RN CONCEPT-BASED ASSESSMENT LEVEL 2 EXAM QUESTIONS
AND CORRECT ANSWERS WITH RATIONALES
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 - ANSWER: B: 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. - ANSWER:
D: 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 - ANSWER: B: 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 - ANSWER: D: 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. - ANSWER: The
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." - ANSWER: D: "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 - ANSWER: D: 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 - ANSWER: A: 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. - ANSWER: B: 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 - ANSWER: A: 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."
AND CORRECT ANSWERS WITH RATIONALES
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 - ANSWER: B: 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. - ANSWER:
D: 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 - ANSWER: B: 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 - ANSWER: D: 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. - ANSWER: The
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." - ANSWER: D: "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 - ANSWER: D: 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 - ANSWER: A: 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. - ANSWER: B: 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 - ANSWER: A: 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."
