,Item Bank: Lilley Pharmacology and the Nursing Process 7th Ed
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Objective: Ch 01: The Nursing Process and Drug Therapy
s s s s ss ss ss ss ss ss ss
1. Question Name: 0001 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
ss ss ss ss ss ss ss ss ss ss ss ss ss
Pharmacology and the Nursing Process 7th Ed
ss ss ss ss ss ss ss
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
diagnosis?
ss
A. Anxiety
B. Anxiety related to new drug therapy ss ss ss ss ss
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as
ss ss ss ss ss ss ss ss ss ss ss ss ss
“I’m upset about having to test my blood sugars.”
ss ss ss ss ss ss ss ss ss
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset about
s s ss ss ss ss ss ss ss ss ss ss ss ss ss ss
having to test my blood sugars.”
ss ss ss ss ss ss
Correct Answer: D ss s s
ss Explanation/Rationale:
ANS: D s s
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the
ss ss ss ss ss ss ss ss ss ss ss ss
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety related to new
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
drug therapy” is missing the “as evidenced by” portion of defining characteristics. The statement
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
beginning “Anxiety related to anxious feelings” is incorrect because the “related to” section is
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
simply a restatement of the problem “anxiety,” not a separate factor related to the response.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 9 ss ss ss ss
TOP: NURSING PROCESS: Nursing Diagnosis
ss ss ss ss
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
s s ss ss ss ss ss ss ss ss
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: ss
s Active Date Created:
s 01/31/13 14:18:01
ss ss Date Modified: ss ss
01/31/13 14:18:01 Date Used: Difficulty: Easy ss ss ss
Discrimination: Low
Item Analysis: Last
ss Item Analysis: Cumulative
ss ss ss
No. of Students Responded: 0
ss ss No. of Students Responded: 0 ss ss ss ss
Correct Responses (%): ss Correct Responses (%): ss ss ss
Total Group: 0.00 ss Total Group: 0.00 ss
Upper 27% of Group: 0.00 ss Upper 27% of Group: ss 0.00 ss ss ss ss
Lower 27% of Group: 0.00 ss Lower 27% of Group: ss 0.00 ss ss ss ss
Point Biserial: ss 0.00 Point Biserial: 0.00 ss
Response Frequencies (%) ss ss
, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
2. Question Name: 0002 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
ss ss ss ss ss ss ss ss ss ss ss ss ss
Pharmacology and the Nursing Process 7th Ed
ss ss ss ss ss ss ss
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and gave
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the medication 2 hours after the scheduled dose was due. What type of problem does this
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
represent?
ss
* A. “Right time” problem
s s ss ss
B. “Right dose” problem
s s ss ss
C. “Right route” problem
s s ss ss
D. “Right medication” problem
s s ss ss
Correct Answer: A ss s s
ss Explanation/Rationale:
ANS: A s s
“Right time” is correct because the medication was given more than 30 minutes after the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
scheduled dose was due. “Dose” is incorrect because the dose is not related to the time the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
medication administration is scheduled. “Route” is incorrect because the route is not affected.
ss ss ss ss ss ss ss ss ss ss ss ss ss
“Medication” is incorrect because the medication ordered will not change.
ss ss ss ss ss ss ss ss ss ss
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 13 ss ss ss ss
TOP: NURSING PROCESS: Implementation
ss ss ss
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
s s ss ss ss ss ss ss ss ss ss
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: ss
s Active Date Created:
s ss01/31/13 14:18:01 ss Date Modified: ss ss
01/31/13 14:18:01 Date Used: Difficulty: Easy ss ss ss
Discrimination: Low
Item Analysis: Last
ss Item Analysis: Cumulative
ss ss ss
No. of Students Responded: 0
ss ss No. of Students Responded: 0 ss ss ss ss
Correct Responses (%): ss Correct Responses (%): ss ss ss
Total Group: 0.00 ss Total Group: 0.00 ss
Upper 27% of Group: 0.00 ss Upper 27% of Group: ss 0.00 ss ss ss ss
Lower 27% of Group: 0.00 ss Lower 27% of Group: ss 0.00 ss ss ss ss
Point Biserial: ss 0.00 Point Biserial: 0.00 ss
Response Frequencies (%) ss ss
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
, 3. Question Name: 0003 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
ss ss ss ss ss ss ss ss ss ss ss ss ss
Pharmacology and the Nursing Process 7th Ed
ss ss ss ss ss ss ss
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
and documenting the patient’s therapeutic response to the medication. Which phase of the nursing
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
process do these actions illustrate?
ss ss ss ss ss
A. Nursing diagnosis ss
B. Planning
C. Implementation
* D. Evaluation s s
Correct Answer: D ss s s
ss Explanation/Rationale:
ANS: D s s
Monitoring the patient’s progress, including the patient’s response to the medication, is part of
ss ss ss ss ss ss ss ss ss ss ss ss ss
the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by this
ss ss ss ss ss ss ss ss ss ss ss ss ss
example.
ss
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 15 ss ss ss ss
TOP: NURSING PROCESS: Evaluation
ss ss ss
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
s s ss ss ss ss ss ss ss ss
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: ss
s Active Date Created:
s 01/31/13 14:18:01
ss Date Modified:
ss ss ss
01/31/13 14:18:01 Date Used: Difficulty: Easy ss ss ss
Discrimination: Low
Item Analysis: Last
ss Item Analysis: Cumulativess ss ss
No. of Students Responded: 0
ss ss No. of Students Responded: 0 ss ss ss ss
Correct Responses (%): ss Correct Responses (%): ss ss ss
Total Group: 0.00 ss Total Group: 0.00 ss
Upper 27% of Group: 0.00 ss Upper 27% of Group: ss 0.00 ss ss ss ss
Lower 27% of Group: 0.00 ss Lower 27% of Group: ss0.00 ss ss ss ss
Point Biserial: 0.00
ss Point Biserial: 0.00 ss
Response Frequencies (%) ss ss
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
4. Question Name: 0004 ss ss Type: MC ss Objective: Ch 01: The Nursing Process and Drug Therapy
ss ss ss ss ss ss ss ss Item Bank: Lilley
ss ss
ss s s ss ss ss ss ss ss ss
Objective: Ch 01: The Nursing Process and Drug Therapy
s s s s ss ss ss ss ss ss ss
1. Question Name: 0001 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
ss ss ss ss ss ss ss ss ss ss ss ss ss
Pharmacology and the Nursing Process 7th Ed
ss ss ss ss ss ss ss
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
diagnosis?
ss
A. Anxiety
B. Anxiety related to new drug therapy ss ss ss ss ss
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as
ss ss ss ss ss ss ss ss ss ss ss ss ss
“I’m upset about having to test my blood sugars.”
ss ss ss ss ss ss ss ss ss
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset about
s s ss ss ss ss ss ss ss ss ss ss ss ss ss ss
having to test my blood sugars.”
ss ss ss ss ss ss
Correct Answer: D ss s s
ss Explanation/Rationale:
ANS: D s s
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the
ss ss ss ss ss ss ss ss ss ss ss ss
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety related to new
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
drug therapy” is missing the “as evidenced by” portion of defining characteristics. The statement
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
beginning “Anxiety related to anxious feelings” is incorrect because the “related to” section is
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
simply a restatement of the problem “anxiety,” not a separate factor related to the response.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 9 ss ss ss ss
TOP: NURSING PROCESS: Nursing Diagnosis
ss ss ss ss
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
s s ss ss ss ss ss ss ss ss
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: ss
s Active Date Created:
s 01/31/13 14:18:01
ss ss Date Modified: ss ss
01/31/13 14:18:01 Date Used: Difficulty: Easy ss ss ss
Discrimination: Low
Item Analysis: Last
ss Item Analysis: Cumulative
ss ss ss
No. of Students Responded: 0
ss ss No. of Students Responded: 0 ss ss ss ss
Correct Responses (%): ss Correct Responses (%): ss ss ss
Total Group: 0.00 ss Total Group: 0.00 ss
Upper 27% of Group: 0.00 ss Upper 27% of Group: ss 0.00 ss ss ss ss
Lower 27% of Group: 0.00 ss Lower 27% of Group: ss 0.00 ss ss ss ss
Point Biserial: ss 0.00 Point Biserial: 0.00 ss
Response Frequencies (%) ss ss
, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
2. Question Name: 0002 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
ss ss ss ss ss ss ss ss ss ss ss ss ss
Pharmacology and the Nursing Process 7th Ed
ss ss ss ss ss ss ss
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and gave
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the medication 2 hours after the scheduled dose was due. What type of problem does this
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
represent?
ss
* A. “Right time” problem
s s ss ss
B. “Right dose” problem
s s ss ss
C. “Right route” problem
s s ss ss
D. “Right medication” problem
s s ss ss
Correct Answer: A ss s s
ss Explanation/Rationale:
ANS: A s s
“Right time” is correct because the medication was given more than 30 minutes after the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
scheduled dose was due. “Dose” is incorrect because the dose is not related to the time the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
medication administration is scheduled. “Route” is incorrect because the route is not affected.
ss ss ss ss ss ss ss ss ss ss ss ss ss
“Medication” is incorrect because the medication ordered will not change.
ss ss ss ss ss ss ss ss ss ss
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 13 ss ss ss ss
TOP: NURSING PROCESS: Implementation
ss ss ss
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
s s ss ss ss ss ss ss ss ss ss
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: ss
s Active Date Created:
s ss01/31/13 14:18:01 ss Date Modified: ss ss
01/31/13 14:18:01 Date Used: Difficulty: Easy ss ss ss
Discrimination: Low
Item Analysis: Last
ss Item Analysis: Cumulative
ss ss ss
No. of Students Responded: 0
ss ss No. of Students Responded: 0 ss ss ss ss
Correct Responses (%): ss Correct Responses (%): ss ss ss
Total Group: 0.00 ss Total Group: 0.00 ss
Upper 27% of Group: 0.00 ss Upper 27% of Group: ss 0.00 ss ss ss ss
Lower 27% of Group: 0.00 ss Lower 27% of Group: ss 0.00 ss ss ss ss
Point Biserial: ss 0.00 Point Biserial: 0.00 ss
Response Frequencies (%) ss ss
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
, 3. Question Name: 0003 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
ss ss ss ss ss ss ss ss ss ss ss ss ss
Pharmacology and the Nursing Process 7th Ed
ss ss ss ss ss ss ss
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
and documenting the patient’s therapeutic response to the medication. Which phase of the nursing
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
process do these actions illustrate?
ss ss ss ss ss
A. Nursing diagnosis ss
B. Planning
C. Implementation
* D. Evaluation s s
Correct Answer: D ss s s
ss Explanation/Rationale:
ANS: D s s
Monitoring the patient’s progress, including the patient’s response to the medication, is part of
ss ss ss ss ss ss ss ss ss ss ss ss ss
the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by this
ss ss ss ss ss ss ss ss ss ss ss ss ss
example.
ss
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 15 ss ss ss ss
TOP: NURSING PROCESS: Evaluation
ss ss ss
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
s s ss ss ss ss ss ss ss ss
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: ss
s Active Date Created:
s 01/31/13 14:18:01
ss Date Modified:
ss ss ss
01/31/13 14:18:01 Date Used: Difficulty: Easy ss ss ss
Discrimination: Low
Item Analysis: Last
ss Item Analysis: Cumulativess ss ss
No. of Students Responded: 0
ss ss No. of Students Responded: 0 ss ss ss ss
Correct Responses (%): ss Correct Responses (%): ss ss ss
Total Group: 0.00 ss Total Group: 0.00 ss
Upper 27% of Group: 0.00 ss Upper 27% of Group: ss 0.00 ss ss ss ss
Lower 27% of Group: 0.00 ss Lower 27% of Group: ss0.00 ss ss ss ss
Point Biserial: 0.00
ss Point Biserial: 0.00 ss
Response Frequencies (%) ss ss
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
4. Question Name: 0004 ss ss Type: MC ss Objective: Ch 01: The Nursing Process and Drug Therapy
ss ss ss ss ss ss ss ss Item Bank: Lilley
ss ss
