McCuistion Chapter 1-58
,MULTIPLE CHOICE s
1. The nursing process is a five-step decision-making approach that includes all of the
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followingsteps, EXCEPT:
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a. Assessment
b. Patient problem s
c. Planning
d. Right Drug s
ANS: D s
The nursing process is a five-step decision-making approach that includes: 1) assessment,
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2) patient problem, 3) planning, 4) implementation, and 5) evaluation. “Right drug” is one
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of the“Six Rights” of medication administration.
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DIF: Cognitive Level: Understanding (Comprehension) s s s TOP: Nursing Process: s s
PlanningMSC: NCLEX: Management of Care
s s s s s s
2. The nurse is using data collected to set goals or expected outcomes and interventions
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thataddress the patient’s problems. Which step of the nursing process is the nurse
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applying?
s
a. Assessment
b. Patient problem s
c. Planning N
d. Evaluation
ANS: C s
During the planning phase, the nurse uses the data collected to set goals or expected
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outcomesand interventions which address the patient’s problems. The data was collected
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during the “Assessment” and “Patient problem” steps. During the “Evaluation” phase the
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nurse would determine whether the goals and objectives set during the planning phase
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were met.
s s
DIF: Cognitive Level: Understanding s s
(Comprehension)TOP: Nursing Process: Nursing
s s s s s
Intervention
s
MSC: NCLEX: Management of Care
s s s s
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for
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episodesof hyperglycemia. The parents tell the nurse that they can’t keep track of
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everything that has to be done to care for their child. The nurse reviews medications,
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diet, and symptom management with the parents and draws up a daily checklist for the
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family to use. These activities are completed in which step of the nursing process?
s s s s s s s s s s s s s s
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C s
Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E.
McCuistion Chapter 1-58
, The implementation phase is the part of the nursing process in which the nurse
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provides education, drug administration, patient care, and other interventions
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necessary to assist thepatient in accomplishing established medication goals.
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DIF: Cognitive Level: Understanding s s
(Comprehension)TOP: Nursing Process: Nursing
s s s s s
Intervention
s
MSC: NCLEX: Management of Care
s s s s
4. The nurse is preparing to administer a medication and reviews the patient’s chart for
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drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s
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actions arereflective of which phase of the nursing process?
s s s s s s s s s s
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A s
Assessment involves gathering information about the patient and the drug,
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including anyprevious use of the drug.
s s s s s s s
DIF: Cognitive Level: Understanding (Comprehension) s s s
TOP: Nursing Process: Assessment
s MSC: NCLEX: Management of Care s s s s s s
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 fNood intake
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ANS: B s
Objective data are measured and detected by another person and would include lab
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values.The other examples are subjective data.
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DIF: Cognitive Level: Understanding (Comprehension) s s s
TOP: Nursing Process: Assessment
s MSC: NCLEX: Management of Care s s s s s s
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful,
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anddoes not have an established routine. The patient will be sent home with three new
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medications to be taken at different times of the day. The nurse develops a daily
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medication chart and enlists a family member to put the patient’s pills in a pill
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organizer. This is an example of which phase of the nursing process?
s s s s s s s s s s s s
a. Assessment
b. Evaluation
c. Implementation
d. Planning
Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E.
McCuistion Chapter 1-58
, ANS: C s
The implementation phase involves education and patient care in order to assist the patient
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to
s
Test Bank Pharmacology A Patient-Centered Nursing Process Approach, 11th Edition by Linda E.
McCuistion Chapter 1-58