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