RN CONCEPT-BASED ASSESSMENT LEVEL 2 ONLINE
PRACTICE B EXAM | ACCURATE EXAM QUESTIONS AND
ANSWERS | EXPERT VERIFIED GRADED A | GUARANTEED
PASS
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
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
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
,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
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
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
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
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
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)
Irregular bleeding
A nurse is caring for a client who has pneumonia. Which of the following actions is the priority
for the nurse to take?
-Monitor intake and output
PRACTICE B EXAM | ACCURATE EXAM QUESTIONS AND
ANSWERS | EXPERT VERIFIED GRADED A | GUARANTEED
PASS
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
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
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
,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
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
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
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
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
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)
Irregular bleeding
A nurse is caring for a client who has pneumonia. Which of the following actions is the priority
for the nurse to take?
-Monitor intake and output
