RN CONCEPT-BASED ASSESSMENT LEVEL 2
COMPREHENSIVE STUDY GUIDE 2026 FULL QUESTIONS
AND SOLUTIONS GRADED A+
● A nurse is admitting an infant who has pertussis. Which of the following actions should the
nurse take?. Answer: Initiate droplet precautions for the infant
● A nurse is caring for a client who is experiencing a hyperglycemic-hyperosmolar state
related to complications of diabetes mellitus. Which of the following findings should the nurse
expect?. Answer: Hypotension
● A nurse is assessing a client who has a new diagnosis of hypothyroidism. Which of the
following manifestations should the nurse expect?. Answer: Cold intolerance
● A nurse is caring for a client who has possible appendicitis. Which of the following actions
should the nurse take?. Answer: Start IV fluid replacement
● A nurse is planning discharge teaching for the parent of a newborn. Which of the following
information should the nurse include?. Answer: Do not bathe your newborn immediately after
she eats
● A nurse is caring for a client who has right-sided hemiparesis following a stroke. Which of
the following images is an indication that the nurse is correctly assisting the client to
ambulate?. Answer: One hand on gait belt walking behind the patient on affected side (right
side)
● A nurse is teaching a client who has a new diagnosis of peripheral neuropathy about foot
care. Which of the following statements should the nurse include?. Answer: File your toenails
straight across to prevent ingrown toenails
● A nurse is developing a plan of care for a client who is scheduled to have an induction of
labor due to a fetal demise. Which is the following actions should the nurse include?. Answer:
Bathe, diaper, and dress the child before bringing the newborn to the client
● A nurse is assessing a school-age child who has asthma and shortness of breath. Which of
the following assessment findings should the nurse identify as the priority?. Answer: Inaudible
lung sounds
, ● A nurse is reviewing a client's medical record prior to a laparoscopic appendectomy. Which
of the following findings should the nurse report to the provider?. Answer: Report of urinating
small amounts twice daily
● A nurse is providing discharge teaching to the parents of a newborn about crib use. Which
of the following statements should the nurse make?. Answer: Dressing your baby in a
one-piece sleeper for bedtime will replace the need to use a blanket or a sheet
● A nurse is teaching a group of newly licensed nurses about hypothermia and the care of a
client who has frostbite to the fingers and toes from cold exposure. Which of the following
information should the nurse include in the teaching about frostbite?. Answer: Place the
affected areas of frostbite in a warm water bath
● A nurse is assessing a client who has developed Clostridium difficile as an adverse effect to
ciprofloxacin. Which of the following medications should the nurse expect the provider to
prescribe to treat the C. difficile?. Answer: Vancomycin
● A nurse is assessing a client in the triage room of an emergency department. Based on the
client findings, which of the following actions should the nurse take?. Answer: Place a surgical
mask on the client
● A nurse is developing a plan of care for a client who is 1 hr postoperative following open
carpal tunnel release to treat a musculoskeletal injury. Which of the following interventions
should the nurse include in the plan?. Answer: Elevate the client's arm above the heart
● A nurse is assessing a 6-month-old infant who has gastroenteritis with mild dehydration.
Which of the following findings should the nurse expect?. Answer: Capillary refill greater than
2 seconds
● A nurse is reviewing the laboratory results of an adult client who has metabolic alkalosis.
Which of the following findings should the nurse expect?. Answer: Potassium 3 mEq/L
● A nurse is assessing a newly admitted client who has an intense fear of heights. Which of
the following clinical names for this fear should the nurse document in the client's medical
record?. Answer: Acrophobia
● A nurse is caring for a client who has generalized anxiety disorder. Which of the following
medications should the nurse plan to administer?. Answer: Escitalopram
● A nurse is assessing a 6-month-old infant who has bacterial pneumonia. Which of the
following manifestations should the nurse expect?. Answer: nasal flaring
COMPREHENSIVE STUDY GUIDE 2026 FULL QUESTIONS
AND SOLUTIONS GRADED A+
● A nurse is admitting an infant who has pertussis. Which of the following actions should the
nurse take?. Answer: Initiate droplet precautions for the infant
● A nurse is caring for a client who is experiencing a hyperglycemic-hyperosmolar state
related to complications of diabetes mellitus. Which of the following findings should the nurse
expect?. Answer: Hypotension
● A nurse is assessing a client who has a new diagnosis of hypothyroidism. Which of the
following manifestations should the nurse expect?. Answer: Cold intolerance
● A nurse is caring for a client who has possible appendicitis. Which of the following actions
should the nurse take?. Answer: Start IV fluid replacement
● A nurse is planning discharge teaching for the parent of a newborn. Which of the following
information should the nurse include?. Answer: Do not bathe your newborn immediately after
she eats
● A nurse is caring for a client who has right-sided hemiparesis following a stroke. Which of
the following images is an indication that the nurse is correctly assisting the client to
ambulate?. Answer: One hand on gait belt walking behind the patient on affected side (right
side)
● A nurse is teaching a client who has a new diagnosis of peripheral neuropathy about foot
care. Which of the following statements should the nurse include?. Answer: File your toenails
straight across to prevent ingrown toenails
● A nurse is developing a plan of care for a client who is scheduled to have an induction of
labor due to a fetal demise. Which is the following actions should the nurse include?. Answer:
Bathe, diaper, and dress the child before bringing the newborn to the client
● A nurse is assessing a school-age child who has asthma and shortness of breath. Which of
the following assessment findings should the nurse identify as the priority?. Answer: Inaudible
lung sounds
, ● A nurse is reviewing a client's medical record prior to a laparoscopic appendectomy. Which
of the following findings should the nurse report to the provider?. Answer: Report of urinating
small amounts twice daily
● A nurse is providing discharge teaching to the parents of a newborn about crib use. Which
of the following statements should the nurse make?. Answer: Dressing your baby in a
one-piece sleeper for bedtime will replace the need to use a blanket or a sheet
● A nurse is teaching a group of newly licensed nurses about hypothermia and the care of a
client who has frostbite to the fingers and toes from cold exposure. Which of the following
information should the nurse include in the teaching about frostbite?. Answer: Place the
affected areas of frostbite in a warm water bath
● A nurse is assessing a client who has developed Clostridium difficile as an adverse effect to
ciprofloxacin. Which of the following medications should the nurse expect the provider to
prescribe to treat the C. difficile?. Answer: Vancomycin
● A nurse is assessing a client in the triage room of an emergency department. Based on the
client findings, which of the following actions should the nurse take?. Answer: Place a surgical
mask on the client
● A nurse is developing a plan of care for a client who is 1 hr postoperative following open
carpal tunnel release to treat a musculoskeletal injury. Which of the following interventions
should the nurse include in the plan?. Answer: Elevate the client's arm above the heart
● A nurse is assessing a 6-month-old infant who has gastroenteritis with mild dehydration.
Which of the following findings should the nurse expect?. Answer: Capillary refill greater than
2 seconds
● A nurse is reviewing the laboratory results of an adult client who has metabolic alkalosis.
Which of the following findings should the nurse expect?. Answer: Potassium 3 mEq/L
● A nurse is assessing a newly admitted client who has an intense fear of heights. Which of
the following clinical names for this fear should the nurse document in the client's medical
record?. Answer: Acrophobia
● A nurse is caring for a client who has generalized anxiety disorder. Which of the following
medications should the nurse plan to administer?. Answer: Escitalopram
● A nurse is assessing a 6-month-old infant who has bacterial pneumonia. Which of the
following manifestations should the nurse expect?. Answer: nasal flaring
