RN CONCEPT-BASED
ASSESSMENT LEVEL 2 ONLINE
PRACTICE B FINAL EXAM 2025-
2026 ACADEMIC YEAR
QUESTIONA 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 - 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.
QUESTIONA 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
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.
,QUESTIONThe nurse is providing discharge teaching to a client
about managing diverticulitis. 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"
-"Take a probiotic 15 minutes after taking a prescribed antibiotic
to prevent antibiotic-related diarrhea" - answer-"Consume a clear
liquid diet until symptoms resolve"
The nurse should recommend the client consume a clear liquid
diet until manifestations such as abdominal pain, nausea, and
vomiting have resolved. A clear liquid diet is low in fiber and does
not stimulate intestinal motility.
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
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.
QUESTIONA 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 - 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.
QUESTIONA 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 - 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.
QUESTIONA nurse is providing teaching to a client who has a
methicillin-resistant Staphylococcus aureus (MRSA) skin
infection. Which of the following client statements indicates an
understanding of the management of antibiotic resistant
infections?
-I will keep the infected area open to air to help it heal
-I can sleep in the same bed as my partner after I have been
taking antibiotics for 24 hours
-I should sit on upholstered chairs instead of hardback chairs
-I will wash all uninfected skin areas with a fresh washcloth -
answer-I will wash all uninfected skin areas with a fresh washcloth
, The nurse should instruct the client to wash the uninfected skin
areas with a fresh washcloth to prevent contamination of the
unaffected areas of the skin with the MRSA infection.
QUESTIONA nurse is providing teaching to a client about
preventing hearing loss from trauma. Which of the following
instructions should the nurse include in the teaching?
-Keep your mouth open when sneezing
-Block one nostril when blowing your nose
-Use an ear wick candle to remove excess cerumen from the
canal
-Lubricate cotton-tipped applicators with mineral oil to clean the
ear canal - answer-Keep your mouth open when sneezing
The nurse should instruct the client to keep the mouth open while
sneezing to reduce the pressure in the middle ear. Sudden
pressure changes can damage the ossicles and perforate the ear
drum.
QUESTIONA nurse is teaching a client who recently lost his
partner to a terminal illness. The client asks how his 4-year-old
son is expected to react to the death of his partner. Which of the
following information should the nurse include in the teaching?
-A preschooler has no concept of death
-A preschooler is often interested in what happens to the body
after death
-A preschooler often believes that death is reversible
-A preschooler understands that death happens to everyone -
answer-A preschooler often believes that death is reversible
The nurse should identify that preschoolers tend to have difficulty
understanding the reality of death and often believe that it is
reversible. Because of magical thinking, the preschooler might
think that his thoughts or behavior might have caused the person
to die.
ASSESSMENT LEVEL 2 ONLINE
PRACTICE B FINAL EXAM 2025-
2026 ACADEMIC YEAR
QUESTIONA 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 - 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.
QUESTIONA 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
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.
,QUESTIONThe nurse is providing discharge teaching to a client
about managing diverticulitis. 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"
-"Take a probiotic 15 minutes after taking a prescribed antibiotic
to prevent antibiotic-related diarrhea" - answer-"Consume a clear
liquid diet until symptoms resolve"
The nurse should recommend the client consume a clear liquid
diet until manifestations such as abdominal pain, nausea, and
vomiting have resolved. A clear liquid diet is low in fiber and does
not stimulate intestinal motility.
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
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.
QUESTIONA 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 - 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.
QUESTIONA 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 - 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.
QUESTIONA nurse is providing teaching to a client who has a
methicillin-resistant Staphylococcus aureus (MRSA) skin
infection. Which of the following client statements indicates an
understanding of the management of antibiotic resistant
infections?
-I will keep the infected area open to air to help it heal
-I can sleep in the same bed as my partner after I have been
taking antibiotics for 24 hours
-I should sit on upholstered chairs instead of hardback chairs
-I will wash all uninfected skin areas with a fresh washcloth -
answer-I will wash all uninfected skin areas with a fresh washcloth
, The nurse should instruct the client to wash the uninfected skin
areas with a fresh washcloth to prevent contamination of the
unaffected areas of the skin with the MRSA infection.
QUESTIONA nurse is providing teaching to a client about
preventing hearing loss from trauma. Which of the following
instructions should the nurse include in the teaching?
-Keep your mouth open when sneezing
-Block one nostril when blowing your nose
-Use an ear wick candle to remove excess cerumen from the
canal
-Lubricate cotton-tipped applicators with mineral oil to clean the
ear canal - answer-Keep your mouth open when sneezing
The nurse should instruct the client to keep the mouth open while
sneezing to reduce the pressure in the middle ear. Sudden
pressure changes can damage the ossicles and perforate the ear
drum.
QUESTIONA nurse is teaching a client who recently lost his
partner to a terminal illness. The client asks how his 4-year-old
son is expected to react to the death of his partner. Which of the
following information should the nurse include in the teaching?
-A preschooler has no concept of death
-A preschooler is often interested in what happens to the body
after death
-A preschooler often believes that death is reversible
-A preschooler understands that death happens to everyone -
answer-A preschooler often believes that death is reversible
The nurse should identify that preschoolers tend to have difficulty
understanding the reality of death and often believe that it is
reversible. Because of magical thinking, the preschooler might
think that his thoughts or behavior might have caused the person
to die.
