11th Edition by Linda E. McCuistion Chapter 1-58 11th Edition by Linda E. McCuistion Chapter 1-58
MULTIPLE CHOICE
1. The nursing process is a five-step decision-making approach that includes all of the
followingsteps, EXCEPT:
a. Assessment
b. Patient problem
c. Planning
d. Right Drug
ANS: D
The nursing process is a five-step decision-making approach that includes: 1) assessment,
2) patient problem, 3) planning, 4) implementation, and 5) evaluation. “Right drug” is one
of the“Six Rights” of medication administration.
U
U
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
a
a
PlanningMSC: NCLEX: Management of Care
G
G
2. The nurse is using data collected to set goals or expected outcomes and interventions
i
i
thataddress the patient’s problems. Which step of the nursing process is the nurse
h
h
applying?
N
N
a. Assessment
t
t
b. Patient problem
c. Planning N
u
u
d. Evaluation
U
U
ANS: C
b
b
During the planning phase, the nurse uses the data collected to set goals or expected
outcomesand interventions which address the patient’s problems. The data was collected
Z
Z
during the “Assessment” and “Patient problem” steps. During the “Evaluation” phase the
m
m
nurse would determine whether the goals and objectives set during the planning phase
M
M
were met.
DIF: Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for
episodesof hyperglycemia. The parents tell the nurse that they can’t keep track of
everything that has to be done to care for their child. The nurse reviews medications,
diet, and symptom management with the parents and draws up a daily checklist for the
family to use. These activities are completed in which step of the nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C
Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E. Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E.
McCuistion Chapter 1-58 McCuistion Chapter 1-58
,Test Bank Pharmacology A Patient-Centered Nursing Process Approach, Test Bank Pharmacology A Patient-Centered Nursing Process Approach,
11th Edition by Linda E. McCuistion Chapter 1-58 11th Edition by Linda E. McCuistion Chapter 1-58
ANS: C
The implementation phase involves education and patient care in order to assist the patient
to
The implementation phase is the part of the nursing process in which the nurse
provides education, drug administration, patient care, and other interventions
necessary to assist thepatient in accomplishing established medication goals.
DIF: Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process: Nursing
Intervention
U
U
MSC: NCLEX: Management of Care
4. The nurse is preparing to administer a medication and reviews the patient’s chart
a
a
for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The
G
G
nurse’s actions arereflective of which phase of the nursing process?
i
i
a. Assessment
h
h
b. Evaluation
N
N
c. Implementation
d. Planning
t
t
u
u
ANS: A
U
U
Assessment involves gathering information about the patient and the drug,
including anyprevious use of the drug.
b
b
DIF: Cognitive Level: Understanding (Comprehension)
Z
Z
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
m
m
5. Which assessment is categorized as objective data?
M
M
a. A list of herbal supplements regularly used
b. Lab values associated with the drugs the patient is taking
c. The ages and relationship to the patient of all household members
d. Usual dietary patterns and fNood intake
ANS: B
Objective data are measured and detected by another person and would include lab
values.The other examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
6. The nurse reviews a patient’s database and learns that the patient lives alone, is
forgetful, anddoes not have an established routine. The patient will be sent home with
three new medications to be taken at different times of the day. The nurse develops a
daily medication chart and enlists a family member to put the patient’s pills in a pill
organizer. This is an example of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E. Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E.
McCuistion Chapter 1-58 McCuistion Chapter 1-58
,Test Bank Pharmacology A Patient-Centered Nursing Process Approach, Test Bank Pharmacology A Patient-Centered Nursing Process Approach,
11th Edition by Linda E. McCuistion Chapter 1-58 11th Edition by Linda E. McCuistion Chapter 1-58
accomplish the goals of treatment. MSC: NCLEX: Management of Care
DIF: Cognitive Level: Applying 7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants
(Application)TOP: Nursing Process: Nursing to go home. The nurse and the patient discuss the patient’s situation and decide that the
Intervention
patient maygo home when able to perform self-care without dyspnea and hypoxia. This
is an example of which phase of the nursing process?
a. Assessment
U
U
b. Evaluation
c. Implementation
a
a
d. Planning
G
G
ANS: D
i
i
Planning involves goal setting, which, for this patient, means being able to perform self-
h
h
careactivities without dyspnea and hypoxia.
N
N
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
t
t
PlanningMSC: NCLEX: Management of Care
u
u
U
U
8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing
teaching.Which is a correctly written goal for this process?
b
b
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
b. The nurse will teach the patient how to administer medication with a
Z
Z
metered-doseinhaler.
m
m
c. The patient will know how to self-administer the medication using
M
M
themetered-dose inhaler.
d. The patient will independently administer the medication using the
metered-doseinhaler at the end of the session.
N
ANS: D
Goals must be patient-centered and clearly state the outcome with a reasonable deadline
andshould identify components for evaluation.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Care
9. The nurse is developing a plan of care for a patient who has chronic lung disease and
hypoxia.The patient has been admitted for increased oxygen needs above a baseline of 2
L/min. The nurse develops a goal stating, “The patient will have oxygen saturations of
>95% on room airat the time of discharge from the hospital.” What is wrong with this
goal?
a. It cannot be evaluated.
b. It is not measurable.
c. It is not patient-centered.
d. It is not realistic.
ANS: D
Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E. Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E.
McCuistion Chapter 1-58 McCuistion Chapter 1-58
, Test Bank Pharmacology A Patient-Centered Nursing Process Approach, Test Bank Pharmacology A Patient-Centered Nursing Process Approach,
11th Edition by Linda E. McCuistion Chapter 1-58 11th Edition by Linda E. McCuistion Chapter 1-58
This goal is not realistic because the patient is not usually on room air and should
not beexpected to attain that goal by discharge from this hospitalization.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
U PlanningMSC: NCLEX: Management of Care
U
a
a
G
G
i
i
h
h
N
N
t
t
u
u
U
U
b
b
Z
Z
m
m
M
M
Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E. Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E.
McCuistion Chapter 1-58 McCuistion Chapter 1-58