Pharmacology and the Nursing
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
Question 1
Item Type: MCQ
Difficulty: Easy
Bloom’s Level: Understand
NCLEX Client Needs Category: Pharmacological and Parenteral
Therapies
Clinical Scenario
A nurse is preparing to administer a newly prescribed
medication to a patient admitted with hypertension. Before
giving the medication, the nurse reviews the patient’s medical
history, current laboratory results, allergies, and previous
response to antihypertensive therapy.
Question Stem
Which nursing process phase is the nurse performing?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
,Correct Answer
B. Assessment
Rationale
Assessment is the first step of the nursing process and involves
collecting subjective and objective data needed to safely
provide medication therapy. In pharmacologic care, assessment
includes reviewing allergies, laboratory values, vital signs,
health history, current medications, and factors that may affect
drug response.
Before administering medications, nurses must identify
potential contraindications, drug interactions, and patient-
specific risks.
Distractor Analysis
A. Planning
Why incorrect: Planning occurs after assessment when nurses
establish goals and expected outcomes.
Common misconception: Thinking that reviewing medication
information is part of planning.
Safety risk: Skipping assessment may lead to administration of
unsafe medications.
Appropriate action: Collect complete patient data first.
C. Implementation
, Why incorrect: Implementation involves carrying out
interventions, such as administering the medication.
Common misconception: Believing any medication-related
activity equals implementation.
Safety risk: Giving medications without adequate assessment.
Appropriate action: Complete assessment before
administration.
D. Evaluation
Why incorrect: Evaluation determines whether medication
therapy achieved desired outcomes.
Common misconception: Confusing monitoring with pre-
administration assessment.
Safety risk: Failure to recognize ineffective therapy.
Appropriate action: Evaluate after medication effects occur.
Nursing Process Integration
Primary Component: Assessment
Other steps:
• Diagnosis: Identify medication-related problems.
• Planning: Establish therapeutic goals.
• Implementation: Administer medication safely.
• Evaluation: Determine effectiveness and adverse effects.
NCJMM Competencies
Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
Question 1
Item Type: MCQ
Difficulty: Easy
Bloom’s Level: Understand
NCLEX Client Needs Category: Pharmacological and Parenteral
Therapies
Clinical Scenario
A nurse is preparing to administer a newly prescribed
medication to a patient admitted with hypertension. Before
giving the medication, the nurse reviews the patient’s medical
history, current laboratory results, allergies, and previous
response to antihypertensive therapy.
Question Stem
Which nursing process phase is the nurse performing?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
,Correct Answer
B. Assessment
Rationale
Assessment is the first step of the nursing process and involves
collecting subjective and objective data needed to safely
provide medication therapy. In pharmacologic care, assessment
includes reviewing allergies, laboratory values, vital signs,
health history, current medications, and factors that may affect
drug response.
Before administering medications, nurses must identify
potential contraindications, drug interactions, and patient-
specific risks.
Distractor Analysis
A. Planning
Why incorrect: Planning occurs after assessment when nurses
establish goals and expected outcomes.
Common misconception: Thinking that reviewing medication
information is part of planning.
Safety risk: Skipping assessment may lead to administration of
unsafe medications.
Appropriate action: Collect complete patient data first.
C. Implementation
, Why incorrect: Implementation involves carrying out
interventions, such as administering the medication.
Common misconception: Believing any medication-related
activity equals implementation.
Safety risk: Giving medications without adequate assessment.
Appropriate action: Complete assessment before
administration.
D. Evaluation
Why incorrect: Evaluation determines whether medication
therapy achieved desired outcomes.
Common misconception: Confusing monitoring with pre-
administration assessment.
Safety risk: Failure to recognize ineffective therapy.
Appropriate action: Evaluate after medication effects occur.
Nursing Process Integration
Primary Component: Assessment
Other steps:
• Diagnosis: Identify medication-related problems.
• Planning: Establish therapeutic goals.
• Implementation: Administer medication safely.
• Evaluation: Determine effectiveness and adverse effects.
NCJMM Competencies
