COMPREHENSIVE TEST BANK:
PHARMACOLOGY - A PATIENT-
CENTERED NURSING PROCESS
APPROACH, 12TH
EDITION;COMPLETE QUESTION BANK
WITH DETAILED RATIONALES
Chapter 1: The Nursing Process and Patient-Centered Care
1. The nursing process is a five-step decision-making approach that
includes all of the following steps, EXCEPT:
a. Assessment
b. Patient problem
c. Planning
d. Right Drug
Answer: d. Right Drug
Rationale: The nursing process is a five-step decision-making approach that
includes: 1) assessment, 2) patient problem (nursing diagnosis), 3) planning,
4) implementation, and 5) evaluation. "Right drug" is one of the "Six Rights"
of medication administration, not a step in the nursing process .
2. All of the following would be considered subjective data, EXCEPT:
a. Patient-reported health history
b. Patient-reported signs and symptoms of their illness
,c. Financial barriers reported by the patient's caregiver
d. Vital signs obtained from the medical record
Answer: d. Vital signs obtained from the medical record
Rationale: Subjective data is based on what patients or family members
communicate to the nurse. Patient-reported health history, signs and
symptoms, and caregiver-reported financial barriers are subjective data. Vital
signs obtained from the medical record are objective data as they are
measured and detected by another person .
3. The nurse is using data collected to define a set of interventions to
achieve the most desirable outcomes. Which step of the nursing
process is the nurse applying?
a. Recognizing cues (assessment)
b. Analyze cues and prioritize hypothesis (analysis)
c. Generate solutions (planning)
d. Take action (nursing interventions)
Answer: c. Generate solutions (planning)
Rationale: When generating solutions (planning), the nurse identifies
expected outcomes and uses the patient's problem(s) to define a set of
interventions to achieve the most desirable outcomes. Assessment involves
gathering cues, analysis involves organizing and ranking patient problems,
and implementation involves taking action .
4. A 5-year-old child with type 1 diabetes mellitus has had repeated
hospitalizations for episodes of hyperglycemia. The parents tell the
nurse that they can't keep track of everything that has to be done to
care for their child. The nurse reviews medications, diet, and symptom
management with the parents and draws up a daily checklist for the
family to use. These activities are completed in which step of the
,nursing process?
a. Recognizing cues (assessment)
b. Analyze cues and prioritize hypothesis (analysis)
c. Generate solutions (planning)
d. Take action (nursing interventions)
Answer: d. Take action (nursing interventions)
Rationale: The implementation phase is the part of the nursing process in
which the nurse provides education, drug administration, patient care, and
other interventions necessary to assist the patient in accomplishing
established medication goals .
5. The nurse is preparing to administer a medication and reviews the
patient's chart for drug allergies, serum creatinine, and blood urea
nitrogen (BUN) levels. The nurse's actions are reflective of which phase
of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
Answer: a. Assessment
Rationale: Assessment involves gathering information about the patient and
the drug, including any previous use of the drug. Laboratory values from the
patient's chart are considered collection of objective data .
6. Which assessment is categorized as objective data?
a. A list of herbal supplements regularly used
b. Lab values associated with the drugs the patient is taking
c. The ages and relationship to the patient of all household members
d. Usual dietary patterns and food intake
, Answer: b. Lab values associated with the drugs the patient is taking
Rationale: Objective data are measured and detected by another person and
would include lab values. The other examples are subjective data reported by
the patient or family members .
7. The nurse reviews a patient's database and learns that the patient
lives alone, is forgetful, and does not have an established routine. The
patient will be sent home with three new medications to be taken at
different times of the day. The nurse develops a daily medication chart
and enlists a family member to put the patient's pills in a pill
organizer. This is an example of which phase of the nursing process?
a. Evaluation
b. Implementation
c. Planning
d. Assessment
Answer: c. Planning
Rationale: During the planning phase, the nurse uses the data collected to set
goals or expected outcomes and interventions which address the patient's
problems. The data was collected during the Assessment and Patient problem
steps .
8. A patient who is hospitalized for chronic obstructive pulmonary
disease (COPD) wants to go home. The nurse and the patient discuss
the patient's situation and decide that the patient may go home when
able to perform self-care without dyspnea and hypoxia. This is an
example of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
PHARMACOLOGY - A PATIENT-
CENTERED NURSING PROCESS
APPROACH, 12TH
EDITION;COMPLETE QUESTION BANK
WITH DETAILED RATIONALES
Chapter 1: The Nursing Process and Patient-Centered Care
1. The nursing process is a five-step decision-making approach that
includes all of the following steps, EXCEPT:
a. Assessment
b. Patient problem
c. Planning
d. Right Drug
Answer: d. Right Drug
Rationale: The nursing process is a five-step decision-making approach that
includes: 1) assessment, 2) patient problem (nursing diagnosis), 3) planning,
4) implementation, and 5) evaluation. "Right drug" is one of the "Six Rights"
of medication administration, not a step in the nursing process .
2. All of the following would be considered subjective data, EXCEPT:
a. Patient-reported health history
b. Patient-reported signs and symptoms of their illness
,c. Financial barriers reported by the patient's caregiver
d. Vital signs obtained from the medical record
Answer: d. Vital signs obtained from the medical record
Rationale: Subjective data is based on what patients or family members
communicate to the nurse. Patient-reported health history, signs and
symptoms, and caregiver-reported financial barriers are subjective data. Vital
signs obtained from the medical record are objective data as they are
measured and detected by another person .
3. The nurse is using data collected to define a set of interventions to
achieve the most desirable outcomes. Which step of the nursing
process is the nurse applying?
a. Recognizing cues (assessment)
b. Analyze cues and prioritize hypothesis (analysis)
c. Generate solutions (planning)
d. Take action (nursing interventions)
Answer: c. Generate solutions (planning)
Rationale: When generating solutions (planning), the nurse identifies
expected outcomes and uses the patient's problem(s) to define a set of
interventions to achieve the most desirable outcomes. Assessment involves
gathering cues, analysis involves organizing and ranking patient problems,
and implementation involves taking action .
4. A 5-year-old child with type 1 diabetes mellitus has had repeated
hospitalizations for episodes of hyperglycemia. The parents tell the
nurse that they can't keep track of everything that has to be done to
care for their child. The nurse reviews medications, diet, and symptom
management with the parents and draws up a daily checklist for the
family to use. These activities are completed in which step of the
,nursing process?
a. Recognizing cues (assessment)
b. Analyze cues and prioritize hypothesis (analysis)
c. Generate solutions (planning)
d. Take action (nursing interventions)
Answer: d. Take action (nursing interventions)
Rationale: The implementation phase is the part of the nursing process in
which the nurse provides education, drug administration, patient care, and
other interventions necessary to assist the patient in accomplishing
established medication goals .
5. The nurse is preparing to administer a medication and reviews the
patient's chart for drug allergies, serum creatinine, and blood urea
nitrogen (BUN) levels. The nurse's actions are reflective of which phase
of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
Answer: a. Assessment
Rationale: Assessment involves gathering information about the patient and
the drug, including any previous use of the drug. Laboratory values from the
patient's chart are considered collection of objective data .
6. Which assessment is categorized as objective data?
a. A list of herbal supplements regularly used
b. Lab values associated with the drugs the patient is taking
c. The ages and relationship to the patient of all household members
d. Usual dietary patterns and food intake
, Answer: b. Lab values associated with the drugs the patient is taking
Rationale: Objective data are measured and detected by another person and
would include lab values. The other examples are subjective data reported by
the patient or family members .
7. The nurse reviews a patient's database and learns that the patient
lives alone, is forgetful, and does not have an established routine. The
patient will be sent home with three new medications to be taken at
different times of the day. The nurse develops a daily medication chart
and enlists a family member to put the patient's pills in a pill
organizer. This is an example of which phase of the nursing process?
a. Evaluation
b. Implementation
c. Planning
d. Assessment
Answer: c. Planning
Rationale: During the planning phase, the nurse uses the data collected to set
goals or expected outcomes and interventions which address the patient's
problems. The data was collected during the Assessment and Patient problem
steps .
8. A patient who is hospitalized for chronic obstructive pulmonary
disease (COPD) wants to go home. The nurse and the patient discuss
the patient's situation and decide that the patient may go home when
able to perform self-care without dyspnea and hypoxia. This is an
example of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
