NURS 103: Patient Education & Health Promotion Exam (2026/2027
Update) WCU
1. A nurse is teaching a patient with a newly diagnosed heart condition how to
use a blood pressure monitor. The patient successfully demonstrates the
technique back to the nurse. Which domain of learning has been primarily
addressed?
A. Cognitive domain
B. Affective domain
C. Behavioral domain
D. Psychomotor domain
Answer: D
Rationale: The psychomotor domain involves the acquisition of skills that require the
integration of mental and muscular activity, such as using a blood pressure monitor.
2. Which clinical scenario best illustrates the concept of ‘Health Literacy’ in
patient education?
A. A patient’s ability to read a high-school level textbook.
B. A patient’s willingness to follow a prescribed medication regimen without question.
C. A patient’s capacity to obtain, process, and understand basic health information to make appropriate health
decisions.
D. A patient’s ability to speak multiple languages fluently.
Answer: C
Rationale: Health literacy is not just about reading; it is the degree to which individuals
have the capacity to obtain, process, and understand health information to make informed
decisions.
,3. A nurse is preparing to teach a patient about a new medication. Which
assessment finding should the nurse prioritize as a barrier to learning?
A. The patient expresses a high level of self-efficacy.
B. The patient asks several questions about side effects.
C. The patient is experiencing acute pain rated 8/10.
D. The patient has a high school diploma.
Answer: C
Rationale: Physiological needs, such as pain relief, must be addressed before learning can
occur. Acute pain significantly impairs concentration and the ability to process new
information.
4. According to the Transtheoretical Model of Change, a patient who says, ‘I
have bought nicotine patches and plan to stop smoking next week,’ is in which
stage?
A. Preparation
B. Contemplation
C. Action
D. Precontemplation
Answer: A
Rationale: The preparation stage involves intending to take action in the immediate future
(usually the next month) and having a plan of action, such as buying patches.
5. When evaluating the effectiveness of a teaching session on insulin
administration, which method provides the best evidence of learning?
A. The patient states they understand the instructions.
B. The patient performs a return demonstration of the injection.
C. The nurse documents that the patient was attentive.
D. The patient passes a written multiple-choice test.
Answer: B
, Rationale: A return demonstration is the gold standard for evaluating psychomotor skills,
as it allows the nurse to observe the patient’s actual performance.
6. Which nursing action aligns with the ‘Teach-Back’ method?
A. Asking the patient, ‘Do you have any questions?’
B. Providing the patient with a detailed pamphlet and asking them to read it.
C. Asking the patient, ‘Can you explain in your own words how you will take this medicine?’
D. Repeating the instructions three times to ensure the patient heard them.
Answer: C
Rationale: Teach-back is a closed-loop communication technique where the nurse asks the
patient to explain the information in their own words to verify understanding.
7. A nurse is teaching an older adult patient about a new diet. Which strategy is
most effective for this age group?
A. Using high-pitched tones to ensure the patient can hear.
B. Providing information in small, frequent increments with printed materials in large font.
C. Presenting all information in one long session to avoid confusion.
D. Relying solely on digital applications and websites.
Answer: B
Rationale: Older adults benefit from segmented information to avoid cognitive overload
and large print to accommodate potential visual changes.
8. Which level of prevention is represented by a nurse teaching a group of
healthy adolescents about the importance of using sunscreen to prevent skin
cancer?
A. Quaternary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Primary Prevention
Answer: D
Update) WCU
1. A nurse is teaching a patient with a newly diagnosed heart condition how to
use a blood pressure monitor. The patient successfully demonstrates the
technique back to the nurse. Which domain of learning has been primarily
addressed?
A. Cognitive domain
B. Affective domain
C. Behavioral domain
D. Psychomotor domain
Answer: D
Rationale: The psychomotor domain involves the acquisition of skills that require the
integration of mental and muscular activity, such as using a blood pressure monitor.
2. Which clinical scenario best illustrates the concept of ‘Health Literacy’ in
patient education?
A. A patient’s ability to read a high-school level textbook.
B. A patient’s willingness to follow a prescribed medication regimen without question.
C. A patient’s capacity to obtain, process, and understand basic health information to make appropriate health
decisions.
D. A patient’s ability to speak multiple languages fluently.
Answer: C
Rationale: Health literacy is not just about reading; it is the degree to which individuals
have the capacity to obtain, process, and understand health information to make informed
decisions.
,3. A nurse is preparing to teach a patient about a new medication. Which
assessment finding should the nurse prioritize as a barrier to learning?
A. The patient expresses a high level of self-efficacy.
B. The patient asks several questions about side effects.
C. The patient is experiencing acute pain rated 8/10.
D. The patient has a high school diploma.
Answer: C
Rationale: Physiological needs, such as pain relief, must be addressed before learning can
occur. Acute pain significantly impairs concentration and the ability to process new
information.
4. According to the Transtheoretical Model of Change, a patient who says, ‘I
have bought nicotine patches and plan to stop smoking next week,’ is in which
stage?
A. Preparation
B. Contemplation
C. Action
D. Precontemplation
Answer: A
Rationale: The preparation stage involves intending to take action in the immediate future
(usually the next month) and having a plan of action, such as buying patches.
5. When evaluating the effectiveness of a teaching session on insulin
administration, which method provides the best evidence of learning?
A. The patient states they understand the instructions.
B. The patient performs a return demonstration of the injection.
C. The nurse documents that the patient was attentive.
D. The patient passes a written multiple-choice test.
Answer: B
, Rationale: A return demonstration is the gold standard for evaluating psychomotor skills,
as it allows the nurse to observe the patient’s actual performance.
6. Which nursing action aligns with the ‘Teach-Back’ method?
A. Asking the patient, ‘Do you have any questions?’
B. Providing the patient with a detailed pamphlet and asking them to read it.
C. Asking the patient, ‘Can you explain in your own words how you will take this medicine?’
D. Repeating the instructions three times to ensure the patient heard them.
Answer: C
Rationale: Teach-back is a closed-loop communication technique where the nurse asks the
patient to explain the information in their own words to verify understanding.
7. A nurse is teaching an older adult patient about a new diet. Which strategy is
most effective for this age group?
A. Using high-pitched tones to ensure the patient can hear.
B. Providing information in small, frequent increments with printed materials in large font.
C. Presenting all information in one long session to avoid confusion.
D. Relying solely on digital applications and websites.
Answer: B
Rationale: Older adults benefit from segmented information to avoid cognitive overload
and large print to accommodate potential visual changes.
8. Which level of prevention is represented by a nurse teaching a group of
healthy adolescents about the importance of using sunscreen to prevent skin
cancer?
A. Quaternary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Primary Prevention
Answer: D
