RN CONCEPT-BASED ASSESSMENT LEVEL 2
(WITH RATIONALES) 2025 ACTUAL EXAM
QUESTIONS WITH 100% CORRECT SOLUTIONS
| GUARANTEED SUCCESS.
A community health nurse is teaching a group of older adult clients about
interventions to prevent pneumonia. Which of the following instructions
should the nurse include in the teaching?
a- "Obtain a pneumococcal vaccination every 2 years."
b- "Contact your provider if you have a fever that lasts 18 hours."
c- "Wash your hands when you return home from running errands."
d- "Avoid exposure to cold air by shopping inside enclosed malls."
CORRECT: c- The nurse should instruct clients that handwashing is one
way to avoid organisms that can cause pneumonia. Handwashing after
using the restroom or being in public areas can minimize the risk of
developing pneumonia.
INCORRECT:
a- The nurse should recommend that clients who have chronic health
conditions and those over the age of 65 obtain a pneumococcal
vaccination. Some providers will administer a second vaccination after 5
years.
b- The nurse should instruct clients who have a cold or influenza to notify
their provider if they have a fever lasting more than 24 hours, if
manifestations last longer than 7 days, or if manifestations worsen.
Addressing viral or bacterial infections in the early stages can help prevent
the development of pneumonia.
d- The nurse should instruct clients to avoid crowded public areas, such as
a shopping mall, during cold and flu season, which occurs during the
winter. Being in an enclosed space with a group of people increases the
risk of transmission of respiratory bacteria.
,A nurse is assessing a client whose ABG results are pH 7.51, PaCO2 29
mmHg, and HCO3- 24 mEq/L. Which of the following findings should the
nurse expect?
a- Paresthesias
b- Bradycardia
c- Muscle flaccidity
d- Respiratory depression
CORRECT: a- One of the manifestations of respiratory alkalosis is
numbness and tingling, or paresthesia, due to a decrease in calcium
ionization. Other manifestations include lightheadedness, tachycardia, and
cardiac dysrhythmias.
INCORRECT:
b- A client experiencing respiratory alkalosis will exhibit tachycardia.
c- A client experiencing respiratory alkalosis will exhibit hyperreflexia and
muscle cramping and twitching.
d- A client experiencing respiratory alkalosis will exhibit an increase in the
rate and depth of respirations.
A nurse is providing discharge teaching for a client who had a lithotripsy to
break up calculi in the right kidney. Which of the following should the nurse
instruct the client to report to the provider?
a- Bruising over the right flank area
b- Blood-tinged urine
c- Urine pH 6.0
d- Painful urination
CORRECT: d- The nurse should instruct the client to immediately report
flank or bladder pain, chills and fever, or difficulty urinating to the provider.
Development of difficulty of urinating, including decreased urine output of
pain with urination, can mean that the client is developing an infection or
can signal recoccurrence of a stone.
INCORRECT:
, a- The nurse should instruct the client that bruising over the affected kidney
following lithotripsy is expected and does not need to be reported to the
provider.
b- The nurse should instruct the client that blood-tinged urine is a common
occurrence for several days following lithotripsy and does not need to be
reported to the provider.
c- The nurse should instruct the client to test urine pH up to three times
daily and report abnormal levels to the provider. A urine pH of 6.0 is within
expected reference range and does not need to be reported to the provider.
Urine that is highly alkalotic or acidic puts the client at high risk for
reoccurrence of stone formation.
A nurse in an emergency department is assessing a client who is
experiencing mild hypothermia. Which of the following manifestations
should the nurse expect?
a- Stupor
b- Decreased pulse
c- Slurred speech
d- Dysrhythmias
CORRECT: c- The nurse should expect a client who is experiencing mild
hypothermia to exhibit manifextations such as slurred speech, shivering,
decreased coordination, and diuresis.
INCORRECT:
a- The nurse should expect a client who is experiencing moderate
hypothermia to exhibit stupor. Other manifestations of moderate
hypothermia include weakness and decreased clotting.
b- The nurse should expect a client who is experiencing severe
hypothermia to have bradycardia. Other manifestations of severe
hypothermia include severe hypotension, bradypnea, and acid-base
imbalance.
d- The nurse should expect a client who is experiencing severe
hypothermia severe hypothermia to have dysrhythmias, such as ventricular
(WITH RATIONALES) 2025 ACTUAL EXAM
QUESTIONS WITH 100% CORRECT SOLUTIONS
| GUARANTEED SUCCESS.
A community health nurse is teaching a group of older adult clients about
interventions to prevent pneumonia. Which of the following instructions
should the nurse include in the teaching?
a- "Obtain a pneumococcal vaccination every 2 years."
b- "Contact your provider if you have a fever that lasts 18 hours."
c- "Wash your hands when you return home from running errands."
d- "Avoid exposure to cold air by shopping inside enclosed malls."
CORRECT: c- The nurse should instruct clients that handwashing is one
way to avoid organisms that can cause pneumonia. Handwashing after
using the restroom or being in public areas can minimize the risk of
developing pneumonia.
INCORRECT:
a- The nurse should recommend that clients who have chronic health
conditions and those over the age of 65 obtain a pneumococcal
vaccination. Some providers will administer a second vaccination after 5
years.
b- The nurse should instruct clients who have a cold or influenza to notify
their provider if they have a fever lasting more than 24 hours, if
manifestations last longer than 7 days, or if manifestations worsen.
Addressing viral or bacterial infections in the early stages can help prevent
the development of pneumonia.
d- The nurse should instruct clients to avoid crowded public areas, such as
a shopping mall, during cold and flu season, which occurs during the
winter. Being in an enclosed space with a group of people increases the
risk of transmission of respiratory bacteria.
,A nurse is assessing a client whose ABG results are pH 7.51, PaCO2 29
mmHg, and HCO3- 24 mEq/L. Which of the following findings should the
nurse expect?
a- Paresthesias
b- Bradycardia
c- Muscle flaccidity
d- Respiratory depression
CORRECT: a- One of the manifestations of respiratory alkalosis is
numbness and tingling, or paresthesia, due to a decrease in calcium
ionization. Other manifestations include lightheadedness, tachycardia, and
cardiac dysrhythmias.
INCORRECT:
b- A client experiencing respiratory alkalosis will exhibit tachycardia.
c- A client experiencing respiratory alkalosis will exhibit hyperreflexia and
muscle cramping and twitching.
d- A client experiencing respiratory alkalosis will exhibit an increase in the
rate and depth of respirations.
A nurse is providing discharge teaching for a client who had a lithotripsy to
break up calculi in the right kidney. Which of the following should the nurse
instruct the client to report to the provider?
a- Bruising over the right flank area
b- Blood-tinged urine
c- Urine pH 6.0
d- Painful urination
CORRECT: d- The nurse should instruct the client to immediately report
flank or bladder pain, chills and fever, or difficulty urinating to the provider.
Development of difficulty of urinating, including decreased urine output of
pain with urination, can mean that the client is developing an infection or
can signal recoccurrence of a stone.
INCORRECT:
, a- The nurse should instruct the client that bruising over the affected kidney
following lithotripsy is expected and does not need to be reported to the
provider.
b- The nurse should instruct the client that blood-tinged urine is a common
occurrence for several days following lithotripsy and does not need to be
reported to the provider.
c- The nurse should instruct the client to test urine pH up to three times
daily and report abnormal levels to the provider. A urine pH of 6.0 is within
expected reference range and does not need to be reported to the provider.
Urine that is highly alkalotic or acidic puts the client at high risk for
reoccurrence of stone formation.
A nurse in an emergency department is assessing a client who is
experiencing mild hypothermia. Which of the following manifestations
should the nurse expect?
a- Stupor
b- Decreased pulse
c- Slurred speech
d- Dysrhythmias
CORRECT: c- The nurse should expect a client who is experiencing mild
hypothermia to exhibit manifextations such as slurred speech, shivering,
decreased coordination, and diuresis.
INCORRECT:
a- The nurse should expect a client who is experiencing moderate
hypothermia to exhibit stupor. Other manifestations of moderate
hypothermia include weakness and decreased clotting.
b- The nurse should expect a client who is experiencing severe
hypothermia to have bradycardia. Other manifestations of severe
hypothermia include severe hypotension, bradypnea, and acid-base
imbalance.
d- The nurse should expect a client who is experiencing severe
hypothermia severe hypothermia to have dysrhythmias, such as ventricular
