NSG 3130 EXAM 2 2025/2026 QUESTIONS
AND ANSWERS 100% PASS
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. - ANS b. Consider
the possibility of health literacy limitations and assess further.
A patient's mother may have limited reading skills or health literacy and should be further
assessed. Contacting the physician in this situation would not be appropriate because ensuring
that the patient and family understand discharge instructions is the responsibility of the nurse.
Assuming that the mother has taken care of casts in the past may be inaccurate. Stating that
reading the instructions with the nurse is a requirement does not ensure that the patient or
mother comprehends the instructions.
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?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,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. -
ANS b. Request an interpreter per facility protocol.
An interpreter employed by the hospital would be the best choice so that someone in the room
can communicate and provide comfort for the patient. Taking additional staff into the room may
increase the patient's anxiety, thereby decreasing his ability to comprehend the instructions.
Although the physician would not want to frighten the patient, the physician ordered the
nasogastric (NG) tube for the benefit of the patient; therefore, it needs to be placed.
Documenting the inability to place the NG tube due to lack of means of communication is not
acceptable and does not ensure that the patient gets the needed treatment.
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 - ANS b
Lack of Knowledge and Literacy Problem are appropriate nursing diagnoses for use in
developing a patient teaching plan. Moral Distress is a nursing diagnosis for those facing ethical
decisions. Difficulty Coping is not a nursing diagnosis used in developing a teaching plan, but if a
patient is not coping effectively, it may affect the ability to learn. A nursing diagnosis of Anxiety
may affect the patient's ability to learn but is not directly related to developing a teaching plan.
Teaching about Disease is not a nursing diagnosis. It is an intervention performed by the nurse.
Which nursing diagnosis is appropriate if a patient expresses an interest in learning?
a. Ready to Learn
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,b. Lack of Knowledge
c. Effective Information Processing
d. Health-Seeking Behaviors - ANS a. Ready to Learn
A patient's expression of an interest in learning would indicate correct use of the nursing
diagnosis, Ready to Learn. Lack of Knowledge would indicate the patient has a deficiency of
knowledge on a particular subject. Effective Information Processing is the patient's ability to
acquire useful information. Health-Seeking Behaviors is active seeking by a person of ways to
alter habits to enhance health.
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. -
ANS b, c, e
Asking someone else to read the form, waiting for help with the forms, and partially or
inaccurately filling out forms are behaviors indicative of potential health literacy issues. Needing
glasses does not correlate directly with health literacy. A tearful spouse requires additional
assessment to see whether health literacy is a problem. The wife may be overwhelmed and feel
unable to complete the forms, or she may need to collect her thoughts in the midst of a
stressful time.
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
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, b. Affective
c. Psychosocial
d. Cognitive - ANS a. Psychomotor
Demonstration along with a return demonstration by the patient is an example of psychomotor
domain learning. Affective domain learning integrates new knowledge by recognizing an
emotional component. Psychosocial is not one of the domains of learning. Cognitive domain
learning is based on knowledge and material that is remembered, memorized, and recalled.
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. - ANS c. Other
members of the health care team need to know the patient's progress.
Although the remaining options may be true, the primary reason for specific documentation of
a patient's progress in a teaching plan is to ensure that other nurses or members of other
disciplines can pick up the teaching plan and know precisely what the patient has accomplished
and where to begin additional sessions.
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
c. Psychomotor
d. Cognitive - ANS c. Psychomotor
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
AND ANSWERS 100% PASS
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. - ANS b. Consider
the possibility of health literacy limitations and assess further.
A patient's mother may have limited reading skills or health literacy and should be further
assessed. Contacting the physician in this situation would not be appropriate because ensuring
that the patient and family understand discharge instructions is the responsibility of the nurse.
Assuming that the mother has taken care of casts in the past may be inaccurate. Stating that
reading the instructions with the nurse is a requirement does not ensure that the patient or
mother comprehends the instructions.
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?
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,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. -
ANS b. Request an interpreter per facility protocol.
An interpreter employed by the hospital would be the best choice so that someone in the room
can communicate and provide comfort for the patient. Taking additional staff into the room may
increase the patient's anxiety, thereby decreasing his ability to comprehend the instructions.
Although the physician would not want to frighten the patient, the physician ordered the
nasogastric (NG) tube for the benefit of the patient; therefore, it needs to be placed.
Documenting the inability to place the NG tube due to lack of means of communication is not
acceptable and does not ensure that the patient gets the needed treatment.
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 - ANS b
Lack of Knowledge and Literacy Problem are appropriate nursing diagnoses for use in
developing a patient teaching plan. Moral Distress is a nursing diagnosis for those facing ethical
decisions. Difficulty Coping is not a nursing diagnosis used in developing a teaching plan, but if a
patient is not coping effectively, it may affect the ability to learn. A nursing diagnosis of Anxiety
may affect the patient's ability to learn but is not directly related to developing a teaching plan.
Teaching about Disease is not a nursing diagnosis. It is an intervention performed by the nurse.
Which nursing diagnosis is appropriate if a patient expresses an interest in learning?
a. Ready to Learn
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,b. Lack of Knowledge
c. Effective Information Processing
d. Health-Seeking Behaviors - ANS a. Ready to Learn
A patient's expression of an interest in learning would indicate correct use of the nursing
diagnosis, Ready to Learn. Lack of Knowledge would indicate the patient has a deficiency of
knowledge on a particular subject. Effective Information Processing is the patient's ability to
acquire useful information. Health-Seeking Behaviors is active seeking by a person of ways to
alter habits to enhance health.
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. -
ANS b, c, e
Asking someone else to read the form, waiting for help with the forms, and partially or
inaccurately filling out forms are behaviors indicative of potential health literacy issues. Needing
glasses does not correlate directly with health literacy. A tearful spouse requires additional
assessment to see whether health literacy is a problem. The wife may be overwhelmed and feel
unable to complete the forms, or she may need to collect her thoughts in the midst of a
stressful time.
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
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, b. Affective
c. Psychosocial
d. Cognitive - ANS a. Psychomotor
Demonstration along with a return demonstration by the patient is an example of psychomotor
domain learning. Affective domain learning integrates new knowledge by recognizing an
emotional component. Psychosocial is not one of the domains of learning. Cognitive domain
learning is based on knowledge and material that is remembered, memorized, and recalled.
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. - ANS c. Other
members of the health care team need to know the patient's progress.
Although the remaining options may be true, the primary reason for specific documentation of
a patient's progress in a teaching plan is to ensure that other nurses or members of other
disciplines can pick up the teaching plan and know precisely what the patient has accomplished
and where to begin additional sessions.
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
c. Psychomotor
d. Cognitive - ANS c. Psychomotor
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
