RN CONCEPT-BASED ASSESSMENT LEVEL 2
ONLINE PRACTICE B EXAM >>LATEST UPDATE
2025
THIS DOCUMENT CONTAINS:
❖ RN CONCEPT-BASED ASSESSMENT LEVEL 2
❖ ONLINE PRACTICE B EXAM
❖ EACH QUESTION INCLUDES RATIONALE
❖ 100% GUARANTEED PASS
❖ COMPLETE A+ GUIDE
DO NOT COPY BY MBOFFIN
https://www.stuvia.com/en-us/user/MBoffin
, 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
**rationale** >>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
**rationale** >>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
https://www.stuvia.com/en-us/user/MBoffin
, -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
**rationale** >>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.
https://www.stuvia.com/en-us/user/MBoffin
, 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
**rationale** >>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
**Rationale** >>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 diver-
ticulitis. 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"
https://www.stuvia.com/en-us/user/MBoffin
ONLINE PRACTICE B EXAM >>LATEST UPDATE
2025
THIS DOCUMENT CONTAINS:
❖ RN CONCEPT-BASED ASSESSMENT LEVEL 2
❖ ONLINE PRACTICE B EXAM
❖ EACH QUESTION INCLUDES RATIONALE
❖ 100% GUARANTEED PASS
❖ COMPLETE A+ GUIDE
DO NOT COPY BY MBOFFIN
https://www.stuvia.com/en-us/user/MBoffin
, 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
**rationale** >>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
**rationale** >>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
https://www.stuvia.com/en-us/user/MBoffin
, -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
**rationale** >>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.
https://www.stuvia.com/en-us/user/MBoffin
, 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
**rationale** >>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
**Rationale** >>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 diver-
ticulitis. 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"
https://www.stuvia.com/en-us/user/MBoffin
