RN CONCEPT-BASED ASSESSMENT LEVEL 2 ONLINE PRACTICE B

RN CONCEPT-BASED ASSESSMENT
LEVEL 2 ONLINE PRACTICE B

ABJnurseBJisBJcaringBJforBJaBJclientBJwhoBJhasBJpneumonia.BJWhichBJofBJtheBJfollowingBJacti
onsBJisBJtheBJpriorityBJforBJtheBJnurseBJtoBJtake?
-MonitorBJintakeBJandBJoutput
-ProvideBJteachingBJaboutBJantibioticBJtherapy
-AdministerBJtheBJinfluenzaBJvaccine
-ObserveBJtheBJclientBJperformBJincentiveBJspirometryBJ-BJanswer--
ObserveBJtheBJclientBJperformBJincentiveBJspirometryBJ

WhenBJusingBJtheBJairway,BJbreathing,BJandBJcirculationBJframework,BJtheBJpriorityBJactionB
JtheBJnurseBJshouldBJtakeBJisBJtoBJobserveBJtheBJclientBJperformBJincentiveBJspirometry.BJIn

centiveBJspirometryBJimprovesBJgasBJexchangeBJandBJoxygenationBJandBJstimulatesBJcou
ghing,BJwhichBJassistsBJinBJclearingBJsecretions.

ABJnurseBJisBJassessingBJaBJclientBJwhoBJhasBJhyperthyroidismBJandBJhasBJbeenBJtakingBJm
ethimazoleBJforBJ6BJmonths.BJWhichBJofBJtheBJfollowingBJfindingsBJindicatesBJaBJtherapeutic
BJresponseBJtoBJtheBJmedicationBJ

-TheBJclient'sBJskinBJisBJwarmBJandBJmoist
-TheBJclientBJreportsBJsleepingBJlongerBJduringBJtheBJnight
-TheBJclientBJisBJexperiencingBJincreasedBJbowelBJmovements
-TheBJclient'sBJweightBJisBJ1.4BJkgBJ(3.1BJlb)BJlessBJthanBJbaselineBJ-BJanswer--
TheBJclientBJreportsBJsleepingBJlongerBJduringBJtheBJnight

TheBJnurseBJshouldBJrecognizeBJthatBJinsomniaBJisBJaBJmanifestationBJofBJhyperthyroidism
.BJTheBJclient'sBJabilityBJtoBJsleepBJlongerBJduringBJtheBJnightBJindicatesBJaBJtherapeuticBJres
ponseBJtoBJtheBJmedication.

ABJnurseBJisBJplanningBJdischargeBJteachingBJforBJtheBJguardianBJofBJaBJchildBJwhoBJhadBJaB
JcardiacBJcatheterization. BJWhichBJofBJtheBJfollowingBJinstructionsBJshouldBJtheBJnurseBJincl

ude?
-MonitorBJtheBJsiteBJdailyBJforBJdrainage
-LeaveBJtheBJpressureBJdressingBJonBJtheBJ48BJhr
-AdministerBJaspirinBJifBJtheBJchildBJreportsBJpain
-ResumeBJtubBJbathsBJinBJ24hrBJ-BJanswer--MonitorBJtheBJsiteBJdailyBJforBJdrainage

TheBJnurseBJshouldBJinstructBJtheBJguardianBJtoBJmonitorBJtheBJsiteBJdailyBJforBJmanifestati
onsBJofBJinfection,BJsuchBJasBJdrainage,BJredness,BJandBJswelling.BJTheBJguardianBJshould
BJreportBJtheseBJfindingsBJtoBJtheBJprovider.



ABJnurseBJisBJreviewingBJtheBJmedicalBJrecordBJofBJaBJclientBJwhoBJisBJreceivingBJtotalBJpare
nteralBJnutritionBJforBJaBJmalabsorptionBJdisorder.BJWhichBJofBJtheBJfollowingBJfindingsBJsho
uldBJtheBJnurseBJidentifyBJasBJanBJindicationBJthatBJtheBJclient'sBJnutritionalBJstatusBJisBJimpr
oving?BJ
-IntakeBJofBJfluidBJisBJlessBJthanBJoutputBJofBJurineBJoverBJtheBJpastBJ2BJdays
-1kgBJ(2.2BJlb)BJweightBJgainBJoverBJtheBJpastBJ2BJdays
-BloodBJglucoseBJ206BJmg/dL
-PrealbuminBJ13BJmg/dLBJ-BJanswer--
1BJkgBJ(2.2BJlb)BJweightBJgainBJoverBJtheBJpastBJ2BJdays

,TotalBJparenteralBJnutritionBJisBJadministeredBJtoBJclientsBJwhoBJhaveBJinflammatoryBJbowe
lBJdisordersBJandBJareBJunableBJtoBJtolerateBJenteralBJnutrition.BJABJweightBJgainBJofBJ0.5BJk
gBJ(1.1BJlb)BJdailyBJisBJanBJindicationBJthatBJtheBJclientBJisBJrespondingBJtoBJtheBJparenteralBJ
nutrition.

ABJnurseBJisBJperformingBJaBJfocusedBJassessmentBJonBJaBJclientBJwhoBJhasBJcholelithiasis
BJandBJreportsBJpain.BJWhichBJofBJtheBJfollowingBJareasBJshouldBJtheBJnurseBJassess?BJ-

BJanswer--RightBJupperBJquadrant



TheBJnurseBJshouldBJassessBJtheBJgallbladderBJforBJtheBJpresenceBJofBJpainBJorBJdiscomfor
tBJasBJaBJresultBJofBJbiliaryBJcolic,BJwhichBJisBJcausedBJbyBJaBJgallbladderBJstoneBJobstructin
gBJtheBJbileBJduct.BJTheBJpainBJcanBJradiateBJfromBJtheBJrightBJupperBJquadrantBJofBJtheBJclie
nt'sBJabdomenBJtoBJtheBJclient'sBJrightBJshoulder.

TheBJnurseBJisBJprovidingBJdischargeBJteachingBJtoBJaBJclientBJaboutBJmanagingBJdiverticuli
tis.BJWhichBJofBJtheBJfollowingBJstatementsBJshouldBJtheBJnurseBJincludeBJinBJtheBJteaching
?
-"UseBJbisacodylBJsuppositoriesBJtoBJstimulateBJaBJbowelBJmovement"
-"AvoidBJliftingBJobjectsBJgreaterBJthanBJ50BJpounds"
-"ConsumeBJaBJclearBJliquidBJdietBJuntilBJsymptomsBJresolve"
-"TakeBJaBJprobioticBJ15BJminutesBJafterBJtakingBJaBJprescribedBJantibioticBJtoBJpreventBJant
ibiotic-relatedBJdiarrhea"BJ-
BJanswer--"ConsumeBJaBJclearBJliquidBJdietBJuntilBJsymptomsBJresolve"



TheBJnurseBJshouldBJrecommendBJtheBJclientBJconsumeBJaBJclearBJliquidBJdietBJuntilBJmanif
estationsBJsuchBJasBJabdominalBJpain,BJnausea,BJandBJvomitingBJhaveBJresolved.BJABJclea
rBJliquidBJdietBJisBJlowBJinBJfiberBJandBJdoesBJnotBJstimulateBJintestinalBJmotility.

ABJnurseBJisBJprovidingBJteachingBJtoBJaBJclientBJwhoBJhasBJaBJmethicillin-
resistantBJStaphylococcusBJaureusBJ(MRSA)BJskinBJinfection.BJWhichBJofBJtheBJfollowingBJ
clientBJstatementsBJindicatesBJanBJunderstandingBJofBJtheBJmanagementBJofBJantibioticBJre
sistantBJinfections?
-IBJwillBJkeepBJtheBJinfectedBJareaBJopenBJtoBJairBJtoBJhelpBJitBJheal
-
IBJcanBJsleepBJinBJtheBJsameBJbedBJasBJmyBJpartnerBJafterBJIBJhaveBJbeenBJtakingBJantibiotic
sBJforBJ24BJhours
-IBJshouldBJsitBJonBJupholsteredBJchairsBJinsteadBJofBJhardbackBJchairs
-IBJwillBJwashBJallBJuninfectedBJskinBJareasBJwithBJaBJfreshBJwashclothBJ-BJanswer--
IBJwillBJwashBJallBJuninfectedBJskinBJareasBJwithBJaBJfreshBJwashcloth

TheBJnurseBJshouldBJinstructBJtheBJclientBJtoBJwashBJtheBJuninfectedBJskinBJareasBJwithBJaBJf
reshBJwashclothBJtoBJpreventBJcontaminationBJofBJtheBJunaffectedBJareasBJofBJtheBJskinBJwi
thBJtheBJMRSABJinfection.

ABJnurseBJisBJprovidingBJteachingBJtoBJaBJclientBJaboutBJpreventingBJhearingBJlossBJfromBJtr
auma.BJWhichBJofBJtheBJfollowingBJinstructionsBJshouldBJtheBJnurseBJincludeBJinBJtheBJteach
ing?
-KeepBJyourBJmouthBJopenBJwhenBJsneezing
-BlockBJoneBJnostrilBJwhenBJblowingBJyourBJnose
-UseBJanBJearBJwickBJcandleBJtoBJremoveBJexcessBJcerumenBJfromBJtheBJcanalBJ
-LubricateBJcotton-tippedBJapplicatorsBJwithBJmineralBJoilBJtoBJcleanBJtheBJearBJcanalBJ-
BJanswer--KeepBJyourBJmouthBJopenBJwhenBJsneezing

, TheBJnurseBJshouldBJinstructBJtheBJclientBJtoBJkeepBJtheBJmouthBJopenBJwhileBJsneezingBJto
BJreduceBJtheBJpressureBJinBJtheBJmiddleBJear.BJSuddenBJpressureBJchangesBJcanBJdamag

eBJtheBJossiclesBJandBJperforateBJtheBJearBJdrum.

ABJnurseBJisBJteachingBJaBJclientBJwhoBJrecentlyBJlostBJhisBJpartnerBJtoBJaBJterminalBJillness.
BJTheBJclientBJasksBJhowBJhisBJ4-year-

oldBJsonBJisBJexpectedBJtoBJreactBJtoBJtheBJdeathBJofBJhisBJpartner.BJWhichBJofBJtheBJfollowin
gBJinformationBJshouldBJtheBJnurseBJincludeBJinBJtheBJteaching?
-ABJpreschoolerBJhasBJnoBJconceptBJofBJdeath
-ABJpreschoolerBJisBJoftenBJinterestedBJinBJwhatBJhappensBJtoBJtheBJbodyBJafterBJdeath
-ABJpreschoolerBJoftenBJbelievesBJthatBJdeathBJisBJreversibleBJ
-ABJpreschoolerBJunderstandsBJthatBJdeathBJhappensBJtoBJeveryoneBJ-BJanswer--
ABJpreschoolerBJoftenBJbelievesBJthatBJdeathBJisBJreversible

TheBJnurseBJshouldBJidentifyBJthatBJpreschoolersBJtendBJtoBJhaveBJdifficultyBJunderstandin
gBJtheBJrealityBJofBJdeathBJandBJoftenBJbelieveBJthatBJitBJisBJreversible.BJBecauseBJofBJmagic
alBJthinking,BJtheBJpreschoolerBJmightBJthinkBJthatBJhisBJthoughtsBJorBJbehaviorBJmightBJhav
eBJcausedBJtheBJpersonBJtoBJdie.

ABJnurseBJisBJassessingBJaBJclientBJwhoBJhasBJgestationalBJdiabetesBJandBJketoacidosis.BJ
WhichBJofBJtheBJfollowingBJmanifestationsBJshouldBJtheBJnurseBJexpect?
-IncreasedBJurination
-Sweating
-Dizziness
-LooseBJstoolsBJ-BJanswer--IncreasedBJurination

TheBJnurseBJshouldBJexpectBJtheBJclientBJtoBJexhibitBJmanifestationsBJofBJhyperglycemia,BJi
ncludingBJincreasedBJthirst,BJnausea,BJvomiting,BJincreasedBJurination,BJflushedBJdryBJskin
,BJacetoneBJbreathBJodor,BJandBJaBJweak,BJrapidBJpulse.

ABJnurseBJisBJassessingBJaBJclientBJwhoBJhasBJanBJexternalBJfixatorBJtoBJtheBJrightBJlowerBJar
mBJfollowingBJmusculoskeletalBJtrauma.BJWhichBJofBJtheBJfollowingBJfindingsBJshouldBJindi
cateBJtoBJtheBJnurseBJthatBJtheBJclientBJhasBJdevelopedBJcompartmentBJsyndrome?
-SerousBJdrainageBJisBJpresentBJonBJtheBJpinBJsiteBJdressings
-FlushingBJofBJtheBJskinBJonBJtheBJrightBJarm
-BoundingBJpulseBJpalpatedBJinBJtheBJradialBJartery
-NumbnessBJtoBJtheBJfingersBJonBJtheBJrightBJarmBJ-BJanswer--
NumbnessBJtoBJtheBJfingersBJonBJtheBJrightBJarmBJ

TheBJnurseBJshouldBJidentifyBJaBJdecreaseBJinBJsensation,BJsuchBJasBJnumbnessBJandBJtin
glingBJofBJtheBJfingers,BJasBJoneBJofBJtheBJfirstBJindicationsBJthatBJtheBJclientBJmightBJbeBJdev
elopingBJcompartmentBJsyndromeBJofBJtheBJrightBJlowerBJarm.BJCompartmentBJsyndromeBJ
isBJtheBJresultBJofBJedemaBJandBJischemia,BJaBJcomplicationBJfollowingBJmusculoskeletalBJi
njury.BJOtherBJmanifestationsBJincludeBJincreasedBJpain,BJparalysis,BJpallor,BJandBJdecrea
sedBJorBJabsentBJpulses.

ABJnurseBJisBJprovidingBJteachingBJaboutBJhomeBJcareBJwithBJanBJadolescentBJclientBJwhoBJ
hasBJaBJskinBJinfectionBJcausedBJbyBJMRSA.BJWhichBJofBJtheBJfollowingBJclientBJstatements
BJindicatesBJanBJunderstandingBJofBJtheBJteaching?

-IBJwillBJsoakBJinBJaBJbathtubBJfilledBJone-fourthBJfullBJofBJwaterBJwithBJone-
halfBJcupBJofBJbleach
-IBJwillBJwashBJmyBJclothesBJinBJcoldBJwaterBJandBJdetergent
-IBJwillBJthrowBJawayBJmyBJrazorBJafterBJusingBJitBJthreeBJtimes