,Chapter 1: Pharmacology and the Nursing Process in LPN
Practice
Chapter 1, Section: THE LPN/VN’S ROLE AND THE NURSING
PROCESS
A patient is prescribed a new antihypertensive medication. The
LPN reviews the patient's chart for a history of asthma before
administering the drug. This action best demonstrates which
phase of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Correct Answer: A
Rationale: Assessment involves the systematic and continuous
collection of data about the patient. Reviewing the patient's
chart for a pertinent medical history like asthma, which could
be a contraindication for certain antihypertensive drugs (e.g.,
beta-blockers), is a key assessment activity.
Distractor B: Planning involves setting goals and outcomes
based on the assessment data.
Distractor C: Implementation is the step where the nurse
carries out the planned interventions, such as actually
administering the drug.
,Distractor D: Evaluation involves determining the effectiveness
of the interventions and if the patient outcomes were met.
Teaching Point: Assessment is the foundational step of the
nursing process, requiring data collection before any action.
2.
Chapter 1, Section: THE LPN/VN’S ROLE AND THE NURSING
PROCESS
An LPN is preparing to administer a controlled substance and
must follow specific procedures for wasting a portion of the
medication. Which nursing process step includes adhering to
these legal and safety protocols?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
Correct Answer: C
Rationale: Implementation involves the actual execution of the
nursing care plan, which includes following established
protocols, such as those for safe handling and documentation of
controlled substances.
Distractor A: Assessment involves gathering data, not
performing the procedure.
Distractor B: Diagnosis is the identification of the patient's
problems, which is typically an RN's responsibility.
Distractor D: Evaluation occurs after the medication has been
administered to assess its effects.
, Teaching Point: Implementation requires strict adherence to
legal and institutional policies for safe medication
administration.
3.
Chapter 1, Section: THE LPN/VN’S ROLE AND THE NURSING
PROCESS
After administering an analgesic, the LPN reassesses the
patient's pain level in 30 minutes. This action is most directly
part of which phase of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Correct Answer: D
Rationale: Evaluation involves reassessing the patient to
determine if the expected outcomes (e.g., reduced pain) were
achieved after an intervention was implemented.
Distractor A: This is a reassessment specifically for evaluating
an intervention, not the initial data collection.
Distractor B: Planning would have occurred before
administration to set the goal of pain reduction.
Distractor C: Implementation was the act of administering the
drug.
Teaching Point: Evaluation measures the effectiveness of
nursing interventions and guides future care.
Practice
Chapter 1, Section: THE LPN/VN’S ROLE AND THE NURSING
PROCESS
A patient is prescribed a new antihypertensive medication. The
LPN reviews the patient's chart for a history of asthma before
administering the drug. This action best demonstrates which
phase of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Correct Answer: A
Rationale: Assessment involves the systematic and continuous
collection of data about the patient. Reviewing the patient's
chart for a pertinent medical history like asthma, which could
be a contraindication for certain antihypertensive drugs (e.g.,
beta-blockers), is a key assessment activity.
Distractor B: Planning involves setting goals and outcomes
based on the assessment data.
Distractor C: Implementation is the step where the nurse
carries out the planned interventions, such as actually
administering the drug.
,Distractor D: Evaluation involves determining the effectiveness
of the interventions and if the patient outcomes were met.
Teaching Point: Assessment is the foundational step of the
nursing process, requiring data collection before any action.
2.
Chapter 1, Section: THE LPN/VN’S ROLE AND THE NURSING
PROCESS
An LPN is preparing to administer a controlled substance and
must follow specific procedures for wasting a portion of the
medication. Which nursing process step includes adhering to
these legal and safety protocols?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
Correct Answer: C
Rationale: Implementation involves the actual execution of the
nursing care plan, which includes following established
protocols, such as those for safe handling and documentation of
controlled substances.
Distractor A: Assessment involves gathering data, not
performing the procedure.
Distractor B: Diagnosis is the identification of the patient's
problems, which is typically an RN's responsibility.
Distractor D: Evaluation occurs after the medication has been
administered to assess its effects.
, Teaching Point: Implementation requires strict adherence to
legal and institutional policies for safe medication
administration.
3.
Chapter 1, Section: THE LPN/VN’S ROLE AND THE NURSING
PROCESS
After administering an analgesic, the LPN reassesses the
patient's pain level in 30 minutes. This action is most directly
part of which phase of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Correct Answer: D
Rationale: Evaluation involves reassessing the patient to
determine if the expected outcomes (e.g., reduced pain) were
achieved after an intervention was implemented.
Distractor A: This is a reassessment specifically for evaluating
an intervention, not the initial data collection.
Distractor B: Planning would have occurred before
administration to set the goal of pain reduction.
Distractor C: Implementation was the act of administering the
drug.
Teaching Point: Evaluation measures the effectiveness of
nursing interventions and guides future care.
