TEST BANK FOR PHARMACOLOGY AND THE NURSING PROCESS, 10TH EDITION

,UNIT 1: PHARMACOLOGY BASICS (Chapters 1-9)




CHAPTER 1: THE NURSING PROCESS AND DRUG THERAPY
Total Questions: 45




1. A nurse is preparing to administer a medication to a client. Which action is the
first step in the nursing process related to medication administration?

A. Administer the medication
B. Assess the client's medication history and current status
C. Evaluate the client's response to the medication
D. Plan the nursing interventions related to the medication

Answer: B

Rationale: The nursing process begins with assessment. Before any medication is
administered, the nurse must assess the client's condition, medication history, allergies,
and other relevant information. This foundational step ensures safe and appropriate
drug therapy.




2. The nurse is caring for a client who is prescribed a new medication. Which
nursing diagnosis would be most appropriate?

A. Risk for injury related to medication side effects
B. Acute pain related to medication administration
C. Knowledge deficit related to the new medication regimen
D. Impaired physical mobility related to medication effects

Answer: C

,Rationale: A client prescribed a new medication often has a knowledge deficit
regarding its purpose, administration, and side effects. Client education is a critical
nursing intervention to promote safe medication use.




3. During the planning phase of the nursing process, the nurse should:

A. Administer the medication as prescribed
B. Identify measurable goals and outcomes for the client
C. Evaluate the effectiveness of the medication
D. Document the client's response to the medication

Answer: B

Rationale: The planning phase involves setting goals and expected outcomes that are
measurable and realistic. This provides a framework for evaluating the effectiveness of
the medication therapy.




4. A nurse is evaluating a client's response to an antihypertensive medication.
Which finding indicates the medication is effective?

A. Blood pressure increased from 150/90 mmHg to 160/95 mmHg
B. Blood pressure decreased from 150/90 mmHg to 128/82 mmHg
C. Heart rate increased from 72 to 88 beats per minute
D. Client reports dizziness when standing

Answer: B

Rationale: A decrease in blood pressure toward the target range indicates effective
antihypertensive therapy. An increase in blood pressure suggests the medication is not
working. Tachycardia and dizziness could be side effects.




5. The nurse is documenting the administration of a PRN pain medication. Which
information should be included?

, A. The client's name and room number only
B. The time of administration and the medication name
C. The pain level before and after administration, time, dose, and route
D. Only the client's response to the medication

Answer: C

Rationale: For PRN medications, documentation must include the client's assessment
(pain level before and after), medication name, dose, route, time, and the client's
response. This provides a complete record for evaluation.




6. Which of the following is a key component of the assessment phase of the
nursing process?

A. Setting measurable goals
B. Collecting subjective and objective data
C. Implementing nursing interventions
D. Evaluating the effectiveness of interventions

Answer: B

Rationale: Assessment involves collecting comprehensive data, including subjective
data (client statements) and objective data (vital signs, physical examination, laboratory
values). This information forms the basis for all subsequent steps.




7. The nurse is developing a care plan for a client receiving warfarin therapy.
Which nursing diagnosis is a priority?

A. Impaired skin integrity
B. Risk for bleeding related to anticoagulant therapy
C. Chronic pain related to medication side effects
D. Imbalanced nutrition: less than body requirements

Answer: B