ABSN February 2025-2026 Assessment 2
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Free ABSN February 2025-2026 Assessment 2 Questions
The nurse is caring for a client who has end-stage renal disease. The client's child is present and tells the nurse about fears that the disease will soon progress to death. What type of grieving does the nurse identify in the client's child's response?
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A Anticipatory
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B Situational
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C Coping
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D Hope
Explanation
Explanation
Anticipatory grief refers to the grief and emotional response experienced before an expected loss, in this case, the potential death of a loved one due to end-stage renal disease. The child's fear of the disease progressing to death is a classic example of anticipatory grief, as they are preparing emotionally for the potential loss, even though it has not yet occurred. This type of grief often arises when the loss is expected and allows the individual to process their emotions in advance of the actual event.The nurse is providing teaching to a young adult who is at risk for early-onset osteoporosis. Which intervention should the nurse suggest?
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A The client should participate in physical activity such as swimming
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B The client should limit carbonated beverages.
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C The client should start taking hormonal replacement therapy.
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D The client should decrease intake of dairy in the diet.
Explanation
Explanation
Carbonated beverages, particularly sodas, can contain phosphoric acid, which can interfere with calcium absorption and contribute to decreased bone density. To reduce the risk of osteoporosis, it's important to limit these types of drinks and focus on adequate calcium intake, typically from dairy products or fortified alternatives. Engaging in weight-bearing exercise (such as walking or strength training) is also essential for bone health, while swimming, though beneficial for general fitness, does not provide the same bone-strengthening benefits as weight-bearing activities. Hormonal replacement therapy is not typically recommended for young adults without specific indications and should be carefully considered. Reducing dairy intake would not be advisable for bone health, as dairy is an excellent source of calcium.The nurse is assessing a pediatric client and notes crop lesions that have spread to the face, trunk, and arms. Some appear as a pruritic macular rash and others have started to develop into vesicles. What intervention(s) will the nurse implement? (Select all that apply)
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A Implement standard precautions and guidelines only.
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B Place the child in a tepid bath to decrease pruritis.
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C Strict airborne and contact isolation precautions.
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D Allow unexposed friends of the child to come visit.
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E Strict droplet precautions and enforce handwashing
Explanation
Explanation
B Place the child in a tepid bath to decrease pruritis.Varicella causes intense itching due to widespread vesicular skin lesions. Tepid baths help soothe the skin, reduce itching, and decrease the likelihood of scratching, which lowers the risk of secondary bacterial infection and scarring.
C Strict airborne and contact isolation precautions.
Varicella is highly contagious and spreads through airborne respiratory droplets and direct contact with vesicular fluid. Strict airborne and contact precautions are required to prevent transmission to other clients and healthcare workers, especially those who are immunocompromised or unvaccinated.
The nurse is assessing a client in the clinic. Which assessment findings indicate that the client may have benign prostatic hyperplasia (BPH)? (Select all that apply)
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A Nocturia
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B Urinary dribbling
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C Urinary frequency
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D Elevated temperature
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E Weak stream
Explanation
Explanation
A NocturiaNocturia is a common manifestation of benign prostatic hyperplasia due to incomplete bladder emptying and increased urinary retention. As the enlarged prostate obstructs urine flow, the bladder fills more quickly, causing the client to wake frequently during the night to urinate.
B Urinary dribbling
Urinary dribbling occurs in BPH because the enlarged prostate interferes with complete bladder emptying. Residual urine remains in the bladder and leaks after voiding, leading to post-void dribbling, which is a classic lower urinary tract symptom associated with prostate enlargement.
C Urinary frequency
Urinary frequency results from bladder irritation and reduced bladder capacity caused by chronic obstruction from an enlarged prostate. The bladder must contract more often to expel smaller volumes of urine, leading to frequent urges to void throughout the day.
E Weak stream
A weak urinary stream is a hallmark sign of BPH. Prostate enlargement narrows the urethra, reducing urine flow force and causing difficulty initiating and maintaining a steady stream during urination.
The school nurse is conducting screenings for pediculosis capitis. Which assessment finding most supports a positive finding?
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A Scales, redness and flakes on the scalp that fall off easily when scratched.
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B Patches of redness and alopecia with a history of recent contact with infected animals.
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C Linear burrows appearing under the skin with severe pruritus, especially at night.
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D Tiny, white, clear or brown oval specs, adhering tightly to hair shafts.
Explanation
Explanation
The tiny oval specs described are nits (lice eggs) attached to the hair shafts, a key indicator of pediculosis capitis (head lice). Nits are usually white or light brown and are very difficult to remove. Unlike dandruff or flakes, which fall off easily, nits are firmly attached and require careful removal. Their presence, along with pruritus (itching), confirms the diagnosis of head lice.The nurse is caring for a child with chronic otitis media infections. Which prescription by the health care provider will the nurse anticipate?
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A Monospot test
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B MRI of the ear
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C Lumbar puncture
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D Audiology consult
Explanation
Explanation
Chronic otitis media can lead to conductive hearing loss due to persistent middle ear effusion or damage to middle ear structures. An audiology consult is anticipated to assess the child’s hearing status, identify any degree of hearing impairment, and guide further management or interventions. Early identification of hearing loss is essential to prevent delays in speech, language, and cognitive development.The nurse is caring for an older adult client who states that they have a rash that is burning and painful. Upon assessment, the nurse notes round, red, vesicles on one dermatome on the right side. What is the most important discharge teaching?
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A Instruct the client to receive the varicella vaccine once the virus has resolved.
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B Instruct the client to complete all antibiotics prescribed by the provider.
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C Instruct the client to receive the zoster vaccine once the virus has resolved.
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D Instruct the client to refrain from sexual activity for 30 days after discharge.
Explanation
Explanation
The client is exhibiting symptoms of herpes zoster (shingles), which occurs due to the reactivation of the varicella-zoster virus. The most important teaching point is to inform the client about the zoster vaccine. The vaccine helps reduce the risk of future outbreaks and complications such as postherpetic neuralgia once the current outbreak resolves. It is recommended for adults aged 50 and older to prevent future occurrences of shingles.The nurse is educating staff on factors that affect grief. Which type of influence is most likely to impact a person's expression of grief?
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A Geographical influences
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B Socioeconomic influences
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C Cause of death as an influence
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D Cultural influences
Explanation
Explanation
Cultural influences are the most likely to impact how a person expresses and processes grief. Different cultures have unique rituals, beliefs, and practices surrounding death and mourning. Cultural norms dictate the behaviors considered appropriate for grieving, such as how openly a person may express emotions or whether certain rituals are observed. This significantly influences how individuals cope with loss and may shape their grief experience.The nurse is discharging a client who underwent an open reduction with internal fixation of the right hip secondary to a fracture related to osteoporosis. The client is prescribed a bisphosphonate to be taken daily. What should the nurse include in the discharge instructions regarding this medication?
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A The medication must be taken on an empty stomach, only with water.
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B Calcium supplements are not needed when taking a bisphosphonate.
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C The client must lie down for 30 minutes following ingestion of the drug.
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D Calcium supplements are recommended in lieu of calcium taken with food.
Explanation
Explanation
Bisphosphonates must be taken first thing in the morning on an empty stomach with a full glass of plain water to ensure proper absorption. Food, beverages, and other medications significantly reduce absorption of the drug. Proper administration maximizes effectiveness in strengthening bone and reducing fracture risk, which is especially important in clients with osteoporosis following hip fracture and surgical repair.The nurse is caring for a client with multiple sclerosis (MS). The client tells the nurse the hardest thing to deal with is the fatigue. When teaching the client how to reduce fatigue, what action should the nurse suggest?
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A Increasing the dose of muscle relaxants
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B Taking a hot bath at least three times a week
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C Avoiding naps during the day
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D Working with Occupational and Physical Therapy
Explanation
Explanation
Fatigue is one of the most common and disabling symptoms of multiple sclerosis. Collaboration with Occupational and Physical Therapy helps the client learn energy conservation techniques, activity pacing, proper body mechanics, and adaptive strategies to reduce fatigue during daily activities. These therapies focus on maximizing function while minimizing energy expenditure, which is a cornerstone of fatigue management in MS.How to Order
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