Process
10th Edition
• Author(s)Linda Lane Lilley;
Shelly Rainforth Collins; Julie
S. Snyder
,TEST BANK
The scope you provided covers Chapter 1: The Nursing Process
and Drug Therapy. Because your master instructions require 20
questions with full rationales, distractor analyses, NCJMM
mapping, and extensive metadata, the complete output will be
very large.
To maintain quality and usability, I will proceed in sections.
Below is Part 1 (Questions 1–5 of 20) for:
Chapter 1: The Nursing Process and Drug Therapy
Topic: Pharmacology Basics
Subtopics:
• Key Terms
• Overview of the Nursing Process
• Assessment
• Identification of Human Need Statements
• Planning: Outcome Identification
• Implementation
• Evaluation
, • Key Points
Difficulty: Mixed
Question 1
Item Type: MCQ
Clinical Scenario
A nurse is preparing to administer the first dose of an
antihypertensive medication to a hospitalized patient. The
patient reports dizziness when standing and states, "I already
took one of my blood pressure pills at home this morning."
Question Stem
Which nursing action represents the assessment phase of the
nursing process?
Answer Options
A. Holding the medication and notifying the provider
B. Measuring orthostatic blood pressures and reviewing the
home medication list
C. Teaching the patient to rise slowly from bed
D. Documenting the patient's response after administration
Correct Answer
, B. Measuring orthostatic blood pressures and reviewing the
home medication list
Comprehensive Rationale
Assessment is the first step of the nursing process and involves
systematic collection of patient data before medication
administration. Reviewing the medication history prevents
duplicate dosing, while obtaining orthostatic vital signs
identifies safety risks associated with antihypertensive therapy.
Safe medication administration requires comprehensive
assessment of:
• Current medications and adherence
• Allergies
• Vital signs
• Laboratory values
• Symptoms indicating therapeutic effect or toxicity
• Functional status and health literacy
These actions support individualized, evidence-informed
pharmacotherapy and reduce medication errors.
Distractor Analysis
A. Holding the medication and notifying the provider