Pharmacology A Patient-Centered Nursing Process Approach 11th Edition Test Bank | McCuistion, DiMaggio & Winkelman – 2025 NCLEX® & Nursing Pharmacology Q&A

TEST BANK
g




Pharmacology A Patient-
g g




CenteredNursing Process Approach by Linda E
g g g g g



. McCuistion.
g




11th Edition
g




TEST BANK
g

,Chapterg01:gThegNursinggProcessgandgPatient-CenteredgCare
McCuistion:gPharmacology:gAgPatient-CenteredgNursinggProcessgApproach,g11thgEdition

MULTIPLEgCHOICE

1. Allgofgthegfollowinggwouldgbegconsideredgsubjectivegdata,gEXCEPT:
a. Patient-reportedghealthghistory
b. Patient-reportedgsignsgandgsymptomsgofgtheirgillness
c. Financialgbarriersgreportedgbygthegpatient’sgcaregiver
d. Vitalgsignsgobtainedgfromgthegmedicalgrecord

ANS:g D
Subjectivegdatagisgbasedgongwhatgpatientsgorgfamilygmembersgcommunicategtogthegnurse.gPatient-
greportedghealthghistory,gsignsgandgsymptoms,gandgcaregivergreportedgfinancialgbarriersgwouldgbegc
onsideredgsubjectivegdata.gVitalgsignsgobtainedgfromgthegmedicalgrecordgwouldgbegconsideredgobje
ctivegdata.

DIF: CognitivegLevel:gUnderstandingg(Comprehension)
TOP:gNursinggProcess:gPlanninggMSC:g NCLEX:gManagementgofgClientgCare

2. Thegnursegisgusinggdatagcollectedgtogdefinegagsetgofginterventionsgtogachievegthegmostgdesirab
legoutcomes.gWhichgofgthegfollowinggstepsgisgthegnursegapplying?
a. Recognizinggcuesg(assessment)
b. Analyzegcuesg&gprioritizeghypothesisg(analysis)
c. Generategsolutionsg(planning)
d. Takegactiong(nursingginterventions)

ANS:g C
Whenggeneratinggsolutionsg(planning),gthegnursegidentifiesgexpectedgoutcomesgandgusesgthegpati
ent’sgproblem(s)gtogdefinegagsetgofginterventionsgtogachievegthegmostgdesirablegoutcomes.gRecog
nizinggcuesg(assessment)ginvolvesgtheggatheringgofgcuesg(information)gfromgthegpatientgaboutgth
eirghealthgandglifestylegpractices,gwhichgaregimportantgfactsgthatgaidgthegnursegingmakinggclinical
gcaregdecisions.gPrioritizingghypothesisgisgusedgtogorganizegandgrankgthegpatientgproblem(s)gidenti
fied.gFinally,gtakinggactionginvolvesgimplementationgofgnursingginterventionsgtogaccomplishgtheg
expectedgoutcomes.

DIF:
CognitivegLevel:gUnderstandingg(Comprehension)
gTOP:g NursinggProcess:gNursinggIntervention
MSC:g NCLEX:gManagementgofgClientgCare

3. Ag5-year-
oldgchildgwithgtypeg1gdiabetesgmellitusghasghadgrepeatedghospitalizationsgforgepisodesgofghypergl
ycemia.gThegparentsgtellgthegnursegthatgtheygcan’tgkeepgtrackgofgeverythinggthatghasgtogbegdonegt
ogcaregforgtheirgchild.gThegnursegreviewsgmedications,gdiet,gandgsymptomgmanagementgwithgtheg
parentsgandgdrawsgupgagdailygchecklistgforgthegfamilygtoguse.gThesegactivitiesgaregcompletedging
whichgstepgofgthegnursinggprocess?
a. Recognizinggcuesg(assessment)
b. Analyzegcuesg&gprioritizeghypothesisg(analysis)

, c. Generategsolutionsg(planning)
d. Takegactiong(nursingginterventions)

ANS:g D
Takinggactiongthroughgnursingginterventionsgisgwheregthegnursegprovidesgpatientghealthgteaching,g
druggadministration,gpatientgcare,gandgotherginterventionsgnecessarygtogassistgthegpatientgingacco
mplishinggexpectedgoutcomes.

DIF:
CognitivegLevel:gUnderstandingg(Comprehension)
gTOP:g NursinggProcess:gNursinggIntervention
MSC:g NCLEX:gManagementgofgClientgCare

4. Thegnursegisgpreparinggtogadministergagmedicationgandgreviewsgthegpatient’sgchartgforgdru
ggallergies,gserumgcreatinine,gandgbloodgureagnitrogeng(BUN)glevels.gThegnurse’sgactionsg
aregreflectivegofgwhichgofgthegfollowing?
a. Recognizinggcuesg(assessment)
b. Analyzegcuesg&gprioritizeghypothesisg(analysis)
c. Takegactiong(nursingginterventions)
d. Generategsolutionsg(planning)

ANS:g A
Recognizinggcuesg(assessment)ginvolvesggatheringgsubjectivegandgobjectiveginformationgaboutgtheg
patientgandgthegmedication.gLaboratorygvaluesgfromgthegpatient’sgchartgwouldgbegconsideredgcolle
ctiongofgobjectivegdata.

DIF: CognitivegLevel:gUnderstandingg(Comprehension)
TOP:g NursinggProcess:gAssessment MSC:g NCLEX:gManagementgofgClientgCare

5. Whichgofgthegfollowinggwouldgbegcorrectlygcategorizedgasgobjectivegdata?
a. Aglistgofgherbalgsupplementsgregularlygusedgprovidedgbygthegpatient.
b. Labgvaluesgassociatedgwithgthegdrugsgthegpatientgisgtaking.
c. Thegagesgandgrelationshipgofgallghouseholdgmembersgtogthegpatient.
d. Usualgdietarygpatternsgandgfoodgintake.

ANS:g B
Objectivegdatagaregmeasuredgandgdetectedgbyganothergpersongandgwouldgincludeglabgvalues.gTheg
othergexamplesgaregsubjectivegdata.

DIF: CognitivegLevel:gUnderstandingg(Comprehension)
TOP:g NursinggProcess:gAssessment MSC:g NCLEX:gManagementgofgClientgCare

6. Thegnursegreviewsgagpatient’sgdatabasegandglearnsgthatgthegpatientglivesgalone,gisgforgetful,gand
gdoesgnotghavegangestablishedgroutine.gThegpatientgwillgbegsentghomegwithgthreegnewgmedicatio
nsgtogbegtakengatgdifferentgtimesgofgthegday.gThegnursegdevelopsgagdailygmedicationgchartgandge
nlistsgagfamilygmembergtogputgthegpatient’sgpillsgingagpillgorganizer.gThisgisgangexamplegofgwhi
chgelementgofgthegnursinggprocess?
a. Recognizinggcuesg(assessment)
b. Analyzegcuesg&gprioritizeghypothesisg(analysis)
c. Takegactiong(nursingginterventions)

, d. Generategsolutionsg(planning)
ANS:g C
Takinggactiong(nursingginterventions)ginvolvesgeducationgandgpatientgcaregingordergtogassistgthegpati
entgtogaccomplishgtheggoalsgofgtreatment.

DIF:
CognitivegLevel:gApplyingg(Application
)gTOP:gNursinggProcess:gNursinggInterventiong
MSC:g NCLEX:gManagementgofgClientgCare

7. Agpatientgwhogisghospitalizedgforgchronicgobstructivegpulmonarygdiseaseg(COPD)gwantsgtoggogh
ome.gThegnursegandgthegpatientgdiscussgthegpatient’sgsituationgandgdecidegthatgthegpatientgmayggo
ghomegwhengablegtogperformgself-
caregwithoutgdyspneagandghypoxia.gThisgisgangexamplegofgwhichgphasegofgthegnursinggprocess?
a. Recognizinggcuesg(assessment)
b. Analyzegcuesg&gprioritizeghypothesisg(analysis)
c. Takegactiong(nursingginterventions)
d. Generategsolutionsg(planning)

ANS:g D
Generatinggsolutionsg(planning)ginvolvesgdefininggagsetgofginterventionsgtogachievegthegmos
tgdesirablegoutcomes,gwhich,gforgthisgpatient,gmeansgbeinggablegtogperformgself-
caregactivitiesgwithoutgdyspneagandghypoxia.

DIF:g CognitivegLevel:gUnderstandingg(Comprehension)
TOP:gNursinggProcess:gPlanningg
MSC:g NCLEX:gManagementgofgClientgCare

8. Agpatientgwillgbegsentghomegwithgagmetered-
doseginhaler,gandgthegnursegisgprovidinggteaching.gWhichgisgagcorrectlygwrittengexpectedgout
comegforgthisgprocess?
a. Thegnursegwillgdemonstrategthegcorrectgusegofgagmetered-doseginhalergtogthegpatient.
b. Thegnursegwillgteachgthegpatientghowgtogadministergmedicationgwithgagmetered-
doseginhaler.
c. Thegpatientgwillgknowghowgtogself-
administergthegmedicationgusinggthegmetered-gdoseginhaler.
d. Thegpatientgwillgindependentlygadministergthegmedicationgusinggthegmetered-
doseginhalergatgthegendgofgthegsession.
ANS:g D
Expectedgoutcomesgmustgbegpatient-
centeredgandgclearlygstategthegoutcomegwithgagreasonablegdeadlinegandgshouldgidentifygcomp
onentsgforgevaluation.

DIF:g CognitivegLevel:gApplyingg(Application)
TOP:gNursinggProcess:gPlanningg
MSC:g NCLEX:gManagementgofgClientgCare

9. Thegnursegisggeneratinggsolutionsg(planning)gforgagpatientgwhoghasgchronicglunggdiseasegandgh
ypoxia.gThegpatientghasgbeengadmittedgforgincreasedgoxygengneedsgabovegagbaselinegofg2gL/min.
gThegnurseggeneratesgangexpectedgoutcomesgstating,g“Thegpatientgwillghavegoxygengsaturationsg

of
>95%gongroomgairgatgthegtimegofgdischargegfromgtheghospital.”gWhatgisgwronggwithgthisggoal?
a. Itgcannotgbegevaluated.