,Item Bank: Lilley Pharmacology and the Nursing Process 7th Ed
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Objective: Ch 01: The Nursing Process and Drug Therapy
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1. Question Name: 0001 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
f f f f f f f f f f f Item Bank: Lilley
f f
Pharmacology and the Nursing Process 7th Ed
f f f f f f f
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly
f f f f f f f f f f f f f f f f f f
diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing
f f f f f f f f f f f f f f
diagnosis?
f
A. Anxiety
B. Anxiety related to new drug therapy f f f f f
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as
f f f f f f f f f f f f f
“I’m upset about having to test my blood sugars.”
f f f f f f f f f
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset about
f f f f f f f f f f f f f f f
having to test my blood sugars.”
f f f f f f
Correct Answer: D f f
Explanation/Rationale:
f
ANS: D f
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the “related
f f f f f f f f f f f f f
to” and “as evidenced by” portions of defining characteristics. “Anxiety related to new drug
f f f f f f f f f f f f f f
therapy” is missing the “as evidenced by” portion of defining characteristics. The statement
f f f f f f f f f f f f f
beginning “Anxiety related to anxious feelings” is incorrect because the “related to” section is
f f f f f f f f f f f f f f
simply a restatement of the problem “anxiety,” not a separate factor related to the response.
f f f f f f f f f f f f f f f
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 9 f f f f
TOP: NURSING PROCESS: Nursing Diagnosis
f f f f
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
f f f f f f f f f
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: f
fActive Date Created: f 01/31/13 14:18:01 f Date Modified: f f
01/31/13 14:18:01 Date Used: Difficulty: Easy f f f
Discrimination: Low
Item Analysis: Last
f Item Analysis: Cumulative
f f f
No. of Students Responded:
f 0 f No. of Students Responded: 0 f f f f
Correct Responses (%): f Correct Responses (%): f f f
Total Group: 0.00 f Total Group: 0.00 f
Upper 27% of Group: 0.00 f Upper 27% of Group: f 0.00 f f f f
Lower 27% of Group: 0.00 f Lower 27% of Group: f 0.00 f f f f
Point Biserial: f 0.00 Point Biserial: 0.00 f
Response Frequencies (%) f f
, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
2. Question Name: 0002 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
f f f f f f f f f f f Item Bank: Lilley
f f
Pharmacology and the Nursing Process 7th Ed
f f f f f f f
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and gave
f f f f f f f f f f f f f f f f f
the medication 2 hours after the scheduled dose was due. What type of problem does this represent?
f f f f f f f f f f f f f f f f f
* A. “Right time” problem
f f f
B. “Right dose” problem
f f f
C. “Right route” problem
f f f
D. “Right medication” problem
f f f
Correct Answer: A f f
fExplanation/Rationale:
ANS: A f
“Right time” is correct because the medication was given more than 30 minutes after the scheduled
f f f f f f f f f f f f f f f
dose was due. “Dose” is incorrect because the dose is not related to the time the medication
f f f f f f f f f f f f f f f f f
administration is scheduled. “Route” is incorrect because the route is not affected. “Medication” is
f f f f f f f f f f f f f f
incorrect because the medication ordered will not change.
f f f f f f f f
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 13 f f f f
TOP: NURSING PROCESS: Implementation
f f f
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
f f f f f f f f f f
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: f
fActive Date Created: f 01/31/13 14:18:01
f Date Modified: f f
01/31/13 14:18:01 Date Used: Difficulty: Easy f f f
Discrimination: Low
Item Analysis: Last
f Item Analysis: Cumulative
f f f
No. of Students Responded:
f 0f No. of Students Responded:
f 0 f f f
Correct Responses (%): f Correct Responses (%): f f f
Total Group: 0.00 f Total Group: 0.00 f
Upper 27% of Group: 0.00 f Upper 27% of Group:
f f 0.00 f f f
Lower 27% of Group: 0.00 f Lower 27% of Group:
f 0.00
f f f f
Point Biserial: f 0.00 Point Biserial: 0.00 f
Response Frequencies (%) f f
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
, 3. Question Name: 0003f Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
f f f f f f f f f f Item Bank: Lilley
f f
Pharmacology and the Nursing Process 7th Ed
f f f f f f f
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose and
f f f f f f f f f f f f f f f f f
documenting the patient’s therapeutic response to the medication. Which phase of the nursing
f f f f f f f f f f f f f
process do these actions illustrate?
f f f f f
A. Nursing diagnosis f
B. Planning
C. Implementation
* D. Evaluation
f
Correct Answer: D f f
Explanation/Rationale:
f
ANS: D f
Monitoring the patient’s progress, including the patient’s response to the medication, is part of the
f f f f f f f f f f f f f f
evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by this
f f f f f f f f f f f f
example.
f
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 15 f f f f
TOP: NURSING PROCESS: Evaluation
f f f
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
f f f f f f f f f
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: f
fActive Date Created: f 01/31/13 14:18:01 f Date Modified: f f
01/31/13 14:18:01 Date Used: Difficulty: Easy f f f
Discrimination: Low
Item Analysis: Last
f Item Analysis: Cumulative
f f f
No. of Students Responded:
f f 0 No. of Students Responded:
f 0 f f f
Correct Responses (%): f Correct Responses (%): f f f
Total Group: 0.00
f Total Group: 0.00 f
Upper 27% of Group: 0.00 f Upper 27% of Group:
f f 0.00 f f f
Lower 27% of Group: 0.00 f Lower 27% of Group:
f f 0.00 f f f
Point Biserial: f 0.00 Point Biserial: 0.00 f
Response Frequencies (%) f f
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
4. Question Name: 0004f f Type: MC f Objective: Ch 01: The Nursing Process and Drug Therapy
f f f f f f f f Item Bank: Lilley
f f
f f f f f f f f f
Objective: Ch 01: The Nursing Process and Drug Therapy
f f f f f f f f f
1. Question Name: 0001 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
f f f f f f f f f f f Item Bank: Lilley
f f
Pharmacology and the Nursing Process 7th Ed
f f f f f f f
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly
f f f f f f f f f f f f f f f f f f
diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing
f f f f f f f f f f f f f f
diagnosis?
f
A. Anxiety
B. Anxiety related to new drug therapy f f f f f
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as
f f f f f f f f f f f f f
“I’m upset about having to test my blood sugars.”
f f f f f f f f f
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset about
f f f f f f f f f f f f f f f
having to test my blood sugars.”
f f f f f f
Correct Answer: D f f
Explanation/Rationale:
f
ANS: D f
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the “related
f f f f f f f f f f f f f
to” and “as evidenced by” portions of defining characteristics. “Anxiety related to new drug
f f f f f f f f f f f f f f
therapy” is missing the “as evidenced by” portion of defining characteristics. The statement
f f f f f f f f f f f f f
beginning “Anxiety related to anxious feelings” is incorrect because the “related to” section is
f f f f f f f f f f f f f f
simply a restatement of the problem “anxiety,” not a separate factor related to the response.
f f f f f f f f f f f f f f f
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 9 f f f f
TOP: NURSING PROCESS: Nursing Diagnosis
f f f f
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
f f f f f f f f f
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: f
fActive Date Created: f 01/31/13 14:18:01 f Date Modified: f f
01/31/13 14:18:01 Date Used: Difficulty: Easy f f f
Discrimination: Low
Item Analysis: Last
f Item Analysis: Cumulative
f f f
No. of Students Responded:
f 0 f No. of Students Responded: 0 f f f f
Correct Responses (%): f Correct Responses (%): f f f
Total Group: 0.00 f Total Group: 0.00 f
Upper 27% of Group: 0.00 f Upper 27% of Group: f 0.00 f f f f
Lower 27% of Group: 0.00 f Lower 27% of Group: f 0.00 f f f f
Point Biserial: f 0.00 Point Biserial: 0.00 f
Response Frequencies (%) f f
, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
2. Question Name: 0002 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
f f f f f f f f f f f Item Bank: Lilley
f f
Pharmacology and the Nursing Process 7th Ed
f f f f f f f
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and gave
f f f f f f f f f f f f f f f f f
the medication 2 hours after the scheduled dose was due. What type of problem does this represent?
f f f f f f f f f f f f f f f f f
* A. “Right time” problem
f f f
B. “Right dose” problem
f f f
C. “Right route” problem
f f f
D. “Right medication” problem
f f f
Correct Answer: A f f
fExplanation/Rationale:
ANS: A f
“Right time” is correct because the medication was given more than 30 minutes after the scheduled
f f f f f f f f f f f f f f f
dose was due. “Dose” is incorrect because the dose is not related to the time the medication
f f f f f f f f f f f f f f f f f
administration is scheduled. “Route” is incorrect because the route is not affected. “Medication” is
f f f f f f f f f f f f f f
incorrect because the medication ordered will not change.
f f f f f f f f
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 13 f f f f
TOP: NURSING PROCESS: Implementation
f f f
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
f f f f f f f f f f
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: f
fActive Date Created: f 01/31/13 14:18:01
f Date Modified: f f
01/31/13 14:18:01 Date Used: Difficulty: Easy f f f
Discrimination: Low
Item Analysis: Last
f Item Analysis: Cumulative
f f f
No. of Students Responded:
f 0f No. of Students Responded:
f 0 f f f
Correct Responses (%): f Correct Responses (%): f f f
Total Group: 0.00 f Total Group: 0.00 f
Upper 27% of Group: 0.00 f Upper 27% of Group:
f f 0.00 f f f
Lower 27% of Group: 0.00 f Lower 27% of Group:
f 0.00
f f f f
Point Biserial: f 0.00 Point Biserial: 0.00 f
Response Frequencies (%) f f
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
, 3. Question Name: 0003f Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
f f f f f f f f f f Item Bank: Lilley
f f
Pharmacology and the Nursing Process 7th Ed
f f f f f f f
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose and
f f f f f f f f f f f f f f f f f
documenting the patient’s therapeutic response to the medication. Which phase of the nursing
f f f f f f f f f f f f f
process do these actions illustrate?
f f f f f
A. Nursing diagnosis f
B. Planning
C. Implementation
* D. Evaluation
f
Correct Answer: D f f
Explanation/Rationale:
f
ANS: D f
Monitoring the patient’s progress, including the patient’s response to the medication, is part of the
f f f f f f f f f f f f f f
evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by this
f f f f f f f f f f f f
example.
f
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 15 f f f f
TOP: NURSING PROCESS: Evaluation
f f f
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
f f f f f f f f f
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: f
fActive Date Created: f 01/31/13 14:18:01 f Date Modified: f f
01/31/13 14:18:01 Date Used: Difficulty: Easy f f f
Discrimination: Low
Item Analysis: Last
f Item Analysis: Cumulative
f f f
No. of Students Responded:
f f 0 No. of Students Responded:
f 0 f f f
Correct Responses (%): f Correct Responses (%): f f f
Total Group: 0.00
f Total Group: 0.00 f
Upper 27% of Group: 0.00 f Upper 27% of Group:
f f 0.00 f f f
Lower 27% of Group: 0.00 f Lower 27% of Group:
f f 0.00 f f f
Point Biserial: f 0.00 Point Biserial: 0.00 f
Response Frequencies (%) f f
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
4. Question Name: 0004f f Type: MC f Objective: Ch 01: The Nursing Process and Drug Therapy
f f f f f f f f Item Bank: Lilley
f f
