RN Concept-Based Assessment Level 2 Exam
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A nurse is assessing a client who has acute cholecystitis. Which of the following
findings should the nurse expect? Select all that apply
A: Fever
B: Dyspepsia
C: Pain radiating to the left shoulder
D: Blood-tinged stools
E: Eructation - - CORRECT ANSWER-Fever, Dyspepsia, Eructation
A nurse is caring for a client who has developed cellulitis in a lower extremity.
Which of the following actions should the nurse take?
-Apply warm dary packs initially then apply cool moist packs to the lower
extremity
-Elevate the extremity 7.6 to 15.2 cm above heart level
-Gently massage the affected extremity for 10-15 min every shift
,-Apply a topical corticosteroid to any open areas on the affected extremity twice
per day - CORRECT ANSWER-Elevate the extremity 7.6 to 15.2 cm above heart
level
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 - CORRECT ANSWER-
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.
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 - CORRECT ANSWER-
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.
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 - CORRECT ANSWER-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.
, 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 - CORRECT ANSWER-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.
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? - CORRECT
ANSWER-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
Newest 2025/2026 Complete Questions and
Correct Detailed Answers Already Graded
A+|Brand New Version
A nurse is assessing a client who has acute cholecystitis. Which of the following
findings should the nurse expect? Select all that apply
A: Fever
B: Dyspepsia
C: Pain radiating to the left shoulder
D: Blood-tinged stools
E: Eructation - - CORRECT ANSWER-Fever, Dyspepsia, Eructation
A nurse is caring for a client who has developed cellulitis in a lower extremity.
Which of the following actions should the nurse take?
-Apply warm dary packs initially then apply cool moist packs to the lower
extremity
-Elevate the extremity 7.6 to 15.2 cm above heart level
-Gently massage the affected extremity for 10-15 min every shift
,-Apply a topical corticosteroid to any open areas on the affected extremity twice
per day - CORRECT ANSWER-Elevate the extremity 7.6 to 15.2 cm above heart
level
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 - CORRECT ANSWER-
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.
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 - CORRECT ANSWER-
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.
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 - CORRECT ANSWER-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.
, 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 - CORRECT ANSWER-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.
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? - CORRECT
ANSWER-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
