RN CONCEPT-BASED ASSESSMENT LEVEL 2 ACTUAL
EXAM PAPER 2026 QUESTIONS WITH ANSWERS GRADED
A+
● 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.
● A 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.
● 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 -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.
● A 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.
,● 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
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.
● The 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 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.
● A 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.
● A 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.
● A nurse is assessing a client who has gestational diabetes and ketoacidosis. Which of the
following manifestations should the nurse expect? -Increased urination -Sweating -Dizziness
-Loose stools. Answer: Increased urination The nurse should expect the client to exhibit
manifestations of hyperglycemia, including increased thirst, nausea, vomiting, increased
urination, flushed dry skin, acetone breath odor, and a weak, rapid pulse.
● A nurse is assessing a client who has an external fixator to the right lower arm following
musculoskeletal trauma. Which of the following findings should indicate to the nurse that the
client has developed compartment syndrome? -Serous drainage is present on the pin site
dressings -Flushing of the skin on the right arm -Bounding pulse palpated in the radial artery
-Numbness to the fingers on the right arm. Answer: Numbness to the fingers on the right arm
The nurse should identify a decrease in sensation, such as numbness and tingling of the
fingers, as one of the first indications that the client might be developing compartment
syndrome of the right lower arm. Compartment syndrome is the result of edema and ischemia,
a complication following musculoskeletal injury. Other manifestations include increased pain,
paralysis, pallor, and decreased or absent pulses.
● A nurse is providing teaching about home care with an adolescent client who has a skin
infection caused by MRSA. Which of the following client statements indicates an
understanding of the teaching? -I will soak in a bathtub filled one-fourth full of water with
one-half cup of bleach -I will wash my clothes in cold water and detergent -I will throw away
my razor after using it three times -I will apply imiquimod cream to the lesions before going to
bed each night. Answer: I will soak in a bathtub filled one-fourth full of water with one-half cup
of bleach The client should soak for at least 5 min in a bathtub filled one-fourth full of water
with ½ cup of bleach once or twice per week. This will help prevent reoccurrence of the
infection.
● A nurse is caring for a client who is experiencing an asthma attack. Which of the following
procedures should the nurse use to assess the client's respiratory status? -Peak expiratory
flow meter testing -Spirometry monitoring -Pulmonary function testing -Chest x-ray. Answer:
Peak expiratory flow meter testing The peak expiratory flow meter provides a means of
evaluating the maximum flow of air the client expels during forceful exhalation. It provides
information on how well asthma is being controlled as a part of daily monitoring and can be
used when a client is having an asthma attack. The flow meter testing helps to gauge the
peak-expiratory zone the client is experiencing and determines if the client should use
immediate-acting bronchial dilator inhalers or seek emergency help.
EXAM PAPER 2026 QUESTIONS WITH ANSWERS GRADED
A+
● 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.
● A 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.
● 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 -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.
● A 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.
,● 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
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.
● The 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 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.
● A 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.
● A 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.
● A nurse is assessing a client who has gestational diabetes and ketoacidosis. Which of the
following manifestations should the nurse expect? -Increased urination -Sweating -Dizziness
-Loose stools. Answer: Increased urination The nurse should expect the client to exhibit
manifestations of hyperglycemia, including increased thirst, nausea, vomiting, increased
urination, flushed dry skin, acetone breath odor, and a weak, rapid pulse.
● A nurse is assessing a client who has an external fixator to the right lower arm following
musculoskeletal trauma. Which of the following findings should indicate to the nurse that the
client has developed compartment syndrome? -Serous drainage is present on the pin site
dressings -Flushing of the skin on the right arm -Bounding pulse palpated in the radial artery
-Numbness to the fingers on the right arm. Answer: Numbness to the fingers on the right arm
The nurse should identify a decrease in sensation, such as numbness and tingling of the
fingers, as one of the first indications that the client might be developing compartment
syndrome of the right lower arm. Compartment syndrome is the result of edema and ischemia,
a complication following musculoskeletal injury. Other manifestations include increased pain,
paralysis, pallor, and decreased or absent pulses.
● A nurse is providing teaching about home care with an adolescent client who has a skin
infection caused by MRSA. Which of the following client statements indicates an
understanding of the teaching? -I will soak in a bathtub filled one-fourth full of water with
one-half cup of bleach -I will wash my clothes in cold water and detergent -I will throw away
my razor after using it three times -I will apply imiquimod cream to the lesions before going to
bed each night. Answer: I will soak in a bathtub filled one-fourth full of water with one-half cup
of bleach The client should soak for at least 5 min in a bathtub filled one-fourth full of water
with ½ cup of bleach once or twice per week. This will help prevent reoccurrence of the
infection.
● A nurse is caring for a client who is experiencing an asthma attack. Which of the following
procedures should the nurse use to assess the client's respiratory status? -Peak expiratory
flow meter testing -Spirometry monitoring -Pulmonary function testing -Chest x-ray. Answer:
Peak expiratory flow meter testing The peak expiratory flow meter provides a means of
evaluating the maximum flow of air the client expels during forceful exhalation. It provides
information on how well asthma is being controlled as a part of daily monitoring and can be
used when a client is having an asthma attack. The flow meter testing helps to gauge the
peak-expiratory zone the client is experiencing and determines if the client should use
immediate-acting bronchial dilator inhalers or seek emergency help.
