EXAM ONE - TEST BANK QUESTIONS &
ANSWERS
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." - ANS-d. Anxiety related to new drug therapy, as evidenced
by statements such as "Im upset about have to test my blood sugars."
CH. 1
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"
b. "Right dose"
c. "Right route"
d. "Right medication" - ANS-a. "Right time"
CH. 1
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 - ANS-d. Evaluation
CH. 1
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. - ANS-d. The patient will
demonstrate correct blood glucose testing technique
CH. 1
5. Which activity best 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 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 nursing diagnoses regarding deficient knowledge related to the new treatment regimen -
ANS-a. providing education on keeping a journal of blood pressure readings
CH. 1
The medication order reads, "Give ondansetron (Zofran) 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 b. 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. - ANS-c. Contact the prescriber to
clarity the route of the medication ordered
CH. 1
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 - ANS-c. The patient's last meal
CH. 1
The nurse is performing an assessment of a newly admitted patient. Which is an example of subjective
data?
a. Blood pressure 158/96 mm Hg
b. Weight 255 pounds
c. The patient reports that he uses the herbal product ginkgo.
d. The patient's laboratory work includes a complete blood count and urinalysis. - ANS-c. The patient
reports that he uses the herbal product ginkgo
CH. 1