TestBankPharmacologyAPatient-Centered
ur ur ur ur
Nursing Process Approach, 11th Edition by
ur ur ur ur ur ur ur
Linda E. McCuistion Chapter 1-58
ur ur ur ur ur
,Chapter01:TheNursingProcessandPatient-CenteredCare
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u r
u r
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McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,11thEditionr
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u r
u r
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MULTIPLE CHOICE ur
1. Allofthefollowing would beconsidered subjective data, EXCEPT:
ur ur ur ur ur ur ur ur ur
a. Patient-reportedhealthhistory ur ur
b. Patient-reportedsigns andsymptoms oftheirillness ur ur ur ur ur ur
c. Financialbarriersreportedbythepatient’s caregiver ur ur ur ur ur ur
d. Vitalsignsobtained fromthemedical record ur ur ur ur ur ur
ANS: D u r
Subjective dataisbased onwhat patients orfamilymemberscommunicate tothenurse.Patient- reported ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
health history, signs and symptoms, and caregiver reported financial barriers would be considered
ur ur ur ur ur ur ur ur ur ur ur ur ur
subjective data. Vital signs obtained from the medical record would be considered objective data.
ur ur ur ur ur ur ur ur ur ur ur ur ur ur
DIF: Cognitive Level: Understanding (Comprehension) ur ur ur TOP: NursingProcess:Planning u r ur ur
MSC: NCLEX: Management of Client Care
ur u r ur ur ur ur
2. Thenurseisusingdatacollected to define asetof interventions to achievethe mostdesirable
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
ur outcomes. Which of the following steps is the nurse applying? ur ur ur ur ur ur ur ur ur
a. Recognizingcues(assessment) ur ur
b. Analyzecues&prioritizehypothesis (analysis) ur ur ur ur ur
c. Generatesolutions(planning) ur ur
d. Takeaction(nursinginterventions) ur ur ur
ANS: C u r
When generating solutions (planning), the nurse identifies expected outcomes and uses the patient’s
ur ur ur ur ur ur ur ur ur ur ur ur
problem(s) to define a set of interventions to achieve the most desirable outcomes. Recognizing cues
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
(assessment) involves the gathering of cues (information) from the patient about their health and
ur ur ur ur ur ur ur ur ur ur ur ur ur ur
lifestyle practices, which are important facts that aid the nurse in making clinicalcaredecisions.
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
Prioritizinghypothesis isusedtoorganizeandrankthepatient problem(s) identified. Finally, taking
ur ur ur ur ur ur ur ur ur ur ur ur ur ur
action involves implementation of nursing interventions to accomplish the expected outcomes.
ur ur ur ur ur ur ur ur ur ur ur
DIF: Cognitive Level: Understanding (Comprehension) ur ur ur
TOP: Nursing Process: Nursing Intervention
ur u r ur ur ur
MSC: NCLEX:ManagementofClientCare u r ur ur ur ur
3. A5-year-old child with type 1diabetes mellitus has had repeated hospitalizations forepisodes of
ur ur ur ur ur ur ur ur ur ur ur ur ur ur
hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to be doneto
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
carefor their child.Thenursereviews medications, diet,andsymptom management with the parents
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
and draws up a daily checklist for the family to use. These activities are completed in which step of the
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
nursing process?
ur ur
a. Recognizingcues(assessment) ur ur
b. Analyzecues&prioritizehypothesis (analysis) ur ur ur ur ur
, c. Generatesolutions(planning) ur ur
d. Takeaction(nursinginterventions) ur ur ur
ANS: D u r
Takingactionthrough nursinginterventions iswherethenurseprovidespatient healthteaching, drug
ur ur ur ur ur ur ur ur ur ur ur ur ur
administration, patient care, and other interventions necessary to assist the patient in accomplishing
ur ur ur ur ur ur ur ur ur ur ur ur ur
expected outcomes.
ur ur
DIF: Cognitive Level: Understanding (Comprehension) ur ur ur
TOP: Nursing Process: Nursing Intervention
ur u r ur ur ur
MSC: NCLEX:ManagementofClientCare u r ur ur ur ur
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
ur ur ur ur ur ur ur ur ur ur ur ur ur ur
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
ur ur ur ur ur ur ur ur ur ur ur ur ur
reflective of which of the following?
ur ur ur ur ur ur
a. Recognizingcues(assessment) ur ur
b. Analyzecues&prioritizehypothesis (analysis) ur ur ur ur ur
c. Takeaction(nursinginterventions) ur ur ur
d. Generatesolutions(planning) ur ur
ANS: A u r
Recognizingcues(assessment)involves gathering subjectiveandobjectiveinformationaboutthe ur ur ur ur ur ur ur ur ur ur
patient and the medication. Laboratory values from the patient’s chart would be considered collection
ur ur ur ur ur ur ur ur ur ur ur ur ur ur
of objective data.
ur ur ur
DIF: Cognitive Level: Understanding (Comprehension) ur ur ur
TOP: NursingProcess: Assessment u MSC: NCLEX:ManagementofClientCare
r ur ur u r ur ur ur ur
5. Whichofthe following wouldbecorrectlycategorized as objective data?
ur ur ur ur ur ur ur ur ur ur
a. Alist ofherbalsupplements regularlyused provided bythe patient.
ur ur ur ur ur ur ur ur ur ur
b. Labvalues associated with thedrugs thepatient is taking.ur ur ur ur ur ur ur ur ur
c. Theages and relationship ofall household members to thepatient.
ur ur ur ur ur ur ur ur ur ur
d. Usualdietarypatterns and foodintake. ur ur ur ur ur
ANS: B u r
Objective dataaremeasured anddetected byanotherperson and would includelabvalues. The other
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
examples are subjective data.
ur ur ur ur
DIF: Cognitive Level: Understanding (Comprehension) ur ur ur
TOP: NursingProcess: Assessment u MSC: NCLEX: ManagementofClientCare
r ur ur u r ur ur ur ur
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and does
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
not have an established routine. The patient will be sent home with three new medications tobetaken
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
atdifferent times oftheday. Thenurse develops adailymedication chart and enlists a family member
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
to put the patient’s pills in a pill organizer. This is an example of which element of the nursing
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
process?
ur
a. Recognizingcues(assessment) ur ur
b. Analyzecues&prioritizehypothesis (analysis) ur ur ur ur ur
c. Takeaction(nursinginterventions) ur ur ur
, d. Generatesolutions(planning) ur ur
ANS: C u r
Takingaction(nursinginterventions)involveseducation andpatient carein ordertoassistthe patient to
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
accomplish the goals of treatment.
ur ur ur ur ur
DIF: Cognitive Level: Applying (Application) ur ur ur
TOP: Nursing Process: Nursing Intervention
ur ur ur ur ur
MSC: NCLEX: Management of Client Care
ur u r ur ur ur ur
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home.
ur ur ur ur ur ur ur ur ur ur ur ur ur ur
Thenurseand the patient discuss the patient’s situation anddecidethatthepatient maygo home when
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
able to perform self-care without dyspnea and hypoxia. This is an example of which phase of the
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
nursing process?
ur ur
a. Recognizingcues(assessment) ur ur
b. Analyzecues&prioritizehypothesis (analysis) ur ur ur ur ur
c. Takeaction(nursinginterventions) ur ur ur
d. Generatesolutions(planning) ur ur
ANS: D u r
Generating solutions (planning) involves defining a set of interventions to achieve the most ur ur ur ur ur ur ur ur ur ur ur ur
desirable outcomes, which, for this patient, means being able to perform self-care activities
ur ur ur ur ur ur ur ur ur ur ur ur ur
without dyspnea and hypoxia.
ur ur ur ur
DIF: Cognitive Level: Understanding (Comprehension)
u r ur ur ur TOP: Nursing Process: Planning ur ur ur
MSC: NCLEX: Management of Client Care
ur u r ur ur ur ur
8. Apatient will besent homewith ametered-doseinhaler,and thenurseis providingteaching. Which
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
ur is a correctly written expected outcome for this process?
ur ur ur ur ur ur ur ur
a. Thenursewill demonstrate thecorrect useof a metered-doseinhaler to thepatient.
ur ur ur ur ur ur ur ur ur ur ur ur ur
b. Thenursewillteach thepatient howtoadministermedicationwith ametered-doseur ur ur ur ur ur ur ur ur ur ur ur
ur inhaler.
c. Thepatient willknowhowtoself-administerthemedicationusingthemetered- dose
ur ur ur ur ur ur ur ur ur ur ur ur
ur inhaler.
d. Thepatientwillindependentlyadministerthemedicationusingthemetered-dose ur ur ur ur ur ur ur ur ur
ur inhaler at the end of the session. ur ur ur ur ur ur
ANS: D u r
Expected outcomes must be patient-centered and clearly state the outcome with a reasonable ur ur ur ur ur ur ur ur ur ur ur ur
deadline and should identify components for evaluation.
ur ur ur ur ur ur ur
DIF: Cognitive Level: Applying (Application)
u r ur ur ur TOP: Nursing Process: Planning ur ur ur
MSC: NCLEX: Management of Client Care
ur u r ur ur ur ur
9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and hypoxia.
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
Thepatient has been admitted forincreased oxygenneeds aboveabaseline of2 L/min. Thenurse
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
generates an expected outcomes stating, “The patient will have oxygen saturations of
ur ur ur ur ur ur ur ur ur ur ur ur
>95%on roomair at the time of discharge from the hospital.” What iswrongwith this goal?
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
a. Itcannotbeevaluated. ur ur ur
ur ur ur ur
Nursing Process Approach, 11th Edition by
ur ur ur ur ur ur ur
Linda E. McCuistion Chapter 1-58
ur ur ur ur ur
,Chapter01:TheNursingProcessandPatient-CenteredCare
r
u r
u r
u r
u r
u r
u r
u
McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,11thEditionr
u r
u r
u r
u r
u r
u r
u r
u
MULTIPLE CHOICE ur
1. Allofthefollowing would beconsidered subjective data, EXCEPT:
ur ur ur ur ur ur ur ur ur
a. Patient-reportedhealthhistory ur ur
b. Patient-reportedsigns andsymptoms oftheirillness ur ur ur ur ur ur
c. Financialbarriersreportedbythepatient’s caregiver ur ur ur ur ur ur
d. Vitalsignsobtained fromthemedical record ur ur ur ur ur ur
ANS: D u r
Subjective dataisbased onwhat patients orfamilymemberscommunicate tothenurse.Patient- reported ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
health history, signs and symptoms, and caregiver reported financial barriers would be considered
ur ur ur ur ur ur ur ur ur ur ur ur ur
subjective data. Vital signs obtained from the medical record would be considered objective data.
ur ur ur ur ur ur ur ur ur ur ur ur ur ur
DIF: Cognitive Level: Understanding (Comprehension) ur ur ur TOP: NursingProcess:Planning u r ur ur
MSC: NCLEX: Management of Client Care
ur u r ur ur ur ur
2. Thenurseisusingdatacollected to define asetof interventions to achievethe mostdesirable
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
ur outcomes. Which of the following steps is the nurse applying? ur ur ur ur ur ur ur ur ur
a. Recognizingcues(assessment) ur ur
b. Analyzecues&prioritizehypothesis (analysis) ur ur ur ur ur
c. Generatesolutions(planning) ur ur
d. Takeaction(nursinginterventions) ur ur ur
ANS: C u r
When generating solutions (planning), the nurse identifies expected outcomes and uses the patient’s
ur ur ur ur ur ur ur ur ur ur ur ur
problem(s) to define a set of interventions to achieve the most desirable outcomes. Recognizing cues
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
(assessment) involves the gathering of cues (information) from the patient about their health and
ur ur ur ur ur ur ur ur ur ur ur ur ur ur
lifestyle practices, which are important facts that aid the nurse in making clinicalcaredecisions.
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
Prioritizinghypothesis isusedtoorganizeandrankthepatient problem(s) identified. Finally, taking
ur ur ur ur ur ur ur ur ur ur ur ur ur ur
action involves implementation of nursing interventions to accomplish the expected outcomes.
ur ur ur ur ur ur ur ur ur ur ur
DIF: Cognitive Level: Understanding (Comprehension) ur ur ur
TOP: Nursing Process: Nursing Intervention
ur u r ur ur ur
MSC: NCLEX:ManagementofClientCare u r ur ur ur ur
3. A5-year-old child with type 1diabetes mellitus has had repeated hospitalizations forepisodes of
ur ur ur ur ur ur ur ur ur ur ur ur ur ur
hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to be doneto
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
carefor their child.Thenursereviews medications, diet,andsymptom management with the parents
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
and draws up a daily checklist for the family to use. These activities are completed in which step of the
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
nursing process?
ur ur
a. Recognizingcues(assessment) ur ur
b. Analyzecues&prioritizehypothesis (analysis) ur ur ur ur ur
, c. Generatesolutions(planning) ur ur
d. Takeaction(nursinginterventions) ur ur ur
ANS: D u r
Takingactionthrough nursinginterventions iswherethenurseprovidespatient healthteaching, drug
ur ur ur ur ur ur ur ur ur ur ur ur ur
administration, patient care, and other interventions necessary to assist the patient in accomplishing
ur ur ur ur ur ur ur ur ur ur ur ur ur
expected outcomes.
ur ur
DIF: Cognitive Level: Understanding (Comprehension) ur ur ur
TOP: Nursing Process: Nursing Intervention
ur u r ur ur ur
MSC: NCLEX:ManagementofClientCare u r ur ur ur ur
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
ur ur ur ur ur ur ur ur ur ur ur ur ur ur
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
ur ur ur ur ur ur ur ur ur ur ur ur ur
reflective of which of the following?
ur ur ur ur ur ur
a. Recognizingcues(assessment) ur ur
b. Analyzecues&prioritizehypothesis (analysis) ur ur ur ur ur
c. Takeaction(nursinginterventions) ur ur ur
d. Generatesolutions(planning) ur ur
ANS: A u r
Recognizingcues(assessment)involves gathering subjectiveandobjectiveinformationaboutthe ur ur ur ur ur ur ur ur ur ur
patient and the medication. Laboratory values from the patient’s chart would be considered collection
ur ur ur ur ur ur ur ur ur ur ur ur ur ur
of objective data.
ur ur ur
DIF: Cognitive Level: Understanding (Comprehension) ur ur ur
TOP: NursingProcess: Assessment u MSC: NCLEX:ManagementofClientCare
r ur ur u r ur ur ur ur
5. Whichofthe following wouldbecorrectlycategorized as objective data?
ur ur ur ur ur ur ur ur ur ur
a. Alist ofherbalsupplements regularlyused provided bythe patient.
ur ur ur ur ur ur ur ur ur ur
b. Labvalues associated with thedrugs thepatient is taking.ur ur ur ur ur ur ur ur ur
c. Theages and relationship ofall household members to thepatient.
ur ur ur ur ur ur ur ur ur ur
d. Usualdietarypatterns and foodintake. ur ur ur ur ur
ANS: B u r
Objective dataaremeasured anddetected byanotherperson and would includelabvalues. The other
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
examples are subjective data.
ur ur ur ur
DIF: Cognitive Level: Understanding (Comprehension) ur ur ur
TOP: NursingProcess: Assessment u MSC: NCLEX: ManagementofClientCare
r ur ur u r ur ur ur ur
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and does
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
not have an established routine. The patient will be sent home with three new medications tobetaken
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
atdifferent times oftheday. Thenurse develops adailymedication chart and enlists a family member
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
to put the patient’s pills in a pill organizer. This is an example of which element of the nursing
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
process?
ur
a. Recognizingcues(assessment) ur ur
b. Analyzecues&prioritizehypothesis (analysis) ur ur ur ur ur
c. Takeaction(nursinginterventions) ur ur ur
, d. Generatesolutions(planning) ur ur
ANS: C u r
Takingaction(nursinginterventions)involveseducation andpatient carein ordertoassistthe patient to
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
accomplish the goals of treatment.
ur ur ur ur ur
DIF: Cognitive Level: Applying (Application) ur ur ur
TOP: Nursing Process: Nursing Intervention
ur ur ur ur ur
MSC: NCLEX: Management of Client Care
ur u r ur ur ur ur
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home.
ur ur ur ur ur ur ur ur ur ur ur ur ur ur
Thenurseand the patient discuss the patient’s situation anddecidethatthepatient maygo home when
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
able to perform self-care without dyspnea and hypoxia. This is an example of which phase of the
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
nursing process?
ur ur
a. Recognizingcues(assessment) ur ur
b. Analyzecues&prioritizehypothesis (analysis) ur ur ur ur ur
c. Takeaction(nursinginterventions) ur ur ur
d. Generatesolutions(planning) ur ur
ANS: D u r
Generating solutions (planning) involves defining a set of interventions to achieve the most ur ur ur ur ur ur ur ur ur ur ur ur
desirable outcomes, which, for this patient, means being able to perform self-care activities
ur ur ur ur ur ur ur ur ur ur ur ur ur
without dyspnea and hypoxia.
ur ur ur ur
DIF: Cognitive Level: Understanding (Comprehension)
u r ur ur ur TOP: Nursing Process: Planning ur ur ur
MSC: NCLEX: Management of Client Care
ur u r ur ur ur ur
8. Apatient will besent homewith ametered-doseinhaler,and thenurseis providingteaching. Which
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
ur is a correctly written expected outcome for this process?
ur ur ur ur ur ur ur ur
a. Thenursewill demonstrate thecorrect useof a metered-doseinhaler to thepatient.
ur ur ur ur ur ur ur ur ur ur ur ur ur
b. Thenursewillteach thepatient howtoadministermedicationwith ametered-doseur ur ur ur ur ur ur ur ur ur ur ur
ur inhaler.
c. Thepatient willknowhowtoself-administerthemedicationusingthemetered- dose
ur ur ur ur ur ur ur ur ur ur ur ur
ur inhaler.
d. Thepatientwillindependentlyadministerthemedicationusingthemetered-dose ur ur ur ur ur ur ur ur ur
ur inhaler at the end of the session. ur ur ur ur ur ur
ANS: D u r
Expected outcomes must be patient-centered and clearly state the outcome with a reasonable ur ur ur ur ur ur ur ur ur ur ur ur
deadline and should identify components for evaluation.
ur ur ur ur ur ur ur
DIF: Cognitive Level: Applying (Application)
u r ur ur ur TOP: Nursing Process: Planning ur ur ur
MSC: NCLEX: Management of Client Care
ur u r ur ur ur ur
9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and hypoxia.
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
Thepatient has been admitted forincreased oxygenneeds aboveabaseline of2 L/min. Thenurse
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
generates an expected outcomes stating, “The patient will have oxygen saturations of
ur ur ur ur ur ur ur ur ur ur ur ur
>95%on roomair at the time of discharge from the hospital.” What iswrongwith this goal?
ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur ur
a. Itcannotbeevaluated. ur ur ur
