TestBankPharmacologyAPatient-Centered
nj nj nj nj
Nursing Process Approach, 11th Edition by
nj nj nj nj nj nj nj
Linda E. McCuistion Chapter 1-58
nj nj nj nj nj
,Chapter01:TheNursingProcessandPatient-CenteredCare
j
n j
n j
n j
n j
n j
n j
n
McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,11thEdition j
n j
n j
n j
n j
n j
n j
n j
n
MULTIPLE CHOICE nj
1. Allofthefollowing wouldbeconsidered subjective data, EXCEPT:
nj nj nj nj nj nj nj nj nj
a. Patient-reportedhealthhistory nj nj
b. Patient-reportedsigns andsymptoms oftheirillness nj nj nj nj nj nj
c. Financialbarriersreportedbythepatient’s caregiver nj nj nj nj nj nj
d. Vitalsignsobtainedfromthemedical record nj nj nj nj nj nj
ANS: D n j
Subjective dataisbased onwhat patients orfamilymemberscommunicate tothenurse.Patient- reported nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
healthhistory, signs and symptoms, and caregiver reported financialbarriers would be considered
nj nj nj nj nj nj nj nj nj nj nj nj nj
subjective data. Vital signs obtained from the medical record would be considered objective data.
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
DIF: Cognitive Level: Understanding (Comprehension) nj nj nj TOP: NursingProcess:Planning n j nj nj
MSC: NCLEX: Management of Client Care
nj n j nj nj nj nj
2. Thenurseisusingdatacollectedto define asetof interventions to achievethemostdesirable
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
nj outcomes. Which of the following steps is the nurse applying? nj nj nj nj nj nj nj nj nj
a. Recognizingcues(assessment) nj nj
b. Analyzecues&prioritizehypothesis(analysis) nj nj nj nj nj
c. Generatesolutions(planning) nj nj
d. Takeaction(nursinginterventions) nj nj nj
ANS: C n j
When generating solutions (planning), the nurse identifies expected outcomes and uses the patient’s
nj nj nj nj nj nj nj nj nj nj nj nj
problem(s) to define a set of interventions to achieve the most desirable outcomes. Recognizing cues
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
(assessment) involves the gathering of cues (information) from the patient about their health and
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
lifestyle practices, which are important facts that aid the nurse in making clinicalcaredecisions.
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
Prioritizinghypothesis isusedtoorganizeandrankthepatientproblem(s) identified.Finally, taking
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
actioninvolves implementationof nursing interventions to accomplish the expected outcomes.
nj nj nj nj nj nj nj nj nj nj nj
DIF: Cognitive Level: Understanding (Comprehension) nj nj nj
TOP: Nursing Process: Nursing Intervention
nj n j nj nj nj
MSC: NCLEX:ManagementofClientCare n j nj nj nj nj
3. A5-year-oldchild with type1diabetes mellitus hashadrepeated hospitalizations forepisodes of
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to be doneto
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
carefor theirchild.Thenursereviews medications, diet,andsymptom management with the parents
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
and draws up a daily checklist for the family to use. These activities are completed in which step of the
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
nursing process?
nj nj
a. Recognizingcues(assessment) nj nj
b. Analyzecues&prioritizehypothesis(analysis) nj nj nj nj nj
, c. Generatesolutions(planning) nj nj
d. Takeaction(nursinginterventions) nj nj nj
ANS: D n j
Takingactionthroughnursinginterventionsiswherethenurseprovidespatient healthteaching, drug
nj nj nj nj nj nj nj nj nj nj nj nj nj
administration, patient care, and other interventions necessary to assist the patient in accomplishing
nj nj nj nj nj nj nj nj nj nj nj nj nj
expected outcomes.
nj nj
DIF: Cognitive Level: Understanding (Comprehension) nj nj nj
TOP: Nursing Process: Nursing Intervention
nj n j nj nj nj
MSC: NCLEX:ManagementofClientCare n j nj nj nj nj
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
nj nj nj nj nj nj nj nj nj nj nj nj nj
reflective of which of the following?
nj nj nj nj nj nj
a. Recognizingcues(assessment) nj nj
b. Analyzecues&prioritizehypothesis(analysis) nj nj nj nj nj
c. Takeaction(nursinginterventions) nj nj nj
d. Generatesolutions(planning) nj nj
ANS: A n j
Recognizingcues(assessment)involvesgatheringsubjectiveandobjectiveinformationaboutthe nj nj nj nj nj nj nj nj nj nj
patient and the medication. Laboratory values from the patient’s chart would be considered collection
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
of objective data.
nj nj nj
DIF: Cognitive Level: Understanding(Comprehension) nj nj nj
TOP: NursingProcess: Assessment n MSC: NCLEX:ManagementofClientCare
j nj nj n j nj nj nj nj
5. Whichofthe followingwouldbecorrectlycategorized asobjective data?
nj nj nj nj nj nj nj nj nj nj
a. Alist ofherbalsupplements regularlyused provided bythe patient.
nj nj nj nj nj nj nj nj nj nj
b. Labvalues associated with thedrugs thepatient is taking. nj nj nj nj nj nj nj nj nj
c. Theagesand relationship ofallhousehold members to thepatient. nj nj nj nj nj nj nj nj nj nj
d. Usualdietarypatterns andfoodintake. nj nj nj nj nj
ANS: B n j
Objective dataaremeasuredanddetectedbyanotherpersonandwould includelabvalues.The other nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
examples are subjective data.
nj nj nj nj
DIF: Cognitive Level: Understanding(Comprehension) nj nj nj
TOP: NursingProcess: Assessment n MSC: NCLEX:ManagementofClientCare
j nj nj n j nj nj nj nj
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and does not
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
have an established routine. The patient will be sent home with three new medications tobetakenat
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
differenttimes oftheday. Thenursedevelops adailymedicationchart and enlists a family member to
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
put the patient’s pills in a pill organizer. This is an example of which element of the nursing process?
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
a. Recognizingcues(assessment) nj nj
b. Analyzecues&prioritizehypothesis(analysis) nj nj nj nj nj
c. Takeaction(nursinginterventions) nj nj nj
, d. Generatesolutions(planning) nj nj
ANS: C n j
Takingaction(nursinginterventions)involveseducationandpatient carein ordertoassistthe patient to
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
accomplish the goals of treatment.
nj nj nj nj nj
DIF: CognitiveLevel: Applying(Application) nj nj nj
TOP: Nursing Process: Nursing Intervention
nj nj nj nj nj
MSC: NCLEX: Management of Client Care
nj n j nj nj nj nj
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home.
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
Thenurseand thepatientdiscuss the patient’s situationanddecidethatthepatient maygo home when
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
able to perform self-carewithout dyspnea and hypoxia. This is an example of which phase of the
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
nursing process?
nj nj
a. Recognizingcues(assessment) nj nj
b. Analyzecues&prioritizehypothesis(analysis) nj nj nj nj nj
c. Takeaction(nursinginterventions) nj nj nj
d. Generatesolutions(planning) nj nj
ANS: D n j
Generating solutions (planning) involves defining a set of interventions to achieve the most nj nj nj nj nj nj nj nj nj nj nj nj
desirable outcomes, which, for this patient, means being able to perform self-care activities
nj nj nj nj nj nj nj nj nj nj nj nj nj
without dyspnea and hypoxia.
nj nj nj nj
DIF: Cognitive Level: Understanding (Comprehension)
n j nj nj nj TOP: Nursing Process: Planning nj nj nj
MSC: NCLEX: Management of Client Care
nj n j nj nj nj nj
8. Apatientwill besent homewith ametered-doseinhaler,and thenurseisprovidingteaching. Which
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
nj is a correctly written expected outcome for this process?
nj nj nj nj nj nj nj nj
a. Thenursewilldemonstrate thecorrect useof a metered-doseinhaler to thepatient.
nj nj nj nj nj nj nj nj nj nj nj nj nj
b. Thenursewillteach thepatienthowtoadministermedicationwithametered-dose nj nj nj nj nj nj nj nj nj nj nj nj
inhaler.
nj
c. Thepatientwillknowhowtoself-administerthemedicationusingthemetered- dose nj nj nj nj nj nj nj nj nj nj nj nj
inhaler.
nj
d. Thepatientwillindependentlyadministerthemedicationusingthemetered-dose nj nj nj nj nj nj nj nj nj
inhaler at the end of the session.
nj nj nj nj nj nj nj
ANS: D n j
Expected outcomes must be patient-centered and clearly state the outcome with a reasonable nj nj nj nj nj nj nj nj nj nj nj nj
deadline and should identify components for evaluation.
nj nj nj nj nj nj nj
DIF: Cognitive Level: Applying (Application)
n j nj nj nj TOP: Nursing Process: Planning nj nj nj
MSC: NCLEX: Management of Client Care
nj n j nj nj nj nj
9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and hypoxia.
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
Thepatient hasbeen admittedforincreasedoxygenneeds aboveabaselineof2 L/min. Thenurse
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
generates an expected outcomes stating, “The patient will have oxygen saturations of
nj nj nj nj nj nj nj nj nj nj nj nj
>95%on roomair at the time ofdischarge from the hospital.”What iswrongwith this goal?
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
a. Itcannotbeevaluated. nj nj nj
nj nj nj nj
Nursing Process Approach, 11th Edition by
nj nj nj nj nj nj nj
Linda E. McCuistion Chapter 1-58
nj nj nj nj nj
,Chapter01:TheNursingProcessandPatient-CenteredCare
j
n j
n j
n j
n j
n j
n j
n
McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,11thEdition j
n j
n j
n j
n j
n j
n j
n j
n
MULTIPLE CHOICE nj
1. Allofthefollowing wouldbeconsidered subjective data, EXCEPT:
nj nj nj nj nj nj nj nj nj
a. Patient-reportedhealthhistory nj nj
b. Patient-reportedsigns andsymptoms oftheirillness nj nj nj nj nj nj
c. Financialbarriersreportedbythepatient’s caregiver nj nj nj nj nj nj
d. Vitalsignsobtainedfromthemedical record nj nj nj nj nj nj
ANS: D n j
Subjective dataisbased onwhat patients orfamilymemberscommunicate tothenurse.Patient- reported nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
healthhistory, signs and symptoms, and caregiver reported financialbarriers would be considered
nj nj nj nj nj nj nj nj nj nj nj nj nj
subjective data. Vital signs obtained from the medical record would be considered objective data.
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
DIF: Cognitive Level: Understanding (Comprehension) nj nj nj TOP: NursingProcess:Planning n j nj nj
MSC: NCLEX: Management of Client Care
nj n j nj nj nj nj
2. Thenurseisusingdatacollectedto define asetof interventions to achievethemostdesirable
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
nj outcomes. Which of the following steps is the nurse applying? nj nj nj nj nj nj nj nj nj
a. Recognizingcues(assessment) nj nj
b. Analyzecues&prioritizehypothesis(analysis) nj nj nj nj nj
c. Generatesolutions(planning) nj nj
d. Takeaction(nursinginterventions) nj nj nj
ANS: C n j
When generating solutions (planning), the nurse identifies expected outcomes and uses the patient’s
nj nj nj nj nj nj nj nj nj nj nj nj
problem(s) to define a set of interventions to achieve the most desirable outcomes. Recognizing cues
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
(assessment) involves the gathering of cues (information) from the patient about their health and
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
lifestyle practices, which are important facts that aid the nurse in making clinicalcaredecisions.
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
Prioritizinghypothesis isusedtoorganizeandrankthepatientproblem(s) identified.Finally, taking
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
actioninvolves implementationof nursing interventions to accomplish the expected outcomes.
nj nj nj nj nj nj nj nj nj nj nj
DIF: Cognitive Level: Understanding (Comprehension) nj nj nj
TOP: Nursing Process: Nursing Intervention
nj n j nj nj nj
MSC: NCLEX:ManagementofClientCare n j nj nj nj nj
3. A5-year-oldchild with type1diabetes mellitus hashadrepeated hospitalizations forepisodes of
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to be doneto
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
carefor theirchild.Thenursereviews medications, diet,andsymptom management with the parents
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
and draws up a daily checklist for the family to use. These activities are completed in which step of the
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
nursing process?
nj nj
a. Recognizingcues(assessment) nj nj
b. Analyzecues&prioritizehypothesis(analysis) nj nj nj nj nj
, c. Generatesolutions(planning) nj nj
d. Takeaction(nursinginterventions) nj nj nj
ANS: D n j
Takingactionthroughnursinginterventionsiswherethenurseprovidespatient healthteaching, drug
nj nj nj nj nj nj nj nj nj nj nj nj nj
administration, patient care, and other interventions necessary to assist the patient in accomplishing
nj nj nj nj nj nj nj nj nj nj nj nj nj
expected outcomes.
nj nj
DIF: Cognitive Level: Understanding (Comprehension) nj nj nj
TOP: Nursing Process: Nursing Intervention
nj n j nj nj nj
MSC: NCLEX:ManagementofClientCare n j nj nj nj nj
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
nj nj nj nj nj nj nj nj nj nj nj nj nj
reflective of which of the following?
nj nj nj nj nj nj
a. Recognizingcues(assessment) nj nj
b. Analyzecues&prioritizehypothesis(analysis) nj nj nj nj nj
c. Takeaction(nursinginterventions) nj nj nj
d. Generatesolutions(planning) nj nj
ANS: A n j
Recognizingcues(assessment)involvesgatheringsubjectiveandobjectiveinformationaboutthe nj nj nj nj nj nj nj nj nj nj
patient and the medication. Laboratory values from the patient’s chart would be considered collection
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
of objective data.
nj nj nj
DIF: Cognitive Level: Understanding(Comprehension) nj nj nj
TOP: NursingProcess: Assessment n MSC: NCLEX:ManagementofClientCare
j nj nj n j nj nj nj nj
5. Whichofthe followingwouldbecorrectlycategorized asobjective data?
nj nj nj nj nj nj nj nj nj nj
a. Alist ofherbalsupplements regularlyused provided bythe patient.
nj nj nj nj nj nj nj nj nj nj
b. Labvalues associated with thedrugs thepatient is taking. nj nj nj nj nj nj nj nj nj
c. Theagesand relationship ofallhousehold members to thepatient. nj nj nj nj nj nj nj nj nj nj
d. Usualdietarypatterns andfoodintake. nj nj nj nj nj
ANS: B n j
Objective dataaremeasuredanddetectedbyanotherpersonandwould includelabvalues.The other nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
examples are subjective data.
nj nj nj nj
DIF: Cognitive Level: Understanding(Comprehension) nj nj nj
TOP: NursingProcess: Assessment n MSC: NCLEX:ManagementofClientCare
j nj nj n j nj nj nj nj
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and does not
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
have an established routine. The patient will be sent home with three new medications tobetakenat
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
differenttimes oftheday. Thenursedevelops adailymedicationchart and enlists a family member to
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
put the patient’s pills in a pill organizer. This is an example of which element of the nursing process?
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
a. Recognizingcues(assessment) nj nj
b. Analyzecues&prioritizehypothesis(analysis) nj nj nj nj nj
c. Takeaction(nursinginterventions) nj nj nj
, d. Generatesolutions(planning) nj nj
ANS: C n j
Takingaction(nursinginterventions)involveseducationandpatient carein ordertoassistthe patient to
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
accomplish the goals of treatment.
nj nj nj nj nj
DIF: CognitiveLevel: Applying(Application) nj nj nj
TOP: Nursing Process: Nursing Intervention
nj nj nj nj nj
MSC: NCLEX: Management of Client Care
nj n j nj nj nj nj
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home.
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
Thenurseand thepatientdiscuss the patient’s situationanddecidethatthepatient maygo home when
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
able to perform self-carewithout dyspnea and hypoxia. This is an example of which phase of the
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
nursing process?
nj nj
a. Recognizingcues(assessment) nj nj
b. Analyzecues&prioritizehypothesis(analysis) nj nj nj nj nj
c. Takeaction(nursinginterventions) nj nj nj
d. Generatesolutions(planning) nj nj
ANS: D n j
Generating solutions (planning) involves defining a set of interventions to achieve the most nj nj nj nj nj nj nj nj nj nj nj nj
desirable outcomes, which, for this patient, means being able to perform self-care activities
nj nj nj nj nj nj nj nj nj nj nj nj nj
without dyspnea and hypoxia.
nj nj nj nj
DIF: Cognitive Level: Understanding (Comprehension)
n j nj nj nj TOP: Nursing Process: Planning nj nj nj
MSC: NCLEX: Management of Client Care
nj n j nj nj nj nj
8. Apatientwill besent homewith ametered-doseinhaler,and thenurseisprovidingteaching. Which
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
nj is a correctly written expected outcome for this process?
nj nj nj nj nj nj nj nj
a. Thenursewilldemonstrate thecorrect useof a metered-doseinhaler to thepatient.
nj nj nj nj nj nj nj nj nj nj nj nj nj
b. Thenursewillteach thepatienthowtoadministermedicationwithametered-dose nj nj nj nj nj nj nj nj nj nj nj nj
inhaler.
nj
c. Thepatientwillknowhowtoself-administerthemedicationusingthemetered- dose nj nj nj nj nj nj nj nj nj nj nj nj
inhaler.
nj
d. Thepatientwillindependentlyadministerthemedicationusingthemetered-dose nj nj nj nj nj nj nj nj nj
inhaler at the end of the session.
nj nj nj nj nj nj nj
ANS: D n j
Expected outcomes must be patient-centered and clearly state the outcome with a reasonable nj nj nj nj nj nj nj nj nj nj nj nj
deadline and should identify components for evaluation.
nj nj nj nj nj nj nj
DIF: Cognitive Level: Applying (Application)
n j nj nj nj TOP: Nursing Process: Planning nj nj nj
MSC: NCLEX: Management of Client Care
nj n j nj nj nj nj
9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and hypoxia.
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
Thepatient hasbeen admittedforincreasedoxygenneeds aboveabaselineof2 L/min. Thenurse
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
generates an expected outcomes stating, “The patient will have oxygen saturations of
nj nj nj nj nj nj nj nj nj nj nj nj
>95%on roomair at the time ofdischarge from the hospital.”What iswrongwith this goal?
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
a. Itcannotbeevaluated. nj nj nj
