Lilley's Pharmacology and the
Nursing Process: Complete Question
Exam Bank with Answers and
Rationales
### SECTION 1: THE NURSING PROCESS AND DRUG THERAPY
(Questions 1-30)
**1. The nurse is writing a nursing diagnosis for a plan of care for a
patient who has been newly 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."
,**Answer: D**
**Rationale:** Formulation of nursing diagnoses is a three-step
process. "Anxiety" is missing the "related to" and "as evidenced by"
portions. "Anxiety related to new drug therapy" is missing the "as
evidenced by" portion. The statement beginning "Anxiety related to
anxious feelings" is incorrect because the "related to" section simply
restates the problem rather than identifying a separate factor .
---
**2. The patient is to receive oral guaifenesin (Mucinex) twice a day.
Today, the nurse was busy and gave the medication 2 hours after the
scheduled dose was due. What type of problem does this represent?**
a. "Right time" problem
b. "Right dose" problem
c. "Right route" problem
d. "Right medication" problem
**Answer: A**
,**Rationale:** "Right time" is correct because the medication was
given more than 30 minutes after the scheduled dose was due. The
dose, route, and medication are not affected by the timing issue .
---
**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. Nursing diagnosis
b. Planning
c. Implementation
d. Evaluation
**Answer: D**
**Rationale:** Monitoring the patient's progress, including the
patient's response to the medication, is part of the evaluation phase.
Planning, implementation, and nursing diagnosis are not illustrated by
this example .
---
, **4. The nurse is administering medications to a patient. The order
reads "give ondansetron 4 mg." What additional information does the
nurse need to safely administer this medication?**
a. The patient's diagnosis
b. The route of administration
c. The patient's age
d. The time the last dose was given
**Answer: B**
**Rationale:** A complete medication order includes the route of
administration. If a medication order does not include the route, the
nurse must ask the prescriber to clarify it. The intravenous and oral
routes are not interchangeable .
---
**5. When the nurse considers the timing of a drug dose, which factor
is appropriate to consider when deciding when to give a drug?**
a. The patient's ability to swallow
b. The patient's height
Nursing Process: Complete Question
Exam Bank with Answers and
Rationales
### SECTION 1: THE NURSING PROCESS AND DRUG THERAPY
(Questions 1-30)
**1. The nurse is writing a nursing diagnosis for a plan of care for a
patient who has been newly 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."
,**Answer: D**
**Rationale:** Formulation of nursing diagnoses is a three-step
process. "Anxiety" is missing the "related to" and "as evidenced by"
portions. "Anxiety related to new drug therapy" is missing the "as
evidenced by" portion. The statement beginning "Anxiety related to
anxious feelings" is incorrect because the "related to" section simply
restates the problem rather than identifying a separate factor .
---
**2. The patient is to receive oral guaifenesin (Mucinex) twice a day.
Today, the nurse was busy and gave the medication 2 hours after the
scheduled dose was due. What type of problem does this represent?**
a. "Right time" problem
b. "Right dose" problem
c. "Right route" problem
d. "Right medication" problem
**Answer: A**
,**Rationale:** "Right time" is correct because the medication was
given more than 30 minutes after the scheduled dose was due. The
dose, route, and medication are not affected by the timing issue .
---
**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. Nursing diagnosis
b. Planning
c. Implementation
d. Evaluation
**Answer: D**
**Rationale:** Monitoring the patient's progress, including the
patient's response to the medication, is part of the evaluation phase.
Planning, implementation, and nursing diagnosis are not illustrated by
this example .
---
, **4. The nurse is administering medications to a patient. The order
reads "give ondansetron 4 mg." What additional information does the
nurse need to safely administer this medication?**
a. The patient's diagnosis
b. The route of administration
c. The patient's age
d. The time the last dose was given
**Answer: B**
**Rationale:** A complete medication order includes the route of
administration. If a medication order does not include the route, the
nurse must ask the prescriber to clarify it. The intravenous and oral
routes are not interchangeable .
---
**5. When the nurse considers the timing of a drug dose, which factor
is appropriate to consider when deciding when to give a drug?**
a. The patient's ability to swallow
b. The patient's height
