RN Concept-Based Assessment Level 3 Online Practice B Questions and Answers (Latest Update 2026/2027).docx

RN Concept-Based Assessment Level 3 Online Practice B Questions and Answers (Latest Update 2026/2027).docx A hospice nurse is caring for a client who has end-stage cancer. The client's partner asked about ways to help reduce the client's pain. Which of the following palliative actions should the nurse recommend for tactile distraction? - ANSWER Applying warm compresses A nurse is counseling a client who has experienced intimate partner violence. Which of the following instructions is the priority for the nurse to include in the teaching? - ANSWER -Develop a safety plan. A nurse is teaching a client who has epilepsy and a prescription for valproic acid. The nurse should instruct the client to report which of the following as an adverse effect of the medication? - ANSWER -Yellow sclera A nurse is caring for a client who is at 13 weeks of gestation and has a positive gonorrhea culture. Which of the following medications should the nurse plan to administer? - ANSWER -Ceftriaxone A nurse is assessing a client who is at 24 weeks of gestation during a monthly antepartum visit. Which of the following manifestations is a potential prenatal complication and should be reported to the provider? - ANSWER -Facial swelling A nurse is educating a group of staff nurses about the difference between non Hodgkin's lymphoma (NHL) and Hodgkin's lymphoma (HL). The nurse should include which of the following statements in the teaching? - ANSWER -"Non Hodgkin's lymphoma progresses erratically through the lymphatic system." A nurse is teaching a client who has melanoma about nonsurgical treatment options. The nurse should include which of the following options in the teaching? - ANSWER -Targeted therapy A nurse is reviewing the medical record of a client who requests a prescription for an oral contraceptive. Which of the following findings should the nurse identify as a contraindication to an oral contraceptive? - ANSWER -Migraine with aura A nurse is teaching a client who has a new prescription for sildenafil to treat erectile dysfunction. Which of the following information should the nurse include in the teaching? - ANSWER -Monitor for dizziness while on this medication. A nurse is reviewing the medical record of a 9-month-old infant. Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) - ANSWER -Gross motor skills A nurse is evaluating the plan of care for an adolescent who has attention deficit hyperactive disorder (ADHD). Which of the following statements made by the adolescent should indicate to the nurse an improvement in the adolescent's social interaction? - ANSWER -"I work well in groups of two or three people." A nurse is teaching a client who has sickle cell anemia about preventing sickle cell crisis. Which of the following information should the nurse include? - ANSWER "Avoid going outside when temperatures are extreme." A nurse is caring for a client following a stroke. Which of the following actions should the nurse take to increase the client's cerebral perfusion? - ANSWER Position the client's head in a midline position. A nurse is teaching a client who is preoperative for an abdominal hysterectomy with a bilateral salpingo-oophorectomy. Which of the following statements should the nurse make? - ANSWER -"You might develop menopausal symptoms after this procedure." A nurse is planning care to decrease the risk of bowel perforation for a client who is in the acute phase of diverticulitis. Which of the following interventions should the nurse include in the plan? - ANSWER -Instruct the client to avoid coughing. A nurse is updating the meal plan for a client who has resolving diverticulitis and is being advanced to a high-fiber diet. The nurse should recognize that which of the following foods is the best source of fiber? - ANSWER -One medium banana A nurse is providing dietary management to a client who is at 10 weeks of gestation and has hyperemesis gravidarum. Which of the following statements should the nurse make? - ANSWER -"You should eat at least every 2 hours." A nurse is teaching a client about acute glomerulonephritis. Which of the following information should the nurse include? - ANSWER -Restrict fluid intake based on previous day's urine output. A nurse is teaching about disease management with a client who has Parkinson's disease. Which of the following statements should the nurse include in the teaching? - ANSWER -"Take medications at the same time each day." A nurse is teaching a client who is at 22 weeks of gestation and has gestational hypertension. Which of the following information should the nurse include in the teaching? - ANSWER -Gestational hypertension usually resolves during the first postpartum week. A nurse is teaching a client who has a new diagnosis of pelvic inflammatory disease (PID) and is starting oral antibiotic therapy. Which of the following information should the nurse include in the teaching? - ANSWER -"Avoid sexual activity until antibiotic therapy is complete." A nurse assessing an adolescent client who has Ewing sarcoma. Which of the following manifestations should the nurse expect? - ANSWER -Client reports pain in the upper thigh. A nurse is caring for a client who is receiving IV oxytocin for induction of labor. The fetal heart rate tracing reveals multiple variable decelerations. Which of the following actions should the nurse take? - ANSWER -Reposition the client. A nurse is assessing a newly admitted client who has major depressive disorder. Which of the following manifestations should the nurse expect in this client? - ANSWER -Experiences delusions of persecution A nurse is assessing a client who has post-traumatic stress disorder (PTSD) after a workplace explosion 3 months ago. Which of the following findings should the nurse expect? - ANSWER -Hypervigilance