used, hands should be washed before opening the kit, and the sterile field should be
placed on a clean, dry surface at waist level.
Question 3
,A nurse is providing discharge teaching to a client prescribed warfarin. Which of the following statements by
the client indicates an understanding of the teaching?
A. "I will take ibuprofen for my headaches."
B. "I will have my blood drawn regularly to check my INR."
C. "I will eat large amounts of green leafy vegetables."
D. "I will stop taking the medication if I notice bruising."
🟢 Correct Answer: B. "I will have my blood drawn regularly to check my INR."
🔴 RATIONALE: Regular INR monitoring is essential to ensure therapeutic anticoagulation and prevent
bleeding complications. Ibuprofen increases bleeding risk, green leafy vegetables contain vitamin K which
counteracts warfarin, and bruising is a common side effect that requires reporting, not stopping the medication.
Question 4
A nurse is caring for a client who is 2 days postoperative following abdominal surgery. The client reports a
sudden onset of chest pain and shortness of breath. Which of the following actions should the nurse take first?
A. Administer oxygen via nasal cannula
B. Notify the healthcare provider
, C. Assess the client's vital signs
D. Elevate the head of the bed
🟢 Correct Answer: C. Assess the client's vital signs
🔴 RATIONALE: The nurse should first assess the client's vital signs to determine the severity of the condition.
Sudden chest pain and shortness of breath postoperatively may indicate a pulmonary embolism. Administering
oxygen, notifying the provider, and elevating the head of the bed are appropriate but should follow assessment.
Question 5
A nurse is caring for a client who has a sealed radiation implant for cervical cancer. Which of the following
actions is appropriate?
A. Place the client in a semi-private room
B. Limit visitors to 30 minutes per visit
C. Wear a lead apron when providing care
D. Position the client on the affected side
🟢 Correct Answer: C. Wear a lead apron when providing care
