with Verified Answers & Detailed Rationales
Table of Contents
1. Exam Overview & Blueprint
2. Section 1: Health Literacy & Patient Teaching (Questions 1–170)
3. Section 2: Activity, Immobility, and Safe Movement (Questions 171–335)
4. Section 3: Cognitive and Sensory Alterations (Questions 336–420)
5. Section 4: Rest and Sleep (Questions 421–500)
6. Answer Key Summary
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Exam Overview & Blueprint
This 500-question practice exam is designed to simulate the cognitive assessment for NSG
3130 Exam 2. The content reflects the standard course blueprint, which splits the exam
evenly across three units. The questions evaluate candidates on the following core
domains and approximate question distribution:
Core Domain Approx. of Questions Key Focus Areas
:--- :--- :---
Health Literacy & Patient Teaching 170 Teach-back method, learning domains (cognitive,
psychomotor, affective), health literacy assessment, interpreter rules, nursing process
applied to education
,Activity, Immobility, and Safe Movement 165 Effects of immobility by body system, DVT
prevention, orthostatic hypotension, cane/crutch gaits, safe lifting, exercise types,
pressure injury prevention
Cognitive and Sensory Alterations 85 Delirium vs. dementia vs. depression, sudden
confusion, expressive vs. receptive aphasia, sensory deprivation vs. overload
Rest and Sleep 80 Sleep stages (N3 vs. REM), night terrors vs. nightmares, OSA risk
factors, sleep medication safety
Total 500
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Section 1: Health Literacy & Patient Teaching
1. The nurse understands that a patient's unique ability to understand and integrate health-
related knowledge is known by which term?
A. Health education
B. Health literacy
C. Health promotion
D. Health comprehension
Answer: B. Health literacy.
Rationale: Health literacy is the unique ability of a patient to understand and integrate
health-related knowledge. It involves reading, understanding, and using health information
to make appropriate health decisions .
2. A well-educated patient who is an engineer is struggling to comprehend terms in health-
related literature about his disease. The nurse recognizes this as evidence of which issue?
A. Low intelligence
B. Low health literacy
, C. Lack of motivation
D. Educational deficit
Answer: B. Low health literacy.
Rationale: Health literacy is separate from general education level. Even highly educated
individuals can have low health literacy when faced with unfamiliar medical terminology
and concepts .
3. Which teaching method best verifies a patient's understanding of discharge
instructions?
A. Repeating the same lecture
B. Giving a brochure only
C. Asking "Do you understand?"
D. Teach-back
Answer: D. Teach-back.
Rationale: Teach-back asks the patient to explain information in their own words, revealing
misunderstandings that can then be corrected. It is a highly effective method for
confirming comprehension .
4. Which learning domain involves knowledge, reasoning, and recall?
A. Interpersonal
B. Affective
C. Psychomotor
D. Cognitive
Answer: D. Cognitive.
Rationale: The cognitive domain involves thinking, comprehension, analysis, memory, and
problem solving .