Test Bank Introduction to Clinical Pharmacology 10th Edition Visovsky,Complete Test
Bank latest 2023 GRADED A+
Chapter01:TheNursingProcessandPatient-CenteredCare
McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,10th Edition
MULTIPLECHOICE
1. Thenursingprocessisafive-stepdecision-makingapproachthatincludesallofthefollowing steps,
EXCEPT:
a. Assessment
b. Patient problem
c. Planning
d. RightDrug
ANS:D
The nursing process is a five-step decision-making approach that includes: 1) assessment, 2)
patientproblem,3)planning,4)implementation,and5)evaluation.―Rightdrug‖isoneofthe ―Six
Rights‖ of medication administration.
DIF: Cognitive Level: Understanding (Comprehension) TOP:NursingProcess:Planning
MSC:NCLEX: Management of Care
2. Thenurseisusingdatacollectedtosetgoalsorexpectedoutcomesandinterventionsthat address
the patient‘s problems. Which step of the nursing process is the nurse applying?
a. Assessment
b. Patient problem
c. Planning N
d. Evaluation
ANS:C
Duringtheplanningphase,thenurseusesthedatacollectedtosetgoalsorexpectedoutcomes and
interventions which address the patient‘s problems. The data was collected during the
―Assessment‖and―Patientproblem‖steps.Duringthe―Evaluation‖phasethenursewould determine
whether the goals and objectives set during the planning phase were met.
DIF: CognitiveLevel:Understanding(Comprehension)
TOP:Nursing Process: Nursing Intervention
MSC:NCLEX:ManagementofCare
3. A5-year-oldchildwithtype1diabetesmellitushashadrepeatedhospitalizationsforepisodes of
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
TESTBANKWORLD.ORG
,Test Bank Introduction to Clinical Pharmacology 10th Edition Visovsky,Complete Test
Bank latest 2023 GRADED A+
The implementation phase is the part of the nursing process in which the nurse provides
education,drugadministration,patientcare,andotherinterventionsnecessarytoassistthe patient in
accomplishing established medication goals.
DIF: CognitiveLevel:Understanding(Comprehension)
TOP:Nursing Process: Nursing Intervention
MSC:NCLEX:ManagementofCare
4. Thenurseispreparingto administeramedication andreviewsthepatient‘s chartfordrug
allergies,serumcreatinine,andbloodureanitrogen(BUN)levels.Thenurse‘sactionsare
reflective of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:A
Assessmentinvolvesgatheringinformationaboutthepatientandthedrug,includingany previous use
of the drug.
DIF: CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:Assessment MSC:NCLEX:ManagementofCare
5. Whichassessmentiscategorizedasobjectivedata?
a. Alistofherbalsupplementsregularlyused
b. Labvaluesassociatedwiththedrugsthepatientis taking
c. Theagesandrelationshipto thepatientofallhousehold members
d. UsualdietarypatternsandfNo o d intake
ANS:B
Objectivedataaremeasuredanddetectedbyanotherpersonandwouldincludelabvalues. The
other examples are subjective data.
DIF: CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:Assessment MSC:NCLEX:ManagementofCare
6. Thenursereviewsapatient‘sdatabaseandlearnsthatthepatientlivesalone,isforgetful,and does 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
ANS:C
Theimplementationphaseinvolveseducationandpatientcareinordertoassistthepatientto
accomplish the goals of treatment.
DIF: CognitiveLevel:Applying(Application)
TOP:Nursing Process: Nursing Intervention
TESTBANKWORLD.ORG
,Test Bank Introduction to Clinical Pharmacology 10th Edition Visovsky,Complete Test
Bank latest 2023 GRADED A+
MSC:NCLEX:ManagementofCare
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
home.Thenurseandthepatientdiscussthepatient‘ssituationanddecidethatthepatientmay go home
when able to perform self-care without dyspnea and hypoxia. This is an example of which
phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:D
Planninginvolvesgoalsetting,which,forthispatient,meansbeingabletoperformself-care
activities without dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP:NursingProcess:Planning
MSC:NCLEX: Management of Care
8. Apatientwillbesenthomewithametered-doseinhaler,andthenurseisprovidingteaching. Which
is a correctly written goal for this process?
a. Thenursewill demonstrate thecorrect use of ametered-doseinhalerto thepatient.
b. Thenursewillteachthepatienthowtoadministermedicationwithametered-dose
inhaler.
c. Thepatientwillknowhowtoself-administerthemedicationusingthe
metered-dose inhaler.
d. Thepatientwillindependentlyadministerthemedicationusingthemetered-dose
inhaler at the end of the session.
N
ANS:D
Goalsmustbepatient-centeredandclearlystatetheoutcomewithareasonabledeadlineand should
identify components for evaluation.
DIF: Cognitive Level: Applying (Application) TOP:NursingProcess:Planning
MSC:NCLEX: Management of Care
9. Thenurseis developing aplan ofcare forapatient who has chroniclung diseaseand hypoxia.
Thepatienthasbeen admittedforincreasedoxygen needsabove abaselineof2L/min. The
nursedevelopsagoalstating,―Thepatientwillhaveoxygensaturationsof>95%onroomair at the
time of discharge from the hospital.‖ What is wrong with this goal?
a. Itcannotbeevaluated.
b. Itisnotmeasurable.
c. Itisnotpatient-centered.
d. Itisnotrealistic.
ANS:D
Thisgoalisnotrealisticbecausethepatientisnotusuallyonroomairandshouldnotbe expected to attain
that goal by discharge from this hospitalization.
DIF: Cognitive Level: Applying (Application) TOP:NursingProcess:Planning
MSC:NCLEX: Management of Care
TESTBANKWORLD.ORG
,Test Bank Introduction to Clinical Pharmacology 10th Edition Visovsky,Complete Test
Bank latest 2023 GRADED A+
10. Thenurseisdevelopingateachingplanforanelderlypatientwhowillbegintakingan
antihypertensivedrugthatcausesdizzinessandorthostatichypotension.Whichpatient
problem documented by the nurse is appropriate for this patient?
a. Deficientknowledgerelatedto drugsideeffects
b. Ineffectivehealthmaintenancerelatedtoage
c. Readinessforenhancedknowledgerelatedtomedicationsideeffects
d. Riskforinjuryrelatedtosideeffectsofthe medication
ANS:D
This patient has an increased risk for injury because of drug side effects, so this is an
appropriatepatientproblemtodirectthetypeofcareandfollow-upthepatientwillreceive.
DIF: CognitiveLevel:Applying(Application)
TOP:Nursing Process: Nursing Diagnosis
MSC:NCLEX: Management of Care
11. An older patient must learn to administer a medication using a device that requires manual
dexterity.Thepatientbecomesfrustratedandexpresseslackofself-confidenceinperforming this
task. Which action will the nurse perform next?
a. Askthepatient tokeep trying untilthe skillis learned.
b. Providewritteninstructionswithillustrationsshowingeachstepofthe skill.
c. Schedulemultiplesessionsandpracticeeachstepseparately.
d. Teachtheproceduretofamilymemberswhocanadministerthemedicationforthe
patient.
ANS:C
Nursesshouldbesensitivetopatient‘sleveloffrustrationwhenteachingskills.Inthiscase,
breakingthestepsdownintoinNdividualpartswillhelpwiththispatient‘sfrustrationlevel.
DIF: Cognitive Level: Applying (Application) TOP:NursingProcess:Planning
MSC:NCLEX: Management of Care
12. Aschool-agechildwillbegintakingamedicationtobeadministeredat5mLthreetimes daily.
The child‘s parent tells the nurse that, with a previous use of the drug, the child
repeatedly forgot to bring the medication home from school, resulting in missed evening
doses. What will the nurse recommend?
a. Askingtheproviderifthemedicationmaybetakenbeforeschool,afterschool, and at
bedtime
b. Puttinganoteonthechild‘slockertoencouragethechildtotakeresponsibilityfor
medication administration
c. Askingtheproviderif7.5mLmaybetakeninthemorningand7.5mLmaybe taken in
the evening so that the correct amount is given daily
d. Takingthenoondosetoschooleverydayandgivingittotheschoolnurseto
administer
ANS:C
For busy families with school-age children, it may be necessary to adjust the medication
scheduletoonethatfitstheirschedule.Thenurseshouldasktheproviderifarevisedschedule is
possible. In this case, the most effective revised schedule would involve not taking the
medication while at school. Putting a note on the locker is not likely to be effective. It is not
correct to adjust the dose.
TESTBANKWORLD.ORG
Bank latest 2023 GRADED A+
Chapter01:TheNursingProcessandPatient-CenteredCare
McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,10th Edition
MULTIPLECHOICE
1. Thenursingprocessisafive-stepdecision-makingapproachthatincludesallofthefollowing steps,
EXCEPT:
a. Assessment
b. Patient problem
c. Planning
d. RightDrug
ANS:D
The nursing process is a five-step decision-making approach that includes: 1) assessment, 2)
patientproblem,3)planning,4)implementation,and5)evaluation.―Rightdrug‖isoneofthe ―Six
Rights‖ of medication administration.
DIF: Cognitive Level: Understanding (Comprehension) TOP:NursingProcess:Planning
MSC:NCLEX: Management of Care
2. Thenurseisusingdatacollectedtosetgoalsorexpectedoutcomesandinterventionsthat address
the patient‘s problems. Which step of the nursing process is the nurse applying?
a. Assessment
b. Patient problem
c. Planning N
d. Evaluation
ANS:C
Duringtheplanningphase,thenurseusesthedatacollectedtosetgoalsorexpectedoutcomes and
interventions which address the patient‘s problems. The data was collected during the
―Assessment‖and―Patientproblem‖steps.Duringthe―Evaluation‖phasethenursewould determine
whether the goals and objectives set during the planning phase were met.
DIF: CognitiveLevel:Understanding(Comprehension)
TOP:Nursing Process: Nursing Intervention
MSC:NCLEX:ManagementofCare
3. A5-year-oldchildwithtype1diabetesmellitushashadrepeatedhospitalizationsforepisodes of
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
TESTBANKWORLD.ORG
,Test Bank Introduction to Clinical Pharmacology 10th Edition Visovsky,Complete Test
Bank latest 2023 GRADED A+
The implementation phase is the part of the nursing process in which the nurse provides
education,drugadministration,patientcare,andotherinterventionsnecessarytoassistthe patient in
accomplishing established medication goals.
DIF: CognitiveLevel:Understanding(Comprehension)
TOP:Nursing Process: Nursing Intervention
MSC:NCLEX:ManagementofCare
4. Thenurseispreparingto administeramedication andreviewsthepatient‘s chartfordrug
allergies,serumcreatinine,andbloodureanitrogen(BUN)levels.Thenurse‘sactionsare
reflective of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:A
Assessmentinvolvesgatheringinformationaboutthepatientandthedrug,includingany previous use
of the drug.
DIF: CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:Assessment MSC:NCLEX:ManagementofCare
5. Whichassessmentiscategorizedasobjectivedata?
a. Alistofherbalsupplementsregularlyused
b. Labvaluesassociatedwiththedrugsthepatientis taking
c. Theagesandrelationshipto thepatientofallhousehold members
d. UsualdietarypatternsandfNo o d intake
ANS:B
Objectivedataaremeasuredanddetectedbyanotherpersonandwouldincludelabvalues. The
other examples are subjective data.
DIF: CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:Assessment MSC:NCLEX:ManagementofCare
6. Thenursereviewsapatient‘sdatabaseandlearnsthatthepatientlivesalone,isforgetful,and does 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
ANS:C
Theimplementationphaseinvolveseducationandpatientcareinordertoassistthepatientto
accomplish the goals of treatment.
DIF: CognitiveLevel:Applying(Application)
TOP:Nursing Process: Nursing Intervention
TESTBANKWORLD.ORG
,Test Bank Introduction to Clinical Pharmacology 10th Edition Visovsky,Complete Test
Bank latest 2023 GRADED A+
MSC:NCLEX:ManagementofCare
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
home.Thenurseandthepatientdiscussthepatient‘ssituationanddecidethatthepatientmay go home
when able to perform self-care without dyspnea and hypoxia. This is an example of which
phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:D
Planninginvolvesgoalsetting,which,forthispatient,meansbeingabletoperformself-care
activities without dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP:NursingProcess:Planning
MSC:NCLEX: Management of Care
8. Apatientwillbesenthomewithametered-doseinhaler,andthenurseisprovidingteaching. Which
is a correctly written goal for this process?
a. Thenursewill demonstrate thecorrect use of ametered-doseinhalerto thepatient.
b. Thenursewillteachthepatienthowtoadministermedicationwithametered-dose
inhaler.
c. Thepatientwillknowhowtoself-administerthemedicationusingthe
metered-dose inhaler.
d. Thepatientwillindependentlyadministerthemedicationusingthemetered-dose
inhaler at the end of the session.
N
ANS:D
Goalsmustbepatient-centeredandclearlystatetheoutcomewithareasonabledeadlineand should
identify components for evaluation.
DIF: Cognitive Level: Applying (Application) TOP:NursingProcess:Planning
MSC:NCLEX: Management of Care
9. Thenurseis developing aplan ofcare forapatient who has chroniclung diseaseand hypoxia.
Thepatienthasbeen admittedforincreasedoxygen needsabove abaselineof2L/min. The
nursedevelopsagoalstating,―Thepatientwillhaveoxygensaturationsof>95%onroomair at the
time of discharge from the hospital.‖ What is wrong with this goal?
a. Itcannotbeevaluated.
b. Itisnotmeasurable.
c. Itisnotpatient-centered.
d. Itisnotrealistic.
ANS:D
Thisgoalisnotrealisticbecausethepatientisnotusuallyonroomairandshouldnotbe expected to attain
that goal by discharge from this hospitalization.
DIF: Cognitive Level: Applying (Application) TOP:NursingProcess:Planning
MSC:NCLEX: Management of Care
TESTBANKWORLD.ORG
,Test Bank Introduction to Clinical Pharmacology 10th Edition Visovsky,Complete Test
Bank latest 2023 GRADED A+
10. Thenurseisdevelopingateachingplanforanelderlypatientwhowillbegintakingan
antihypertensivedrugthatcausesdizzinessandorthostatichypotension.Whichpatient
problem documented by the nurse is appropriate for this patient?
a. Deficientknowledgerelatedto drugsideeffects
b. Ineffectivehealthmaintenancerelatedtoage
c. Readinessforenhancedknowledgerelatedtomedicationsideeffects
d. Riskforinjuryrelatedtosideeffectsofthe medication
ANS:D
This patient has an increased risk for injury because of drug side effects, so this is an
appropriatepatientproblemtodirectthetypeofcareandfollow-upthepatientwillreceive.
DIF: CognitiveLevel:Applying(Application)
TOP:Nursing Process: Nursing Diagnosis
MSC:NCLEX: Management of Care
11. An older patient must learn to administer a medication using a device that requires manual
dexterity.Thepatientbecomesfrustratedandexpresseslackofself-confidenceinperforming this
task. Which action will the nurse perform next?
a. Askthepatient tokeep trying untilthe skillis learned.
b. Providewritteninstructionswithillustrationsshowingeachstepofthe skill.
c. Schedulemultiplesessionsandpracticeeachstepseparately.
d. Teachtheproceduretofamilymemberswhocanadministerthemedicationforthe
patient.
ANS:C
Nursesshouldbesensitivetopatient‘sleveloffrustrationwhenteachingskills.Inthiscase,
breakingthestepsdownintoinNdividualpartswillhelpwiththispatient‘sfrustrationlevel.
DIF: Cognitive Level: Applying (Application) TOP:NursingProcess:Planning
MSC:NCLEX: Management of Care
12. Aschool-agechildwillbegintakingamedicationtobeadministeredat5mLthreetimes daily.
The child‘s parent tells the nurse that, with a previous use of the drug, the child
repeatedly forgot to bring the medication home from school, resulting in missed evening
doses. What will the nurse recommend?
a. Askingtheproviderifthemedicationmaybetakenbeforeschool,afterschool, and at
bedtime
b. Puttinganoteonthechild‘slockertoencouragethechildtotakeresponsibilityfor
medication administration
c. Askingtheproviderif7.5mLmaybetakeninthemorningand7.5mLmaybe taken in
the evening so that the correct amount is given daily
d. Takingthenoondosetoschooleverydayandgivingittotheschoolnurseto
administer
ANS:C
For busy families with school-age children, it may be necessary to adjust the medication
scheduletoonethatfitstheirschedule.Thenurseshouldasktheproviderifarevisedschedule is
possible. In this case, the most effective revised schedule would involve not taking the
medication while at school. Putting a note on the locker is not likely to be effective. It is not
correct to adjust the dose.
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