RN Concept-Based Assessment
Level 2 Online Practice B exam
2024/2025
A nurse is teaching a group of newly licensed nurses about risk factors for peptic ulcers.
Which of the following risk factors should the nurse include in the teaching?
A: Bacterial infection with Escherichia coli
B: Long-term use of NSAIDs
C: Frequent use of proton pump inhibitors
D: A diet that includes spicy foods - CORRECT ANSWER Long-term use of NSAIDs
A nurse is assessing an 18-month-old toddler who has gastroenteritis with dehydration.
The toddler is able to consume 3 mL of oral rehydration solution every 5 min but still has
emesis and diarrhea. Which of the following medications should the nurse anticipate
administering to the toddler?
A: Polyethylene glycol
B: Bumetanide
C: Lope amide
D: Ondansetron - - CORRECT ANSWER Ondansetron
A nurse is assessing a client whose parents recently died. The nurse should identify
that which of the following findings places the client at risk for maladaptive grieving?
A: The client lost his house in a house fire 1 month ago.
B: The client has retired after 30 years of employment.
C: The client's parent was an older adult.
D: The client's parent had a chronic terminal illness - CORRECT ANSWER The client
lost his house in a house fire 1 month ago
A nurse is planning care for a client following collection of admission data. Which of the
following findings should the nurse identify as the priority client need?
A: The client requests to see a priest for spiritual guidance.
B: The client reports coughing and a change of voice whenever he eats.
C: The client reports pain immediately following physical therapy
. D: The client is worried about financially supporting his family because of his illness. -
CORRECT ANSWER The client reports coughing and a change of voice whenever he
eats
A nurse is providing teaching to the parent of a school-age child who has a severe bee
allergy and a new prescription for an epinephrine auto-injector. Which of the following
instructions should the nurse include?
A: "Administer the medication into your child's abdomen."
B: "Expect your child to sleep for several hours after receiving the medication."
,C: "Place your child's unused extra syringes in the refrigerator for storage."
D: "Give a second injection if the first fails to reverse your child's symptoms." -
CORRECT ANSWER Give a second injection if the first fails to reverse your child's
symptoms
A nurse is reviewing the laboratory results of a client who is receiving gentamicin for the
treatment of an infection related to renal calculi. Which of the following findings should
the nurse report immediately to the provider?
A: Potassium level 4.2 me/L
B: WBC count 10,000/mm3
C: Magnesium 2 me/L
D: Creatinine 2.5 mg/ld. - - CORRECT ANSWER Creatinine 2.5 mg/ld.
A nurse is assessing a client who has hypomagnesemia. Which of the following
manifestations should the nurse expect? - CORRECT ANSWER Bradycardia
A hospice nurse is visiting with a client following the death of her partner 1 month ago.
The client is tearful and states she does not see how she can ever be happy again.
Which of the following responses should the nurse make? - CORRECT ANSWER What
are some of the best times with your partner that you remember?
A nurse is teaching about clonazepam with a young adult female client who has
generalized anxiety disorder. Which of the following statements should the nurse
include in the teaching?
A: "You can safely continue taking this medication if you become pregnant."
B: "This medication could cause you to have thoughts of self-harm."
C: "You should take this medication 1 hour before eating."
D: "Take this medication with an antacid if stomach upset occurs." - CORRECT
ANSWER This medication could cause you to have thoughts of self-harm
A home health nurse is assessing a client who has COPD. The client has a respiratory
rate of 22/min and reports shortness of breath. Which of the following actions should the
nurse take first?
A: Place the client in High-Fowler's position.
B: Encourage the client to perform diaphragmatic breathing.
C: Instruct the client to perform a huff-coughing technique.
D: Administer a nebulized bronchodilator. - CORRECT ANSWER place the client in
High-Fowler's position
A nurse is assessing a preschool-age child who has chickenpox. The parent asks the
nurse how to treat the child's fever. Which of the following responses should the nurse
make?
A: "Avoid giving aspirin to your child."
B: "Place your child in a cool bath for 20 minutes twice per day."
C: "Lower the room temperature to stimulate shivering."
, D: "Give eight doses of acetaminophen in 24 hours according to the child's weight." -
CORRECT ANSWER Avoid giving aspirin to your child
A nurse on a pediatric unit is preparing an in-service for coworkers about failure to thrive
in infants. Which of the following risk factors should the nurse include?
A: Congenital hypothyroidism
B: Meconium staining at birth
C: Macrosomia at birth
D: Congenital heart disease - CORRECT ANSWER Congenital heart disease
A nurse is providing discharge teaching for a client who has a new diagnosis of COPD.
Which of the following client statements indicates an understanding of the teaching?
A: "I will quickly complete my household errands in the morning before taking a break."
B: "I will breathe out slowly through pursed lips if I feel short of breath."
C: "I will try to eat three large meals every day."
D: "I will not get a flu shot because I might get an infection." - CORRECT ANSWER I
will breathe out slowly through pursed lips if I feel short of breath
A nurse is assessing a client who has musculoskeletal trauma following a motor-vehicle
crash 2 days ago. Which of the following findings should the nurse report to the
provider?
A: Laboratory results
B: Blood pressure
C: Pain report
D: ECG results - CORRECT ANSWER Pain report
A nurse is providing teaching about foot care to a client who has diabetes mellitus.
Which of the following client statements indicates an understanding of the teaching?
A: "I'll wash my feet every day with soap and lukewarm water."
B: "I'll apply lotion to my feet daily, especially in between my toes."
C: "It's okay for me to go barefoot in the house, but not outside."
D: "I'll soak my feet every evening before bedtime." - CORRECT ANSWER I'll wash my
feet everyday with soap and lukewarm water
A nurse is caring for a client who has respiratory acidosis due to opioid over sedation.
Which of the following actions should the nurse take first?
A: Place the client on mechanical ventilation
. B: Apply oxygen using a rebreather oxygen mask.
C: Ensure a patent airway using a chin-lift maneuver.
D: Administer a reversal agent to the client. - CORRECT ANSWER Ensure a patent
airway using a chin-lift maneuver
A nurse a reviewing the laboratory report of a client who is taking atorvastatin. Which of
the following findings should the nurse identify as an indication that the medication is
having an adverse effect?
A: LDL 100 mg/ld.
Level 2 Online Practice B exam
2024/2025
A nurse is teaching a group of newly licensed nurses about risk factors for peptic ulcers.
Which of the following risk factors should the nurse include in the teaching?
A: Bacterial infection with Escherichia coli
B: Long-term use of NSAIDs
C: Frequent use of proton pump inhibitors
D: A diet that includes spicy foods - CORRECT ANSWER Long-term use of NSAIDs
A nurse is assessing an 18-month-old toddler who has gastroenteritis with dehydration.
The toddler is able to consume 3 mL of oral rehydration solution every 5 min but still has
emesis and diarrhea. Which of the following medications should the nurse anticipate
administering to the toddler?
A: Polyethylene glycol
B: Bumetanide
C: Lope amide
D: Ondansetron - - CORRECT ANSWER Ondansetron
A nurse is assessing a client whose parents recently died. The nurse should identify
that which of the following findings places the client at risk for maladaptive grieving?
A: The client lost his house in a house fire 1 month ago.
B: The client has retired after 30 years of employment.
C: The client's parent was an older adult.
D: The client's parent had a chronic terminal illness - CORRECT ANSWER The client
lost his house in a house fire 1 month ago
A nurse is planning care for a client following collection of admission data. Which of the
following findings should the nurse identify as the priority client need?
A: The client requests to see a priest for spiritual guidance.
B: The client reports coughing and a change of voice whenever he eats.
C: The client reports pain immediately following physical therapy
. D: The client is worried about financially supporting his family because of his illness. -
CORRECT ANSWER The client reports coughing and a change of voice whenever he
eats
A nurse is providing teaching to the parent of a school-age child who has a severe bee
allergy and a new prescription for an epinephrine auto-injector. Which of the following
instructions should the nurse include?
A: "Administer the medication into your child's abdomen."
B: "Expect your child to sleep for several hours after receiving the medication."
,C: "Place your child's unused extra syringes in the refrigerator for storage."
D: "Give a second injection if the first fails to reverse your child's symptoms." -
CORRECT ANSWER Give a second injection if the first fails to reverse your child's
symptoms
A nurse is reviewing the laboratory results of a client who is receiving gentamicin for the
treatment of an infection related to renal calculi. Which of the following findings should
the nurse report immediately to the provider?
A: Potassium level 4.2 me/L
B: WBC count 10,000/mm3
C: Magnesium 2 me/L
D: Creatinine 2.5 mg/ld. - - CORRECT ANSWER Creatinine 2.5 mg/ld.
A nurse is assessing a client who has hypomagnesemia. Which of the following
manifestations should the nurse expect? - CORRECT ANSWER Bradycardia
A hospice nurse is visiting with a client following the death of her partner 1 month ago.
The client is tearful and states she does not see how she can ever be happy again.
Which of the following responses should the nurse make? - CORRECT ANSWER What
are some of the best times with your partner that you remember?
A nurse is teaching about clonazepam with a young adult female client who has
generalized anxiety disorder. Which of the following statements should the nurse
include in the teaching?
A: "You can safely continue taking this medication if you become pregnant."
B: "This medication could cause you to have thoughts of self-harm."
C: "You should take this medication 1 hour before eating."
D: "Take this medication with an antacid if stomach upset occurs." - CORRECT
ANSWER This medication could cause you to have thoughts of self-harm
A home health nurse is assessing a client who has COPD. The client has a respiratory
rate of 22/min and reports shortness of breath. Which of the following actions should the
nurse take first?
A: Place the client in High-Fowler's position.
B: Encourage the client to perform diaphragmatic breathing.
C: Instruct the client to perform a huff-coughing technique.
D: Administer a nebulized bronchodilator. - CORRECT ANSWER place the client in
High-Fowler's position
A nurse is assessing a preschool-age child who has chickenpox. The parent asks the
nurse how to treat the child's fever. Which of the following responses should the nurse
make?
A: "Avoid giving aspirin to your child."
B: "Place your child in a cool bath for 20 minutes twice per day."
C: "Lower the room temperature to stimulate shivering."
, D: "Give eight doses of acetaminophen in 24 hours according to the child's weight." -
CORRECT ANSWER Avoid giving aspirin to your child
A nurse on a pediatric unit is preparing an in-service for coworkers about failure to thrive
in infants. Which of the following risk factors should the nurse include?
A: Congenital hypothyroidism
B: Meconium staining at birth
C: Macrosomia at birth
D: Congenital heart disease - CORRECT ANSWER Congenital heart disease
A nurse is providing discharge teaching for a client who has a new diagnosis of COPD.
Which of the following client statements indicates an understanding of the teaching?
A: "I will quickly complete my household errands in the morning before taking a break."
B: "I will breathe out slowly through pursed lips if I feel short of breath."
C: "I will try to eat three large meals every day."
D: "I will not get a flu shot because I might get an infection." - CORRECT ANSWER I
will breathe out slowly through pursed lips if I feel short of breath
A nurse is assessing a client who has musculoskeletal trauma following a motor-vehicle
crash 2 days ago. Which of the following findings should the nurse report to the
provider?
A: Laboratory results
B: Blood pressure
C: Pain report
D: ECG results - CORRECT ANSWER Pain report
A nurse is providing teaching about foot care to a client who has diabetes mellitus.
Which of the following client statements indicates an understanding of the teaching?
A: "I'll wash my feet every day with soap and lukewarm water."
B: "I'll apply lotion to my feet daily, especially in between my toes."
C: "It's okay for me to go barefoot in the house, but not outside."
D: "I'll soak my feet every evening before bedtime." - CORRECT ANSWER I'll wash my
feet everyday with soap and lukewarm water
A nurse is caring for a client who has respiratory acidosis due to opioid over sedation.
Which of the following actions should the nurse take first?
A: Place the client on mechanical ventilation
. B: Apply oxygen using a rebreather oxygen mask.
C: Ensure a patent airway using a chin-lift maneuver.
D: Administer a reversal agent to the client. - CORRECT ANSWER Ensure a patent
airway using a chin-lift maneuver
A nurse a reviewing the laboratory report of a client who is taking atorvastatin. Which of
the following findings should the nurse identify as an indication that the medication is
having an adverse effect?
A: LDL 100 mg/ld.
