NSG 3130 Exam 2 (2026/2027)
Questions with Verified Answers and
Rationales. Latest Verified Test.
SECTION 1: PATIENT EDUCATION AND HEALTH LITERACY
1. The nurse is caring for a 6-year-old patient in the emergency department
who just had a full left leg cast placed for a fracture. As the nurse is
reviewing the discharge instructions with the patient's mother, she states,
"You don't have to go over those—I'll read them at home." What should
the nurse do?
a. Contact the physician immediately.
b. Consider the possibility of health literacy limitations and assess further.
c. Stop the teaching, because the mother obviously has taken care of casts
before.
d. Explain to the mother that reading the instructions with her is required.
Answer: b. Consider the possibility of health literacy limitations and assess
further.
Rationale: A patient's mother may have limited reading skills or health literacy
and should be further assessed. Contacting the physician in this situation would
not be appropriate because ensuring that the patient and family understand
discharge instructions is the responsibility of the nurse. Assuming that the
mother has taken care of casts in the past may be inaccurate. Stating that
reading the instructions with the nurse is a requirement does not ensure that the
patient or mother comprehends the instructions.
2. A 58-year-old man is admitted for a small-bowel obstruction late
Saturday night. The admitting orders include the need to place a
nasogastric (NG) tube to low intermittent suction. During the assessment,
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,the nurse determines that the patient does not speak English. Which action
should the nurse take first before placing the NG tube?
a. Use two additional staff members when placing the tube so the patient can be
restrained if needed.
b. Request an interpreter per facility protocol.
c. Do not place the NG tube because the physician would not want to frighten
the patient.
d. Document the inability to place the NG tube due to lack of ability to
communicate.
Answer: b. Request an interpreter per facility protocol.
Rationale: An interpreter employed by the hospital would be the best choice so
that someone in the room can communicate and provide comfort for the patient.
Taking additional staff into the room may increase the patient's anxiety, thereby
decreasing his ability to comprehend the instructions. Although the physician
would not want to frighten the patient, the physician ordered the NG tube for
the benefit of the patient; therefore, it needs to be placed. Documenting the
inability to place the NG tube due to lack of means of communication is not
acceptable and does not ensure that the patient gets the needed treatment.
3. Which nursing diagnoses are used in developing a patient teaching plan?
(Select all that apply.)
a. Moral Distress
b. Lack of Knowledge
c. Difficulty Coping
d. Teaching about Disease
e. Anxiety
Answer: b. Lack of Knowledge
Rationale: Lack of Knowledge and Literacy Problem are appropriate nursing
diagnoses for use in developing a patient teaching plan. Moral Distress is a
nursing diagnosis for those facing ethical decisions. Difficulty Coping is not a
nursing diagnosis used in developing a teaching plan, but if a patient is not
coping effectively, it may affect the ability to learn. A nursing diagnosis of
Anxiety may affect the patient's ability to learn but is not directly related to
2|Page
,developing a teaching plan. Teaching about Disease is not a nursing diagnosis; it
is an intervention performed by the nurse.
4. Which nursing diagnosis is appropriate if a patient expresses an interest
in learning?
a. Ready to Learn
b. Lack of Knowledge
c. Effective Information Processing
d. Health-Seeking Behaviours
Answer: a. Ready to Learn
Rationale: A patient's expression of an interest in learning would indicate
correct use of the nursing diagnosis, Ready to Learn. Lack of Knowledge would
indicate the patient has a deficiency of knowledge on a particular subject.
Effective Information Processing is the patient's ability to acquire useful
information. Health-Seeking Behaviours is active seeking by a person of ways
to alter habits to enhance health.
5. A 61-year-old man is undergoing an emergency cardiac catheterization.
The nurse gives his wife the registration paperwork to complete. Which
observed actions may indicate a health literacy issue? (Select all that
apply.)
a. Putting on glasses before beginning the paperwork.
b. Asking someone in the waiting area to read the forms to her.
c. Waiting until her daughter arrives to begin the paperwork so that her daughter
can complete the forms.
d. Setting the clipboard aside and staring tearfully out the window.
e. Returning the forms only partially filled out, with missing or inaccurate
information.
Answer: b, c, e
Rationale: Asking someone else to read the form, waiting for help with the
forms, and partially or inaccurately filling out forms are behaviors indicative of
potential health literacy issues. Needing glasses does not correlate directly with
health literacy. A tearful spouse requires additional assessment to see whether
3|Page
, health literacy is a problem. The wife may be overwhelmed and feel unable to
complete the forms, or she may need to collect her thoughts in the midst of a
stressful time.
6. Teaching a patient to use an incentive spirometer by demonstration, with
a return demonstration by the patient, is an example of teaching based on
which domain of learning?
a. Psychomotor
b. Affective
c. Psychosocial
d. Cognitive
Answer: a. Psychomotor
Rationale: Demonstration along with a return demonstration by the patient is
an example of psychomotor domain learning. Affective domain learning
integrates new knowledge by recognizing an emotional component.
Psychosocial is not one of the domains of learning. Cognitive domain learning
is based on knowledge and material that is remembered, memorized, and
recalled.
7. The nurse is providing home care to a 62-year-old woman who was
recently diagnosed with insulin-dependent diabetes mellitus. What is the
most important reason for the nurse to document the teaching session?
a. The patient's insurance company requires documentation.
b. The nurse's employer requires documentation of home care sessions.
c. Other members of the health care team need to know the patient's progress.
d. Insulin is a potentially dangerous medication and needs to be documented.
Answer: c. Other members of the health care team need to know the
patient's progress.
Rationale: Although the remaining options may be true, the primary reason for
specific documentation of a patient's progress in a teaching plan is to ensure that
other nurses or members of other disciplines can pick up the teaching plan and
know precisely what the patient has accomplished and where to begin additional
sessions.
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Questions with Verified Answers and
Rationales. Latest Verified Test.
SECTION 1: PATIENT EDUCATION AND HEALTH LITERACY
1. The nurse is caring for a 6-year-old patient in the emergency department
who just had a full left leg cast placed for a fracture. As the nurse is
reviewing the discharge instructions with the patient's mother, she states,
"You don't have to go over those—I'll read them at home." What should
the nurse do?
a. Contact the physician immediately.
b. Consider the possibility of health literacy limitations and assess further.
c. Stop the teaching, because the mother obviously has taken care of casts
before.
d. Explain to the mother that reading the instructions with her is required.
Answer: b. Consider the possibility of health literacy limitations and assess
further.
Rationale: A patient's mother may have limited reading skills or health literacy
and should be further assessed. Contacting the physician in this situation would
not be appropriate because ensuring that the patient and family understand
discharge instructions is the responsibility of the nurse. Assuming that the
mother has taken care of casts in the past may be inaccurate. Stating that
reading the instructions with the nurse is a requirement does not ensure that the
patient or mother comprehends the instructions.
2. A 58-year-old man is admitted for a small-bowel obstruction late
Saturday night. The admitting orders include the need to place a
nasogastric (NG) tube to low intermittent suction. During the assessment,
1|Page
,the nurse determines that the patient does not speak English. Which action
should the nurse take first before placing the NG tube?
a. Use two additional staff members when placing the tube so the patient can be
restrained if needed.
b. Request an interpreter per facility protocol.
c. Do not place the NG tube because the physician would not want to frighten
the patient.
d. Document the inability to place the NG tube due to lack of ability to
communicate.
Answer: b. Request an interpreter per facility protocol.
Rationale: An interpreter employed by the hospital would be the best choice so
that someone in the room can communicate and provide comfort for the patient.
Taking additional staff into the room may increase the patient's anxiety, thereby
decreasing his ability to comprehend the instructions. Although the physician
would not want to frighten the patient, the physician ordered the NG tube for
the benefit of the patient; therefore, it needs to be placed. Documenting the
inability to place the NG tube due to lack of means of communication is not
acceptable and does not ensure that the patient gets the needed treatment.
3. Which nursing diagnoses are used in developing a patient teaching plan?
(Select all that apply.)
a. Moral Distress
b. Lack of Knowledge
c. Difficulty Coping
d. Teaching about Disease
e. Anxiety
Answer: b. Lack of Knowledge
Rationale: Lack of Knowledge and Literacy Problem are appropriate nursing
diagnoses for use in developing a patient teaching plan. Moral Distress is a
nursing diagnosis for those facing ethical decisions. Difficulty Coping is not a
nursing diagnosis used in developing a teaching plan, but if a patient is not
coping effectively, it may affect the ability to learn. A nursing diagnosis of
Anxiety may affect the patient's ability to learn but is not directly related to
2|Page
,developing a teaching plan. Teaching about Disease is not a nursing diagnosis; it
is an intervention performed by the nurse.
4. Which nursing diagnosis is appropriate if a patient expresses an interest
in learning?
a. Ready to Learn
b. Lack of Knowledge
c. Effective Information Processing
d. Health-Seeking Behaviours
Answer: a. Ready to Learn
Rationale: A patient's expression of an interest in learning would indicate
correct use of the nursing diagnosis, Ready to Learn. Lack of Knowledge would
indicate the patient has a deficiency of knowledge on a particular subject.
Effective Information Processing is the patient's ability to acquire useful
information. Health-Seeking Behaviours is active seeking by a person of ways
to alter habits to enhance health.
5. A 61-year-old man is undergoing an emergency cardiac catheterization.
The nurse gives his wife the registration paperwork to complete. Which
observed actions may indicate a health literacy issue? (Select all that
apply.)
a. Putting on glasses before beginning the paperwork.
b. Asking someone in the waiting area to read the forms to her.
c. Waiting until her daughter arrives to begin the paperwork so that her daughter
can complete the forms.
d. Setting the clipboard aside and staring tearfully out the window.
e. Returning the forms only partially filled out, with missing or inaccurate
information.
Answer: b, c, e
Rationale: Asking someone else to read the form, waiting for help with the
forms, and partially or inaccurately filling out forms are behaviors indicative of
potential health literacy issues. Needing glasses does not correlate directly with
health literacy. A tearful spouse requires additional assessment to see whether
3|Page
, health literacy is a problem. The wife may be overwhelmed and feel unable to
complete the forms, or she may need to collect her thoughts in the midst of a
stressful time.
6. Teaching a patient to use an incentive spirometer by demonstration, with
a return demonstration by the patient, is an example of teaching based on
which domain of learning?
a. Psychomotor
b. Affective
c. Psychosocial
d. Cognitive
Answer: a. Psychomotor
Rationale: Demonstration along with a return demonstration by the patient is
an example of psychomotor domain learning. Affective domain learning
integrates new knowledge by recognizing an emotional component.
Psychosocial is not one of the domains of learning. Cognitive domain learning
is based on knowledge and material that is remembered, memorized, and
recalled.
7. The nurse is providing home care to a 62-year-old woman who was
recently diagnosed with insulin-dependent diabetes mellitus. What is the
most important reason for the nurse to document the teaching session?
a. The patient's insurance company requires documentation.
b. The nurse's employer requires documentation of home care sessions.
c. Other members of the health care team need to know the patient's progress.
d. Insulin is a potentially dangerous medication and needs to be documented.
Answer: c. Other members of the health care team need to know the
patient's progress.
Rationale: Although the remaining options may be true, the primary reason for
specific documentation of a patient's progress in a teaching plan is to ensure that
other nurses or members of other disciplines can pick up the teaching plan and
know precisely what the patient has accomplished and where to begin additional
sessions.
4|Page
