RN Concept-Based Assessment Level 2
Online Practice B | Exam Questions With
Correct Answers 100% Verified
1. 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
-Provide teaching about antibiotic therapy
-Administer the influenza vaccine
-Observe the client perform incentive spirometry: Observe the client perform incentive
spirometry
When using the airway, breathing, and circulation framework, the priority action the nurse
should take is to observe
the client perform incentive spirometry. Incentive spirometry improves gas exchange and
oxygenation and stimulates
coughing, which assists in clearing secretions.
2. A nurse is assessing a client who has hyperthyroidism and has been taking
methimazole for 6 months. Which of the following findings indicates a therapeutic response to
the medication
-The client's skin is warm and moist
-The client reports sleeping longer during the night
-The client is experiencing increased bowel movements
-The client's weight is 1.4 kg (3.1 lb) less than baseline: The client reports sleeping longer
during the night
The nurse should recognize that insomnia is a manifestation of hyperthyroidism. The client's
ability to sleep longer
during the night indicates a therapeutic response to the medication.
,3. A nurse is planning discharge teaching for the guardian of a child who had
a cardiac catheterization. Which of the following instructions should the nurse
include?
-Monitor the site daily for drainage
-Leave the pressure dressing on the 48 hr
-Administer aspirin if the child reports pain
-Resume tub baths in 24hr: Monitor the site daily for drainage
The nurse should instruct the guardian to monitor the site daily for manifestations of infection,
such as drainage,
redness, and swelling. The guardian should report these findings to the provider.
4. 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?
-Intake of fluid is less than output of urine over the past 2 days
-1kg (2.2 lb) weight gain over the past 2 days
-Blood glucose 206 mg/dL
-Prealbumin 13 mg/dL: 1 kg (2.2 lb) weight gain over the past 2 days
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.
5. 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?: Right
upper quadrant
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.
6. The nurse is providing discharge teaching to a client about managing diverticulitis. Which of
the following statements should the nurse include in the
teaching?
-"Use bisacodyl suppositories to stimulate a bowel movement"
-"Avoid lifting objects greater than 50 pounds"
-"Consume a clear liquid diet until symptoms resolve"
-"Take a probiotic 15 minutes after taking a prescribed antibiotic to prevent
antibiotic-related diarrhea": "Consume a clear liquid diet until symptoms resolve"
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.
7. 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 a fresh washcloth: 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.
8. 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.
9. 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.
10. A nurse is assessing a client who has gestational diabetes and ketoacidosis.
Which of the following manifestations should the nurse expect?
-Increased urination
-Sweating
Online Practice B | Exam Questions With
Correct Answers 100% Verified
1. 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
-Provide teaching about antibiotic therapy
-Administer the influenza vaccine
-Observe the client perform incentive spirometry: Observe the client perform incentive
spirometry
When using the airway, breathing, and circulation framework, the priority action the nurse
should take is to observe
the client perform incentive spirometry. Incentive spirometry improves gas exchange and
oxygenation and stimulates
coughing, which assists in clearing secretions.
2. A nurse is assessing a client who has hyperthyroidism and has been taking
methimazole for 6 months. Which of the following findings indicates a therapeutic response to
the medication
-The client's skin is warm and moist
-The client reports sleeping longer during the night
-The client is experiencing increased bowel movements
-The client's weight is 1.4 kg (3.1 lb) less than baseline: The client reports sleeping longer
during the night
The nurse should recognize that insomnia is a manifestation of hyperthyroidism. The client's
ability to sleep longer
during the night indicates a therapeutic response to the medication.
,3. A nurse is planning discharge teaching for the guardian of a child who had
a cardiac catheterization. Which of the following instructions should the nurse
include?
-Monitor the site daily for drainage
-Leave the pressure dressing on the 48 hr
-Administer aspirin if the child reports pain
-Resume tub baths in 24hr: Monitor the site daily for drainage
The nurse should instruct the guardian to monitor the site daily for manifestations of infection,
such as drainage,
redness, and swelling. The guardian should report these findings to the provider.
4. 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?
-Intake of fluid is less than output of urine over the past 2 days
-1kg (2.2 lb) weight gain over the past 2 days
-Blood glucose 206 mg/dL
-Prealbumin 13 mg/dL: 1 kg (2.2 lb) weight gain over the past 2 days
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.
5. 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?: Right
upper quadrant
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.
6. The nurse is providing discharge teaching to a client about managing diverticulitis. Which of
the following statements should the nurse include in the
teaching?
-"Use bisacodyl suppositories to stimulate a bowel movement"
-"Avoid lifting objects greater than 50 pounds"
-"Consume a clear liquid diet until symptoms resolve"
-"Take a probiotic 15 minutes after taking a prescribed antibiotic to prevent
antibiotic-related diarrhea": "Consume a clear liquid diet until symptoms resolve"
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.
7. 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 a fresh washcloth: 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.
8. 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.
9. 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.
10. A nurse is assessing a client who has gestational diabetes and ketoacidosis.
Which of the following manifestations should the nurse expect?
-Increased urination
-Sweating
