Test Bank for Pharmacology and the Nursing Process 11th
Edition b̰ y Linda Lane Lilley, Shelly Rainforth Collins, and
Julie S. Snyder
,Chapter 01: The Nursing Process and Drug Therapy
Lilley: Pharmacology and the Nursing Process, 11th Edition
MULTIPLE CHOICE
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 occur with which of these activities?
a.Collection of patient data
b̰ .Administering interventions
c.Deciding on patient outcomes
d.Documenting the patient‘s b̰ ehavior
ANS: A
Identification of human needs occurs with the collection of patient data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Human Needs Statement
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2.The patient is to receive oral guaifenesin twice a day. Today, the nurse was b̰ usy and gave the
medication 2 hours after the scheduled dose was due. What type of prob̰ lem does this
represent?
a. ―Right time‖
b̰ . ―Right dose‖
―Right
route‖c.
d. ―Right medication‖
ANS: A
―Right time‖ is correct b̰ ecause the medication was given more than 30 minutes after the
scheduled dose was due. ―Dose‖is incorrect b̰ ecause the dose is not related to the time the
medication administration is scheduled. ―Route‖ is incorrect b̰ ecause the route is not affected.
―Medication‖ is incorrect b̰ ecause the medication ordered will not change.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
3.The nurse has b̰ een 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
b̰ .Planning
c.Implementation
d.Evaluation
ANS: D
Monitoring the patient‘s progress, including the patient‘s response to the medication, is part of
the evaluation phase. Planning, implementation, and human needs statement are not illustrated
b̰ y this example.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Evaluation
, MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4.The nurse is assigned to a patient who is newly diagnosed with type 1 diab̰ etes mellitus.
Which statement b̰ est illustrates an outcome criterion for this patient?
a.The patient will follow instructions.
b̰ .The patient will not experience complications.
c.The patient will adhere to the new insulin treatment regimen.
d.The patient will demonstrate correct b̰ lood glucose testing technique.
ANS: D
―Demonstrating correct b̰ lood glucose testing technique‖ is a specific and measurab̰ le
outcome criterion. ―Following instructions‖ and ―not experiencing complications‖ are not
specific criteria. ―Adhering to new regimen‖ would b̰ e difficult to measure.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX: Safe
and Effective Care Environment: Management of Care
5.Which activity b̰ est reflects the implementation phase of the nursing process for the patient
who is newly diagnosed with hypertension?
a.Providing education on keeping a journal of b̰ lood pressure readings
b̰ .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
ANS: A
Education is an intervention that occurs during the implementation phase. Setting goals and
outcomes reflects the planning phase. Recording a drug history reflects the assessment phase.
Formulating human needs statements reflects analysis of data as part of planning.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6.The medication order reads, ―Give ondansetron 4 mg, 30 minutes b̰ efore b̰ eginning
chemotherapy to prevent nausea.‖ The nurse notes that the route is missing from the order.
What is the nurse‘s b̰ est action?
a.Give the medication intravenously b̰ ecause the patient might vomit.
b̰ .Give the medication orally b̰ ecause the tab̰ lets are availab̰ le in 4-mg doses.
c.Contact the prescrib̰ er to clarify the route of the medication ordered.
d.Hold the medication until the prescrib̰ er returns to make rounds.
ANS: C
A complete medication order includes the route of administration. If a medication order does
not include the route, the nurse must ask the prescrib̰ er to clarify it. The intravenous and oral
routes are not interchangeab̰ le. Holding the medication until the prescrib̰ er returns would
mean that the patient would not receive a needed medication.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
, 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 ab̰ ility to swallow
b̰ .The patient‘s height
c.The patient‘s last meal
d.The patient‘s allergies
ANS: C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that may
b̰ e affected b̰ y the timing of the last meal. The patient‘s ab̰ ility to swallow, height, and
allergies are not factors to consider regarding the timing of the drug‘s administration.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
8.The nurse is performing an assessment of a newly admitted patient. Which is an example of
sub̰ jective data?
a.Weight 155 pounds
b̰ .Pulse 72 b̰ eats/minute
c.The patient reports that he uses the herb̰ al product ginkgo
d.The patient‘s complete b̰ lood count results
ANS: C
Sub̰ jective data include information shared through the spoken word b̰ y any reliab̰ le source,
such as the patient. Ob̰ jective data may b̰ e defined as any information gathered through the
senses or that which is seen, heard, felt, or smelled. A patient‘s pulse, weight, and lab̰ oratory
tests are all examples of ob̰ jective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
MULTIPLE RESPONSE
1.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
b̰ .Right route
c.Right dose
d.Right diagnosis
e.Right time
f.Right patient
ANS: A, B, C, E, F
Additional rights of medication administration must always include the right drug, right dose,
right time, right route, and right patient. The right diagnosis is incorrect.
DIF: Cognitive Level: Rememb̰ ering (Knowledge)
TOP: Nursing Process: Implementation
Edition b̰ y Linda Lane Lilley, Shelly Rainforth Collins, and
Julie S. Snyder
,Chapter 01: The Nursing Process and Drug Therapy
Lilley: Pharmacology and the Nursing Process, 11th Edition
MULTIPLE CHOICE
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 occur with which of these activities?
a.Collection of patient data
b̰ .Administering interventions
c.Deciding on patient outcomes
d.Documenting the patient‘s b̰ ehavior
ANS: A
Identification of human needs occurs with the collection of patient data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Human Needs Statement
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2.The patient is to receive oral guaifenesin twice a day. Today, the nurse was b̰ usy and gave the
medication 2 hours after the scheduled dose was due. What type of prob̰ lem does this
represent?
a. ―Right time‖
b̰ . ―Right dose‖
―Right
route‖c.
d. ―Right medication‖
ANS: A
―Right time‖ is correct b̰ ecause the medication was given more than 30 minutes after the
scheduled dose was due. ―Dose‖is incorrect b̰ ecause the dose is not related to the time the
medication administration is scheduled. ―Route‖ is incorrect b̰ ecause the route is not affected.
―Medication‖ is incorrect b̰ ecause the medication ordered will not change.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
3.The nurse has b̰ een 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
b̰ .Planning
c.Implementation
d.Evaluation
ANS: D
Monitoring the patient‘s progress, including the patient‘s response to the medication, is part of
the evaluation phase. Planning, implementation, and human needs statement are not illustrated
b̰ y this example.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Evaluation
, MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4.The nurse is assigned to a patient who is newly diagnosed with type 1 diab̰ etes mellitus.
Which statement b̰ est illustrates an outcome criterion for this patient?
a.The patient will follow instructions.
b̰ .The patient will not experience complications.
c.The patient will adhere to the new insulin treatment regimen.
d.The patient will demonstrate correct b̰ lood glucose testing technique.
ANS: D
―Demonstrating correct b̰ lood glucose testing technique‖ is a specific and measurab̰ le
outcome criterion. ―Following instructions‖ and ―not experiencing complications‖ are not
specific criteria. ―Adhering to new regimen‖ would b̰ e difficult to measure.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX: Safe
and Effective Care Environment: Management of Care
5.Which activity b̰ est reflects the implementation phase of the nursing process for the patient
who is newly diagnosed with hypertension?
a.Providing education on keeping a journal of b̰ lood pressure readings
b̰ .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
ANS: A
Education is an intervention that occurs during the implementation phase. Setting goals and
outcomes reflects the planning phase. Recording a drug history reflects the assessment phase.
Formulating human needs statements reflects analysis of data as part of planning.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6.The medication order reads, ―Give ondansetron 4 mg, 30 minutes b̰ efore b̰ eginning
chemotherapy to prevent nausea.‖ The nurse notes that the route is missing from the order.
What is the nurse‘s b̰ est action?
a.Give the medication intravenously b̰ ecause the patient might vomit.
b̰ .Give the medication orally b̰ ecause the tab̰ lets are availab̰ le in 4-mg doses.
c.Contact the prescrib̰ er to clarify the route of the medication ordered.
d.Hold the medication until the prescrib̰ er returns to make rounds.
ANS: C
A complete medication order includes the route of administration. If a medication order does
not include the route, the nurse must ask the prescrib̰ er to clarify it. The intravenous and oral
routes are not interchangeab̰ le. Holding the medication until the prescrib̰ er returns would
mean that the patient would not receive a needed medication.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
, 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 ab̰ ility to swallow
b̰ .The patient‘s height
c.The patient‘s last meal
d.The patient‘s allergies
ANS: C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that may
b̰ e affected b̰ y the timing of the last meal. The patient‘s ab̰ ility to swallow, height, and
allergies are not factors to consider regarding the timing of the drug‘s administration.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
8.The nurse is performing an assessment of a newly admitted patient. Which is an example of
sub̰ jective data?
a.Weight 155 pounds
b̰ .Pulse 72 b̰ eats/minute
c.The patient reports that he uses the herb̰ al product ginkgo
d.The patient‘s complete b̰ lood count results
ANS: C
Sub̰ jective data include information shared through the spoken word b̰ y any reliab̰ le source,
such as the patient. Ob̰ jective data may b̰ e defined as any information gathered through the
senses or that which is seen, heard, felt, or smelled. A patient‘s pulse, weight, and lab̰ oratory
tests are all examples of ob̰ jective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
MULTIPLE RESPONSE
1.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
b̰ .Right route
c.Right dose
d.Right diagnosis
e.Right time
f.Right patient
ANS: A, B, C, E, F
Additional rights of medication administration must always include the right drug, right dose,
right time, right route, and right patient. The right diagnosis is incorrect.
DIF: Cognitive Level: Rememb̰ ering (Knowledge)
TOP: Nursing Process: Implementation
