Chapter 01: The Nursing Process and Drug Therapy
Full Test Bank MULTIPLE CHOICE
Pharmacology and the Nursing Process 10th Edition: Linda Lilley, Rainforth 1. The RN is writing a nursing diagnosis for a plan of care for a client who has been newly
Collins, Julie Snyder | Complete Guide A+ diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing
diagnosis?
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements
such as ―I‘m upset about having to test my blood sugars.‖
d. Anxiety related to new drug therapy, as evidenced by statements such as
―I‘m upset about having to test my blood sugars.‖
CORRECT ANS: D
Formulation of nursing diagnoses is usually a three-step process. ―Anxiety‖ is missing the
―related to‖ and ―as evidenced by‖ portions of defining characteristics. ―Anxiety related to
new drug therapy‖ is missing the ―as evidenced by‖ portion of defining characteristics. The
statement beginning ―Anxiety related to anxious feelings‖ is incorrect because the ―related to‖
section is simply a restatement of the problem ―anxiety,‖ not a separate factor related to the
response.
DIF: COGNITIVE LEVEL: Understanding
(Comprehension) TOP: NURSING PROCESS: Nursing
Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. The client is to receive oral guaifenesin (Mucinex) twice a day. Today, the RN was busy and
gave the medication 2 hours after the scheduled dose was due. What type of problem does this
represent?
a. ―Right time‖
b. ―Right dose‖
c. ―Right route‖
d. ―Right medication‖
CORRECT ANS: A
―Right time‖ is correct because the medication was given more than 30 minutes after the
scheduled dose was due. ―Dose‖ is incorrect because the dose is not related to the time the
medication administration is scheduled. ―Route‖ is incorrect because the route is not affected.
―Medication‖ is incorrect because the medication ordered will not change.
DIF: COGNITIVE LEVEL: Applying
(Application) TOP: NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
, Chapter 01: The Nursing Process and Drug Therapy 5 6. The medication order reads, ―Give ondansetron (Zofran) 4 mg, 30 minutes before beginning
3. The RN has been monitoring the client‘s progress on a new drug regimen since the first chemotherapy to prevent nausea.‖ The RN notes that the route is missing from the order.
dose and documenting the client‘s therapeutic response to the medication. Which phase of the What is the RN‘s best action?
nursing process do these actions illustrate?
a. Give the medication intravenously because the client might vomit.
a. Nursing diagnosis
b. Give the medication orally because the tablets are available in 4-mg doses.
c. Contact the prescriber to clarify the route of the medication ordered.
b. Planning d. Hold the medication until the prescriber returns to make rounds.
c. Implementation CORRECT ANS: C
d. Evaluation A complete medication order includes the route of administration. If a medication order does
CORRECT ANS: D not include the route, the RN must ask the prescriber to clarify it. The intravenous and oral
Monitoring the client‘s progress, including the client‘s response to the medication, is part of routes are not interchangeable. Holding the medication until the prescriber returns would mean
the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by that the client would not receive a needed medication.
this example.
DIF: COGNITIVE LEVEL: Applying
DIF: COGNITIVE LEVEL: Understanding (Application) TOP: NURSING PROCESS:
(Comprehension) TOP: NURSING PROCESS: Evaluation Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. The RN is assigned to a client who is newly diagnosed with type 1 diabetes mellitus. Which 7. When the RN considers the timing of a drug dose, which factor is appropriate to consider
statement best illustrates an outcome criterion for this client? when deciding when to give a drug?
a. The client will follow instructions. a. The client‘s ability to swallow
b. The client will not experience complications. b. The client‘s height
c. The client will adhere to the new insulin treatment regimen. c. The client‘s last meal
d. The client will demonstrate correct blood glucose testing technique. d. The client‘s allergies
CORRECT ANS: D CORRECT ANS: C
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable outcome The RN must consider specific pharmacokinetic/pharmacodynamic drug properties that may
criterion. ―Following instructions‖ and ―not experiencing complications‖ are not specific be affected by the timing of the last meal. The client‘s ability to swallow, height, and allergies
criteria. are not factors to consider regarding the timing of the drug‘s administration.
―Adhering to new regimen‖ would be difficult to measure.
DIF: COGNITIVE LEVEL: Understanding
DIF: COGNITIVE LEVEL: Applying (Comprehension) TOP: NURSING PROCESS: Assessment
(Application) TOP: NURSING PROCESS: Planning MSC: NCLEX: Safe and Effective Care Environment: Management of Care
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
8. The RN is performing an assessment of a newly admitted client. Which is an example of
5. Which activity best reflects the implementation phase of the nursing process for the client subjective data?
who is newly diagnosed with hypertension? a. Blood pressure 158/96 mm Hg
a. Providing education on keeping a journal of blood pressure readings b. Weight 255 pounds
b. Setting goals and outcome criteria with the client‘s input c. The client reports that he uses the herbal product ginkgo.
c. Recording a drug history regarding over-the-counter medications used at home d. The client‘s laboratory work includes a complete blood count and urinalysis.
d. Formulating nursing diagnoses regarding deficient knowledge related to the CORRECT ANS: C
new treatment regimen Subjective data include information shared through the spoken word by any reliable source, such
CORRECT ANS: A as the client. Objective data may be defined as any information gathered through the senses or
Education is an intervention that occurs during the implementation phase. Setting goals and that which is seen, heard, felt, or smelled. A client‘s blood pressure, weight, and laboratory tests
outcomes reflects the planning phase. Recording a drug history reflects the assessment are all examples of objective data.
phase. Formulating nursing diagnoses reflects analysis of data as part of planning.
DIF: COGNITIVE LEVEL: Understanding
DIF: COGNITIVE LEVEL: Applying (Comprehension) TOP: NURSING PROCESS: Assessment
(Application) TOP: NURSING PROCESS: MSC: NCLEX: Safe and Effective Care Environment: Management of Care
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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Full Test Bank MULTIPLE CHOICE
Pharmacology and the Nursing Process 10th Edition: Linda Lilley, Rainforth 1. The RN is writing a nursing diagnosis for a plan of care for a client who has been newly
Collins, Julie Snyder | Complete Guide A+ diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing
diagnosis?
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements
such as ―I‘m upset about having to test my blood sugars.‖
d. Anxiety related to new drug therapy, as evidenced by statements such as
―I‘m upset about having to test my blood sugars.‖
CORRECT ANS: D
Formulation of nursing diagnoses is usually a three-step process. ―Anxiety‖ is missing the
―related to‖ and ―as evidenced by‖ portions of defining characteristics. ―Anxiety related to
new drug therapy‖ is missing the ―as evidenced by‖ portion of defining characteristics. The
statement beginning ―Anxiety related to anxious feelings‖ is incorrect because the ―related to‖
section is simply a restatement of the problem ―anxiety,‖ not a separate factor related to the
response.
DIF: COGNITIVE LEVEL: Understanding
(Comprehension) TOP: NURSING PROCESS: Nursing
Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. The client is to receive oral guaifenesin (Mucinex) twice a day. Today, the RN was busy and
gave the medication 2 hours after the scheduled dose was due. What type of problem does this
represent?
a. ―Right time‖
b. ―Right dose‖
c. ―Right route‖
d. ―Right medication‖
CORRECT ANS: A
―Right time‖ is correct because the medication was given more than 30 minutes after the
scheduled dose was due. ―Dose‖ is incorrect because the dose is not related to the time the
medication administration is scheduled. ―Route‖ is incorrect because the route is not affected.
―Medication‖ is incorrect because the medication ordered will not change.
DIF: COGNITIVE LEVEL: Applying
(Application) TOP: NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
, Chapter 01: The Nursing Process and Drug Therapy 5 6. The medication order reads, ―Give ondansetron (Zofran) 4 mg, 30 minutes before beginning
3. The RN has been monitoring the client‘s progress on a new drug regimen since the first chemotherapy to prevent nausea.‖ The RN notes that the route is missing from the order.
dose and documenting the client‘s therapeutic response to the medication. Which phase of the What is the RN‘s best action?
nursing process do these actions illustrate?
a. Give the medication intravenously because the client might vomit.
a. Nursing diagnosis
b. Give the medication orally because the tablets are available in 4-mg doses.
c. Contact the prescriber to clarify the route of the medication ordered.
b. Planning d. Hold the medication until the prescriber returns to make rounds.
c. Implementation CORRECT ANS: C
d. Evaluation A complete medication order includes the route of administration. If a medication order does
CORRECT ANS: D not include the route, the RN must ask the prescriber to clarify it. The intravenous and oral
Monitoring the client‘s progress, including the client‘s response to the medication, is part of routes are not interchangeable. Holding the medication until the prescriber returns would mean
the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by that the client would not receive a needed medication.
this example.
DIF: COGNITIVE LEVEL: Applying
DIF: COGNITIVE LEVEL: Understanding (Application) TOP: NURSING PROCESS:
(Comprehension) TOP: NURSING PROCESS: Evaluation Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. The RN is assigned to a client who is newly diagnosed with type 1 diabetes mellitus. Which 7. When the RN considers the timing of a drug dose, which factor is appropriate to consider
statement best illustrates an outcome criterion for this client? when deciding when to give a drug?
a. The client will follow instructions. a. The client‘s ability to swallow
b. The client will not experience complications. b. The client‘s height
c. The client will adhere to the new insulin treatment regimen. c. The client‘s last meal
d. The client will demonstrate correct blood glucose testing technique. d. The client‘s allergies
CORRECT ANS: D CORRECT ANS: C
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable outcome The RN must consider specific pharmacokinetic/pharmacodynamic drug properties that may
criterion. ―Following instructions‖ and ―not experiencing complications‖ are not specific be affected by the timing of the last meal. The client‘s ability to swallow, height, and allergies
criteria. are not factors to consider regarding the timing of the drug‘s administration.
―Adhering to new regimen‖ would be difficult to measure.
DIF: COGNITIVE LEVEL: Understanding
DIF: COGNITIVE LEVEL: Applying (Comprehension) TOP: NURSING PROCESS: Assessment
(Application) TOP: NURSING PROCESS: Planning MSC: NCLEX: Safe and Effective Care Environment: Management of Care
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
8. The RN is performing an assessment of a newly admitted client. Which is an example of
5. Which activity best reflects the implementation phase of the nursing process for the client subjective data?
who is newly diagnosed with hypertension? a. Blood pressure 158/96 mm Hg
a. Providing education on keeping a journal of blood pressure readings b. Weight 255 pounds
b. Setting goals and outcome criteria with the client‘s input c. The client reports that he uses the herbal product ginkgo.
c. Recording a drug history regarding over-the-counter medications used at home d. The client‘s laboratory work includes a complete blood count and urinalysis.
d. Formulating nursing diagnoses regarding deficient knowledge related to the CORRECT ANS: C
new treatment regimen Subjective data include information shared through the spoken word by any reliable source, such
CORRECT ANS: A as the client. Objective data may be defined as any information gathered through the senses or
Education is an intervention that occurs during the implementation phase. Setting goals and that which is seen, heard, felt, or smelled. A client‘s blood pressure, weight, and laboratory tests
outcomes reflects the planning phase. Recording a drug history reflects the assessment are all examples of objective data.
phase. Formulating nursing diagnoses reflects analysis of data as part of planning.
DIF: COGNITIVE LEVEL: Understanding
DIF: COGNITIVE LEVEL: Applying (Comprehension) TOP: NURSING PROCESS: Assessment
(Application) TOP: NURSING PROCESS: MSC: NCLEX: Safe and Effective Care Environment: Management of Care
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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c. Assessment MSC:Z I NCLEX:ZIPhysiologicalZIIntegrity:ZIPharmacologicalZIandZIParenteralZITherapies
d. Implementation
e. NursingZIDiagnoses 2. WhenZIgivenZIanZIintravenousZImedication,ZItheZIclientZIsaysZItoZItheZIRN,ZI―IZIusuallyZItakeZIpills.
ZIWhyZIdoesZIthisZImedicationZIhaveZItoZIbeZIgivenZIinZItheZIarm?‖ZIWhatZIisZItheZIRN‘sZIbestZIans
CORRECTZIANS:Z I A,ZIB,ZIC,ZID,ZIE wer?
TheZInursingZIprocessZIisZIanZIongoingZIprocessZIthatZIbeginsZIwithZIassessingZIandZIcontinues a. ―TheZImedicationZIwillZIcauseZIfewerZIadverseZIeffectsZIwhenZIgivenZIintravenously.‖
ZIwithZIdiagnosing,ZIplanning,ZIimplementing,ZIandZIevaluating.
b. ―TheZIintravenousZImedicationZIwillZIhaveZIdelayedZIabsorptionZIintoZItheZIbody‘sZItissues.‖
c. ―TheZIactionZIofZItheZImedicationZIwillZIbeginZIsoonerZIwhenZIgivenZIintravenously.‖
DIF: COGNITIVEZILEVEL:ZIApplying d. ―ThereZIisZIaZIlowerZIchanceZIofZIallergicZIreactionsZIwhenZIdrugsZIareZIgivenZIintravenously.‖
(Application)ZITOP:Z I NURSINGZIPROCESS:ZIGeneral
MSC:Z I NCLEX:ZISafeZIandZIEffectiveZICareZIEnvironment:ZIManagementZIofZICare CORRECTZIANS:Z I C
AnZIintravenousZI(IV)ZIinjectionZIprovidesZItheZIfastestZIrouteZIofZIabsorption.ZITheZIIVZIrouteZIdoes
ZInotZIaffectZItheZInumberZIofZIadverseZIeffects, ZInorZIdoesZIitZIcauseZIdelayedZItissueZIabsorptionZI(itZ
IfindingsZIinZIfasterZIabsorption).ZITheZIIVZIrouteZIdoesZInotZIaffectZItheZInumberZIofZIallergicZIreact
ions.
DIF:
COGNITIVEZILEVEL:ZIUnderstandingZI
(Comprehension)ZITOP:Z I NURSINGZIPROCES
S:
Implementation
MSC:Z I NCLEX:ZIPhysiologicalZIIntegrity:ZIPharmacologicalZIandZIParenteralZITherapies
3. TheZIRNZIisZIadministeringZIparenteralZIdrugs.ZIWhichZIstatementZIisZItrueZIregardingZIparenteralZIdrugs?
a. ParenteralZIdrugsZIbypassZItheZIfirst-passZIeffect.
b. AbsorptionZIofZIparenteralZIdrugsZIisZIaffectedZIbyZIreducedZIbloodZIflowZItoZItheZIstomach.
c. AbsorptionZIofZIparenteralZIdrugsZIisZIfasterZIwhenZItheZIstomachZIisZIempty.
, ChapterZI02:ZIPharmacologicZIPrinciplesZIZ I Z I 1ZI2 rZIoptionsZIareZIincorrectZIdefinitionsZIofZIhalf-life.
d. ParenteralZIdrugsZIexertZItheirZIeffectsZIwhileZIcirculatingZIinZItheZIbloodstream.
DIF:
CORRECTZIANS:Z I A COGNITIVEZILEVEL:ZIUnderstandingZI(Comprehension
)ZITOP:Z I NURSINGZIPROCESS:ZIGeneral
DrugsZIgivenZIbyZItheZIparenteralZIrouteZIbypassZItheZIfirst-
passZIeffect.ZIReducedZIbloodZIflowZItoZItheZIstomachZIandZItheZIpresenceZIofZIfoodZIinZItheZIstomac
hZIapplyZItoZIenteralZIdrugsZI(takenZIorally),ZInotZItoZIparenteralZIdrugs.ZIParenteralZIdrugsZImustZIbe
ZIabsorbedZIintoZIcellsZIandZItissuesZIfromZItheZIcirculationZIbeforeZItheyZIcanZIexertZItheirZIeffects;ZIt
heyZIdoZInotZIexertZItheirZIeffectsZIwhileZIcirculatingZIinZItheZIbloodstream.
DIF:
COGNITIVEZILEVEL:ZIUnderstandingZI(Comprehension
)ZITOP:Z I NURSINGZIPROCESS:ZIGeneral
MSC:Z I NCLEX:ZIPhysiologicalZIIntegrity:ZIPharmacologicalZIandZIParenteralZITherapies
4. WhenZImonitoringZItheZIclientZIreceivingZIanZIintravenousZIinfusionZItoZIreduceZIbloodZIpressure,ZI
theZIRNZInotesZIthatZItheZIclient‘sZIbloodZIpressureZIisZIextremelyZIlow,ZIandZItheZIclientZIisZIlethargi
cZ I andZIdifficultZItoZIawaken.ZIThisZIwouldZIbeZIclassifiedZIasZIwhichZItypeZIofZIadverseZIdrugZIreact
ion?
a. AdverseZIeffect
b. AllergicZIreaction
c. IdiosyncraticZIreaction
d. PharmacologicZIreaction
CORRECTZIANS:Z I D
AZIpharmacologicZIreactionZIisZIanZIextensionZIofZIaZIdrug‘sZInormalZIeffectsZIinZItheZIbody.ZIInZIthisZIcas
e,ZItheZIantihypertensiveZIdrugZIloweredZItheZIclient‘sZIbloodZIpressureZIlevelsZItooZImuch.ZITheZIotherZ
IoptionsZIdoZInotZIdescribeZIaZIpharmacologicZIreaction.ZIAnZIadverseZIeffectZIisZIaZIpredictable,ZIwell-
knownZIadverseZIdrugZIreactionZIthatZIfindingsZIinZIminorZIorZInoZIchangesZIinZIclientZImanagement.ZIA
nZIallergicZIreactionZI(alsoZIknownZIasZIaZIhypersensitivityZIreaction)ZIinvolvesZItheZIclient‘sZIimmuneZ
Isystem.ZIAnZIidiosyncraticZIreactionZIisZIunexpectedZIandZIisZIdefinedZIasZIaZIgeneticallyZIdeterminedZI
abnormalZIresponseZItoZInormalZIdosagesZIofZIaZIdrug.
DIF:
COGNITIVEZILEVEL:ZIUnderstandingZI(Compre
hension)ZITOP:Z I NURSINGZIPROCESS:ZIGeneral
MSC:Z I NCLEX:ZIPhysiologicalZIIntegrity:ZIPharmacologicalZIandZIParenteralZITherapies
5. TheZIRNZIisZIreviewingZIpharmacologyZItermsZIforZIaZIgroupZIofZInewlyZIgraduatedZIRNs.
ZIWhichZIsentenceZIdefines ZIaZIdrug‘sZIhalf-life?
a. TheZItimeZIitZItakesZIforZItheZIdrugZItoZIcauseZIhalfZIofZIitsZItherapeuticZIresponse
b. TheZItimeZIitZItakesZIforZIoneZIhalfZIofZItheZIoriginalZIamountZIofZIaZIdrugZItoZIreac
hZItheZItargetZIcells
c. TheZItimeZIitZItakesZIforZIoneZIhalfZIofZItheZIoriginalZIamountZIofZIaZIdrugZItoZIbeZIrem
ovedZIfromZItheZIbody
d. TheZItimeZIitZItakesZIforZIoneZIhalfZIofZItheZIoriginalZIamountZIofZIaZIdrugZItoZIbeZIabs
orbedZIintoZItheZIcirculation
CORRECTZIANS:Z I C
AZIdrug‘sZIhalf-
lifeZIisZItheZItimeZIitZItakesZIforZIoneZIhalfZIofZItheZIoriginalZIamountZIofZIaZIdrugZItoZIbeZIremovedZIfrom
ZItheZIbody.ZIItZIisZIaZImeasureZIofZItheZIrateZIatZIwhichZIdrugsZIareZIremovedZIfromZItheZIbody. ZITheZIothe
