,Item Bank: Lilley Pharmacology and the Nursing Process 7th Ed
fi fi fi fi fi fi fi fi fi
Objective: Ch 01: The Nursing Process and Drug Therapy
f i fi fi fi fi fi fi fi
1. Question Name: 0001
fi Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
fi fi fi fi fi fi fi fi fi fi
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
fi fi fi fi fi fi fi fi fi
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newlydi
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi if
agnosed with type 2 diabetes. Which statement reflects the correct format for a nursing diagn
fi fi fi fi fi fi fi fi fi fi fi fi fi fi
osis?
A. Anxiety
B. Anxiety related to new drug therapy fi fi fi fi fi
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as“I
fi fi fi fi fi fi fi fi fi fi fi fi fi if
’m upset about having to test my blood sugars.”
fi fi fi fi fi fi fi fi
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset aboutha
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi if
ving to test my blood sugars.” fi fi fi fi fi
Correct Answer: D Explanation/Rat
fi fi fi
ionale:
ANS: D f i
Formulation of nursing diagnoses is usually a three- fi fi fi fi fi fi fi
step process. “Anxiety” is missing the “related to” and “as evidenced by” portions of defining char
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
acteristics. “Anxiety related to new drug therapy” is missing the “as evidenced by” portion of defin
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
ing characteristics. The statementbeginning “Anxiety related to anxious feelings” is incorrect beca
fi fi fi if fi fi fi fi fi fi fi fi
use the “related to” section is simply a restatement of the problem “anxiety,” not a separate factor r
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
elated to the response. fi fi fi
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: fi fi fi
p. 9TOP: fi if
NURSING PROCESS: Nursing Diagnosis fi fi fi
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
fi fi fi fi fi fi fi fi fi
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: fi f i if fi fi fi
01/31/13 14:18:01 Date Used: Difficulty: Easy fi fi fi
Discrimination: Low
Item Analysis: Last
fi Item Analysis: Cumulative
fi fi fi
No. of Students Responded: 0
fi fi No. of Students Responded: 0 fi fi fi fi
Correct Responses (%): fi Correct Responses (%): fi fi fi
Total Group: 0.00
fi Total Group: 0.00 fi
Upper 27% of Group: 0.00 fi Upper 27% of Group:
fi 0.00 fi fi fi fi
Lower 27% of Group: 0.00 fi Lower 27% of Group:
fi 0.00 fi fi fi fi
Point Biserial: fi 0.00 Point Biserial: 0.00 fi
Response Frequencies (%) fi fi
, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
2. Question Name: 0002fi Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
fi fi fi fi fi fi fi fi fi fi
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
fi fi if fi fi fi fi fi fi
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy andgave t
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi if fi
he medication 2 hours after the scheduled dose was due. What type of problem does this represent?
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
* A. “Right time” problem
f i fi fi
B. “Right dose” problem fi fi
C. “Right route” problem fi fi
D. “Right medication” problem fi fi
Correct Answer: A Explanation/Rat
fi fi fi
ionale:
ANS: A f i
“Right time” is correct because the medication was given more than 30 minutes after the schedule
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
d dose was due. “Dose” is incorrect because the dose is not related to the time the medication admi
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
nistration is scheduled. “Route” is incorrect because the route is not affected.“Medication” is incor
fi fi fi fi fi fi fi fi fi fi fi if fi fi
rect because the medication ordered will not change.
fi fi fi fi fi fi fi
DIF: COGNITIVE LEVEL: Applying (Application) REF: fi fi fi
p. 13TOP: fi if
NURSING PROCESS: Implementation fi fi
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
fi fi fi fi fi fi fi fi fi fi
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: fi f i if fi fi fi
01/31/13 14:18:01 Date Used: Difficulty: Easy fi fi fi
Discrimination: Low
Item Analysis: Last
fi Item Analysis: Cumulative
fi fi fi
No. of Students Responded: 0
fi fi No. of Students Responded: 0 fi fi fi fi
Correct Responses (%): fi Correct Responses (%): fi fi fi
Total Group: 0.00 fi Total Group: 0.00 fi
Upper 27% of Group: 0.00 fi Upper 27% of Group:
fi 0.00 fi fi fi fi
Lower 27% of Group: 0.00 fi Lower 27% of Group:fi 0.00 fi fi fi fi
Point Biserial: fi 0.00 Point Biserial: 0.00 fi
Response Frequencies (%) fi fi
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
, 3. Question Name: 0003fi Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
fi fi fi fi fi fi fi fi fi fi
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
fi fi if fi fi fi fi fi fi
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose and
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
documenting the patient’s therapeutic response to the medication. Which phase of the nursingproces
fi fi fi fi fi fi fi fi fi fi fi fi if
s do these actions illustrate?
fi fi fi fi
A. Nursing diagnosis fi
B. Planning
C. Implementation
* D. Evaluation
fi
Correct Answer: D Explanation/Rat
fi fi fi
ionale:
ANS: D f i
Monitoring the patient’s progress, including the patient’s response to the medication, is part of the
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by thisexam
fi fi fi fi fi fi fi fi fi fi fi if
ple.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: fi fi fi
p. 15TOP: fi if
NURSING PROCESS: Evaluation fi fi
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
fi fi fi fi fi fi fi fi fi
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: fi f i if fi fi fi
01/31/13 14:18:01 Date Used: Difficulty: Easy fi fi fi
Discrimination: Low
Item Analysis: Last
fi Item Analysis: Cumulative
fi fi fi
No. of Students Responded: 0
fi fi No. of Students Responded:
fi 0 fi fi fi
Correct Responses (%): fi Correct Responses (%): fi fi fi
Total Group: 0.00
fi Total Group: 0.00 fi
Upper 27% of Group: 0.00 fi Upper 27% of Group:
fi fi 0.00 fi fi fi
Lower 27% of Group: 0.00 fi Lower 27% of Group:
fi fi 0.00 fi fi fi
Point Biserial: fi 0.00 Point Biserial: 0.00 fi
Response Frequencies (%) fi fi
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
4. Question Name: 0004fi fi Type: MC fi Objective: Ch 01: The Nursing Process and Drug Therapy
fi fi fi fi fi fi fi fi Item Bank: Lilley
fi fi
fi fi fi fi fi fi fi fi fi
Objective: Ch 01: The Nursing Process and Drug Therapy
f i fi fi fi fi fi fi fi
1. Question Name: 0001
fi Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
fi fi fi fi fi fi fi fi fi fi
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
fi fi fi fi fi fi fi fi fi
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newlydi
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi if
agnosed with type 2 diabetes. Which statement reflects the correct format for a nursing diagn
fi fi fi fi fi fi fi fi fi fi fi fi fi fi
osis?
A. Anxiety
B. Anxiety related to new drug therapy fi fi fi fi fi
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as“I
fi fi fi fi fi fi fi fi fi fi fi fi fi if
’m upset about having to test my blood sugars.”
fi fi fi fi fi fi fi fi
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset aboutha
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi if
ving to test my blood sugars.” fi fi fi fi fi
Correct Answer: D Explanation/Rat
fi fi fi
ionale:
ANS: D f i
Formulation of nursing diagnoses is usually a three- fi fi fi fi fi fi fi
step process. “Anxiety” is missing the “related to” and “as evidenced by” portions of defining char
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
acteristics. “Anxiety related to new drug therapy” is missing the “as evidenced by” portion of defin
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
ing characteristics. The statementbeginning “Anxiety related to anxious feelings” is incorrect beca
fi fi fi if fi fi fi fi fi fi fi fi
use the “related to” section is simply a restatement of the problem “anxiety,” not a separate factor r
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
elated to the response. fi fi fi
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: fi fi fi
p. 9TOP: fi if
NURSING PROCESS: Nursing Diagnosis fi fi fi
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
fi fi fi fi fi fi fi fi fi
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: fi f i if fi fi fi
01/31/13 14:18:01 Date Used: Difficulty: Easy fi fi fi
Discrimination: Low
Item Analysis: Last
fi Item Analysis: Cumulative
fi fi fi
No. of Students Responded: 0
fi fi No. of Students Responded: 0 fi fi fi fi
Correct Responses (%): fi Correct Responses (%): fi fi fi
Total Group: 0.00
fi Total Group: 0.00 fi
Upper 27% of Group: 0.00 fi Upper 27% of Group:
fi 0.00 fi fi fi fi
Lower 27% of Group: 0.00 fi Lower 27% of Group:
fi 0.00 fi fi fi fi
Point Biserial: fi 0.00 Point Biserial: 0.00 fi
Response Frequencies (%) fi fi
, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
2. Question Name: 0002fi Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
fi fi fi fi fi fi fi fi fi fi
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
fi fi if fi fi fi fi fi fi
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy andgave t
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi if fi
he medication 2 hours after the scheduled dose was due. What type of problem does this represent?
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
* A. “Right time” problem
f i fi fi
B. “Right dose” problem fi fi
C. “Right route” problem fi fi
D. “Right medication” problem fi fi
Correct Answer: A Explanation/Rat
fi fi fi
ionale:
ANS: A f i
“Right time” is correct because the medication was given more than 30 minutes after the schedule
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
d dose was due. “Dose” is incorrect because the dose is not related to the time the medication admi
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
nistration is scheduled. “Route” is incorrect because the route is not affected.“Medication” is incor
fi fi fi fi fi fi fi fi fi fi fi if fi fi
rect because the medication ordered will not change.
fi fi fi fi fi fi fi
DIF: COGNITIVE LEVEL: Applying (Application) REF: fi fi fi
p. 13TOP: fi if
NURSING PROCESS: Implementation fi fi
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
fi fi fi fi fi fi fi fi fi fi
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: fi f i if fi fi fi
01/31/13 14:18:01 Date Used: Difficulty: Easy fi fi fi
Discrimination: Low
Item Analysis: Last
fi Item Analysis: Cumulative
fi fi fi
No. of Students Responded: 0
fi fi No. of Students Responded: 0 fi fi fi fi
Correct Responses (%): fi Correct Responses (%): fi fi fi
Total Group: 0.00 fi Total Group: 0.00 fi
Upper 27% of Group: 0.00 fi Upper 27% of Group:
fi 0.00 fi fi fi fi
Lower 27% of Group: 0.00 fi Lower 27% of Group:fi 0.00 fi fi fi fi
Point Biserial: fi 0.00 Point Biserial: 0.00 fi
Response Frequencies (%) fi fi
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
, 3. Question Name: 0003fi Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
fi fi fi fi fi fi fi fi fi fi
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
fi fi if fi fi fi fi fi fi
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose and
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
documenting the patient’s therapeutic response to the medication. Which phase of the nursingproces
fi fi fi fi fi fi fi fi fi fi fi fi if
s do these actions illustrate?
fi fi fi fi
A. Nursing diagnosis fi
B. Planning
C. Implementation
* D. Evaluation
fi
Correct Answer: D Explanation/Rat
fi fi fi
ionale:
ANS: D f i
Monitoring the patient’s progress, including the patient’s response to the medication, is part of the
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi
evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by thisexam
fi fi fi fi fi fi fi fi fi fi fi if
ple.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: fi fi fi
p. 15TOP: fi if
NURSING PROCESS: Evaluation fi fi
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
fi fi fi fi fi fi fi fi fi
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: fi f i if fi fi fi
01/31/13 14:18:01 Date Used: Difficulty: Easy fi fi fi
Discrimination: Low
Item Analysis: Last
fi Item Analysis: Cumulative
fi fi fi
No. of Students Responded: 0
fi fi No. of Students Responded:
fi 0 fi fi fi
Correct Responses (%): fi Correct Responses (%): fi fi fi
Total Group: 0.00
fi Total Group: 0.00 fi
Upper 27% of Group: 0.00 fi Upper 27% of Group:
fi fi 0.00 fi fi fi
Lower 27% of Group: 0.00 fi Lower 27% of Group:
fi fi 0.00 fi fi fi
Point Biserial: fi 0.00 Point Biserial: 0.00 fi
Response Frequencies (%) fi fi
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
4. Question Name: 0004fi fi Type: MC fi Objective: Ch 01: The Nursing Process and Drug Therapy
fi fi fi fi fi fi fi fi Item Bank: Lilley
fi fi
