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