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RN CONCEPT BASED ASSESSMENT LEVEL 1 NEW
2026 - 2027 COMPLETE 100 QUESTIONS AND CORRECT
ANSWERS, EXAMS OF NURSING
A nurse is assessing a preschooler who has a urinary tract infection (UTI). Which of the following findings should the nurse expect?
- Diarrhea
- Abdominal pain
- Increased thirst
- Skin rash - - ANS✔️ --Abdominal Pain Rat: The nurse should expect a preschooler who has a UTI to experience abdominal pain. Other manifestations include constipation, dysuria, foul-smelling urine, and fever. A nurse is counseling a client who has a family history of colorectal cancer about management of nutrition to help prevent gastrointestinal (GI) cancers. Which of the following images indicates a
food or beverage the nurse should encourage the client to include liberally in his diet? - - ANS✔️ -
- Fruits and Veggies Rat: To help reduce the risk of cancers of the GI system, the nurse should instruct the client to consume at least 2.5 cups of fruits and vegetables per day. A nurse is preparing to extinguish a small fire in a clients room. Which of the following actions should the nurse take when using the fire extinguisher?
- Aim the fire extinguisher at the top of the flames.
- Pump the handles of the fire extinguisher up and down three times.
- Sweep the fire extinguisher in a circular motion until the fire is extinguished.
- Slide the pin on top of the fire extinguisher straight out. - - ANS✔️ --Slide the pin on top of the fire extinguisher straight out. Rat: The nurse should pull the pin on the top of the fire extinguisher to allow for use to extinguish the fire. A nurse is caring for a child who has celiac disease. Which of the following items should the nurse remove from the child's meal tray?
A nurse is assessing the spiritual wellbeing and development of a preschooler. The nurse asks the preschooler, "Why is it wrong to kick our baby sister?" Which of the following responses should the nurse expect?
- "It's not wrong because she made me mad."
- "It's wrong because my dad said I can't kick her."
- "It's wrong to kick her because the gods won't like it."
- "It's wrong because she would get hurt and be sad." - - ANS✔️ --"It's wrong because my dad said I can't kick her." Rat: The nurse should expect the preschooler to be motivated to choose right from wrong because of rules taught to him by his parents. The nurse should understand that, even though the preschooler might know the rules, he is not yet able to understand the rationale for the rules. A nurse in a long term care facility is admitting a new client following a brief stay in acute care. In adherence with the Joint Commission National Patient Safety Goals regarding medication administration, which of the following actions should the nurse take? A. Inform the client that he will not be receiving the medications he took prior to his hospitalization. B. Compare a list of the client's current medications with the ones he will take in long-term care. C. Eliminate any over-the-counter products from the client's current medication list.
D. Omit the medication indications when listing the client's medication dose information. - - ANS✔️ --Compare a list of the client's current medications with the ones he will take in long-term care. Rat: The Joint Commission National Patient Safety Goals regarding medication reconciliation includes maintaining and communicating accurate client medication information. The nurse should complete a medication reconciliation to identify and resolve any discrepancies by comparing the client's list of current medications with the medications he will take in the long- term care facility and addressing any duplications, omissions, or interactions. A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation. The client states he is experiencing a dull, burning pain in the leg that was amputated. Which of the following actions should the nurse take to treat the client's neuropathic pain? A. Inform the client that phantom limb pain is not real. B. Administer a beta-blocking medication to the client. C. Place the client on a soft mattress. D. Loosen the bandage on the client's residual limb. - - ANS✔️ --Administer a beta-blocking medication to the client
A nurse is teaching about advice directives with an older adult client who has a terminal illness. Which of the following statements should the nurse make?
- "Having advance directives means that you don't want to receive CPR."
- "Your next of kin can amend your advance directives for you if you are unconscious."
- "Advance directives are verbal or written instructions."
- "Your advance directives can designate a friend to make your health care decisions." - - ANS✔️ --"Your advance directives can designate a friend to make your health care decisions." Rat: The nurse should inform the client that he may include a health care proxy or durable power of attorney for health care as part of his advance directives. This form designates a person of the client's choosing to make health care decisions for him if he becomes unable to do so for himself. This may be a relative, personal friend, or anyone the client designates. The nurse should ensure that this form is witnessed or notarized according to state law. A nurse is teaching a client who has rheumatoid arthritis about chronic pain management. Which of the following statements by the client indicates an understanding of the teaching?
- "I should stop participating in my bowling league."
- "I should take a cool shower in the morning to relieve stiffness."
- "I should decrease my intake of foods containing purine."
- "I should use a warm paraffin dip for my hands and feet." - - ANS✔️ --"I should use a warm paraffin dip for my hands and feet."
Rat: The nurse should instruct the client to dip her hands and feet in warm paraffin to alleviate pain and stiffness. The client can more easily perform hand and finger exercises following the treatment. A nurse is caring for a child who has contact dermatitis due to poison ivy. The parent asks the nurse how to prevent further reactions. Which of the following responses should the nurse make?
- "Rinse your child's skin with hot water within 30 min of contact with the poison ivy plant."
- "Wash your child's exposed clothing with hot water and detergent."
- "Scrub your child's exposed skin with warm water and antibacterial soap."
- "Don't allow your child to have contact with other children who have poison ivy." - - ANS✔️ -- "Wash your child's exposed clothing with hot water and detergent." Rat: The nurse should instruct the parent to wash the child's clothing in hot water and detergent after exposure to the poison ivy plant. This will remove the oil, urushiol, which causes the skin reaction. The nurse should instruct the parent to wash the child's clothing in hot water and detergent after exposure to the poison ivy plant. This will remove the oil, urushiol, which causes the skin reaction. - - ANS✔️ --1. First, the nurse should assist the client into high Fowler's position or raise the head of the bed at least 30° to help prevent aspiration.
A nurse is planning care for a newly-admitted school-age child who has rubeola. Which of the following isolation precautions should the nurse plan to initiate?
- Droplet
- Airborne
- Contact
- Protective environment - - ANS✔️ --Airborne Rat: The nurse should initiate airborne precautions for a client who has varicella, measles (rubeola), or pulmonary tuberculosis. Airborne precautions include a private room with negative pressure airflow, with 6 to 12 air exchanges/hr via a high-efficiency particulate air (HEPA) filtration system. A nurse is preparing to leave the room of a client who is on isolation precautions. Which of the following actions should the nurse take when removing a tied surgical mask?
- Take the mask off immediately after leaving the client's room.
- Perform hand hygiene prior to removing the mask.
- Untie the top strings of the mask and then untie the lower strings.
- Remove the mask by securely holding the ties and moving it away from the face. - - ANS✔️ -- Remove the mask by securely holding the ties and moving it away from the face.
Rat: The nurse should untie the bottom strings and then the top strings. Finally, while still holding the strings, the nurse should remove the mask from her face. This action prevents the nurse from touching the front of the mask, which is contaminated. A nurse is caring for a client who has cancer and is planning discharge to home with hospice care. Which of the following statements by the client indicates that he is experiencing spiritual distress?
- "I am thankful for what I have, because things could be worse."
- "I wish God had not allowed this cancer to invade my body."
- "I will have to ask my son to read the Torah to me."
- "I would like to speak to the rabbi at my synagogue." - - ANS✔️ --"I wish God had not allowed this cancer to invade my body." Rat: The nurse should identify that this statement indicates the client is experiencing spiritual distress, which occurs when there is a disturbance in a client's belief system. This client is expressing spiritual anger and not accepting his condition. A nurse is teaching a young adult female clients about health screening for breast cancer. Which of the following statements by the client indicates an understanding of breast self-examination (BSE)?
- "I should perform a BSE about 1 week before my period each month."
the client is successfully able to suppress the urge, the time between voids is slightly increased. This process of scheduled voiding promotes retraining of the bladder and decreases urge incontinence. A nurse is administering ophthalmic solution to a client who has bacterial conjunctivitis. What action should the nurse take?
- Have the client lie supine.
- Tell the client to look down toward the floor.
- Place a finger on the upper eyelid to pull it outward.
- Instill the drops onto the client's cornea. - - ANS✔️ --Have the client lie supine. Rat: A nurse in a long-term care facility discovers a small fire a client's trash can. After moving the client to safety, which of the following actions should the nurse take next?
- Return to the room to extinguish the fire.
- Close the doors and windows on the unit.
- Pull the alarm to notify emergency services.
- Turn off oxygen and electrical equipment. - - ANS✔️ --Pull the alarm to notify emergency services.
Rat: Evidence-based practice indicates the nurse should first rescue and remove clients in immediate danger and then activate the alarm to notify authorities of the situation. A nurse on a pediatric unit is admitting an infant who has pertussis, what isolation precautions should the nurse initiate?
- Protective environment
- Airborne
- Droplet
- Contact - - ANS✔️ --Droplet Rat: The nurse should initiate droplet precautions for an infant who has pertussis. The nurse should initiate droplet precautions for micro-organisms that are transmitted via droplets larger than 5 microns, including rubella, streptococcal pharyngitis, and diphtheria. Droplet precautions include a private room and a mask or respirator. A community health nurse is participating in a task force initiative to reduce the incidence of disease from injection drug use among the city's homeless population. What plan should the nurse recommend as part of tertiary prevention? Offer HIV testing. Start a needle-exchange program. Screen clients who are homeless for drug use.
- Review the client's medical record for previous transfusion information.
- Administer premedication to the client as prescribed by the provider.
- Verify the client and blood component using a two-person process.
- Educate the client about manifestations to report to the nurse immediately. - - ANS✔️ --Verify the client and blood component using a two-person process. Rat: The Joint Commission National Patient Safety Goals regarding blood transfusions includes improving the accuracy of client identification. The nurse should eliminate transfusion errors related to client misidentification by using a two-person verification process to identify the client and the blood component. A nurse is creating a plan of care for a client who is nonambulatory and has bladder and bowel incontinence. What interventions should the nurse include to prevent skin break down?
- Use a sheepskin device to pad the client's pressure points.
- Apply cornstarch to the perineal area after bathing the client.
- Massage the client's skin and pressure points every 12 hr.
- Offer the client a glass of water every 2 hr when repositioning. - - ANS✔️ --Offer the client a glass of water every 2 hr when repositioning. Rat: The nurse should offer the client a glass of water every 2 hr on the client's repositioning schedule. This helps prevent dehydration, which increases the risk of skin breakdown.
A nurse is teaching the parent of a toddler about home injury prevention. When discussing snacks, which of the following statements by the parent indicates an understanding of the teaching?
- "I can offer her grapes as long as I peel them first."
- "I can give her watermelon pieces after I remove the seeds."
- "I should give her popcorn that is air-popped and without salt or butter."
- "I should cut hot dogs into thin, round slices before giving them to her." - - ANS ✔️ --"I can give her watermelon pieces after I remove the seeds." Rat: The nurse should inform the parent that toddlers can easily choke on seeds from fruits, such as watermelon seeds or cherry pits, because of their round shape and size. Removing the seeds and cutting the watermelon into pieces provides the toddler with a nutritious snack that does not increase the toddler's risk of foreign body obstruction. A nurse is searching electronic databases for clinical research about behavioral indicators of pain in an infant. Which of the following online sources should the nurse select to research this infant care issue?
- Cumulative Index to Nursing and Allied Health Literature (CINAHL)
- The Nursing Minimum Data Set
- The Omaha System
A nurse in a long term care facility is performing a fall risk assessment on a newly admitted client using the Timed Up and Go (TUG) test. The client reports using a tripod cane for ambulation. Which of the following actions should the nurse take when using this test?
- Observe the client ambulating a distance of 3 m (10 feet) during the TUG test.
- Instruct the client to perform the TUG test without the use of the cane.
- Assist the client to stand up from the chair when starting the TUG test.
- Advise the client to use the arms of the chair to stand when starting the TUG test. - - ANS✔️ -- Observe the client ambulating a distance of 3 m (10 feet) during the TUG test. Rat:The nurse should mark a spot 3 m (10 feet) away from the client's sitting location. The nurse should instruct the client to stand, ambulate to the marked spot, turn, ambulate back to the chair, and sit down. The nurse should observe the client's ability to perform the test and use a stopwatch to time the client. The nurse should identify that the client is at increased risk of falls if it takes longer than 14 seconds to complete the test. A nurse in an emergency is caring for an infant who requires emergency surgery. The infant is accompanied by his 16-year-old mother and his maternal grandfather. Which of the following actions should the nurse take when assisting with informed consent?
- Witness consent obtained from the infant's mother.
- Inform the family that informed consent is not needed due to emergency surgery.
- Notify the maternal grandfather that he is required to give informed consent.
- Request that a court-appointed representative provide informed consent. - - ANS✔️ --Witness consent obtained from the infant's mother. Rat: The nurse should assist in obtaining informed consent from the infant's mother by witnessing her signature. Statutory guidelines indicate that a minor, even if unemancipated, can provide consent for her infant. Unemancipated minors can also legally provide informed consent for STI treatment, substance use treatment, and care related to pregnancy in some states. A nurse is planning care to prevent a catheter-related blood stream infection for a client who is receiving IV fluid therapy. Which of the following interventions should the nurse include in the plan?
- Change bags of IV solution every 72 hr.
- Perform hand hygiene before touching the IV tubing.
- Use hydrogen peroxide to cleanse the IV insertion site.
- Assess the IV insertion site every 12 hr for redness. - - ANS✔️ --Perform hand hygiene before touching the IV tubing. A nurse is providing teaching to a client who has chronic fatigue syndrome. Which of the following statements should the nurse make? - - ANS✔️ --Take NSAIDs for body aches and paim Rat: The nurse should instruct the client that NSAIDs can alleviate the body aches and pain that are associated with chronic fatigue syndrome. Alternative therapies, such as tai chi and massage, can also be helpful.
