NSG 3130 EXAM 2 QUESTIONS AND CORRECT
ANSWERS | LATEST UPDATED 2026/2027 | GRADED A+
| 100% ASSURED PASS.
Which nursing diagnosis is appropriate if a patient expresses an interest in
learning?
A. Ready to Learn
B. Lack of Knowledge
C. Effective Information Processing
D. Health-Seeking Behaviors – ANSWER 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.
Which set of cues is most concerning in a patient with deep vein thrombosis (DVT)
in the left calf?
A. High blood pressure and low heart rate
B. Coughing up blood and chest pain
C. Low oral intake and urine output
D. Bruising on the upper arm and torso – ANSWER b. Coughing up blood and
chest pain
,The patient who is coughing up blood and has chest pain has the most concerning
cues. A pulmonary embolism (PE) is suspected when a patient has sudden
shortness of breath, chest pain, dizziness, irregular heartbeat or palpitations, low
blood pressure or is coughing up blood. High blood pressure and low heart rate are
the opposite of that seen in PE. Fluid intake is important in the prevention of
venous thrombolytic events but is not the most concerning cue. Bruising might be
related to anticoagulant therapy but is not the most concerning cue.
The nurse is caring for a patient who states they have not been able to sleep while
in the hospital. Which action would be a priority to implement?
A. Administer a sleeping medication with the evening meal.
B. Restrict visitors for the patient in the evening.
C. Decrease noise around the patient during the night.
D. Offer a hot drink of regular tea at bedtime. - ANSWER_c. Decrease noise
around the patient during the night.
Noise is a primary cause for disturbed sleep in the hospital. Administering sleeping
medications with the evening meal is too early to help the patient sleep throughout
the night. Restricting visitors may be helpful if the patient requests it, but visitors
often provide emotional support and reassurance to the patient, which helps with
relaxation. Regular tea contains caffeine, which is not helpful in sleep promotion.
A nurse is working a night shift after several months of working day shift. What
action does the nurse take to protect patient safety?
A. Take a meal break at midnight.
B. Plan critical tasks for early in the shift.
C. Ask another nurse to administer all medications.
,D. Turn up lights on the unit to maintain alertness. - ANSWER_b. Plan critical
tasks for early in the shift.
Critical tasks should be performed early in the shift before the nurse becomes
fatigued. The 4 a.m. Window is when most people become the sleepiest during a
night shift. Thus, it is important that noncritical tasks be planned for this time and
that extra care be taken with patient care tasks. A meal break at midnight may be
too early to prevent hunger for the entire shift and is not directly related to patient
safety. It is not necessary to have another nurse administer all medications if the
nurse is aware of the high-risk time for care tasks. Increasing the amount of light is
likely to impair the sleep of all patients on the unit.
After application of sequential compression devices (scds) on a patient, what
assessment finding is essential for the nurse to include in documentation?
A. Warmth of bilateral upper extremities
B. Lower extremity circulatory status
C. Circumoral cyanosis
D. Altered bowel sounds – ANSWER b. Lower extremity circulatory status
At a routine clinic visit, an athlete training for a major sports event reports
difficulty sleeping that is affecting the training schedule. What would be the best
recommendation by the nurse for this patient to promote sleep?
A. Increase the use of electrolyte-enriched drinks to increase stamina.
B. Obtain a short-term prescription for sleeping medications.
C. Plan to arise later in the morning to accommodate sleep changes.
, D. Avoid vigorous exercise for at least 2 hours before bedtime. - ANSWER_d.
Avoid vigorous exercise for at least 2 hours before bedtime.
Vigorous exercise in the hours before bedtime will cause stimulation that prevents
sleep. Adjusting the training schedule to account for this effect is the preferred first
step for improving the athlete's sleep rather than starting medications that may
affect alertness during the day. A regular sleep schedule is preferred to maintain
sleep promotion, including getting up at the same time each day no matter when
bedtime occurred.
The nurse must document the date and time of initiating SCD placement and the
results of a skin, circulatory, and neurologic assessment of the lower extremities.
Scds do not affect the upper extremities, cardiac or respiratory status leading to
circumoral cyanosis, or altered bowel sounds.
Spasticity – ANSWER Increased muscle tone
Quadriplegia – ANSWER Inability to move all four extremities
Necrosis – ANSWER Death of cells, tissues, or organs
Gait – ANSWER Manner of walking
Ischemia – ANSWER Reduced blood flow
Flaccidity – ANSWER Lack of muscle tone
Atrophy – ANSWER Wasting
ANSWERS | LATEST UPDATED 2026/2027 | GRADED A+
| 100% ASSURED PASS.
Which nursing diagnosis is appropriate if a patient expresses an interest in
learning?
A. Ready to Learn
B. Lack of Knowledge
C. Effective Information Processing
D. Health-Seeking Behaviors – ANSWER 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.
Which set of cues is most concerning in a patient with deep vein thrombosis (DVT)
in the left calf?
A. High blood pressure and low heart rate
B. Coughing up blood and chest pain
C. Low oral intake and urine output
D. Bruising on the upper arm and torso – ANSWER b. Coughing up blood and
chest pain
,The patient who is coughing up blood and has chest pain has the most concerning
cues. A pulmonary embolism (PE) is suspected when a patient has sudden
shortness of breath, chest pain, dizziness, irregular heartbeat or palpitations, low
blood pressure or is coughing up blood. High blood pressure and low heart rate are
the opposite of that seen in PE. Fluid intake is important in the prevention of
venous thrombolytic events but is not the most concerning cue. Bruising might be
related to anticoagulant therapy but is not the most concerning cue.
The nurse is caring for a patient who states they have not been able to sleep while
in the hospital. Which action would be a priority to implement?
A. Administer a sleeping medication with the evening meal.
B. Restrict visitors for the patient in the evening.
C. Decrease noise around the patient during the night.
D. Offer a hot drink of regular tea at bedtime. - ANSWER_c. Decrease noise
around the patient during the night.
Noise is a primary cause for disturbed sleep in the hospital. Administering sleeping
medications with the evening meal is too early to help the patient sleep throughout
the night. Restricting visitors may be helpful if the patient requests it, but visitors
often provide emotional support and reassurance to the patient, which helps with
relaxation. Regular tea contains caffeine, which is not helpful in sleep promotion.
A nurse is working a night shift after several months of working day shift. What
action does the nurse take to protect patient safety?
A. Take a meal break at midnight.
B. Plan critical tasks for early in the shift.
C. Ask another nurse to administer all medications.
,D. Turn up lights on the unit to maintain alertness. - ANSWER_b. Plan critical
tasks for early in the shift.
Critical tasks should be performed early in the shift before the nurse becomes
fatigued. The 4 a.m. Window is when most people become the sleepiest during a
night shift. Thus, it is important that noncritical tasks be planned for this time and
that extra care be taken with patient care tasks. A meal break at midnight may be
too early to prevent hunger for the entire shift and is not directly related to patient
safety. It is not necessary to have another nurse administer all medications if the
nurse is aware of the high-risk time for care tasks. Increasing the amount of light is
likely to impair the sleep of all patients on the unit.
After application of sequential compression devices (scds) on a patient, what
assessment finding is essential for the nurse to include in documentation?
A. Warmth of bilateral upper extremities
B. Lower extremity circulatory status
C. Circumoral cyanosis
D. Altered bowel sounds – ANSWER b. Lower extremity circulatory status
At a routine clinic visit, an athlete training for a major sports event reports
difficulty sleeping that is affecting the training schedule. What would be the best
recommendation by the nurse for this patient to promote sleep?
A. Increase the use of electrolyte-enriched drinks to increase stamina.
B. Obtain a short-term prescription for sleeping medications.
C. Plan to arise later in the morning to accommodate sleep changes.
, D. Avoid vigorous exercise for at least 2 hours before bedtime. - ANSWER_d.
Avoid vigorous exercise for at least 2 hours before bedtime.
Vigorous exercise in the hours before bedtime will cause stimulation that prevents
sleep. Adjusting the training schedule to account for this effect is the preferred first
step for improving the athlete's sleep rather than starting medications that may
affect alertness during the day. A regular sleep schedule is preferred to maintain
sleep promotion, including getting up at the same time each day no matter when
bedtime occurred.
The nurse must document the date and time of initiating SCD placement and the
results of a skin, circulatory, and neurologic assessment of the lower extremities.
Scds do not affect the upper extremities, cardiac or respiratory status leading to
circumoral cyanosis, or altered bowel sounds.
Spasticity – ANSWER Increased muscle tone
Quadriplegia – ANSWER Inability to move all four extremities
Necrosis – ANSWER Death of cells, tissues, or organs
Gait – ANSWER Manner of walking
Ischemia – ANSWER Reduced blood flow
Flaccidity – ANSWER Lack of muscle tone
Atrophy – ANSWER Wasting
