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2025 Concept-Based Assessment Level 3 Online Exam
Questions with 100% Correct Answers GRADED
A nurse in a mental health clinic is assessing a client who states, "I don't think my gambling is as big of a problem as my friends think it is." Which of the following findings should the nurse identify as meeting the diagnostic criteria of gambling disorder? The client asks others for money to compensate for gambling losses. A nurse is assessing a client who has schizophrenia. Which of the following manifestations should the nurse identify as positive symptoms of schizophrenia? (Select all that apply.) Magical thinking is correct. Clang association is correct Auditory hallucinations is correct. A nurse is assessing a client who has end-stage COPD. Which of the following images should the nurse identify as a late manifestation of this terminal illness? clubbing fingernails A nurse in an emergency department is assessing a newly admitted client. The nurse should identify that which of the following findings is a manifestation of acute cocaine toxicity? Agitation A nurse is providing teaching to a client who has preeclampsia without severe features. Which of the following instructions should the nurse include? Use a side-lying position when resting in bed or on the couch. A nurse is planning care for a client who has a gambling disorder. Which of the following interventions should the nurse include in the plan? Recommend joining a self-help group.
FLAGA nurse is caring for a client who has Alzheimer's disease (AD). The client's daughter asks the nurse if she will have AD as well. Which of the following responses should the nurse make regarding the genetic predisposition of this disease? Recommend joining a self-help group. A nurse is caring for a client who has Alzheimer's disease (AD). The client's daughter asks the nurse if she will have AD as well. Which of the following responses should the nurse make regarding the genetic predisposition of this disease? "You can be tested for the presence of apolipoprotein, an indication of an increased risk of developing AD." A nurse in a mental health clinic is planning care for a client who has post-traumatic stress disorder (PTSD). Which of the following strategies should the nurse include? Assist the client to identify their stage in the grief process. A nurse is reviewing the laboratory findings of a client who has acute pancreatitis. Which of the following findings should the nurse expect? Amylase 300 units/L A nurse is caring for a client who has schizophrenia and states, "The government has spies here monitoring me in my room." Which of the following responses should the nurse give? "I understand that you believe the government is here, but I don't see any evidence of this." A nurse is reviewing the medical history of a client. The nurse should identify that which of the following findings indicates the client is at risk for a stroke? Takes a combination oral contraceptive A nurse is caring for a client who is 4 hr postpartum and is experiencing excessive vaginal bleeding. Which of the following actions is the nurse's priority? Massage the client's fundus.
A nurse is teaching about uterine artery embolization with a client who has uterine fibroids. Which of the following information should the nurse include in the teaching? "You may experience flu-like illness for 7 days after the procedure." A hospice nurse is caring for a client who has end-stage cancer. The client's partner asked about ways to help reduce the client's pain. Which of the following palliative actions should the nurse recommend for tactile distraction? Applying warm compresses A nurse is counseling a client who has experienced intimate partner violence. Which of the following instructions is the priority for the nurse to include in the teaching? Develop a safety plan. A nurse is teaching a client who has epilepsy and a prescription for valproic acid. The nurse should instruct the client to report which of the following as an adverse effect of the medication? Yellow sclera A nurse is caring for a client who is at 13 weeks of gestation and has a positive gonorrhea culture. Which of the following medications should the nurse plan to administer? Ceftriaxone A nurse is assessing a client who is at 24 weeks of gestation during a monthly antepartum visit. Which of the following manifestations is a potential prenatal complication and should be reported to the provider? Facial swelling A nurse is educating a group of staff nurses about the difference between non-Hodgkin's lymphoma (NHL) and Hodgkin's lymphoma (HL). The nurse should include which of the following statements in the teaching? "Non-Hodgkin's lymphoma progresses erratically through the lymphatic system."
A nurse is teaching a client who has melanoma about nonsurgical treatment options. The nurse should include which of the following options in the teaching? Targeted therapy A nurse is reviewing the medical record of a client who requests a prescription for an oral contraceptive. Which of the following findings should the nurse identify as a contraindication to an oral contraceptive? Migraine with aura A nurse is teaching a client who has a new prescription for sildenafil to treat erectile dysfunction. Which of the following information should the nurse include in the teaching? Monitor for dizziness while on this medication. A nurse is reviewing the medical record of a 9-month-old infant. Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) Gross motor skills A nurse is evaluating the plan of care for an adolescent who has attention deficit hyperactive disorder (ADHD). Which of the following statements made by the adolescent should indicate to the nurse an improvement in the adolescent's social interaction? "I work well in groups of two or three people." A nurse is teaching a client who has sickle cell anemia about preventing sickle cell crisis. Which of the following information should the nurse include? "Avoid going outside when temperatures are extreme." A nurse is caring for a client following a stroke. Which of the following actions should the nurse take to increase the client's cerebral perfusion? Position the client's head in a midline position.
A nurse is teaching a client who has a new diagnosis of pelvic inflammatory disease (PID) and is starting oral antibiotic therapy. Which of the following information should the nurse include in the teaching? "Avoid sexual activity until antibiotic therapy is complete." A nurse assessing an adolescent client who has Ewing sarcoma. Which of the following manifestations should the nurse expect? Client reports pain in the upper thigh. A nurse is caring for a client who is receiving IV oxytocin for induction of labor. The fetal heart rate tracing reveals multiple variable decelerations. Which of the following actions should the nurse take? Reposition the client. A nurse is assessing a newly admitted client who has major depressive disorder. Which of the following manifestations should the nurse expect in this client? Experiences delusions of persecution A nurse is assessing a client who has post-traumatic stress disorder (PTSD) after a workplace explosion 3 months ago. Which of the following findings should the nurse expect? Hypervigilance A nurse is planning care for a client who has alcohol use disorder. Which of the following medications should the nurse expect the provider to prescribe? Naltrexone A nurse is planning care for a client who is being admitted for treatment of anorexia nervosa. Which of the following actions should the nurse include in the plan? Observe the client for 60 min after meals.
A nurse is caring for a client who has a newborn and exhibits manifestations of postpartum depression. Which of the following assessments is the nurse's priority? Determine whether the client plans to harm herself. A nurse is assessing a client who is at 35 weeks of gestation and is experiencing a placental abruption. Which of the following findings should the nurse expect? Uterine hypertonicity A nurse is assessing a client who has multiple sclerosis (MS). Which of the following manifestations should the nurse expect? Decreased visual acuity A nurse is teaching about pancreatic enzyme replacement therapy with a client who has chronic pancreatitis and is starting to take pancrelipase capsules. Which of the following information should the nurse include when teaching about pancrelipase? Vary the amount of medication taken based on the amount of food consumed. A nurse is providing dietary teaching for a client who is obese and wants to lose 0.91 kg (2 lb) per week. The client currently consumes about 2,500 calories per day. To achieve this weekly weight loss goal, how many calories should the nurse instruct the client to consume per day? 1, A nurse is assessing a client who has borderline personality disorder. Which of the following characteristics should the nurse expect? Impulsiveness A nurse is planning care for a newborn who was born at 33 weeks of gestation and is 2 days old. Which of the following interventions should the nurse include? Position the newborn side-lying or prone while in the nursery.
Euphoria A nurse is planning to administer recommended immunizations to a 65-year-old client. Which of the following immunizations should the nurse plan to administer? (Select all that apply.) Influenza vaccine Herpes zoster (Shingles) vaccine Pneumococcal vaccine A nurse is caring for a client who has moderate dementia and is experiencing frequent episodes of confusion. Which of the following actions should the nurse take? Use large calendars that are easy for the client to read. A nurse is assessing a client who has amyotrophic lateral sclerosis (ALS). Which of the following findings should the nurse identify as an early manifestation of this illness? Fasciculations of the face A nurse is assessing a client following a stroke. The nurse should identify that which of the following findings is a manifestation of increased intracranial pressure? Vomiting A nurse in an emergency department is counseling a client who experienced sexual violence. After addressing the client's physical needs, which of the following statements is the priority for the nurse to make? "You are safe here." A nurse is assessing a client who is a survivor of intimate partner violence. Which of the following findings indicates that the client is in the tension-building phase of battering? The client rationalizes the partner's battering behavior. A nurse is preparing to administer phenytoin via intermittent IV bolus to a client who is having a tonic-clonic seizure caused by epilepsy. Which of the following factors should the nurse consider when administering IV phenytoin?
Administer phenytoin at a rate no greater than 50 mg/min. A nurse is teaching the parents of a newborn about using a bulb syringe to clear the newborn's nose and mouth of excess secretions. Which of the following instructions should the nurse include? Discontinue suctioning when the newborn's cry sounds clear. A nurse is assessing a client who has acute leukemia and has received an allogeneic bone marrow transplant. The nurse should identify that which of the following findings is a manifestation of graft versus host disease (GVHD)? Diffuse rash A hospice nurse is providing palliative care for a client who is near death and not responding to verbal stimuli. Which of the following actions should the nurse take? Apply a scopolamine transdermal patch for increased oral or respiratory secretions. A nurse is caring for a client who is experiencing a postpartum hemorrhage. Which of the following medications should the nurse plan to administer? Methylergonovine A nurse is teaching about home safety with a parent of a newborn. Which of the following information should the nurse include? Increase the temperature of the room prior to bathing the newborn. A nurse is caring for a client who has gastroenteritis and reports diarrhea and vomiting for 3 days. Which of the following findings should the nurse recognize as a manifestation of this inflammatory bowel disease? Orthostatic hypotension A nurse is teaching the parent of a newborn about the immunization schedule. The nurse should inform the parent that his child will receive the following immunizations in which
Tremors A nurse is assessing a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect? Rhinorrhea A nurse is teaching a client who has chronic pain about biofeedback. Which of the following information should the nurse include about this complementary therapy? Biofeedback provides audio and visual signals to induce a physiological change. A nurse is caring for a client who is at 33 weeks of gestation and has a new diagnosis of preeclampsia. Which of the following medications should the nurse expect the provider to prescribe? Nifedipine A nurse is assessing a newly admitted client following a stroke. Which of the following findings should indicate to the nurse the client has experienced a left hemispheric stroke? Difficulty reading A nurse is providing discharge teaching to a client who is at 34 weeks of gestation and has placenta previa. Which of the following statements by the client indicates an understanding of the instructions? "I need to make arrangements so that I am not by myself at home." A nurse is reviewing the laboratory results for a client who has HELLP syndrome. Which of the following laboratory results should the nurse expect? Serum uric acid 11 mg/dL A community health nurse is assessing an older adult client. The nurse should identify that which of the following findings is a manifestation of elder neglect? Sunken eyes
A nurse is providing teaching to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse make? "You should be refitted for a new diaphragm if your weight changes by 20 percent or more." A nurse is reviewing the recent laboratory reports for a client who has anorexia nervosa with recurrent purging behavior. Which of the following laboratory values indicates a therapeutic response to the treatment plan? BUN 18 mg/dL A nurse is caring for an infant born at 31 weeks of gestation. For which of the following complications should the nurse anticipate and monitor the newborn? (Select all that apply.) Apnea Necrotizing enterocolitis Hypoglycemia A nurse in a provider's office is reviewing the laboratory report of a client who takes lithium for bipolar disorder. Which of the following laboratory results should the nurse report to the provider? Sodium 128 mEq/L A nurse is providing discharge teaching to a client who is at 32 weeks of gestation and had an episode of preterm labor. Which of the following should the nurse include in the instructions? "If contractions recur, drink two or three glasses of water." A nurse is providing discharge 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 in the teaching? "Give a second injection if the first fails to entirely reverse your child's reaction."
A nurse is caring for a client who is experiencing infertility. Which of the following medications should the nurse expect the provider to prescribe? Clomiphene A nurse is teaching a family member of a client who has Alzheimer's disease about minimizing behavioral problems at home. Which of the following information should the nurse include in the teaching? Briefly leave the room when the client becomes agitated. A nurse is assessing a 2-year-old toddler who has Down syndrome during a well-child visit. The parent reports concerns regarding his child's delayed developmental achievement. Which of the following responses should the nurse make? "Is your child receiving the physical therapy we recommended?" A nurse is assessing an infant who has Down syndrome. Which of the following manifestations should the nurse expect? Depressed nasal bridge A nurse is providing discharge teaching for the guardian of a newborn who was recently circumcised. Which of the following statements should the nurse make? "Clean the penis with warm water until it is healed." A nurse is reviewing the laboratory report of a school-age child who has acute poststreptococcal glomerulonephritis. Which of the following laboratory values should the nurse expect? Increased specific gravity A nurse is assessing a 2-year-old toddler at a well-child visit. For which of the following findings should the nurse refer the toddler for an evaluation for autism spectrum disorder (ASD)? Reluctance to make eye contact
A nurse is preparing discharge instructions for a client who experienced an anaphylactic reaction to seafood. Which of the following instructions should the nurse plan to include regarding the client's new prescription for an epinephrine injector pen? Use the injector pen regardless of severity of manifestations. A nurse is obtaining a history from a client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for suicide? Recent move across the country to look for work A nurse is assessing a client who has Parkinson's disease. Which of the following manifestations should the nurse expect? Bradykinesia
