NSG3130 EXAM 2, NSG 3130

NSG3130 EXAM 2, NSG 3130

FUNDAMENTALS II, NUR SING EXAM

QUESTIONS, REAL NURS ING EXAM,

NSG3130 ANSWERS, FUNDAMENTALS OF

NURSING II, NURSING TEST

Question: 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?

• Contact the physician immediately.
• Consider the possibility of health literacy limitations and

assess further.

• Stop the teaching, because the mother obviously has taken

care of casts before.

• Explain to the mother that reading the instructions with her

is required.

Correct answer: b. Consider the possibility of health literacy

limitations and assess further.

Question: 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?

• Use two additional staff members when placing the tube so

the patient can be restrained if needed.

• Request an interpreter per facility protocol.
• Do not place the NG tube because the physician would not

want to frighten the patient.

• Document the inability to place the NG tube due to lack of

ability to communicate.

Correct answer: b. Request an interpreter per facility

protocol.

Question: Which nursing diagnoses are used in developing a

patient teaching plan? (Select all that apply.)

• Moral Distress
• Lack of Knowledge
• Difficulty Coping
• Teaching about Disease
• Anxiety

Correct answer: b. Lack of Knowledge

Question: Which nursing diagnosis is appropriate if a patient

expresses an interest in learning?

• Ready to Learn
• Lack of Knowledge

• Effective Information Processing
• Health-Seeking Behaviors

Correct answer: a. Ready to Learn

Question: 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.)

• Putting on glasses before beginning the paperwork.
• Asking someone in the waiting area to read the forms to

her.

• Waiting until her daughter arrives to begin the paperwork

so that her daughter can complete the forms.

• Setting the clipboard aside and staring tearfully out the

window.

• Returning the forms only partially filled out, with missing

or inaccurate information.

Correct answer: b, c, e

Question: 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?

• Psychomotor
• Affective
• Psychosocial

• Cognitive

Correct answer: a. Psychomotor

Question: 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?

• The patient's insurance company requires documentation.
• The nurse's employer requires documentation of home care

sessions.

• Other members of the health care team need to know the

patient's progress.

• Insulin is a potentially dangerous medication and needs to

be documented.

Correct answer: c. Other members of the health care team

need to know the patient's progress.

Question: 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?

• Affective
• VARK
• Psychomotor
• Cognitive

Correct answer: c. Psychomotor