Study Guide with Detailed Explanations
(2026)
Description:
Get fully prepared for your NSG 3130 Exam 2 with this comprehensive study guide featuring
100 practice questions and answers, meticulously updated for 2025/2026 curriculum
standards. Each question includes a clear, detailed explanation to deepen your understanding of
critical nursing concepts—from patient education and health literacy to safe mobility and
sensory function. This essential resource is designed to test your knowledge, identify areas for
review, and build your confidence for exam day.
Don't just study—master the material. Download your free key to success now and walk into your
exam prepared to excel!
, NSG 3130 Exam 2 Practice Test with Answer Key Explained
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
Explanation: A patient’s mother may have limited reading skills or health literacy and should be
further assessed. Contacting the physician is not appropriate because ensuring understanding of
discharge instructions is the nurse’s responsibility. Assuming prior experience may be
inaccurate, and insisting on reading together does not guarantee comprehension.
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, 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
Explanation: An interpreter ensures effective communication and reduces patient anxiety. Using
additional staff may increase fear. The NG tube is medically necessary and should not be omitted
due to language barriers. Documentation alone does not address the need for 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
Explanation: Lack of Knowledge is the appropriate nursing diagnosis for teaching plans. Moral
Distress relates to ethical decisions. Difficulty Coping and Anxiety may affect learning but are
not direct teaching diagnoses. Teaching about Disease is an intervention, not a diagnosis.
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 Behaviors
Answer: a
Explanation: Ready to Learn indicates the patient’s willingness and motivation to learn. Lack of
Knowledge refers to a deficit. Effective Information Processing and Health-Seeking Behaviors
are related but do not directly indicate readiness.
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
Explanation: Asking for help, waiting for assistance, and incomplete or inaccurate forms
suggest health literacy challenges. Needing glasses or emotional distress may indicate other
issues but are not definitive signs of literacy problems.
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
Explanation: Psychomotor learning involves physical skills and demonstration. Affective
involves emotions, cognitive involves knowledge recall, and psychosocial is not a learning
domain.
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
Explanation: Documentation ensures continuity of care and allows other team members to know
what has been taught and what still needs to be addressed.
8. Written instructions showing pictures of the steps necessary to test blood glucose, along with
demonstration and a return demonstration of the steps, would most benefit which learners?
a. Affective
b. VARK