,Item Bank: Lilley Pharmacology and the Nursing Process 10th Ed
xf xf xf xf xf xf xf xf xf
Objective: Ch 01: The Nursing Process and Drug Therapy
x f xf xf xf xf xf xf xf
1. Question Name: 0001 xf xf Type: MC xf Objective: Ch 01: The Nursing Process and Drug Therapy
xf xf xf xf xf xf xf xf xf
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been
xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf
newlydiagnosed with type 2 diabetes. Which statement reflects the correct format for a
xf f
x xf xf xf xf xf xf xf xf xf xf xf xf
nursing diagnosis?
xf xf
A. Anxiety
B. Anxiety related to new drug therapy xf xf xf xf xf
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such
xf xf xf xf xf xf xf xf xf xf xf xf
as“I’m upset about having to test my blood sugars.”
xf f
x xf xf xf xf xf xf xf xf
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset
xf xf xf xf xf xf xf xf xf xf xf xf xf xf
abouthaving to test my blood sugars.”
xf xf xf xf xf xf xf
Correct Answer: D xf xf
xf Explanation/Rationale:
ANS: D x f
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the
xf xf xf xf xf xf xf xf xf xf xf xf
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety related to
xf xf xf xf xf xf xf xf xf xf xf xf xf
new drug therapy” is missing the “as evidenced by” portion of defining characteristics. The
xf xf xf xf xf xf xf xf xf xf xf xf xf xf
statementbeginning “Anxiety related to anxious feelings” is incorrect because the “related
xf xf xf xf xf xf xf xf xf xf xf xf
to” section is simply a restatement of the problem “anxiety,” not a separate factor related to
xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf
the response.
xf xf
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. xf xf xf
9TOP: NURSING PROCESS: Nursing Diagnosis
xf f
x xf xf xf
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
xf xf xf xf xf xf xf xf xf
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: xf
ActiveDate Created:
x f f
x 01/31/13 14:18:01 xf Date Modified: xf xf
01/31/13 14:18:01 Date Used: Difficulty: Easy xf xf xf
Discrimination: Low
Item Analysis: Last
xf Item Analysis: Cumulative
xf xf xf
No. of Students Responded: 0
xf xf No. of Students Responded: 0 xf xf xf xf
Correct Responses (%): xf Correct Responses (%): xf xf xf
Total Group: 0.00 xf Total Group: 0.00 xf
Upper 27% of Group: 0.00 xf Upper 27% of Group: xf 0.00 xf xf xf xf
Lower 27% of Group: 0.00 xf Lower 27% of Group: xf 0.00 xf xf xf xf
Point Biserial: xf 0.00 Point Biserial: 0.00 xf
Response Frequencies (%) xf xf
, 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
xf xf Type: MC xf Objective: Ch 01: The Nursing Process and Drug Therapy
xf xf xf xf xf xf xf xf xf
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy
xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf
andgave the medication 2 hours after the scheduled dose was due. What type of problem does
xf f
x xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf
this represent?
xf xf
* A. “Right time” problem
x f xf xf
B. “Right dose” problem xf xf
C. “Right route” problem xf xf
D. “Right medication” problem xf xf
Correct Answer: A xf xf
xf Explanation/Rationale:
ANS: A x f
“Right time” is correct because the medication was given more than 30 minutes after the
xf xf xf xf xf xf xf xf xf xf xf xf xf xf
scheduled dose was due. “Dose” is incorrect because the dose is not related to the time the
xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf
medication administration is scheduled. “Route” is incorrect because the route is not
xf xf xf xf xf xf xf xf xf xf xf xf
affected.“Medication” is incorrect because the medication ordered will not change.
xf xf xf xf xf xf xf xf xf xf xf
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. xf xf xf
13TOP:
xf f
x NURSING
PROCESS: Implementation
xf xf
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
xf xf xf xf xf xf xf xf xf xf
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: xf
ActiveDate Created:
x f f
x 01/31/13 14:18:01
xf Date Modified: xf xf
01/31/13 14:18:01 Date Used: Difficulty: Easy xf xf xf
Discrimination: Low
Item Analysis: Last
xf xf Item Analysis: Cumulative xf xf
No. of Students Responded: 0
xf xf No. of Students Responded: 0
xf xf xf xf
Correct Responses (%): xf Correct Responses (%): xf xf xf
Total Group: xf 0.00 Total Group: 0.00 xf
Upper 27% of Group: 0.00
xf Upper 27% of Group:
xf xf 0.00 xf xf xf
Lower 27% of Group: 0.00
xf Lower 27% of Group:
xf xf 0.00 xf xf xf
Point Biserial: xf 0.00 Point Biserial: 0.00 xf
Response Frequencies (%) xf xf
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: 0003xf xf Type: MC xf Objective: Ch 01: The Nursing Process and Drug Therapy
xf xf xf xf xf xf xf xf xf
The nurse has been monitoring the patient’s progress on a new drug regimen since the first
xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf
dose and documenting the patient’s therapeutic response to the medication. Which phase of the
xf xf xf xf xf xf xf xf xf xf xf xf xf xf
nursingprocess do these actions illustrate?
xf f
x xf xf xf xf
A. Nursing diagnosis xf
B. Planning
C. Implementation
* D. Evaluation
xf
Correct Answer: D xf xf
xf Explanation/Rationale:
ANS: D x f
Monitoring the patient’s progress, including the patient’s response to the medication, is part
xf xf xf xf xf xf xf xf xf xf xf xf
of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated
xf xf xf xf xf xf xf xf xf xf xf xf
by thisexample.
xf xf f
x
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. xf xf xf
15TOP:
xf f
x NURSING
PROCESS: Evaluation
xf xf
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
xf xf xf xf xf xf xf xf xf
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: xf
ActiveDate Created:
x f f
x 01/31/13 14:18:01
xf Date Modified: xf xf
01/31/13 14:18:01 Date Used: Difficulty: Easy xf xf xf
Discrimination: Low
Item Analysis: Last
xf Item Analysis: Cumulative
xf xf xf
No. of Students Responded: 0
xf xf No. of Students Responded: 0
xf xf xf xf
Correct Responses (%): xf Correct Responses (%): xf xf xf
Total Group: 0.00
xf Total Group: 0.00 xf
Upper 27% of Group: 0.00 xf Upper 27% of Group:
xf xf 0.00 xf xf xf
Lower 27% of Group: 0.00 xf Lower 27% of Group:
xf xf 0.00 xf xf xf
Point Biserial: xf 0.00 Point Biserial: 0.00 xf
Response Frequencies (%) xf xf
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: 0004xf xf Type: MC xf Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
xf xf xf xf xf xf xf xf xf xf
xf xf xf xf xf xf xf xf xf
Objective: Ch 01: The Nursing Process and Drug Therapy
x f xf xf xf xf xf xf xf
1. Question Name: 0001 xf xf Type: MC xf Objective: Ch 01: The Nursing Process and Drug Therapy
xf xf xf xf xf xf xf xf xf
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been
xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf
newlydiagnosed with type 2 diabetes. Which statement reflects the correct format for a
xf f
x xf xf xf xf xf xf xf xf xf xf xf xf
nursing diagnosis?
xf xf
A. Anxiety
B. Anxiety related to new drug therapy xf xf xf xf xf
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such
xf xf xf xf xf xf xf xf xf xf xf xf
as“I’m upset about having to test my blood sugars.”
xf f
x xf xf xf xf xf xf xf xf
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset
xf xf xf xf xf xf xf xf xf xf xf xf xf xf
abouthaving to test my blood sugars.”
xf xf xf xf xf xf xf
Correct Answer: D xf xf
xf Explanation/Rationale:
ANS: D x f
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the
xf xf xf xf xf xf xf xf xf xf xf xf
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety related to
xf xf xf xf xf xf xf xf xf xf xf xf xf
new drug therapy” is missing the “as evidenced by” portion of defining characteristics. The
xf xf xf xf xf xf xf xf xf xf xf xf xf xf
statementbeginning “Anxiety related to anxious feelings” is incorrect because the “related
xf xf xf xf xf xf xf xf xf xf xf xf
to” section is simply a restatement of the problem “anxiety,” not a separate factor related to
xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf
the response.
xf xf
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. xf xf xf
9TOP: NURSING PROCESS: Nursing Diagnosis
xf f
x xf xf xf
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
xf xf xf xf xf xf xf xf xf
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: xf
ActiveDate Created:
x f f
x 01/31/13 14:18:01 xf Date Modified: xf xf
01/31/13 14:18:01 Date Used: Difficulty: Easy xf xf xf
Discrimination: Low
Item Analysis: Last
xf Item Analysis: Cumulative
xf xf xf
No. of Students Responded: 0
xf xf No. of Students Responded: 0 xf xf xf xf
Correct Responses (%): xf Correct Responses (%): xf xf xf
Total Group: 0.00 xf Total Group: 0.00 xf
Upper 27% of Group: 0.00 xf Upper 27% of Group: xf 0.00 xf xf xf xf
Lower 27% of Group: 0.00 xf Lower 27% of Group: xf 0.00 xf xf xf xf
Point Biserial: xf 0.00 Point Biserial: 0.00 xf
Response Frequencies (%) xf xf
, 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
xf xf Type: MC xf Objective: Ch 01: The Nursing Process and Drug Therapy
xf xf xf xf xf xf xf xf xf
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy
xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf
andgave the medication 2 hours after the scheduled dose was due. What type of problem does
xf f
x xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf
this represent?
xf xf
* A. “Right time” problem
x f xf xf
B. “Right dose” problem xf xf
C. “Right route” problem xf xf
D. “Right medication” problem xf xf
Correct Answer: A xf xf
xf Explanation/Rationale:
ANS: A x f
“Right time” is correct because the medication was given more than 30 minutes after the
xf xf xf xf xf xf xf xf xf xf xf xf xf xf
scheduled dose was due. “Dose” is incorrect because the dose is not related to the time the
xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf
medication administration is scheduled. “Route” is incorrect because the route is not
xf xf xf xf xf xf xf xf xf xf xf xf
affected.“Medication” is incorrect because the medication ordered will not change.
xf xf xf xf xf xf xf xf xf xf xf
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. xf xf xf
13TOP:
xf f
x NURSING
PROCESS: Implementation
xf xf
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
xf xf xf xf xf xf xf xf xf xf
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: xf
ActiveDate Created:
x f f
x 01/31/13 14:18:01
xf Date Modified: xf xf
01/31/13 14:18:01 Date Used: Difficulty: Easy xf xf xf
Discrimination: Low
Item Analysis: Last
xf xf Item Analysis: Cumulative xf xf
No. of Students Responded: 0
xf xf No. of Students Responded: 0
xf xf xf xf
Correct Responses (%): xf Correct Responses (%): xf xf xf
Total Group: xf 0.00 Total Group: 0.00 xf
Upper 27% of Group: 0.00
xf Upper 27% of Group:
xf xf 0.00 xf xf xf
Lower 27% of Group: 0.00
xf Lower 27% of Group:
xf xf 0.00 xf xf xf
Point Biserial: xf 0.00 Point Biserial: 0.00 xf
Response Frequencies (%) xf xf
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: 0003xf xf Type: MC xf Objective: Ch 01: The Nursing Process and Drug Therapy
xf xf xf xf xf xf xf xf xf
The nurse has been monitoring the patient’s progress on a new drug regimen since the first
xf xf xf xf xf xf xf xf xf xf xf xf xf xf xf
dose and documenting the patient’s therapeutic response to the medication. Which phase of the
xf xf xf xf xf xf xf xf xf xf xf xf xf xf
nursingprocess do these actions illustrate?
xf f
x xf xf xf xf
A. Nursing diagnosis xf
B. Planning
C. Implementation
* D. Evaluation
xf
Correct Answer: D xf xf
xf Explanation/Rationale:
ANS: D x f
Monitoring the patient’s progress, including the patient’s response to the medication, is part
xf xf xf xf xf xf xf xf xf xf xf xf
of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated
xf xf xf xf xf xf xf xf xf xf xf xf
by thisexample.
xf xf f
x
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. xf xf xf
15TOP:
xf f
x NURSING
PROCESS: Evaluation
xf xf
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
xf xf xf xf xf xf xf xf xf
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: xf
ActiveDate Created:
x f f
x 01/31/13 14:18:01
xf Date Modified: xf xf
01/31/13 14:18:01 Date Used: Difficulty: Easy xf xf xf
Discrimination: Low
Item Analysis: Last
xf Item Analysis: Cumulative
xf xf xf
No. of Students Responded: 0
xf xf No. of Students Responded: 0
xf xf xf xf
Correct Responses (%): xf Correct Responses (%): xf xf xf
Total Group: 0.00
xf Total Group: 0.00 xf
Upper 27% of Group: 0.00 xf Upper 27% of Group:
xf xf 0.00 xf xf xf
Lower 27% of Group: 0.00 xf Lower 27% of Group:
xf xf 0.00 xf xf xf
Point Biserial: xf 0.00 Point Biserial: 0.00 xf
Response Frequencies (%) xf xf
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: 0004xf xf Type: MC xf Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
xf xf xf xf xf xf xf xf xf xf
