nclex questions chapter 14 diagnosing exam with correct answers 2024
0 view 0 purchase
Course
Nclex question
Institution
Nclex Question
1. A registered nurse is writing a diagnosis for a patient who is in traction because of 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.
...
1. A registered nurse is writing a diagnosis for a patient who is in traction because of
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,
d, f. The purposes of diagnosing are to identify how an individual, group, or community
responds to actual or potential health and life processes; identify factors that contribute
to or cause health problems (etiologies); and identify resources or strengths the
individual, group, or community can draw on to prevent or resolve problems. In the
diagnosing step of the nursing process, the nurse interprets and analyzes data gathered
from the nursing assessment, identifies patient strengths, and identifies resources the
patient can use to resolve problems. The nurse assesses and collects patient data in
the assessment step and develops a care plan in the planning step of the nursing
process.
2. A nurse is caring for a 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, c, f. Nursing diagnoses are actual or
potential health problems that can be prevented or resolved by independent nursing
interventions, such as impaired gas exchange, ineffective airway clearance, or risk for
septic shock. Bronchial pneumonia and infection are medical diagnoses, and "potential
complication: sepsis" is a collaborative problem.
3. After assessing a patient who is recovering from a stroke in a rehabilitation facility, a
nurse interprets and analyzes the patient data. Which of the four basic conclusions has
the nurse reached when identifying the need to collect more data to confirm a diagnosis
of situational low self-esteem?
a. No problem
b. Possible problem
c. Actual nursing diagnosis
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HopeJewels. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.