n7 n7 n7 n7 n7 n7 n7 n7 n7 Full Test Bank n7 n7 n7
Pharmacology and the Nursing Process 10th Edition: Linda Lilley, Rainforth
n7 n7 n7 n7 n7 n7 n7 n7 n7
Collins, Julie Snyder | Complete Guide A+
n7 n7 n7 n7 n7 n7 n7
, Chapter 01: The Nursing Process and Drug Therapy
n7 n7 n7 n7 n7 n7 n7
MULTIPLE CHOICE n7
1. The RN is writing a nursing diagnosis for a plan of care for a client who has been
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
newly diagnosed with type 2 diabetes. Which statement reflects the correct format
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
for a nursing diagnosis?
n7 n7 n7 n7
a. Anxiety
b. Anxiety related to new drug therapy n7 n7 n7 n7 n7
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
statements such as ―I‘m upset about having to test my blood sugars.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Anxiety related to new drug therapy, as evidenced by statements such as
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
―I‘m upset about having to test my blood sugars.‖
n7 n7 n7 n7 n7 n7 n7 n7
CORRECT ANS: D n7 n7
Formulation of nursing diagnoses is usually a three-step process. ―Anxiety‖ is missing the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
―related to‖ and ―as evidenced by‖ portions of defining characteristics. ―Anxiety related
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
to new drug therapy‖ is missing the ―as evidenced by‖ portion of defining
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
characteristics. The statement beginning ―Anxiety related to anxious feelings‖ is incorrect
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
because the ―related to‖ section is simply a restatement of the problem ―anxiety,‖ not a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
separate factor related to the response.
n7 n7 n7 n7 n7 n7
DIF: COGNITIVE LEVEL: Understanding n7 n7
(Comprehension) TOP: NURSING PROCESS:
n7 n7 n7 n7
Nursing Diagnosis
n7 n7
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
n 7 n7 n7 n7 n7 n7 n7 n7 n7
2. The client is to receive oral guaifenesin (Mucinex) twice a day. Today, the RN was busy
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and gave the medication 2 hours after the scheduled dose was due. What type of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
problem does this represent?
n7 n7 n7 n7
a. ―Right time‖ n7
b. ―Right dose‖ n7
c. ―Right route‖ n7
d. ―Right medication‖ n7
CORRECT ANS: A n7 n7
―Right time‖ is correct because the medication was given more than 30 minutes after the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
scheduled dose was due. ―Dose‖ is incorrect because the dose is not related to the time the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
medication administration is scheduled. ―Route‖ is incorrect because the route is not
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
affected.
n7
―Medication‖ is incorrect because the medication ordered will not change.
n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF: COGNITIVE LEVEL: Applying n7 n7
(Application) TOP: NURSING PROCESS: n7 n 7 n7
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
n 7 n7 n7 n7 n7 n7 n7 n7 n7 n7
, Chapter 01: The Nursing Process and Drug Therapy
n7 n7 n7 n7 n7 n7 n7 n7 n 7 n 7 5
3. The RN has been monitoring the client‘s progress on a new drug regimen since the first
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
dose and documenting the client‘s therapeutic response to the medication. Which phase of the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nursing process do these actions illustrate?
n7 n7 n7 n7 n7 n7
a. Nursing diagnosis n7 n7 n7 n7 n7 n7
b. Planning
c. Implementation
d. Evaluation
CORRECT ANS: D n7 n7
Monitoring the client‘s progress, including the client‘s response to the medication, is part
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
of the evaluation phase. Planning, implementation, and nursing diagnosis are not
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
illustrated by this example.
n7 n7 n7 n7
DIF: COGNITIVE LEVEL: Understanding n7 n7
(Comprehension) TOP: NURSING PROCESS:
n7 n7 n7 n7
Evaluation
n7
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
n 7 n7 n7 n7 n7 n7 n7 n7 n7
4. The RN is assigned to a client who is newly diagnosed with type 1 diabetes mellitus.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Which statement best illustrates an outcome criterion for this client?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
a. The client will follow instructions.
n7 n7 n7 n7
b. The client will not experience complications.
n7 n7 n7 n7 n7
c. The client will adhere to the new insulin treatment regimen.
n7 n7 n7 n7 n7 n7 n7 n7 n7
d. The client will demonstrate correct blood glucose testing technique.
n7 n7 n7 n7 n7 n7 n7 n7
CORRECT ANS: D n7 n7
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
outcome criterion. ―Following instructions‖ and ―not experiencing complications‖ are
n7 n7 n7 n7 n7 n7 n7 n7 n7
not specific criteria.
n7 n7 n7
―Adhering to new regimen‖ would be difficult to measure.
n7 n7 n7 n7 n7 n7 n7 n7
DIF: COGNITIVE LEVEL: Applying n7 n7
(Application) TOP: NURSING PROCESS: Planning n7 n 7 n7 n7
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
n 7 n7 n7 n7 n7 n7 n7 n7 n7
5. Which activity best reflects the implementation phase of the nursing process for the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
client who is newly diagnosed with hypertension?
n7 n7 n7 n7 n7 n7 n7
a. Providing education on keeping a journal of blood pressure readings
n7 n7 n7 n7 n7 n7 n7 n7 n7
b. Setting goals and outcome criteria with the client‘s input
n7 n7 n7 n7 n7 n7 n7 n7
c. Recording a drug history regarding over-the-counter medications used at home
n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Formulating nursing diagnoses regarding deficient knowledge related to
n7 n7 n7 n7 n7 n7 n7
the new treatment regimen
n7 n7 n7 n7
CORRECT ANS: A n7 n7
Education is an intervention that occurs during the implementation phase. Setting goals
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and outcomes reflects the planning phase. Recording a drug history reflects the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
assessment phase. Formulating nursing diagnoses reflects analysis of data as part of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
planning.
n7
DIF: COGNITIVE LEVEL: Applying n7 n7
(Application) TOP: NURSING PROCESS: n7 n 7 n7
, Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
n 7 n7 n7 n7 n7 n7 n7 n7 n7
Pharmacology and the Nursing Process 10th Edition: Linda Lilley, Rainforth
n7 n7 n7 n7 n7 n7 n7 n7 n7
Collins, Julie Snyder | Complete Guide A+
n7 n7 n7 n7 n7 n7 n7
, Chapter 01: The Nursing Process and Drug Therapy
n7 n7 n7 n7 n7 n7 n7
MULTIPLE CHOICE n7
1. The RN is writing a nursing diagnosis for a plan of care for a client who has been
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
newly diagnosed with type 2 diabetes. Which statement reflects the correct format
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
for a nursing diagnosis?
n7 n7 n7 n7
a. Anxiety
b. Anxiety related to new drug therapy n7 n7 n7 n7 n7
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
statements such as ―I‘m upset about having to test my blood sugars.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Anxiety related to new drug therapy, as evidenced by statements such as
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
―I‘m upset about having to test my blood sugars.‖
n7 n7 n7 n7 n7 n7 n7 n7
CORRECT ANS: D n7 n7
Formulation of nursing diagnoses is usually a three-step process. ―Anxiety‖ is missing the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
―related to‖ and ―as evidenced by‖ portions of defining characteristics. ―Anxiety related
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
to new drug therapy‖ is missing the ―as evidenced by‖ portion of defining
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
characteristics. The statement beginning ―Anxiety related to anxious feelings‖ is incorrect
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
because the ―related to‖ section is simply a restatement of the problem ―anxiety,‖ not a
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
separate factor related to the response.
n7 n7 n7 n7 n7 n7
DIF: COGNITIVE LEVEL: Understanding n7 n7
(Comprehension) TOP: NURSING PROCESS:
n7 n7 n7 n7
Nursing Diagnosis
n7 n7
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
n 7 n7 n7 n7 n7 n7 n7 n7 n7
2. The client is to receive oral guaifenesin (Mucinex) twice a day. Today, the RN was busy
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and gave the medication 2 hours after the scheduled dose was due. What type of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
problem does this represent?
n7 n7 n7 n7
a. ―Right time‖ n7
b. ―Right dose‖ n7
c. ―Right route‖ n7
d. ―Right medication‖ n7
CORRECT ANS: A n7 n7
―Right time‖ is correct because the medication was given more than 30 minutes after the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
scheduled dose was due. ―Dose‖ is incorrect because the dose is not related to the time the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
medication administration is scheduled. ―Route‖ is incorrect because the route is not
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
affected.
n7
―Medication‖ is incorrect because the medication ordered will not change.
n7 n7 n7 n7 n7 n7 n7 n7 n7
DIF: COGNITIVE LEVEL: Applying n7 n7
(Application) TOP: NURSING PROCESS: n7 n 7 n7
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
n 7 n7 n7 n7 n7 n7 n7 n7 n7 n7
, Chapter 01: The Nursing Process and Drug Therapy
n7 n7 n7 n7 n7 n7 n7 n7 n 7 n 7 5
3. The RN has been monitoring the client‘s progress on a new drug regimen since the first
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
dose and documenting the client‘s therapeutic response to the medication. Which phase of the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nursing process do these actions illustrate?
n7 n7 n7 n7 n7 n7
a. Nursing diagnosis n7 n7 n7 n7 n7 n7
b. Planning
c. Implementation
d. Evaluation
CORRECT ANS: D n7 n7
Monitoring the client‘s progress, including the client‘s response to the medication, is part
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
of the evaluation phase. Planning, implementation, and nursing diagnosis are not
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
illustrated by this example.
n7 n7 n7 n7
DIF: COGNITIVE LEVEL: Understanding n7 n7
(Comprehension) TOP: NURSING PROCESS:
n7 n7 n7 n7
Evaluation
n7
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
n 7 n7 n7 n7 n7 n7 n7 n7 n7
4. The RN is assigned to a client who is newly diagnosed with type 1 diabetes mellitus.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Which statement best illustrates an outcome criterion for this client?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
a. The client will follow instructions.
n7 n7 n7 n7
b. The client will not experience complications.
n7 n7 n7 n7 n7
c. The client will adhere to the new insulin treatment regimen.
n7 n7 n7 n7 n7 n7 n7 n7 n7
d. The client will demonstrate correct blood glucose testing technique.
n7 n7 n7 n7 n7 n7 n7 n7
CORRECT ANS: D n7 n7
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
outcome criterion. ―Following instructions‖ and ―not experiencing complications‖ are
n7 n7 n7 n7 n7 n7 n7 n7 n7
not specific criteria.
n7 n7 n7
―Adhering to new regimen‖ would be difficult to measure.
n7 n7 n7 n7 n7 n7 n7 n7
DIF: COGNITIVE LEVEL: Applying n7 n7
(Application) TOP: NURSING PROCESS: Planning n7 n 7 n7 n7
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
n 7 n7 n7 n7 n7 n7 n7 n7 n7
5. Which activity best reflects the implementation phase of the nursing process for the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
client who is newly diagnosed with hypertension?
n7 n7 n7 n7 n7 n7 n7
a. Providing education on keeping a journal of blood pressure readings
n7 n7 n7 n7 n7 n7 n7 n7 n7
b. Setting goals and outcome criteria with the client‘s input
n7 n7 n7 n7 n7 n7 n7 n7
c. Recording a drug history regarding over-the-counter medications used at home
n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Formulating nursing diagnoses regarding deficient knowledge related to
n7 n7 n7 n7 n7 n7 n7
the new treatment regimen
n7 n7 n7 n7
CORRECT ANS: A n7 n7
Education is an intervention that occurs during the implementation phase. Setting goals
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and outcomes reflects the planning phase. Recording a drug history reflects the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
assessment phase. Formulating nursing diagnoses reflects analysis of data as part of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
planning.
n7
DIF: COGNITIVE LEVEL: Applying n7 n7
(Application) TOP: NURSING PROCESS: n7 n 7 n7
, Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
n 7 n7 n7 n7 n7 n7 n7 n7 n7
