NSG 3130 Exam 2 2026 Exam
Questions and Answers |
Already Graded A+
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?
a. Contact the physician immediately.
,b. Consider the possibility of health literacy limitations and assess
further.
c. Stop the teaching, because the mother obviously has taken care of
casts before.
d. Explain to the mother that reading the instructions with her is required.
- ANSWER ✔✔b. Consider the possibility of health literacy limitations
and assess further.
A patient's mother may have limited reading skills or health literacy and
should be further assessed. Contacting the physician in this situation
would not be appropriate because ensuring that the patient and family
understand discharge instructions is the responsibility of the nurse.
Assuming that the mother has taken care of casts in the past may be
inaccurate. Stating that reading the instructions with the nurse is a
requirement does not ensure that the patient or mother comprehends
the instructions.
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
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, 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
Questions and Answers |
Already Graded A+
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?
a. Contact the physician immediately.
,b. Consider the possibility of health literacy limitations and assess
further.
c. Stop the teaching, because the mother obviously has taken care of
casts before.
d. Explain to the mother that reading the instructions with her is required.
- ANSWER ✔✔b. Consider the possibility of health literacy limitations
and assess further.
A patient's mother may have limited reading skills or health literacy and
should be further assessed. Contacting the physician in this situation
would not be appropriate because ensuring that the patient and family
understand discharge instructions is the responsibility of the nurse.
Assuming that the mother has taken care of casts in the past may be
inaccurate. Stating that reading the instructions with the nurse is a
requirement does not ensure that the patient or mother comprehends
the instructions.
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
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, 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
