RN Concept-Based Assessment Level 2
Online Practice B Test Questions And
Answers
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
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 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) - ANSWER -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 - ANSWER -Gonorrhea
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 - ANSWER -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 - ANSWER -Dependent rubor
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 - ANSWER -Jugular vein distention
Online Practice B Test Questions And
Answers
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
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 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) - ANSWER -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 - ANSWER -Gonorrhea
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 - ANSWER -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 - ANSWER -Dependent rubor
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 - ANSWER -Jugular vein distention
