NSG 3130 EXAM 2 FINAL PAPER 2026 STUDY
GUIDE DETAILED ANSWERS READY
◉ 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?
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.
Answer: 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
Answer: 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
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.
◉ 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.
Answer: 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
b. Affective
c. Psychosocial
d. Cognitive
Answer: a. Psychomotor
GUIDE DETAILED ANSWERS READY
◉ 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?
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.
Answer: 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
Answer: 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
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.
◉ 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.
Answer: 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
b. Affective
c. Psychosocial
d. Cognitive
Answer: a. Psychomotor
