RN CONCEPT-BASED ASSESSMENT LEVEL 2
CERTIFICATION SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
● A hospice nurse is caring for a preschooler who has a terminal illness. One of the child's
parents tells the nurse that it is too difficult to cope any longer and has decided to move out of
the house. Which of the following responses should the nurse make?. Answer: A: "Let's talk
about a few ways you have dealt with stress in the past." Rationale: This statement by the
nurse combines two therapeutic responses, active listening and focusing. Used together,
these techniques facilitate communication by letting the parent know one's feelings are heard
and taken seriously, which conveys acceptance and respect. Therefore, the parent feels the
nurse validates the concerns and becomes comfortable asking the nurse sensitive questions
about the child.
● A nurse is teaching a client ways to prevent osteoporotic fractures due to osteoporosis.
Which of the following information should the nurse include in the teaching?. Answer: A:
"Maintain bone health by eating fruits, vegetables, and protein." Rationale: The nurse should
instruct the client that the best way to maintain bone health and bone remodeling is by eating
fruits, vegetables, and protein.
● A nurse is teaching a client who has hypothyroidism about taking levothyroxine. Which of
the following statements should the nurse make?. Answer: B: "This medication causes
adverse effects if the dosage is too high or too low." Rationale: The nurse should instruct the
client that levothyroxine, in the right dosage, does not typically cause adverse effects. If the
dosage is too low, the manifestations of hypothyroidism will recur. If the dosage is too high,
the manifestations of hyperthyroidism will occur.
● A nurse in an emergency department is assessing a preschooler who has severe
dehydration as a result of gastroenteritis and is receiving isotonic IV fluids. Which of the
following findings should the nurse identify as an indication that the treatment is effective?.
Answer: D: Brisk skin turgor Rationale: The nurse should expect the child to have brisk skin
turgor if fluid replacement therapy is effective.
● A nurse is caring for a client who has left hemiparesis following a stroke. Which of the
following actions should the nurse take?. Answer: B: Encourage the client to use wide-grip
utensils when eating with the right hand. Rationale: The nurse should encourage the client
who has hemiparesis to use wide-grip utensils when eating with the right hand, which can
,accommodate a weak grasp and encourage independence in eating.
● A nurse is teaching about herbal supplements with a group of newly licensed nurses. Which
of the following herbal supplements should the nurse include in the teaching for treating
hyperlipidemia?. Answer: D: Garlic Rationale: The nurse should include that garlic can help
improve cholesterol levels, which then helps to reduce the buildup of plaque in the arteries.
For some clients, it can also help lower blood pressure
● A nurse is admitting a client who has an acute bacterial wound infection and a temperature
of 39.8° C (103.6° F). Which of the following actions should the nurse take?. Answer: D: Set
the temperature of the client's room to 22.2° C (72°). Rationale: The nurse should set the
temperature of the client's room at 21° C to 27° C (70° F to 80° F). This promotes a reduction
in the client's fever without causing shivering. By combining nonpharmacological interventions
with antipyretics, the nurse can reduce the client's fever.
● A nurse is planning care for a client who had surgery for osteomyelitis from a past
musculoskeletal trauma to the lower leg. Which of the following interventions should the nurse
include in the plan of care?. Answer: C: Check for paresthesia of the affected leg. Rationale:
The nurse should include in the interventions to check for paresthesia, such as a tingling
sensation of the leg and foot, which can indicate manifestations of neurovascular compromise
or compartment syndrome.
● A nurse is assessing the eyes and ears of a 2-year-old toddler at a well-child visit. Which of
the following findings should the nurse report to the provider?. Answer: B: Presence of
strabismus Rationale: The nurse should recognize that the presence of strabismus, or
crossing of the eyes, should disappear by 4 months of age. If this is not corrected by 4 to 6
years of age, it can lead to amblyopia; therefore, the nurse should report this finding to the
provider.
● A nurse is teaching a client who has atherosclerosis about self-care. Which of the following
instructions should the nurse include in the teaching?. Answer: C: Increase fiber intake to at
least 30 g per day. Rationale: The nurse should instruct the client to increase daily fiber intake
to at least 30 g. Fiber assists in the elimination of lipids and minimizes the development of
atherosclerosis.
● A nurse is assessing a client who has as an ulcer due to peripheral vascular disease.
Which of the following findings should the nurse identify as an indication that the client has a
venous ulcer rather than an arterial ulcer?. Answer: B: Discoloration and edema of the right
ankle Rationale: The nurse should identify that manifestations of peripheral venous disease
include discoloration and edema of the ankle, resulting from venous hypertension.
, ● A nurse is providing discharge teaching to a client who is postoperative following a
transurethral resection of the prostate (TURP) for treatment of benign prostatic hyperplasia.
Which of the following instructions should the nurse include in the teaching?. Answer: D:
"Perform Kegel exercises several times throughout the day." Rationale: The nurse should
instruct the client on the performance of Kegel exercises, or tightening and then relaxing the
urinary sphincter, to assist the client in regaining urinary control and eliminate dribbling or the
leakage of urine. The nurse should encourage the client to perform these exercises several
times each day.
● A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse expect? (Select all the apply.). Answer: A: Nocturia C: Dyspnea D: Hacking
cough Rationale: Left-sided heart failure causes oliguria during the day and nocturia during
sleeping hours, pulmonary manifestations, such as dyspnea, orthopnea, crackles, and
wheezes, and a hacking cough that worsens at night and eventually produces frothy sputum.
● A nurse is assessing a client who is 1 hour postoperative following a transurethral resection
of the prostate (TURP) for treatment of benign prostatic hyperplasia. For which of the
following assessment findings should the nurse notify the provider?. Answer: C: The catheter
tubing has multiple red clots. Rationale: The nurse should identify that the presence of
multiple red clots in the catheter tubing or drainage that is ketchup-like are manifestations of
postoperative bleeding. The nurse should notify the provider and provide hand irrigation of the
bladder per provider prescription.
● A nurse is teaching a client who has gastroesophageal reflux disease about ways to
prevent reflux. Which of the following information should the nurse include in the teaching?.
Answer: D: Plan to finish eating at least 3 hr before bedtime. Rationale: The nurse should
encourage the client not to eat anything at least 3 hr before bedtime to prevent reflux.
● A nurse is providing teaching for a client who has a new diagnosis of benign prostatic
hyperplasia (BPH). Which of the following instructions should the nurse include to promote
elimination?. Answer: B: "Void as soon as you feel the urge." Rationale: The nurse should
instruct a client who has BPH on measures to prevent distension of the bladder and urinary
retention. Encouraging the client to void as soon as the urge develops decreases the risk of
bladder distension.
● A nurse is assessing for manifestations of hyponatremia in a client who has been taking
twice the prescribed dose of a diuretic. Which of the following findings should the nurse
expect?. Answer: C: Decreased level of consciousness Rationale: The nurse should expect a
client who has hyponatremia to have cerebral edema and increased intracranial pressure as
fluid moves into the cells in the brain. This can manifest as confusion, changes in level of
consciousness, and seizures.
CERTIFICATION SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
● A hospice nurse is caring for a preschooler who has a terminal illness. One of the child's
parents tells the nurse that it is too difficult to cope any longer and has decided to move out of
the house. Which of the following responses should the nurse make?. Answer: A: "Let's talk
about a few ways you have dealt with stress in the past." Rationale: This statement by the
nurse combines two therapeutic responses, active listening and focusing. Used together,
these techniques facilitate communication by letting the parent know one's feelings are heard
and taken seriously, which conveys acceptance and respect. Therefore, the parent feels the
nurse validates the concerns and becomes comfortable asking the nurse sensitive questions
about the child.
● A nurse is teaching a client ways to prevent osteoporotic fractures due to osteoporosis.
Which of the following information should the nurse include in the teaching?. Answer: A:
"Maintain bone health by eating fruits, vegetables, and protein." Rationale: The nurse should
instruct the client that the best way to maintain bone health and bone remodeling is by eating
fruits, vegetables, and protein.
● A nurse is teaching a client who has hypothyroidism about taking levothyroxine. Which of
the following statements should the nurse make?. Answer: B: "This medication causes
adverse effects if the dosage is too high or too low." Rationale: The nurse should instruct the
client that levothyroxine, in the right dosage, does not typically cause adverse effects. If the
dosage is too low, the manifestations of hypothyroidism will recur. If the dosage is too high,
the manifestations of hyperthyroidism will occur.
● A nurse in an emergency department is assessing a preschooler who has severe
dehydration as a result of gastroenteritis and is receiving isotonic IV fluids. Which of the
following findings should the nurse identify as an indication that the treatment is effective?.
Answer: D: Brisk skin turgor Rationale: The nurse should expect the child to have brisk skin
turgor if fluid replacement therapy is effective.
● A nurse is caring for a client who has left hemiparesis following a stroke. Which of the
following actions should the nurse take?. Answer: B: Encourage the client to use wide-grip
utensils when eating with the right hand. Rationale: The nurse should encourage the client
who has hemiparesis to use wide-grip utensils when eating with the right hand, which can
,accommodate a weak grasp and encourage independence in eating.
● A nurse is teaching about herbal supplements with a group of newly licensed nurses. Which
of the following herbal supplements should the nurse include in the teaching for treating
hyperlipidemia?. Answer: D: Garlic Rationale: The nurse should include that garlic can help
improve cholesterol levels, which then helps to reduce the buildup of plaque in the arteries.
For some clients, it can also help lower blood pressure
● A nurse is admitting a client who has an acute bacterial wound infection and a temperature
of 39.8° C (103.6° F). Which of the following actions should the nurse take?. Answer: D: Set
the temperature of the client's room to 22.2° C (72°). Rationale: The nurse should set the
temperature of the client's room at 21° C to 27° C (70° F to 80° F). This promotes a reduction
in the client's fever without causing shivering. By combining nonpharmacological interventions
with antipyretics, the nurse can reduce the client's fever.
● A nurse is planning care for a client who had surgery for osteomyelitis from a past
musculoskeletal trauma to the lower leg. Which of the following interventions should the nurse
include in the plan of care?. Answer: C: Check for paresthesia of the affected leg. Rationale:
The nurse should include in the interventions to check for paresthesia, such as a tingling
sensation of the leg and foot, which can indicate manifestations of neurovascular compromise
or compartment syndrome.
● A nurse is assessing the eyes and ears of a 2-year-old toddler at a well-child visit. Which of
the following findings should the nurse report to the provider?. Answer: B: Presence of
strabismus Rationale: The nurse should recognize that the presence of strabismus, or
crossing of the eyes, should disappear by 4 months of age. If this is not corrected by 4 to 6
years of age, it can lead to amblyopia; therefore, the nurse should report this finding to the
provider.
● A nurse is teaching a client who has atherosclerosis about self-care. Which of the following
instructions should the nurse include in the teaching?. Answer: C: Increase fiber intake to at
least 30 g per day. Rationale: The nurse should instruct the client to increase daily fiber intake
to at least 30 g. Fiber assists in the elimination of lipids and minimizes the development of
atherosclerosis.
● A nurse is assessing a client who has as an ulcer due to peripheral vascular disease.
Which of the following findings should the nurse identify as an indication that the client has a
venous ulcer rather than an arterial ulcer?. Answer: B: Discoloration and edema of the right
ankle Rationale: The nurse should identify that manifestations of peripheral venous disease
include discoloration and edema of the ankle, resulting from venous hypertension.
, ● A nurse is providing discharge teaching to a client who is postoperative following a
transurethral resection of the prostate (TURP) for treatment of benign prostatic hyperplasia.
Which of the following instructions should the nurse include in the teaching?. Answer: D:
"Perform Kegel exercises several times throughout the day." Rationale: The nurse should
instruct the client on the performance of Kegel exercises, or tightening and then relaxing the
urinary sphincter, to assist the client in regaining urinary control and eliminate dribbling or the
leakage of urine. The nurse should encourage the client to perform these exercises several
times each day.
● A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse expect? (Select all the apply.). Answer: A: Nocturia C: Dyspnea D: Hacking
cough Rationale: Left-sided heart failure causes oliguria during the day and nocturia during
sleeping hours, pulmonary manifestations, such as dyspnea, orthopnea, crackles, and
wheezes, and a hacking cough that worsens at night and eventually produces frothy sputum.
● A nurse is assessing a client who is 1 hour postoperative following a transurethral resection
of the prostate (TURP) for treatment of benign prostatic hyperplasia. For which of the
following assessment findings should the nurse notify the provider?. Answer: C: The catheter
tubing has multiple red clots. Rationale: The nurse should identify that the presence of
multiple red clots in the catheter tubing or drainage that is ketchup-like are manifestations of
postoperative bleeding. The nurse should notify the provider and provide hand irrigation of the
bladder per provider prescription.
● A nurse is teaching a client who has gastroesophageal reflux disease about ways to
prevent reflux. Which of the following information should the nurse include in the teaching?.
Answer: D: Plan to finish eating at least 3 hr before bedtime. Rationale: The nurse should
encourage the client not to eat anything at least 3 hr before bedtime to prevent reflux.
● A nurse is providing teaching for a client who has a new diagnosis of benign prostatic
hyperplasia (BPH). Which of the following instructions should the nurse include to promote
elimination?. Answer: B: "Void as soon as you feel the urge." Rationale: The nurse should
instruct a client who has BPH on measures to prevent distension of the bladder and urinary
retention. Encouraging the client to void as soon as the urge develops decreases the risk of
bladder distension.
● A nurse is assessing for manifestations of hyponatremia in a client who has been taking
twice the prescribed dose of a diuretic. Which of the following findings should the nurse
expect?. Answer: C: Decreased level of consciousness Rationale: The nurse should expect a
client who has hyponatremia to have cerebral edema and increased intracranial pressure as
fluid moves into the cells in the brain. This can manifest as confusion, changes in level of
consciousness, and seizures.
