Process,10thEditionbyLilley,Rainforth
andSnyder
,Chapter 01: The Nursing Process and Drug Therapy
MULTIPLE CHOICE
1. The nurse is developing a human needs statement for a patient who has a new diagnosis
of heart failure. Identification of human needs statements occur with which of these activi
ties?
a. Collection of patient data
b. Administering interventions
c. Deciding on patient outcomes
d. Documenting the patient‘s behavior
ANS: A
Identification of human needs occurs with the collection of patient data.
DIF:
Cognitive Level: Understanding (Comprehension
) TOP: Nursing Process: Human Needs Statement
MSC: NCLEX: Safe andHEffective Care Environment: ManagementHof Care
2. The dpatient dis dto dreceive doral dguaifenesin dtwice da dday. dToday, dthe dnurse dwas dbusy
dand dgave dt dhe dmedication d2 dhours dafter dthe dscheduled ddose dwas ddue. dWhat dtype dof
dproblem ddoes dthis dr depresent?
a. ―Right d time‖
b. ―Right d dose‖
c. ―Right droute‖
d. ―Right d medication‖
ANS: d A
―Right dtime‖ dis dcorrect dbecause dthe dmedication dwas dgiven dmore dthan d30 dminutes
dafter dthe ds dcheduled ddose dwas ddue. d―Dose‖ dis dincorrect dbecause dthe ddose dis dnot
drelated dto dthe dtime dthe dmedication dadministration dis dscheduled. d―Route‖ dis dincorrect
dbecause dthe drouteHis dnot daffected.
―Medication‖ dis dincorrect dbecause dthe dmedication dordered dwill dnot dchange.
DIF:
Cognitive dLevel: dApplying d(Application
) dTOP: d Nursing d Process: d Implementation
MSC: d NCLEX: dSafe dand dEffective dCare dEnvironment: dSafety dand dInfection dControl
3. The dnurse dhas dbeen dmonitoring dthe dpatient‘s dprogress don da dnew ddrug dregimen
dsince dthe dfir dst ddose dand ddocumenting dthe dpatient‘s dtherapeutic dresponse dto dthe
dmedication. dWhich dphas de dof dthe dnursing dprocess ddo dthese dactions dillustrate?
a. Human dneeds dstatement
b. Planning
c. Implementation
d. Evaluation
ANS: d D
Monitoring dthe dpatient‘s dprogress, dincluding dthe dpatient‘s dresponse dto dthe dmedication, dis
dpart do d f dthe devaluation dphase. dPlanning, dimplementation, dand dhuman dneeds dstatement
dare dnot dillustrat ded dby dthis dexample.
DIF: d d Cognitive dLevel: dUnderstanding d(Comprehension) TOP: d Nursing dProcess: dEvaluation
, MSC: d NCLEX: dSafe dandHEffective dCare dEnvironment: dManagementHof dCare
4. The dnurse dis dassigned dto da dpatient dwho dis dnewly ddiagnosed dwith dtype d1 ddiabetes dmellitu
s. dWhich dstatement d best dillustrates dan doutcome dcriterion dfor dthis dpatient?
a. The dpatient dwill dfollow dinstructions.
b. The dpatient dwill dnot dexperience dcomplications.
c. The dpatient dwill dadhere dto dthe dnew dinsulin dtreatment d regimen.
d. The dpatient dwill ddemonstrate dcorrect dblood dglucose dtesting dtechnique.
ANS: d D
―Demonstrating dcorrect dblood dglucose dtesting dtechnique‖ dis da dspecific dand dmeasurable
doutco dme dcriterion. d―Following dinstructions‖ dand d―not dexperiencing dcomplications‖ dare
dnot dspecific dcr diteria. d―Adhering dto dnew dregimen‖ dwould dbe ddifficult dto dmeasure.
DIF: Cognitive d Level: d Applying d(Application)
TOP: d Nursing dProcess: dPlanning dMSC: d NCLEX: dSafe dand dEffective dCare dEnvironment:
dMan dagementHof dCare
5. Which dactivity dbest dreflects dthe dimplementation dphase dof dthe dnursing dprocess dfor
dthe dpatie dnt dwho dis dnewly ddiagnosed dwith dhypertension?
a. Providing deducation don dkeeping da djournal dof dblood dpressure dreadings
b. Setting dgoals dand doutcome dcriteria dwith dthe dpatient‘s dinput
c. Recording da ddrug dhistory dregarding dover-the-counter dmedications dused dat dhome
d. Formulating dhuman dneeds dstatements dregarding ddeficient dknowledge drelated
dto dth de dnew dtreatment dregimen
ANS: d A
Education dis dan dintervention dthat doccurs dduring dthe dimplementation dphase. dSetting
dgoals dan dd doutcomes dreflects dthe dplanning dphase. dRecording da ddrug dhistory dreflects
dthe dassessment dph dase. dFormulating dhuman dneeds dstatements dreflects danalysis dof
ddata das dpart dof dplanning.
DIF:
Cognitive dLevel: dApplying d(Application
) dTOP: d Nursing d Process: d Implementation
MSC: d NCLEX: dSafe dand dEffective dCare dEnvironment: dManagement dof dCare
6. The dmedication dorder dreads, d―Give dondansetron d4 dmg, d30 dminutes dbefore
dbeginning dche dmotherapy dto dprevent dnausea.‖ dThe dnurse dnotes dthat dthe droute dis
dmissing dfrom dthe dorder. dWhat dis dthe dnurse‘s dbest daction?
a. Give dthe dmedication dintravenously dbecause dthe dpatient dmight dvomit.
b. Give dthe dmedication dorally dbecause dthe dtablets dare davailable din d4-mg ddoses.
c. Contact dthe dprescriber dto dclarify dthe droute dof dthe dmedication dordered.
d. Hold dthe dmedication duntil dthe dprescriber dreturns dto dmake drounds.
ANS: d C
A dcomplete dmedication dorder dincludes dthe droute dof dadministration. dIf da dmedication
dorder ddoes dnot dinclude dthe droute, d the dnurse dmust dask dthe dprescriber dto dclarify dit.
dThe dintravenous dand dora d l droutes dare dnot dinterchangeable. dHolding dthe dmedication
duntil dthe dprescriber dreturns dwould dmean dthat dthe dpatient dwould dnot dreceive da dneeded
dmedication.
DIF:
Cognitive dLevel: dApplying d(Application
) dTOP: d Nursing d Process: d Implementation
, MSC: d NCLEX: dSafe dandHEffective dCare dEnvironment: dManagementHof dCare