This comprehensive test bank is designed to accompany Pharmacology and the
Nursing Process, 9th Edition by Lilley, Collins, and Snyder. The test bank follows the
textbook's organization and reflects the latest FDA drug approvals, therapeutic uses, and
nursing considerations as presented in the 9th edition.
Textbook Structure :
Part 1: Pharmacology Basics (Chapters 1-9)
Part 2: Drugs Affecting the Central Nervous System (Chapters 10-17)
Part 3: Drugs Affecting the Autonomic Nervous System (Chapters 18-21)
Part 4: Drugs Affecting the Cardiovascular and Renal Systems (Chapters 22-29)
Part 5: Drugs Affecting the Endocrine and Reproductive Systems (Chapters 30-35)
Part 6: Drugs Affecting the Respiratory System (Chapters 36-37)
Part 7: Antiinfective and Antiinflammatory Drugs (Chapters 38-44)
Part 8: Chemotherapeutic Drugs and Biologic and Immune Modifiers (Chapters 45-49)
Part 9: Drugs Affecting the Gastrointestinal System and Nutrition (Chapters 50-55)
Part 10: Dermatologic, Ophthalmic, and Otic Drugs (Chapters 56-58)
Question Format:
Multiple-choice questions with four options
Correct answer with letter designation
Detailed rationale explaining why the answer is correct and why distractors are incorrect
Cognitive level classification (Remembering, Understanding, Applying, Analyzing)
NCLEX-style question construction
Part 1: Pharmacology Basics
,Chapter 1: The Nursing Process and Drug Therapy
1. The nurse is developing a human needs statement for a patient newly
diagnosed with heart failure. Identification of human needs statements occurs
during which activity?
A) Collection of patient data
B) Administering interventions
C) Deciding on patient outcomes
D) Documenting the patient's behavior
Answer: A
Rationale: Identification of human needs occurs with the collection of patient data
during the assessment phase of the nursing process . The nursing process includes
assessment (data collection), human needs statement (nursing diagnosis), planning
(outcomes), implementation (interventions), and evaluation. Human needs
statements cannot be identified without first collecting comprehensive patient data.
Administering interventions occurs during implementation, deciding outcomes
occurs during planning, and documenting behavior occurs throughout but does not
alone identify human needs.
, 2. The patient is to receive oral guaifenesin (Mucinex) twice daily. The nurse
was busy and administered the medication 2 hours after the scheduled dose
was due.
What "right" of medication administration does this represent?
A) "Right time"
B) "Right dose"
C) "Right route"
D) "Right medication"
Answer: A
Rationale: The "right time" is correct because the medication was given more than
30 minutes after the scheduled dose was due . The standard acceptable window for
medication administration is typically 30 minutes before or after the scheduled time
unless otherwise specified. "Right dose" refers to administering the correct amount
of medication. "Right route" refers to administering the medication via the
prescribed route. "Right medication" refers to administering the correct drug. This
error does not involve dose, route, or medication identity.
3. The nurse has been monitoring the patient's progress on a new drug
regimen since the first dose and documenting the patient's therapeutic
response to the medication. Which phase of the nursing process do these
actions illustrate?
A) Human needs statement
B) Planning
C) Implementation
D) Evaluation
Answer: D