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RN CONCEPT-BASED ASSESSMENT LEVEL 2
ONLINE PRACTICE B EXAM QUESTIONS WITH
SOLUTIONS
Question 1
A nurse is caring for a client who has pneumonia. Which of the following actions is
the priority for the nurse to take?
A. Monitor intake and output
B. Provide teaching about antibiotic therapy
C. Administer the influenza vaccine
D. Observe the client perform incentive spirometry
Correct Answer: D
Rationale: Using the airway, breathing, and circulation (ABC) framework, the
priority action is to ensure adequate oxygenation and airway clearance. Observing
the client perform incentive spirometry directly addresses impaired gas exchange
and helps prevent complications like atelectasis. Teaching, monitoring, and
vaccination are important but secondary in the acute phase .
Question 2
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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?
A. Intake of fluid is less than output of urine over the past 2 days
B. 1 kg (2.2 lb) weight gain over the past 2 days
C. Blood glucose 206 mg/dL
D. Prealbumin 13 mg/dL
Correct Answer: B
Rationale: 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 1 kg weight gain over 2 days reflects this expected
response .
Question 3
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?
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A. Left lower quadrant
B. Right upper quadrant
C. Left upper quadrant
D. Right lower quadrant
Correct Answer: B
Rationale: 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 .
Question 4
A nurse is providing discharge teaching to a client about managing diverticulitis.
Which of the following statements should the nurse include in the teaching?
A. "Use bisacodyl suppositories to stimulate a bowel movement"
B. "Avoid lifting objects greater than 50 pounds"
C. "Consume a clear liquid diet until symptoms resolve"
D. "Take a probiotic 15 minutes after taking a prescribed antibiotic"
Correct Answer: C
RN CONCEPT-BASED ASSESSMENT LEVEL 2
ONLINE PRACTICE B EXAM QUESTIONS WITH
SOLUTIONS
Question 1
A nurse is caring for a client who has pneumonia. Which of the following actions is
the priority for the nurse to take?
A. Monitor intake and output
B. Provide teaching about antibiotic therapy
C. Administer the influenza vaccine
D. Observe the client perform incentive spirometry
Correct Answer: D
Rationale: Using the airway, breathing, and circulation (ABC) framework, the
priority action is to ensure adequate oxygenation and airway clearance. Observing
the client perform incentive spirometry directly addresses impaired gas exchange
and helps prevent complications like atelectasis. Teaching, monitoring, and
vaccination are important but secondary in the acute phase .
Question 2
,2|Page
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?
A. Intake of fluid is less than output of urine over the past 2 days
B. 1 kg (2.2 lb) weight gain over the past 2 days
C. Blood glucose 206 mg/dL
D. Prealbumin 13 mg/dL
Correct Answer: B
Rationale: 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 1 kg weight gain over 2 days reflects this expected
response .
Question 3
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?
, 3|Page
A. Left lower quadrant
B. Right upper quadrant
C. Left upper quadrant
D. Right lower quadrant
Correct Answer: B
Rationale: 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 .
Question 4
A nurse is providing discharge teaching to a client about managing diverticulitis.
Which of the following statements should the nurse include in the teaching?
A. "Use bisacodyl suppositories to stimulate a bowel movement"
B. "Avoid lifting objects greater than 50 pounds"
C. "Consume a clear liquid diet until symptoms resolve"
D. "Take a probiotic 15 minutes after taking a prescribed antibiotic"
Correct Answer: C
