Galen NSG 3130 Exam 2 | Fund. Concepts & Skills II (2026)
Actual Q&A PDF
1. A nurse is preparing a teaching session for a patient with newly diagnosed hypertension.
Which action should the nurse take first?
A) Select the appropriate teaching materials
B) Assess the patient's readiness to learn
C) Evaluate the patient's understanding of the disease
D) Develop a teaching plan with measurable objectives
Correct Answer: Assess the patient's readiness to learn
Rationale: Assessment is the first step of the nursing process and must precede any teaching
intervention. The nurse must determine the patient's current knowledge, readiness, learning
style, and barriers before selecting materials or developing a plan. Evaluating understanding
occurs after teaching has been implemented.
2. Which statement by a patient best demonstrates adequate health literacy?
A) "I can read most of the pamphlets you gave me."
B) "I can obtain, understand, and use health information to make decisions about my care."
C) "I know the names of all my medications."
,D) "I have never had a problem following my doctor's instructions."
Correct Answer: "I can obtain, understand, and use health information to make decisions about
my care."
Rationale: Health literacy is the ability to obtain, process, and understand basic health
information and services to make appropriate health decisions. Merely reading pamphlets,
memorizing medication names, or claiming no problems does not demonstrate the full scope of
health literacy, which includes comprehension and application.
3. A nurse is teaching a patient how to administer insulin injections. The patient watches the
nurse demonstrate the technique and then practices under supervision. Which learning domain
is primarily being addressed?
A) Cognitive domain
B) Affective domain
C) Psychomotor domain
D) Interpersonal domain
Correct Answer: Psychomotor domain
Rationale: The psychomotor domain involves learning physical skills through demonstration,
practice, and return demonstration. The cognitive domain involves knowledge and reasoning,
while the affective domain involves values, attitudes, and feelings. Administering an injection is
a hands-on skill, making the psychomotor domain primary.
,4. Which behavior observed by the nurse suggests that a patient may have low health literacy?
A) The patient asks many questions during the teaching session
B) The patient frequently misses appointments and misunderstands discharge instructions
C) The patient brings a family member to appointments
D) The patient takes notes during the teaching session
Correct Answer: The patient frequently misses appointments and misunderstands discharge
instructions
Rationale: Low health literacy often manifests as difficulty understanding medical instructions,
missed appointments, and poor adherence to treatment plans. Asking questions and taking
notes are positive learning behaviors. Bringing a family member may indicate a support system
and is not itself a sign of low health literacy.
5. A nurse is using the teach-back method to evaluate a patient's understanding of a new
medication regimen. Which action is correct?
A) Asking the patient, "Do you understand how to take your medication?"
B) Asking the patient to explain in their own words how they will take the medication
C) Providing a written handout and asking the patient to read it aloud
, D) Repeating the instructions several times to ensure the patient heard them
Correct Answer: Asking the patient to explain in their own words how they will take the
medication
Rationale: The teach-back method asks the patient to restate information in their own words,
which reveals genuine understanding and identifies areas needing clarification. Asking yes-or-no
questions or simply repeating instructions does not confirm comprehension. Providing a
handout alone does not verify understanding.
6. A nurse is preparing to teach a patient who speaks limited English. Which action is most
appropriate?
A) Ask the patient's adult child to interpret during the teaching session
B) Use a professional medical interpreter for the teaching session
C) Provide written materials in English and hope the patient understands
D) Speak loudly and slowly in English to help the patient understand
Correct Answer: Use a professional medical interpreter for the teaching session
Rationale: Professional medical interpreters are trained to accurately convey medical
information and maintain confidentiality. Using family members, especially children, can lead to
misinterpretation, privacy breaches, and role conflicts. Speaking loudly or providing English-only
materials does not address the language barrier.
7. Which statement by a patient indicates a need for further teaching about crutch use?
Actual Q&A PDF
1. A nurse is preparing a teaching session for a patient with newly diagnosed hypertension.
Which action should the nurse take first?
A) Select the appropriate teaching materials
B) Assess the patient's readiness to learn
C) Evaluate the patient's understanding of the disease
D) Develop a teaching plan with measurable objectives
Correct Answer: Assess the patient's readiness to learn
Rationale: Assessment is the first step of the nursing process and must precede any teaching
intervention. The nurse must determine the patient's current knowledge, readiness, learning
style, and barriers before selecting materials or developing a plan. Evaluating understanding
occurs after teaching has been implemented.
2. Which statement by a patient best demonstrates adequate health literacy?
A) "I can read most of the pamphlets you gave me."
B) "I can obtain, understand, and use health information to make decisions about my care."
C) "I know the names of all my medications."
,D) "I have never had a problem following my doctor's instructions."
Correct Answer: "I can obtain, understand, and use health information to make decisions about
my care."
Rationale: Health literacy is the ability to obtain, process, and understand basic health
information and services to make appropriate health decisions. Merely reading pamphlets,
memorizing medication names, or claiming no problems does not demonstrate the full scope of
health literacy, which includes comprehension and application.
3. A nurse is teaching a patient how to administer insulin injections. The patient watches the
nurse demonstrate the technique and then practices under supervision. Which learning domain
is primarily being addressed?
A) Cognitive domain
B) Affective domain
C) Psychomotor domain
D) Interpersonal domain
Correct Answer: Psychomotor domain
Rationale: The psychomotor domain involves learning physical skills through demonstration,
practice, and return demonstration. The cognitive domain involves knowledge and reasoning,
while the affective domain involves values, attitudes, and feelings. Administering an injection is
a hands-on skill, making the psychomotor domain primary.
,4. Which behavior observed by the nurse suggests that a patient may have low health literacy?
A) The patient asks many questions during the teaching session
B) The patient frequently misses appointments and misunderstands discharge instructions
C) The patient brings a family member to appointments
D) The patient takes notes during the teaching session
Correct Answer: The patient frequently misses appointments and misunderstands discharge
instructions
Rationale: Low health literacy often manifests as difficulty understanding medical instructions,
missed appointments, and poor adherence to treatment plans. Asking questions and taking
notes are positive learning behaviors. Bringing a family member may indicate a support system
and is not itself a sign of low health literacy.
5. A nurse is using the teach-back method to evaluate a patient's understanding of a new
medication regimen. Which action is correct?
A) Asking the patient, "Do you understand how to take your medication?"
B) Asking the patient to explain in their own words how they will take the medication
C) Providing a written handout and asking the patient to read it aloud
, D) Repeating the instructions several times to ensure the patient heard them
Correct Answer: Asking the patient to explain in their own words how they will take the
medication
Rationale: The teach-back method asks the patient to restate information in their own words,
which reveals genuine understanding and identifies areas needing clarification. Asking yes-or-no
questions or simply repeating instructions does not confirm comprehension. Providing a
handout alone does not verify understanding.
6. A nurse is preparing to teach a patient who speaks limited English. Which action is most
appropriate?
A) Ask the patient's adult child to interpret during the teaching session
B) Use a professional medical interpreter for the teaching session
C) Provide written materials in English and hope the patient understands
D) Speak loudly and slowly in English to help the patient understand
Correct Answer: Use a professional medical interpreter for the teaching session
Rationale: Professional medical interpreters are trained to accurately convey medical
information and maintain confidentiality. Using family members, especially children, can lead to
misinterpretation, privacy breaches, and role conflicts. Speaking loudly or providing English-only
materials does not address the language barrier.
7. Which statement by a patient indicates a need for further teaching about crutch use?
