RN Concept-Based Assessment Level 2 –
Online Practice A (2025/2026 Latest Update) |
Complete Exam Prep & Verified Q&A PDF
A nurse in an emergency department is assessing a client who has hyperthermia.
Which of the following findings should the nurse identify as an indication that the client
has heat exhaustion?
A: Hallucinations
B: Vomiting
C: Bradycardia
D: Seizures - correct answerB: Vomiting
A nurse is developing an in-service for a group of coworkers about adolescents'
reactions to death. Which of the following information should the nurse include when
discussion an adolescent's response to death?
A: Adolescents cope with death better than children of other ages.
B: Adolescents view funeral services as an opportunity for closure.
C: Adolescents are more concerned with the past than the present or future.
D: Adolescents often alienate themselves from their peers when grieving. - correct
answerD: Adolescents often alienate themselves from their peers when grieving.
A nurse is providing teaching to a client who is experiencing malabsorption related to
lactose intolerance. Which of the following foods should the nurse recommend to the
client as the best nondairy source of calcium?
A: Ground beef
B: Collard greens
C: Cauliflower
D: Walnuts - correct answerB: Collard greens
A nurse is caring for a client who is receiving heparin therapy and has an aPTT of 92
seconds. Which of the following medications should the nurse anticipate the provider
might prescribe for the client?
A: Leucovorin
B: Vitamin K
C: Deferoxamine
D: Protamine - correct answerD: Protamine
A nurse is assessing a client who is postoperative following the placement of an
ileostomy due to complication of ulcerative colitis. In which of the following areas should
the nurse expect the ileostomy to be located? (You will hind hot spots to select in the
artwork below. Select only the hot spot that corresponds to your answer.)A: Right lower
abdomen superior to umbilicus.B: Left lower abdomen even with the umbilicus.C: Right
,lower abdomen inferior to umbilicus. - correct answerThe nurse should expect a client
who is postoperative following the placement of an ascending colostomy to have an
ostomy located on the right side of the abdomen, lateral to, and slightly above the
umbilicus.
A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux
about home care. Which of the following statements by the parent indicates an
understanding of the teaching?
A: "I should feed my infant a larger amount of formula less frequently."
B: "I should feed my infant a bottle of formula within 1 hour of bedtime."
C: "I should place my infant on his side to sleep."
D: "I should add 1 teaspoon of rice cereal to my infant's formula." - correct answerD: "I
should add 1 teaspoon of rice cereal to my infant's formula."
A nurse is reviewing the laboratory report of a client who is taking exenatide to treat
type 2 diabetes mellitus. The nurse should recognize that which of the following
laboratory results is an indication of an adverse reaction to the medication?
A: HbA1c 6.8%
B: Hct 45%
C: Creatinine 0.9 mg/dL
D: Lipase 185 units/L - correct answerD: Lipase 185 units/L
A nurse is assessing a client who is receiving morphine via a PCA pump to manage
postoperative pain. The client has a heart rate of 66/min and a respiratory rate of 9/min.
Which of the following medications should the nurse anticipate the provider will
prescribe for the client?
A: Naloxone
B: Flumazenil
C: Acetylcysteine
D: Glucagon - correct answerA: Naloxone
A nurse is reviewing the medical record of a client who has a family history of
gallstones. Which of the following findings should the nurse identify as a risk factor for
developing cholecystitis?
A: Client is an adult male.
B: Client is taking atorvastatin.
C: Client is of Asian descent.
D: Client has a history of asthma. - correct answerB: Client is taking atorvastatin.
A nurse is assessing a client whose ABG results are pH 7.51, PaCO2 29 mm Hg, and
HCO3 24 mEq/L. Which of the following findings should the nurse expect?
A: Paresthesias
B: Bradycardia
C: Muscle flaccidity
D: Respiratory depression - correct answerA: Paresthesias
, A nurse is providing teaching to a client who has diabetes mellitus and a new
prescription for extended-release metformin. Which of the following client statements
indicates an understanding of the teaching?
A: "I will avoid drinking grapefruit juice."
B: "I will chew the medication if I can't swallow it whole."
C: "I will call the doctor if I have muscle pain in my back."
D: "I will take this medication on an empty stomach." - correct answerC: "I will call the
doctor if I have muscle pain in my back."
A nurse is assessing a client who has a potassium level of 2.6 mg/dL and is receiving
potassium chloride by continuous IV infusion. Which of the following findings should the
nurse identify as an indication that the potassium infusion has brought the client's
potassium level back to the expected reference range?
A: The client's ECG shows inverted T waves.
B: The client's bowel sounds become hyperactive.
C: The client's hand grasp becomes stronger.
D: The client's standing systolic BP is within 30 mm Hg of her sitting systolic BP. -
correct answerC: The client's hand grasp becomes stronger.
A nurse is caring for a client who has cellulitis of the lower extremity. Which of the
following actions should the nurse take? (Select all that apply.)
A: Apply cold packs to the affected area.
B: Treat the affected area with propranolol.
C: Elevate the affected area 15.24 cm (6 in) above the heart.
D: Place a dry heating pad over the affected area.
E: Administer cefazolin intermittent IV bolus - correct answerC: Elevate the affected
area 15.24 cm (6 in) above the heart.
E: Administer cefazolin intermittent IV bolus
The nurse in an emergency department was caring for an adolescent who died following
a motor vehicle crash. Which of the following reactions should the nurse expect the
client's 10-year-old sibling to exhibit?
A: The sibling believes the client will wake up in a few hours.
B: The sibling is curious about what will happen to the client's body.
C: The sibling will continue to treat the client as though he were still alive.
D: The sibling will alienate themselves from her family and friends. - correct answerB:
The sibling is curious about what will happen to the client's body.
A nurse is caring for a preschooler who has a terminal illness. Which of the following
reactions to death should the nurse expect the preschooler to exhibit? (Select all that
apply.)
A: Fears transmitting their disease to others
B: Personifies death as being a type of monster
C: Exhibits interest in what happens to the body following death
D: Believes death is a temporary type of sleep
Online Practice A (2025/2026 Latest Update) |
Complete Exam Prep & Verified Q&A PDF
A nurse in an emergency department is assessing a client who has hyperthermia.
Which of the following findings should the nurse identify as an indication that the client
has heat exhaustion?
A: Hallucinations
B: Vomiting
C: Bradycardia
D: Seizures - correct answerB: Vomiting
A nurse is developing an in-service for a group of coworkers about adolescents'
reactions to death. Which of the following information should the nurse include when
discussion an adolescent's response to death?
A: Adolescents cope with death better than children of other ages.
B: Adolescents view funeral services as an opportunity for closure.
C: Adolescents are more concerned with the past than the present or future.
D: Adolescents often alienate themselves from their peers when grieving. - correct
answerD: Adolescents often alienate themselves from their peers when grieving.
A nurse is providing teaching to a client who is experiencing malabsorption related to
lactose intolerance. Which of the following foods should the nurse recommend to the
client as the best nondairy source of calcium?
A: Ground beef
B: Collard greens
C: Cauliflower
D: Walnuts - correct answerB: Collard greens
A nurse is caring for a client who is receiving heparin therapy and has an aPTT of 92
seconds. Which of the following medications should the nurse anticipate the provider
might prescribe for the client?
A: Leucovorin
B: Vitamin K
C: Deferoxamine
D: Protamine - correct answerD: Protamine
A nurse is assessing a client who is postoperative following the placement of an
ileostomy due to complication of ulcerative colitis. In which of the following areas should
the nurse expect the ileostomy to be located? (You will hind hot spots to select in the
artwork below. Select only the hot spot that corresponds to your answer.)A: Right lower
abdomen superior to umbilicus.B: Left lower abdomen even with the umbilicus.C: Right
,lower abdomen inferior to umbilicus. - correct answerThe nurse should expect a client
who is postoperative following the placement of an ascending colostomy to have an
ostomy located on the right side of the abdomen, lateral to, and slightly above the
umbilicus.
A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux
about home care. Which of the following statements by the parent indicates an
understanding of the teaching?
A: "I should feed my infant a larger amount of formula less frequently."
B: "I should feed my infant a bottle of formula within 1 hour of bedtime."
C: "I should place my infant on his side to sleep."
D: "I should add 1 teaspoon of rice cereal to my infant's formula." - correct answerD: "I
should add 1 teaspoon of rice cereal to my infant's formula."
A nurse is reviewing the laboratory report of a client who is taking exenatide to treat
type 2 diabetes mellitus. The nurse should recognize that which of the following
laboratory results is an indication of an adverse reaction to the medication?
A: HbA1c 6.8%
B: Hct 45%
C: Creatinine 0.9 mg/dL
D: Lipase 185 units/L - correct answerD: Lipase 185 units/L
A nurse is assessing a client who is receiving morphine via a PCA pump to manage
postoperative pain. The client has a heart rate of 66/min and a respiratory rate of 9/min.
Which of the following medications should the nurse anticipate the provider will
prescribe for the client?
A: Naloxone
B: Flumazenil
C: Acetylcysteine
D: Glucagon - correct answerA: Naloxone
A nurse is reviewing the medical record of a client who has a family history of
gallstones. Which of the following findings should the nurse identify as a risk factor for
developing cholecystitis?
A: Client is an adult male.
B: Client is taking atorvastatin.
C: Client is of Asian descent.
D: Client has a history of asthma. - correct answerB: Client is taking atorvastatin.
A nurse is assessing a client whose ABG results are pH 7.51, PaCO2 29 mm Hg, and
HCO3 24 mEq/L. Which of the following findings should the nurse expect?
A: Paresthesias
B: Bradycardia
C: Muscle flaccidity
D: Respiratory depression - correct answerA: Paresthesias
, A nurse is providing teaching to a client who has diabetes mellitus and a new
prescription for extended-release metformin. Which of the following client statements
indicates an understanding of the teaching?
A: "I will avoid drinking grapefruit juice."
B: "I will chew the medication if I can't swallow it whole."
C: "I will call the doctor if I have muscle pain in my back."
D: "I will take this medication on an empty stomach." - correct answerC: "I will call the
doctor if I have muscle pain in my back."
A nurse is assessing a client who has a potassium level of 2.6 mg/dL and is receiving
potassium chloride by continuous IV infusion. Which of the following findings should the
nurse identify as an indication that the potassium infusion has brought the client's
potassium level back to the expected reference range?
A: The client's ECG shows inverted T waves.
B: The client's bowel sounds become hyperactive.
C: The client's hand grasp becomes stronger.
D: The client's standing systolic BP is within 30 mm Hg of her sitting systolic BP. -
correct answerC: The client's hand grasp becomes stronger.
A nurse is caring for a client who has cellulitis of the lower extremity. Which of the
following actions should the nurse take? (Select all that apply.)
A: Apply cold packs to the affected area.
B: Treat the affected area with propranolol.
C: Elevate the affected area 15.24 cm (6 in) above the heart.
D: Place a dry heating pad over the affected area.
E: Administer cefazolin intermittent IV bolus - correct answerC: Elevate the affected
area 15.24 cm (6 in) above the heart.
E: Administer cefazolin intermittent IV bolus
The nurse in an emergency department was caring for an adolescent who died following
a motor vehicle crash. Which of the following reactions should the nurse expect the
client's 10-year-old sibling to exhibit?
A: The sibling believes the client will wake up in a few hours.
B: The sibling is curious about what will happen to the client's body.
C: The sibling will continue to treat the client as though he were still alive.
D: The sibling will alienate themselves from her family and friends. - correct answerB:
The sibling is curious about what will happen to the client's body.
A nurse is caring for a preschooler who has a terminal illness. Which of the following
reactions to death should the nurse expect the preschooler to exhibit? (Select all that
apply.)
A: Fears transmitting their disease to others
B: Personifies death as being a type of monster
C: Exhibits interest in what happens to the body following death
D: Believes death is a temporary type of sleep
