NSG 2700 EXAM 3 SOUTH COLLEGE / ACTUAL EXAM
QUESTIONS AND 100% VERIFIED ANSWERS WITH
RATIONALES GRADED A+ LATEST
1. A nurse is preparing to teach a client who was recently diagnosed with
heart failure. Which action should the nurse take first?
A. Provide written information about sodium restriction
B. Ask the client what they already know about heart failure
C. Demonstrate how to monitor daily weight
D. Explain the purpose of prescribed medications
Answer: B
Rationale: Assessment is the first step in the teaching process. Determining the
client's current knowledge, beliefs, readiness, and learning needs allows the nurse
to individualize education. Teaching should not begin until the nurse has assessed
what the client already understands.
2. The nurse is evaluating whether a client has achieved a cognitive learning
objective about a newly prescribed medication. Which client statement best
demonstrates achievement?
A. "I feel more confident about taking this medication."
B. "I can explain why I should take this medication every morning."
C. "I can correctly inject the medication into my abdomen."
D. "I have decided that taking this medication is important to me."
Answer: B
Rationale: The cognitive domain involves knowledge, comprehension, reasoning,
and intellectual skills. Explaining why a medication is taken demonstrates
understanding. Feelings and values are part of the affective domain, while
performing an injection is a psychomotor skill.
,3. A client is learning to perform a sterile dressing change before discharge.
Which outcome is written appropriately?
A. The client will understand sterile technique.
B. The client will appreciate the importance of wound care.
C. The client will perform a sterile dressing change using correct technique before
discharge.
D. The nurse will explain the steps of wound care to the client.
Answer: C
Rationale: A measurable learning objective identifies the learner, the expected
behavior, and a measurable outcome. Performing a sterile dressing change is
observable and evaluates psychomotor learning. Terms such as "understand" and
"appreciate" are difficult to measure.
4. A nurse is teaching a client with limited health literacy about a new
medication regimen. Which intervention is most appropriate?
A. Provide a detailed medication booklet for the client to review independently.
B. Use medical terminology so the client becomes familiar with healthcare
language.
C. Use plain language and ask the client to explain the instructions in their own
words.
D. Ask a family member to receive all medication instructions instead of the client.
Answer: C
Rationale: Plain, understandable language combined with teach-back is an
effective approach for clients with limited health literacy. Teach-back allows the
nurse to evaluate how well the information was understood without placing blame
on the client.
,5. The nurse asks a client, "I want to make sure I explained this clearly. Can
you show me how you will use your inhaler at home?" What teaching strategy
is the nurse using?
A. Reinforcement
B. Teach-back
C. Passive learning
D. Sensory adaptation
Answer: B
Rationale: Teach-back asks the client to explain or demonstrate information in
their own words. It evaluates the effectiveness of the nurse's teaching and identifies
areas requiring clarification.
6. A client is experiencing severe postoperative pain and has not slept for most
of the night. The nurse plans to teach the client about incision care. What is
the best nursing action?
A. Begin teaching immediately because discharge education is required.
B. Provide written instructions and ask the client to study them independently.
C. Address the client's pain and need for rest before beginning extensive teaching.
D. Ask the client's roommate to listen to the instructions.
Answer: C
Rationale: Physiological needs such as pain control and rest can interfere with
concentration and readiness to learn. The nurse should address immediate needs
before attempting extensive teaching.
7. Which situation best represents learning in the affective domain?
A. A client lists three signs of wound infection.
B. A client demonstrates correct use of a walker.
C. A client expresses a willingness to stop smoking after discussing health risks.
D. A client calculates the correct dose of insulin.
, Answer: C
Rationale: The affective domain involves attitudes, feelings, beliefs, values, and
acceptance of health-related changes. Expressing willingness to change behavior
demonstrates affective learning.
8. A nurse is developing a teaching plan for a client with newly diagnosed
diabetes. Which statement by the nurse best demonstrates client-centered
teaching?
A. "I will teach all clients with diabetes using the same educational packet."
B. "I will determine what is most important for you to learn before deciding where
to begin."
C. "I will begin with the most complex information so the simple information is
easier later."
D. "I will complete the teaching as quickly as possible to avoid overwhelming
you."
Answer: B
Rationale: Effective teaching is individualized. The nurse should assess the
client's needs, priorities, existing knowledge, readiness, and learning preferences
before selecting content and methods.
9. A client is admitted to a busy emergency department and becomes
increasingly anxious, confused, and unable to concentrate. Monitors are
alarming, multiple staff members are speaking, and bright lights are
constantly present. Which condition is most likely occurring?
A. Sensory deprivation
B. Sensory overload
C. Sensory adaptation
D. Perceptual constancy
Answer: B
QUESTIONS AND 100% VERIFIED ANSWERS WITH
RATIONALES GRADED A+ LATEST
1. A nurse is preparing to teach a client who was recently diagnosed with
heart failure. Which action should the nurse take first?
A. Provide written information about sodium restriction
B. Ask the client what they already know about heart failure
C. Demonstrate how to monitor daily weight
D. Explain the purpose of prescribed medications
Answer: B
Rationale: Assessment is the first step in the teaching process. Determining the
client's current knowledge, beliefs, readiness, and learning needs allows the nurse
to individualize education. Teaching should not begin until the nurse has assessed
what the client already understands.
2. The nurse is evaluating whether a client has achieved a cognitive learning
objective about a newly prescribed medication. Which client statement best
demonstrates achievement?
A. "I feel more confident about taking this medication."
B. "I can explain why I should take this medication every morning."
C. "I can correctly inject the medication into my abdomen."
D. "I have decided that taking this medication is important to me."
Answer: B
Rationale: The cognitive domain involves knowledge, comprehension, reasoning,
and intellectual skills. Explaining why a medication is taken demonstrates
understanding. Feelings and values are part of the affective domain, while
performing an injection is a psychomotor skill.
,3. A client is learning to perform a sterile dressing change before discharge.
Which outcome is written appropriately?
A. The client will understand sterile technique.
B. The client will appreciate the importance of wound care.
C. The client will perform a sterile dressing change using correct technique before
discharge.
D. The nurse will explain the steps of wound care to the client.
Answer: C
Rationale: A measurable learning objective identifies the learner, the expected
behavior, and a measurable outcome. Performing a sterile dressing change is
observable and evaluates psychomotor learning. Terms such as "understand" and
"appreciate" are difficult to measure.
4. A nurse is teaching a client with limited health literacy about a new
medication regimen. Which intervention is most appropriate?
A. Provide a detailed medication booklet for the client to review independently.
B. Use medical terminology so the client becomes familiar with healthcare
language.
C. Use plain language and ask the client to explain the instructions in their own
words.
D. Ask a family member to receive all medication instructions instead of the client.
Answer: C
Rationale: Plain, understandable language combined with teach-back is an
effective approach for clients with limited health literacy. Teach-back allows the
nurse to evaluate how well the information was understood without placing blame
on the client.
,5. The nurse asks a client, "I want to make sure I explained this clearly. Can
you show me how you will use your inhaler at home?" What teaching strategy
is the nurse using?
A. Reinforcement
B. Teach-back
C. Passive learning
D. Sensory adaptation
Answer: B
Rationale: Teach-back asks the client to explain or demonstrate information in
their own words. It evaluates the effectiveness of the nurse's teaching and identifies
areas requiring clarification.
6. A client is experiencing severe postoperative pain and has not slept for most
of the night. The nurse plans to teach the client about incision care. What is
the best nursing action?
A. Begin teaching immediately because discharge education is required.
B. Provide written instructions and ask the client to study them independently.
C. Address the client's pain and need for rest before beginning extensive teaching.
D. Ask the client's roommate to listen to the instructions.
Answer: C
Rationale: Physiological needs such as pain control and rest can interfere with
concentration and readiness to learn. The nurse should address immediate needs
before attempting extensive teaching.
7. Which situation best represents learning in the affective domain?
A. A client lists three signs of wound infection.
B. A client demonstrates correct use of a walker.
C. A client expresses a willingness to stop smoking after discussing health risks.
D. A client calculates the correct dose of insulin.
, Answer: C
Rationale: The affective domain involves attitudes, feelings, beliefs, values, and
acceptance of health-related changes. Expressing willingness to change behavior
demonstrates affective learning.
8. A nurse is developing a teaching plan for a client with newly diagnosed
diabetes. Which statement by the nurse best demonstrates client-centered
teaching?
A. "I will teach all clients with diabetes using the same educational packet."
B. "I will determine what is most important for you to learn before deciding where
to begin."
C. "I will begin with the most complex information so the simple information is
easier later."
D. "I will complete the teaching as quickly as possible to avoid overwhelming
you."
Answer: B
Rationale: Effective teaching is individualized. The nurse should assess the
client's needs, priorities, existing knowledge, readiness, and learning preferences
before selecting content and methods.
9. A client is admitted to a busy emergency department and becomes
increasingly anxious, confused, and unable to concentrate. Monitors are
alarming, multiple staff members are speaking, and bright lights are
constantly present. Which condition is most likely occurring?
A. Sensory deprivation
B. Sensory overload
C. Sensory adaptation
D. Perceptual constancy
Answer: B
