TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION McCuistion Pharmacology A Patient Centered Nurse.pdf

Test Bank for
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Pharmacology
A Patient-Centered Nursing Process Approach
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10th Edition
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Authors: Linda McCuistion, Kathleen DiMaggio, Mary Beth
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Winton, JenniferYeager
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Unit 1: Introduction to Pharmacology
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Chapter 1.The Nursing Process and Patient-Centered Care
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Chapter 2.Drug Development and Ethical Considerations
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Chapter 3.Pharmacokinetics and Pharmacodynamics
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Chapter 4.Pharmacogenetics
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Chapter 5.Complementaryand Alternative Therapies
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Chapter 6.Pediatric Considerations
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Chapter 7.Geriatric Considerations
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Chapter 8.Drugs in Substance Use Disorder
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Unit 2: Pharmacotherapy and Drug Administration
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Chapter 9.Safety and Quality Chapter
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10.DrugAdministration Chapter
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11.Drug Calculations
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Unit 3: Maintenance of Homeostasis Chapter
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12.Fluid Volume and Electrolytes Chapter
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13.Vitamin and Mineral Replacement Chapter
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14.Nutritional Support
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Unit 4: Autonomic Nervous System Drugs
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Chapter 15.Adrenergic Agonists and Antagonists
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Chapter 16.Cholinergic Agonists and Antagonists
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Unit 5: Central andPeripheral Nervous System Drugs
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Chapter 17.Stimulants b




Chapter 18.Depressants
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Chapter19.AntiseizureDrugs
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Chapter 20.Drugs for Parkinsonism and Alzheimer’s Disease Chapter
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21.Drugs for Neuromuscular Disorders and Muscle Spasms Unit 6:
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Mental and Behavioral Health Drugs
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Chapter 22.Antipsychotics and Anxiolytics Chapter
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23.AntidepressantsandMood Stabilizers
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Unit 7: Pain and Inflammation Management Drugs
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Chapter 24.Antiinflammatories
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Chapter 25.Analgesics
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Unit 8: Antimicrobial Drugs
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Chapter 26.Antibacterials b




Chapter27.Antituberculars,Antifungals, and Antivirals
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Chapter 28.Antimalarials, Anthelmintics, and Peptides
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Unit 9: Immunologic Drugs
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Chapter 29.HIV- and AIDS-Related Drugs
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Chapter 30.Transplant Drugs
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Chapter 31.Vaccines b




Unit 10: Antineoplastics and Biologic Response Modifiers
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Chapter 32.Anticancer Drugs b b




Chapter 33.Targeted Therapies to Treat Cancer
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Chapter 34.Biologic Response Modifiers
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Unit 11: Respiratory Drugs
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Chapter 35.Upper Respiratory Disorders
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Chapter 36.Lower Respiratory Disorders
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Unit 12: Cardiovascular Drugs
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Chapter 37.Cardiac Glycosides, Antianginals, and Antidysrhythmics
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,Chapter 38.Diuretics
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Chapter 39.Antihypertensives
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Chapter 40.Anticoagulants,Antiplatelets, and Thrombolytics
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Chapter 41.Antihyperlipidemics and Drugs to Improve Peripheral Blood Flow
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Unit 13: Gastrointestinal Drugs
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Chapter 42.GastrointestinalTract Disorders
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Chapter 43.Antiulcer Drugs
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Unit 14: Eye, Ear, and Skin Drugs
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Chapter 44.Eye and Ear Disorders
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Chapter 45.Dermatologic Disorders
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Unit 15: Endocrine Drugs
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Chapter 46.Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
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Chapter 47.Antidiabetics
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Unit 16: Renal and Urologic Drugs
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Chapter 48.Urinary Disorders
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Unit 17: Reproductive and Gender-Related Drugs
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Chapter 49.Pregnancy and Preterm Labor
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Chapter 50.Labor, Delivery, and Postpartum
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Chapter 51.Neonatal and Newborn
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Chapter 52.Reproductive Health
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Chapter 53.Men’s Health and Reproductive Disorders Chapter
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54.Sexually Transmitted Infections
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Unit 18: Sexually Transmitted Infections
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Chapter 55.Adult and Pediatric Emergency Drugs
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Chapter 01: The Nursing Process and Patient-Centered Care
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McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition
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MULTIPLE CHOICE b




1. The nursing process is a five-step decision-making approach that includes all of the following
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steps, EXCEPT:
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a. Assessment
b. Patient problem b




c. Planning
d. Right Drug b




ANS: D b




The nursing process is a five-step decision-making approach that includes: 1) assessment, 2)
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patient problem, 3) planning, 4) implementation, and 5) evaluation. “Right drug” is one of the “Six
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Rights” of medication administration.
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DIF: Cognitive Level: Understanding (Comprehension) b b b TOP: NursingProcess:Planning
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MSC: NCLEX: Management of Care
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2. The nurse is using data collected to set goals or expected outcomes and interventions that
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address the patient’s problems. Which step of the nursing process is the nurse applying?
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a. Assessment
b. Patient problem b




c. Planning N
d. Evaluation
ANS: C b




During the planning phase, the nurse uses the data collected to set goals or expected outcomes
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, and interventions which address the patient’s problems. The data was collected during the
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“Assessment” and “Patient problem” steps. During the “Evaluation” phase the nurse would determine
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whether the goals and objectives set during the planning phase were met.
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DIF: CognitiveLevel:Understanding(Comprehension) b b b




TOP: Nursing Process: Nursing Intervention
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MSC: NCLEX: Management of Care b b b b




3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations forepisodes of
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hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to be
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done to care for their child. The nurse reviews medications, diet, and symptom management with
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the parents and draws up a daily checklist for the family to use. These activities are completed in
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which step of the nursing process?
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a. Assessment
b. Planning
c. Implementation
d. Evaluation

ANS: C b




The implementation phase is the part of the nursing process in which the nurse provides
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education, drug administration, patient care, and other interventions necessary to assist the patient
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in accomplishing established medication goals.
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DIF: CognitiveLevel:Understanding(Comprehension) b b b




TOP: Nursing Process: Nursing Intervention
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MSC: NCLEX: Management of Care b b b b




4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
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allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
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reflective of which phase of the nursing process?
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a. Assessment
b. Evaluation
c. Implementation
d. Planning

ANS: A b




Assessment involves gathering information about the patient and the drug, including any previous
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use of the drug.
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DIF: Cognitive Level: Understanding (Comprehension) b b b




TOP: NursingProcess: Assessment b MSC: NCLEX: Management of Care b b b b b b




5. Which assessment is categorized as objective data?
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a. A list of herbal supplements regularly used
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b. Lab values associated with the drugs the patient is taking
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c. The ages and relationship to the patient of all household members
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d. Usual dietary patterns and fNo o d intake b b b b b




ANS: B b




Objective data are measured and detected by another person and would include lab values. The
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other examples are subjective data.
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DIF: Cognitive Level: Understanding (Comprehension) b b b




TOP: NursingProcess: Assessment b MSC: NCLEX: Management of Care b b b b b b




6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful,and
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, does not have an established routine. The patient will be sent home with three new medications to
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be taken at different times of the day. The nurse develops a daily medication chart and enlists a
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family member to put the patient’s pills in a pill organizer. This is an example of which phase of
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the nursing process?
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a. Assessment
b. Evaluation
c. Implementation
d. Planning

ANS: C b




The implementation phase involves education and patient care in order to assist the patient to
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accomplish the goals of treatment.
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DIF: Cognitive Level: Applying(Application) b b b




TOP: Nursing Process: Nursing Intervention
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MSC: NCLEX: Management of Care
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7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
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home. The nurse and the patient discuss the patient’s situation and decide that the patient may go
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home when able to perform self-care without dyspnea and hypoxia. This is an example of which
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phase of the nursing process?
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a. Assessment
b. Evaluation
c. Implementation
d. Planning

ANS: D b




Planning involves goal setting, which, for this patient, means being able to perform self-care activities
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without dyspnea and hypoxia.
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DIF: Cognitive Level: Understanding (Comprehension) b b b TOP: NursingProcess:Planning b b b




MSC: NCLEX: Management of Care
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8. A patient will be sent home with a metered-dose inhaler, and the nurse is providingteaching.
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Which is a correctly written goal for this process?
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a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
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b. The nurse will teach the patient how to administer medication with a metered-dose
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inhaler. b




c. The patient will know how to self-administer the medication usingthe
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metered-dose inhaler.
b b




d. The patient will independently administer the medication using the metered-dose
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inhaler at the end of the session.
N
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ANS: D b




Goals must be patient-centered and clearly state the outcome with a reasonable deadline and
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should identify components for evaluation.
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DIF: Cognitive Level: Applying (Application) b b b TOP: NursingProcess:Planning b b b




MSC: NCLEX: Management of Care
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9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia. The
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patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The nurse
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develops a goal stating, “The patient will have oxygen saturations of >95% on room air at the time
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of discharge from the hospital.” What is wrong with this goal?
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a. It cannot be evaluated.
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b. It is not measurable.b b b