1
NSG3130 Fundamental II Exam 2 2026/2027 Actual
Exam - Complete Questions with Detailed
Rationales | 100% Verified Graded A+ Pass
Guaranteed - A+ Graded
SECTION 1: Patient Education and Health Literacy (Questions 1–20)
1. A nurse is planning a teaching session for an older adult client with a new diagnosis of diabetes.
Before initiating teaching, which of the following is the nurse's priority action?
A. Provide the client with written handouts on diabetic management.
B. Assess the client's readiness to learn and current knowledge level.
C. Invite the client's family members to attend the teaching session.
D. Begin with a detailed explanation of the pathophysiology of diabetes.
Answer: B. Assess the client's readiness to learn and current knowledge level.
Rationale: Before any education can occur, the nurse must first consider the patient's background,
readiness to learn, and current condition. Assessment is always the first step in the nursing process and
is essential for creating an effective, individualized teaching plan. Providing information without
assessment (A, D) or involving family (C) may be part of the plan, but only after a thorough assessment.
2. A nurse is providing discharge instructions to the mother of a 6-year-old who just had a full left leg
cast placed. The mother states, "You don't have to go over those—I'll read them at home." What is
the most appropriate nursing action?
A. Contact the physician immediately to report the mother's non-compliance.
B. Consider the possibility of health literacy limitations and assess further.
C. Stop the teaching, as the mother has clearly taken care of a cast before.
D. Provide the written instructions and tell the mother to call with questions.
Answer: B. Consider the possibility of health literacy limitations and assess further.
Rationale: The mother's statement could be a red flag for a potential health literacy issue. The nurse
should not assume non-compliance or prior knowledge. The best action is to gently explore the situation
further. Asking someone else to read a form or avoiding reading it aloud are behaviors indicative of
potential health literacy issues.
,2
3. A nurse is teaching a client how to self-administer insulin injections. The client is able to correctly
verbalize the steps but is hesitant and anxious when handling the syringe. Which domain of learning
should the nurse focus on next?
A. Cognitive domain
B. Affective domain
C. Psychomotor domain
D. Spiritual domain
Answer: C. Psychomotor domain.
Rationale: The three domains of learning are cognitive (thinking), affective (feeling), and psychomotor
(doing). The client has mastered the cognitive component (verbalizing the steps) but needs more
practice with the physical skill of handling the syringe, which falls into the psychomotor domain. The
affective domain deals with attitudes and emotions, which could also be at play, but the direct need is
skill development.
4. Which of the following are accurate principles for patient teaching? (Select all that apply)
A. Teaching multiple, complex concepts at once for efficiency.
B. Keeping teaching sessions short and focused.
C. Continuing the session even if the patient becomes fatigued.
D. Providing positive feedback to the patient.
E. Starting with familiar material and progressing to new information.
F. Reviewing key points at the end of the session.
Answer: B, D, E, F.
Rationale: Effective patient teaching involves several key principles. Sessions should be kept short (B) to
prevent information overload, and positive feedback (D) encourages the patient. It's best to start with
what the patient knows and move to new information (E) and to always review key points at the end (F).
Teaching multiple concepts (A) or continuing when a patient is fatigued (C) are ineffective strategies.
5. A nurse is planning a community health workshop on basic body mechanics for employees. What
information would be most helpful for the nurse to obtain in advance of the presentation?
A. Specific ages of all the employees.
B. Names of the employees attending.
C. Names of the managers who will be present.
D. The anticipated number of participants.
Answer: D. The anticipated number of participants.
Rationale: When planning a presentation, knowing the number of participants (D) is crucial for logistical
planning, such as preparing enough materials and arranging the room appropriately. While demographic
information (A) can be helpful, it is not as immediately critical for planning a one-time workshop.
,3
6. The nurse is teaching a client with a new colostomy about how to change the appliance. The nurse
uses a "teach-back" method and asks the client to demonstrate the procedure. Which learning
principle is the nurse applying?
A. Learning is best achieved when the learner is passive.
B. Active participation strengthens learning.
C. Information should be presented in large blocks.
D. Learning is a cognitive process only.
Answer: B. Active participation strengthens learning.
Rationale: The "teach-back" method requires the client to actively demonstrate or explain the
information they were taught. This form of active participation (psychomotor and cognitive) reinforces
learning and allows the nurse to assess the client's understanding immediately. This is more effective
than passive learning.
7. A home health nurse is making an initial visit to an older adult client. The client lives alone. Which
of the following questions is most appropriate to assess the client's health literacy?
A. "How many years of school did you complete?"
B. "How confident are you filling out medical forms by yourself?"
C. "Do you have trouble reading small print?"
D. "Can you tell me who the current president is?"
Answer: B. "How confident are you filling out medical forms by yourself?"
Rationale: This is a validated screening question for health literacy. It directly addresses the client's
ability to navigate healthcare-related tasks. Asking about years of school (A) does not accurately reflect
a person's reading or comprehension ability. Asking about small print (C) addresses vision, not literacy.
Asking about the president (D) assesses orientation or memory.
8. A nurse is teaching a toddler about an upcoming procedure. Which of the following strategies is
most appropriate?
A. Engaging in a detailed discussion about the procedure.
B. Using pictures or a doll to demonstrate the procedure.
C. Having the child role-play the procedure with another child.
D. Providing an informational pamphlet for the child to read.
Answer: B. Using pictures or a doll to demonstrate the procedure.
Rationale: Toddlers are in the preoperational stage of cognitive development. They learn best through
play and visual aids. Using pictures or a doll is a concrete, age-appropriate method. Detailed discussions
(A) are too abstract, role-playing (C) is better for older children, and a pamphlet (D) is not
developmentally appropriate.
, 4
9. A nurse is preparing a teaching plan for an older adult. Which age-related change should the nurse
consider when choosing teaching strategies?
A. Increased ability to learn new information quickly.
B. Decreased short-term memory and slower processing speed.
C. Enhanced auditory acuity allowing for better listening.
D. Improved visual acuity for reading small print.
Answer: B. Decreased short-term memory and slower processing speed.
Rationale: Normal aging can lead to a decline in short-term memory and a slower processing speed, as
well as hearing and vision loss. The nurse should adapt teaching by slowing down, repeating key
information, using visual aids with large print, and minimizing distractions. The other options describe
improvements, which are not typical age-related changes.
10. A nurse is teaching a client who is a kinesthetic learner. Which teaching method would be most
effective for this client?
A. Providing a detailed pamphlet with diagrams.
B. Having the client listen to an audio recording of the instructions.
C. Allowing the client to manipulate equipment and practice the skill.
D. Asking the client to watch a video demonstration.
Answer: C. Allowing the client to manipulate equipment and practice the skill.
Rationale: Kinesthetic learners learn best by doing and actively engaging with materials. Hands-on
practice is the ideal strategy for this learning style. Pamphlets are for visual learners (A), audio for
auditory learners (B), and videos for visual learners (D).
11. A patient who is visually impaired is being discharged with a new medication. What is the nurse's
best approach to ensure medication safety?
A. Provide the standard printed medication information sheet.
B. Ask a family member to always be responsible for the patient's medications.
C. Instruct the patient to memorize the shape and size of each pill.
D. Provide large-print instructions or use a medication identification device.
Answer: D. Provide large-print instructions or use a medication identification device.
Rationale: The best approach is to adapt the teaching method to the patient's needs while promoting
independence. Large-print instructions or a talking medication identification device are appropriate
accommodations. A standard printout (A) is not helpful. While family can be a resource (B), the goal is to
promote patient autonomy whenever possible.
NSG3130 Fundamental II Exam 2 2026/2027 Actual
Exam - Complete Questions with Detailed
Rationales | 100% Verified Graded A+ Pass
Guaranteed - A+ Graded
SECTION 1: Patient Education and Health Literacy (Questions 1–20)
1. A nurse is planning a teaching session for an older adult client with a new diagnosis of diabetes.
Before initiating teaching, which of the following is the nurse's priority action?
A. Provide the client with written handouts on diabetic management.
B. Assess the client's readiness to learn and current knowledge level.
C. Invite the client's family members to attend the teaching session.
D. Begin with a detailed explanation of the pathophysiology of diabetes.
Answer: B. Assess the client's readiness to learn and current knowledge level.
Rationale: Before any education can occur, the nurse must first consider the patient's background,
readiness to learn, and current condition. Assessment is always the first step in the nursing process and
is essential for creating an effective, individualized teaching plan. Providing information without
assessment (A, D) or involving family (C) may be part of the plan, but only after a thorough assessment.
2. A nurse is providing discharge instructions to the mother of a 6-year-old who just had a full left leg
cast placed. The mother states, "You don't have to go over those—I'll read them at home." What is
the most appropriate nursing action?
A. Contact the physician immediately to report the mother's non-compliance.
B. Consider the possibility of health literacy limitations and assess further.
C. Stop the teaching, as the mother has clearly taken care of a cast before.
D. Provide the written instructions and tell the mother to call with questions.
Answer: B. Consider the possibility of health literacy limitations and assess further.
Rationale: The mother's statement could be a red flag for a potential health literacy issue. The nurse
should not assume non-compliance or prior knowledge. The best action is to gently explore the situation
further. Asking someone else to read a form or avoiding reading it aloud are behaviors indicative of
potential health literacy issues.
,2
3. A nurse is teaching a client how to self-administer insulin injections. The client is able to correctly
verbalize the steps but is hesitant and anxious when handling the syringe. Which domain of learning
should the nurse focus on next?
A. Cognitive domain
B. Affective domain
C. Psychomotor domain
D. Spiritual domain
Answer: C. Psychomotor domain.
Rationale: The three domains of learning are cognitive (thinking), affective (feeling), and psychomotor
(doing). The client has mastered the cognitive component (verbalizing the steps) but needs more
practice with the physical skill of handling the syringe, which falls into the psychomotor domain. The
affective domain deals with attitudes and emotions, which could also be at play, but the direct need is
skill development.
4. Which of the following are accurate principles for patient teaching? (Select all that apply)
A. Teaching multiple, complex concepts at once for efficiency.
B. Keeping teaching sessions short and focused.
C. Continuing the session even if the patient becomes fatigued.
D. Providing positive feedback to the patient.
E. Starting with familiar material and progressing to new information.
F. Reviewing key points at the end of the session.
Answer: B, D, E, F.
Rationale: Effective patient teaching involves several key principles. Sessions should be kept short (B) to
prevent information overload, and positive feedback (D) encourages the patient. It's best to start with
what the patient knows and move to new information (E) and to always review key points at the end (F).
Teaching multiple concepts (A) or continuing when a patient is fatigued (C) are ineffective strategies.
5. A nurse is planning a community health workshop on basic body mechanics for employees. What
information would be most helpful for the nurse to obtain in advance of the presentation?
A. Specific ages of all the employees.
B. Names of the employees attending.
C. Names of the managers who will be present.
D. The anticipated number of participants.
Answer: D. The anticipated number of participants.
Rationale: When planning a presentation, knowing the number of participants (D) is crucial for logistical
planning, such as preparing enough materials and arranging the room appropriately. While demographic
information (A) can be helpful, it is not as immediately critical for planning a one-time workshop.
,3
6. The nurse is teaching a client with a new colostomy about how to change the appliance. The nurse
uses a "teach-back" method and asks the client to demonstrate the procedure. Which learning
principle is the nurse applying?
A. Learning is best achieved when the learner is passive.
B. Active participation strengthens learning.
C. Information should be presented in large blocks.
D. Learning is a cognitive process only.
Answer: B. Active participation strengthens learning.
Rationale: The "teach-back" method requires the client to actively demonstrate or explain the
information they were taught. This form of active participation (psychomotor and cognitive) reinforces
learning and allows the nurse to assess the client's understanding immediately. This is more effective
than passive learning.
7. A home health nurse is making an initial visit to an older adult client. The client lives alone. Which
of the following questions is most appropriate to assess the client's health literacy?
A. "How many years of school did you complete?"
B. "How confident are you filling out medical forms by yourself?"
C. "Do you have trouble reading small print?"
D. "Can you tell me who the current president is?"
Answer: B. "How confident are you filling out medical forms by yourself?"
Rationale: This is a validated screening question for health literacy. It directly addresses the client's
ability to navigate healthcare-related tasks. Asking about years of school (A) does not accurately reflect
a person's reading or comprehension ability. Asking about small print (C) addresses vision, not literacy.
Asking about the president (D) assesses orientation or memory.
8. A nurse is teaching a toddler about an upcoming procedure. Which of the following strategies is
most appropriate?
A. Engaging in a detailed discussion about the procedure.
B. Using pictures or a doll to demonstrate the procedure.
C. Having the child role-play the procedure with another child.
D. Providing an informational pamphlet for the child to read.
Answer: B. Using pictures or a doll to demonstrate the procedure.
Rationale: Toddlers are in the preoperational stage of cognitive development. They learn best through
play and visual aids. Using pictures or a doll is a concrete, age-appropriate method. Detailed discussions
(A) are too abstract, role-playing (C) is better for older children, and a pamphlet (D) is not
developmentally appropriate.
, 4
9. A nurse is preparing a teaching plan for an older adult. Which age-related change should the nurse
consider when choosing teaching strategies?
A. Increased ability to learn new information quickly.
B. Decreased short-term memory and slower processing speed.
C. Enhanced auditory acuity allowing for better listening.
D. Improved visual acuity for reading small print.
Answer: B. Decreased short-term memory and slower processing speed.
Rationale: Normal aging can lead to a decline in short-term memory and a slower processing speed, as
well as hearing and vision loss. The nurse should adapt teaching by slowing down, repeating key
information, using visual aids with large print, and minimizing distractions. The other options describe
improvements, which are not typical age-related changes.
10. A nurse is teaching a client who is a kinesthetic learner. Which teaching method would be most
effective for this client?
A. Providing a detailed pamphlet with diagrams.
B. Having the client listen to an audio recording of the instructions.
C. Allowing the client to manipulate equipment and practice the skill.
D. Asking the client to watch a video demonstration.
Answer: C. Allowing the client to manipulate equipment and practice the skill.
Rationale: Kinesthetic learners learn best by doing and actively engaging with materials. Hands-on
practice is the ideal strategy for this learning style. Pamphlets are for visual learners (A), audio for
auditory learners (B), and videos for visual learners (D).
11. A patient who is visually impaired is being discharged with a new medication. What is the nurse's
best approach to ensure medication safety?
A. Provide the standard printed medication information sheet.
B. Ask a family member to always be responsible for the patient's medications.
C. Instruct the patient to memorize the shape and size of each pill.
D. Provide large-print instructions or use a medication identification device.
Answer: D. Provide large-print instructions or use a medication identification device.
Rationale: The best approach is to adapt the teaching method to the patient's needs while promoting
independence. Large-print instructions or a talking medication identification device are appropriate
accommodations. A standard printout (A) is not helpful. While family can be a resource (B), the goal is to
promote patient autonomy whenever possible.
