RN Concept-Based Assessment Level 2 Online
Practice B | Exam Questions With Correct
Answers 100% Verified.
This Exam Contains:
RN Concept-Based Assessment Level 2
Online Practice B
Questions With Correct Answers
Explanation In Every Answer
,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
Answer: Observe the client perform incentive spirometry
Explanation 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 thera-
peutic 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
,Answer: The client reports sleeping longer during the night
Explanation 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
Answer: Monitor the site daily for drainage
Explanation 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 par- enteral
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
Answer: 1 kg (2.2 lb) weight gain over the past 2 days
Explanation 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?
Answer: Right upper quadrant
Explanation 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.
Practice B | Exam Questions With Correct
Answers 100% Verified.
This Exam Contains:
RN Concept-Based Assessment Level 2
Online Practice B
Questions With Correct Answers
Explanation In Every Answer
,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
Answer: Observe the client perform incentive spirometry
Explanation 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 thera-
peutic 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
,Answer: The client reports sleeping longer during the night
Explanation 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
Answer: Monitor the site daily for drainage
Explanation 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 par- enteral
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
Answer: 1 kg (2.2 lb) weight gain over the past 2 days
Explanation 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?
Answer: Right upper quadrant
Explanation 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.
