Questions
1. A registered nurse is writing a diagnosis for a 28-year-old male patient who is in
traction due to multiple fractures from a motor vehicle accident. Which nursing actions
are related to this step in the nursing process? Select all that apply.
a.The nurse uses the nursing interview to collect patient data.
b. The nurse analyzes data collected in the nursing assessment.
c. The nurse develops a care plan for the patient.
d. The nurse points out the patient's strengths.
e. The nurse assesses the patient's mental status.
f. The nurse identifies community resources to help his family cope. correct answers b.
The nurse analyzes data collected in the nursing assessment.
d. The nurse points out the patient's strengths.
f. The nurse identifies community resources to help his family cope.
2. A nurse is caring for an older adult patient who presents with labored respirations,
productive cough, and fever. What would be appropriate nursing diagnoses for this
patient? Select all that apply.
a. Bronchial pneumonia
b. Impaired gas exchange
c. Ineffective airway clearance
d. Potential complication: sepsis
e. Infection related to pneumonia
f. Risk for septic shock correct answers b. Impaired gas exchange
c. Ineffective airway clearance
Success