lilley pharmacology nursing process test bank,
nursing pharmacology questions answers, drug
therapy exam prep, pharmacology nursing study
guide
Section 1: Nursing Process & Drug Therapy
1. The nurse is developing a human needs statement for a patient who has a
new diagnosis of heart failure. Identification of human needs statements occurs
with which of these activities?
A) Collection of patient data
B) Administering interventions
C) Deciding on patient outcomes
D) Documenting the patient's behavior
A) Collection of patient data
Rationale: Identification of human needs (nursing diagnoses) occurs with
the collection of patient data, which is the assessment phase of the nursing
process. Administering interventions is implementation. Deciding on outcomes is
planning. Documenting behavior is evaluation.
2. The patient is to receive oral guaifenesin 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
B) Right dose
C) Right route
D) Right medication
A) Right time
, Rationale: The medication was given more than 30 minutes after the
scheduled dose, violating the right time. The dose, route, and medication ordered
were not affected.
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
D) Evaluation
Rationale: Monitoring the patient's progress and documenting therapeutic
response are part of the evaluation phase, which determines whether goals have
been met. Planning sets goals. Implementation carries out interventions.
4. The nurse is assigned to a patient who is newly diagnosed with type 1
diabetes mellitus. Which statement best illustrates an outcome criterion for this
patient?
A) The patient will follow instructions.
B) The patient will not experience complications.
C) The patient will adhere to the new insulin treatment regimen.
D) The patient will demonstrate correct blood glucose testing technique.
D) The patient will demonstrate correct blood glucose testing technique.
Rationale: An outcome criterion must be specific and measurable.
"Demonstrating correct blood glucose testing technique" is observable and
measurable. "Following instructions" and "not experiencing complications" are
vague and difficult to measure.
,5. Which activity best reflects the implementation phase of the nursing process
for a patient who is newly diagnosed with hypertension?
A) Providing education on keeping a journal of blood pressure readings
B) Setting goals and outcome criteria with the patient's input
C) Recording a drug history regarding over-the-counter medications used at home
D) Formulating human needs statements regarding deficient knowledge related
to the new treatment regimen
A) Providing education on keeping a journal of blood pressure readings
Rationale: Implementation involves carrying out the plan of care, such as
patient education. Setting goals is planning. Recording a drug history is
assessment. Formulating human needs statements is diagnosis.
6. The medication order reads, "Give ondansetron 4 mg, 30 minutes before
beginning chemotherapy to prevent nausea." The nurse notes that the route is
missing from the order. What is the nurse's best action?
A) Give the medication intravenously because the patient might vomit.
B) Give the medication orally because the tablets are available in 4-mg doses.
C) Contact the prescriber to clarify the route of the medication ordered.
D) Hold the medication until the prescriber returns to make rounds.
C) Contact the prescriber to clarify the route of the medication ordered.
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. Holding the medication until the prescriber returns would mean
that the patient would not receive a needed medication.
7. 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
C) The patient's last meal
D) The patient's allergies
C) The patient's last meal
Rationale: The timing of a drug dose should consider factors such as the
patient's last meal, which can affect drug absorption and tolerability. The other
factors are not directly related to dose timing.
8. The nurse is performing an assessment of a newly admitted patient. Which is
an example of subjective data?
A) Weight 155 pounds
B) Pulse 72 beats/minute
C) The patient reports that he uses the herbal product ginkgo
D) The patient's complete blood count results
C) The patient reports that he uses the herbal product ginkgo
Rationale: Subjective data is information reported by the patient, such as
herbal product use. Weight, pulse, and lab results are objective data that can be
measured or observed.
9. When giving medications, the nurse will follow the rights of medication
administration. The rights include the right documentation, the right reason, the
right response, and the patient's right to refuse. Which of these are additional
rights? (Select all that apply.)
A) Right drug
B) Right route
C) Right dose
D) Right diagnosis
E) Right time
A, B, C, E
nursing pharmacology questions answers, drug
therapy exam prep, pharmacology nursing study
guide
Section 1: Nursing Process & Drug Therapy
1. The nurse is developing a human needs statement for a patient who has a
new diagnosis of heart failure. Identification of human needs statements occurs
with which of these activities?
A) Collection of patient data
B) Administering interventions
C) Deciding on patient outcomes
D) Documenting the patient's behavior
A) Collection of patient data
Rationale: Identification of human needs (nursing diagnoses) occurs with
the collection of patient data, which is the assessment phase of the nursing
process. Administering interventions is implementation. Deciding on outcomes is
planning. Documenting behavior is evaluation.
2. The patient is to receive oral guaifenesin 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
B) Right dose
C) Right route
D) Right medication
A) Right time
, Rationale: The medication was given more than 30 minutes after the
scheduled dose, violating the right time. The dose, route, and medication ordered
were not affected.
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
D) Evaluation
Rationale: Monitoring the patient's progress and documenting therapeutic
response are part of the evaluation phase, which determines whether goals have
been met. Planning sets goals. Implementation carries out interventions.
4. The nurse is assigned to a patient who is newly diagnosed with type 1
diabetes mellitus. Which statement best illustrates an outcome criterion for this
patient?
A) The patient will follow instructions.
B) The patient will not experience complications.
C) The patient will adhere to the new insulin treatment regimen.
D) The patient will demonstrate correct blood glucose testing technique.
D) The patient will demonstrate correct blood glucose testing technique.
Rationale: An outcome criterion must be specific and measurable.
"Demonstrating correct blood glucose testing technique" is observable and
measurable. "Following instructions" and "not experiencing complications" are
vague and difficult to measure.
,5. Which activity best reflects the implementation phase of the nursing process
for a patient who is newly diagnosed with hypertension?
A) Providing education on keeping a journal of blood pressure readings
B) Setting goals and outcome criteria with the patient's input
C) Recording a drug history regarding over-the-counter medications used at home
D) Formulating human needs statements regarding deficient knowledge related
to the new treatment regimen
A) Providing education on keeping a journal of blood pressure readings
Rationale: Implementation involves carrying out the plan of care, such as
patient education. Setting goals is planning. Recording a drug history is
assessment. Formulating human needs statements is diagnosis.
6. The medication order reads, "Give ondansetron 4 mg, 30 minutes before
beginning chemotherapy to prevent nausea." The nurse notes that the route is
missing from the order. What is the nurse's best action?
A) Give the medication intravenously because the patient might vomit.
B) Give the medication orally because the tablets are available in 4-mg doses.
C) Contact the prescriber to clarify the route of the medication ordered.
D) Hold the medication until the prescriber returns to make rounds.
C) Contact the prescriber to clarify the route of the medication ordered.
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. Holding the medication until the prescriber returns would mean
that the patient would not receive a needed medication.
7. 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
C) The patient's last meal
D) The patient's allergies
C) The patient's last meal
Rationale: The timing of a drug dose should consider factors such as the
patient's last meal, which can affect drug absorption and tolerability. The other
factors are not directly related to dose timing.
8. The nurse is performing an assessment of a newly admitted patient. Which is
an example of subjective data?
A) Weight 155 pounds
B) Pulse 72 beats/minute
C) The patient reports that he uses the herbal product ginkgo
D) The patient's complete blood count results
C) The patient reports that he uses the herbal product ginkgo
Rationale: Subjective data is information reported by the patient, such as
herbal product use. Weight, pulse, and lab results are objective data that can be
measured or observed.
9. When giving medications, the nurse will follow the rights of medication
administration. The rights include the right documentation, the right reason, the
right response, and the patient's right to refuse. Which of these are additional
rights? (Select all that apply.)
A) Right drug
B) Right route
C) Right dose
D) Right diagnosis
E) Right time
A, B, C, E
