NSG 3130 Exam 2 Exam 2026 MOST
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Your patient will be using crutches for mobility. After educating the patient on how to
adjust the crutches to fit correctly, you assess how well the patient understood the
instructions. What findings demonstrate that the crutches were adjusted correctly by the
patient? Select all that apply:*
A. The hand grips of the crutches are even with the mid-forearm.
B. When the patient grips the hand grips of the crutches the elbow bends at about 30
degrees.
C. The patient has a 2-3 finger width distance between the axillae and crutch rest pad.
D. The patient places weight on the axillae rather than the hands while ambulating. -
ANSWERS-The answers are B and C. Properly fitted crutches should be a 2-3 finger
width (about 1-1.5 inches) distance between the axillae (armpit area) and the crutch rest
pads during ambulation. This prevents damaging the nerves that are located in the
axillae during ambulation. In addition, when the patient grips the hand grips of the
crutches the elbow should slightly bend at about 30 degrees. Option A is wrong
because the hand grips of the crutches should be even with the hip line (not the mid-
forearm), and option D is wrong because the patient should place weight on the HANDS
while ambulating NOT the axillae area (this can cause nerve damage).
A nurse must implement a teaching plan for a patient recently diagnosed with heart
failure. Which should the nurse do first?
, a. Identify the patient's level of recognition of the need for learning.
b. Frame the goal within the patient's value system.
c. Determine the patient's preferred learning style.
d. Assess the patient's personal support system. - ANSWERS-a. Identify the patient's
level of recognition of the need for learning.
A nurse is teaching a patient colostomy care in relation to the affective domain. Which
teaching method is most effective for this situation?
a. Discussing a pamphlet about colostomy care from the American Cancer Society.
b. Exploring how the patient feels about having a colostomy.
c. Providing a demonstration on how to do colostomy care.
d. Showing a video tape demonstrating colostomy care. - ANSWERS-b. Exploring how
the patient feels about having a colostomy.
A school nurse is teaching a class of adolescents about avoiding smoking and includes
role-playing as a creative learning activity. Which is the primary reason for using role-
playing?
a. Provides more fun than other methods.
b. Eliminates the need for media equipment.
c. Requires active participation by the learner.
d. Gives the learner the opportunity to be another person. - ANSWERS-c. Requires
active participation by the learner.
A registered nurse is planning the client assignments for the day. Which is the most
appropriate assignment for the unlicensed assistive personnel (UAP)?
a. A client requiring crutch training
b. A client who is post-operative day 2 that needs ambulation
c. A client requiring assessment for passive range of motion tolerance
d. A client that weighs 300 pounds and needs to be transferred to the chair for the first
time. - ANSWERS-b. A client who is post-operative day 2 that needs ambulation
Recent Tested,Actual Exam Questions
(2026) WITH Recent Newest Verified
And Well Analyzed Exam Questions
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Your patient will be using crutches for mobility. After educating the patient on how to
adjust the crutches to fit correctly, you assess how well the patient understood the
instructions. What findings demonstrate that the crutches were adjusted correctly by the
patient? Select all that apply:*
A. The hand grips of the crutches are even with the mid-forearm.
B. When the patient grips the hand grips of the crutches the elbow bends at about 30
degrees.
C. The patient has a 2-3 finger width distance between the axillae and crutch rest pad.
D. The patient places weight on the axillae rather than the hands while ambulating. -
ANSWERS-The answers are B and C. Properly fitted crutches should be a 2-3 finger
width (about 1-1.5 inches) distance between the axillae (armpit area) and the crutch rest
pads during ambulation. This prevents damaging the nerves that are located in the
axillae during ambulation. In addition, when the patient grips the hand grips of the
crutches the elbow should slightly bend at about 30 degrees. Option A is wrong
because the hand grips of the crutches should be even with the hip line (not the mid-
forearm), and option D is wrong because the patient should place weight on the HANDS
while ambulating NOT the axillae area (this can cause nerve damage).
A nurse must implement a teaching plan for a patient recently diagnosed with heart
failure. Which should the nurse do first?
, a. Identify the patient's level of recognition of the need for learning.
b. Frame the goal within the patient's value system.
c. Determine the patient's preferred learning style.
d. Assess the patient's personal support system. - ANSWERS-a. Identify the patient's
level of recognition of the need for learning.
A nurse is teaching a patient colostomy care in relation to the affective domain. Which
teaching method is most effective for this situation?
a. Discussing a pamphlet about colostomy care from the American Cancer Society.
b. Exploring how the patient feels about having a colostomy.
c. Providing a demonstration on how to do colostomy care.
d. Showing a video tape demonstrating colostomy care. - ANSWERS-b. Exploring how
the patient feels about having a colostomy.
A school nurse is teaching a class of adolescents about avoiding smoking and includes
role-playing as a creative learning activity. Which is the primary reason for using role-
playing?
a. Provides more fun than other methods.
b. Eliminates the need for media equipment.
c. Requires active participation by the learner.
d. Gives the learner the opportunity to be another person. - ANSWERS-c. Requires
active participation by the learner.
A registered nurse is planning the client assignments for the day. Which is the most
appropriate assignment for the unlicensed assistive personnel (UAP)?
a. A client requiring crutch training
b. A client who is post-operative day 2 that needs ambulation
c. A client requiring assessment for passive range of motion tolerance
d. A client that weighs 300 pounds and needs to be transferred to the chair for the first
time. - ANSWERS-b. A client who is post-operative day 2 that needs ambulation
