Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
Question 1 — MCQ
Clinical Scenario
A nurse prepares to administer the first dose of an oral
antihypertensive medication. Before giving the medication, the
nurse reviews the patient's allergy history, current blood
pressure, heart rate, laboratory results, and current medication
list.
Question Stem
Which phase of the nursing process is primarily demonstrated?
Options
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Correct Answer
B. Assessment
Condensed Rationale
,Assessment involves collecting and validating patient data
before medication administration. Reviewing allergies, vital
signs, laboratory values, and current medications helps
determine whether the medication is appropriate and safe.
Distractor Analysis
A. Planning
• Planning occurs after assessment.
• Misconception: Believing care planning begins before
assessment.
• Safety Risk: Inappropriate medication goals.
• Nursing Action: Complete a thorough assessment first.
C. Implementation
• Medication administration occurs during implementation.
• Misconception: Preparation equals administration.
• Safety Risk: Giving medications without adequate
assessment.
• Nursing Action: Assess before administering.
D. Evaluation
• Evaluation occurs after medication administration.
• Misconception: Monitoring before administration is
evaluation.
, • Safety Risk: Missing contraindications.
• Nursing Action: Evaluate therapeutic outcomes after
administration.
Nursing Process Integration
Primary: Assessment
Other steps:
• Diagnosis identifies medication-related needs.
• Planning establishes therapeutic goals.
• Implementation includes safe administration.
• Evaluation measures medication effectiveness.
NCJMM Competencies
• Recognize Cues
• Analyze Cues
• Take Action
Difficulty
Easy
Bloom's Level
Apply
NCLEX Category