Chapter 01: The Nursing Process and Drug Therapy
Lilley: Pharmacology and the Nursing Process, 10th 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
b. Administering interventions
c. Deciding on patient outcomes
d. Documenting the patient‘s behavior
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 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‖ is correct because the medication was given more than 30 minutes after the
scheduled dose was due. ―Dose‖ is incorrect because the dose is not related to the time the
medication administration is scheduled. ―Route‖ is incorrect because the route is not affected.
―Medication‖ is incorrect because 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 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
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
by this example.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Evaluation
SCHOLARVAULT
, MSC: # g f NCLEX: #gfSafe #gfand #gfEffective #gfCare #gfEnvironment: #gfManagement #gfof #gfCare
4. The #gfnurse #gfis #gfassigned #gfto #gfa #gfpatient #gfwho #gfis #gfnewly #gfdiagnosed #gfwith #gftype #gf1
diabetes #gfmellitus. #gfWhich #gfstatement #gfbest #gfillustrates #gfan #gfoutcome #gfcriterion #gffor
#gf
this #gfpatient?
#gf
a. The #gfpatient #gfwill #gffollow #gfinstructions.
b. The #gfpatient #gfwill #gfnot #gfexperience #gfcomplications.
c. The #gfpatient #gfwill #gfadhere #gfto #gfthe #gfnew #gfinsulin #gftreatment #gfregimen.
d. The #gfpatient #gfwill #gfdemonstrate #gfcorrect #gfblood #gfglucose #gftesting #gftechnique.
ANS: # g f D
―Demonstrating #gfcorrect #gfblood #gfglucose #gftesting #gftechnique‖ #gfis #gfa #gfspecific #gfand
#gfmeasurable #gfoutcome #gfcriterion. #gf―Following #gfinstructions‖ #gfand #gf―not #gfexperiencing
#gfcomplications‖ #gfare #gfnot #gfspecific #gfcriteria. #gf―Adhering #gfto #gfnew #gfregimen‖ #gfwould #gfbe
#gfdifficult #gfto #gfmeasure.
DIF: Cognitive #gfLevel: #gfApplying #gf(Application) TOP: # g f Nursing #gfProcess:
#gfPlanning #gfMSC: # g f NCLEX: #gfSafe #gfand #gfEffective #gfCare #gfEnvironment: #gfManagement #gfof
#gfCare
5. Which #gfactivity #gfbest #gfreflects #gfthe #gfimplementation #gfphase #gfof #gfthe #gfnursing #gfprocess #gffor
the #gfpatient #gfwho #gfis #gfnewly #gfdiagnosed #gfwith #gfhypertension?
#gf
a. Providing #gfeducation #gfon #gfkeeping #gfa #gfjournal #gfof #gfblood #gfpressure #gfreadings
b. Setting #gfgoals #gfand #gfoutcome #gfcriteria #gfwith #gfthe #gfpatient‘s #gfinput
c. Recording #gfa #gfdrug #gfhistory #gfregarding #gfover-the-counter #gfmedications #gfused #gfat #gfhome
d. Formulating #gfhuman #gfneeds #gfstatements #gfregarding #gfdeficient #gfknowledge #gfrelated
#gfto #gfthe #gfnew #gftreatment #gfregimen
ANS: # g f A
Education #gfis #gfan #gfintervention #gfthat #gfoccurs #gfduring #gfthe #gfimplementation #gfphase. #gfSetting
#gfgoals #gfand #gfoutcomes #gfreflects #gfthe #gfplanning #gfphase. #gfRecording #gfa #gfdrug #gfhistory #gfreflects #gfthe
#gfassessment #gfphase. #gfFormulating #gfhuman #gfneeds #gfstatements #gfreflects #gfanalysis #gfof #gfdata #gfas
#gfpart #gfof #gfplanning.
DIF: Cognitive #gfLevel: #gfApplying
#gf(Application) #gfTOP: # g f Nursing #gfProcess:
#gfImplementation
MSC: # g f NCLEX: #gfSafe #gfand #gfEffective #gfCare #gfEnvironment: #gfManagement #gfof #gfCare
6. The #gfmedication #gforder #gfreads, #gf―Give #gfondansetron #gf4 #gfmg, #gf30 #gfminutes #gfbefore
beginning #gfchemotherapy #gfto #gfprevent #gfnausea.‖ #gfThe #gfnurse #gfnotes #gfthat #gfthe #gfroute #gfis
#gf
missing #gffrom #gfthe #gforder. #gfWhat #gfis #gfthe #gfnurse‘s #gfbest #gfaction?
#gf
a. Give #gfthe #gfmedication #gfintravenously #gfbecause #gfthe #gfpatient #gfmight #gfvomit.
b. Give #gfthe #gfmedication #gforally #gfbecause #gfthe #gftablets #gfare #gfavailable #gfin #gf4-mg #gfdoses.
c. Contact #gfthe #gfprescriber #gfto #gfclarify #gfthe #gfroute #gfof #gfthe #gfmedication #gfordered.
d. Hold #gfthe #gfmedication #gfuntil #gfthe #gfprescriber #gfreturns #gfto #gfmake #gfrounds.
ANS: # g f C
A #gfcomplete #gfmedication #gforder #gfincludes #gfthe #gfroute #gfof #gfadministration. #gfIf #gfa #gfmedication
#gforder #gfdoes #gfnot #gfinclude #gfthe #gfroute, #gfthe #gfnurse #gfmust #gfask #gfthe #gfprescriber #gfto #gfclarify #gfit.
#gfThe #gfintravenous #gfand #gforal #gfroutes #gfare #gfnot #gfinterchangeable. #gfHolding #gfthe #gfmedication
#gfuntil #gfthe #gfprescriber #gfreturns #gfwould #gfmean #gfthat #gfthe #gfpatient #gfwould #gfnot #gfreceive #gfa
#gfneeded #gfmedication.
DIF: Cognitive #gfLevel: #gfApplying
SCHOLARVAULT
,(Application) #gfTOP: # g f Nursing #gfProcess:
#gf
Implementation
#gf
MSC: # g f NCLEX: #gfSafe #gfand #gfEffective #gfCare #gfEnvironment: #gfManagement #gfof #gfCare
SCHOLARVAULT
, 7. When #gfthe #gfnurse #gfconsiders #gfthe #gftiming #gfof #gfa #gfdrug #gfdose, #gfwhich #gffactor #gfis #gfappropriate
to #gfconsider #gfwhen #gfdeciding #gfwhen #gfto #gfgive #gfa #gfdrug?
#gf
a. The #gfpatient‘s #gfability #gfto #gfswallow
b. The #gfpatient‘s #gfheight
c. The #gfpatient‘s #gflast #gfmeal
d. The #gfpatient‘s #gfallergies
ANS: # g f C
The #gfnurse #gfmust #gfconsider #gfspecific #gfpharmacokinetic/pharmacodynamic #gfdrug #gfproperties
#gfthat #gfmay #gfbe #gfaffected #gfby #gfthe #gftiming #gfof #gfthe #gflast #gfmeal. #gfThe #gfpatient‘s #gfability #gfto
#gfswallow, #gfheight, #gfand #gfallergies #gfare #gfnot #gffactors #gfto #gfconsider #gfregarding #gfthe #gftiming #gfof
#gfthe #gfdrug‘s #gfadministration.
DIF: Cognitive #gfLevel: #gfUnderstanding
#gf(Comprehension) #gfTOP: # g f Nursing #gfProcess:
#gfAssessment
MSC: # g f NCLEX: #gfSafe #gfand #gfEffective #gfCare #gfEnvironment: #gfManagement #gfof #gfCare
8. The #gfnurse #gfis #gfperforming #gfan #gfassessment #gfof #gfa #gfnewly #gfadmitted #gfpatient. #gfWhich #gfis #gfan
example #gfof #gfsubjective #gfdata?
#gf
a. Weight #gf155 #gfpounds
b. Pulse #gf72 #gfbeats/minute
c. The #gfpatient #gfreports #gfthat #gfhe #gfuses #gfthe #gfherbal #gfproduct #gfginkgo
d. The #gfpatient‘s #gfcomplete #gfblood #gfcount #gfresults
ANS: # g f C
Subjective #gfdata #gfinclude #gfinformation #gfshared #gfthrough #gfthe #gfspoken #gfword #gfby #gfany
#gfreliable #gfsource, #gfsuch #gfas #gfthe #gfpatient. #gfObjective #gfdata #gfmay #gfbe #gfdefined #gfas #gfany
#gfinformation #gfgathered #gfthrough #gfthe #gfsenses #gfor #gfthat #gfwhich #gfis #gfseen, #gfheard, #gffelt, #gfor
#gfsmelled. #gfA #gfpatient‘s #gfpulse, #gfweight, #gfand #gflaboratory #gftests #gfare #gfall #gfexamples #gfof
#gfobjective #gfdata.
DIF: Cognitive #gfLevel: #gfUnderstanding
#gf(Comprehension) #gfTOP: # g f Nursing #gfProcess:
#gfAssessment
MSC: # g f NCLEX: #gfSafe #gfand #gfEffective #gfCare #gfEnvironment: #gfManagement #gfof #gfCare
MULTIPLE #gfRESPONSE
1. When giving #gfmedications, #gfthe #gfnurse #gfwill #gffollow #gfthe #gfrights #gfof #gfmedication
#gf
#gfadministration. #gfThe #gfrights #gfinclude #gfthe #gfright #gfdocumentation, #gfthe #gfright #gfreason, #gfthe
#gfright #gfresponse, #gfand #gfthe #gfpatient‘s #gfright #gfto #gfrefuse. #gfWhich #gfof #gfthese #gfare #gfadditional
#gfrights? #gf(Select #gfall #gfthat #gfapply.)
a. Right #gfdrug
b. Right #gfroute
c. Right #gfdose
d. Right #gfdiagnosis
e. Right #gftime
f. Right #gfpatient
ANS: # g f A, #gfB, #gfC, #gfE, #gfF
Additional #gfrights #gfof #gfmedication #gfadministration #gfmust #gfalways #gfinclude #gfthe #gfright #gfdrug,
#gfright #gfdose, #gfright #gftime, #gfright #gfroute, #gfand #gfright #gfpatient. #gfThe #gfright #gfdiagnosis #gfis
#gfincorrect.
SCHOLARVAULT
Lilley: Pharmacology and the Nursing Process, 10th 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
b. Administering interventions
c. Deciding on patient outcomes
d. Documenting the patient‘s behavior
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 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‖ is correct because the medication was given more than 30 minutes after the
scheduled dose was due. ―Dose‖ is incorrect because the dose is not related to the time the
medication administration is scheduled. ―Route‖ is incorrect because the route is not affected.
―Medication‖ is incorrect because 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 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
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
by this example.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Evaluation
SCHOLARVAULT
, MSC: # g f NCLEX: #gfSafe #gfand #gfEffective #gfCare #gfEnvironment: #gfManagement #gfof #gfCare
4. The #gfnurse #gfis #gfassigned #gfto #gfa #gfpatient #gfwho #gfis #gfnewly #gfdiagnosed #gfwith #gftype #gf1
diabetes #gfmellitus. #gfWhich #gfstatement #gfbest #gfillustrates #gfan #gfoutcome #gfcriterion #gffor
#gf
this #gfpatient?
#gf
a. The #gfpatient #gfwill #gffollow #gfinstructions.
b. The #gfpatient #gfwill #gfnot #gfexperience #gfcomplications.
c. The #gfpatient #gfwill #gfadhere #gfto #gfthe #gfnew #gfinsulin #gftreatment #gfregimen.
d. The #gfpatient #gfwill #gfdemonstrate #gfcorrect #gfblood #gfglucose #gftesting #gftechnique.
ANS: # g f D
―Demonstrating #gfcorrect #gfblood #gfglucose #gftesting #gftechnique‖ #gfis #gfa #gfspecific #gfand
#gfmeasurable #gfoutcome #gfcriterion. #gf―Following #gfinstructions‖ #gfand #gf―not #gfexperiencing
#gfcomplications‖ #gfare #gfnot #gfspecific #gfcriteria. #gf―Adhering #gfto #gfnew #gfregimen‖ #gfwould #gfbe
#gfdifficult #gfto #gfmeasure.
DIF: Cognitive #gfLevel: #gfApplying #gf(Application) TOP: # g f Nursing #gfProcess:
#gfPlanning #gfMSC: # g f NCLEX: #gfSafe #gfand #gfEffective #gfCare #gfEnvironment: #gfManagement #gfof
#gfCare
5. Which #gfactivity #gfbest #gfreflects #gfthe #gfimplementation #gfphase #gfof #gfthe #gfnursing #gfprocess #gffor
the #gfpatient #gfwho #gfis #gfnewly #gfdiagnosed #gfwith #gfhypertension?
#gf
a. Providing #gfeducation #gfon #gfkeeping #gfa #gfjournal #gfof #gfblood #gfpressure #gfreadings
b. Setting #gfgoals #gfand #gfoutcome #gfcriteria #gfwith #gfthe #gfpatient‘s #gfinput
c. Recording #gfa #gfdrug #gfhistory #gfregarding #gfover-the-counter #gfmedications #gfused #gfat #gfhome
d. Formulating #gfhuman #gfneeds #gfstatements #gfregarding #gfdeficient #gfknowledge #gfrelated
#gfto #gfthe #gfnew #gftreatment #gfregimen
ANS: # g f A
Education #gfis #gfan #gfintervention #gfthat #gfoccurs #gfduring #gfthe #gfimplementation #gfphase. #gfSetting
#gfgoals #gfand #gfoutcomes #gfreflects #gfthe #gfplanning #gfphase. #gfRecording #gfa #gfdrug #gfhistory #gfreflects #gfthe
#gfassessment #gfphase. #gfFormulating #gfhuman #gfneeds #gfstatements #gfreflects #gfanalysis #gfof #gfdata #gfas
#gfpart #gfof #gfplanning.
DIF: Cognitive #gfLevel: #gfApplying
#gf(Application) #gfTOP: # g f Nursing #gfProcess:
#gfImplementation
MSC: # g f NCLEX: #gfSafe #gfand #gfEffective #gfCare #gfEnvironment: #gfManagement #gfof #gfCare
6. The #gfmedication #gforder #gfreads, #gf―Give #gfondansetron #gf4 #gfmg, #gf30 #gfminutes #gfbefore
beginning #gfchemotherapy #gfto #gfprevent #gfnausea.‖ #gfThe #gfnurse #gfnotes #gfthat #gfthe #gfroute #gfis
#gf
missing #gffrom #gfthe #gforder. #gfWhat #gfis #gfthe #gfnurse‘s #gfbest #gfaction?
#gf
a. Give #gfthe #gfmedication #gfintravenously #gfbecause #gfthe #gfpatient #gfmight #gfvomit.
b. Give #gfthe #gfmedication #gforally #gfbecause #gfthe #gftablets #gfare #gfavailable #gfin #gf4-mg #gfdoses.
c. Contact #gfthe #gfprescriber #gfto #gfclarify #gfthe #gfroute #gfof #gfthe #gfmedication #gfordered.
d. Hold #gfthe #gfmedication #gfuntil #gfthe #gfprescriber #gfreturns #gfto #gfmake #gfrounds.
ANS: # g f C
A #gfcomplete #gfmedication #gforder #gfincludes #gfthe #gfroute #gfof #gfadministration. #gfIf #gfa #gfmedication
#gforder #gfdoes #gfnot #gfinclude #gfthe #gfroute, #gfthe #gfnurse #gfmust #gfask #gfthe #gfprescriber #gfto #gfclarify #gfit.
#gfThe #gfintravenous #gfand #gforal #gfroutes #gfare #gfnot #gfinterchangeable. #gfHolding #gfthe #gfmedication
#gfuntil #gfthe #gfprescriber #gfreturns #gfwould #gfmean #gfthat #gfthe #gfpatient #gfwould #gfnot #gfreceive #gfa
#gfneeded #gfmedication.
DIF: Cognitive #gfLevel: #gfApplying
SCHOLARVAULT
,(Application) #gfTOP: # g f Nursing #gfProcess:
#gf
Implementation
#gf
MSC: # g f NCLEX: #gfSafe #gfand #gfEffective #gfCare #gfEnvironment: #gfManagement #gfof #gfCare
SCHOLARVAULT
, 7. When #gfthe #gfnurse #gfconsiders #gfthe #gftiming #gfof #gfa #gfdrug #gfdose, #gfwhich #gffactor #gfis #gfappropriate
to #gfconsider #gfwhen #gfdeciding #gfwhen #gfto #gfgive #gfa #gfdrug?
#gf
a. The #gfpatient‘s #gfability #gfto #gfswallow
b. The #gfpatient‘s #gfheight
c. The #gfpatient‘s #gflast #gfmeal
d. The #gfpatient‘s #gfallergies
ANS: # g f C
The #gfnurse #gfmust #gfconsider #gfspecific #gfpharmacokinetic/pharmacodynamic #gfdrug #gfproperties
#gfthat #gfmay #gfbe #gfaffected #gfby #gfthe #gftiming #gfof #gfthe #gflast #gfmeal. #gfThe #gfpatient‘s #gfability #gfto
#gfswallow, #gfheight, #gfand #gfallergies #gfare #gfnot #gffactors #gfto #gfconsider #gfregarding #gfthe #gftiming #gfof
#gfthe #gfdrug‘s #gfadministration.
DIF: Cognitive #gfLevel: #gfUnderstanding
#gf(Comprehension) #gfTOP: # g f Nursing #gfProcess:
#gfAssessment
MSC: # g f NCLEX: #gfSafe #gfand #gfEffective #gfCare #gfEnvironment: #gfManagement #gfof #gfCare
8. The #gfnurse #gfis #gfperforming #gfan #gfassessment #gfof #gfa #gfnewly #gfadmitted #gfpatient. #gfWhich #gfis #gfan
example #gfof #gfsubjective #gfdata?
#gf
a. Weight #gf155 #gfpounds
b. Pulse #gf72 #gfbeats/minute
c. The #gfpatient #gfreports #gfthat #gfhe #gfuses #gfthe #gfherbal #gfproduct #gfginkgo
d. The #gfpatient‘s #gfcomplete #gfblood #gfcount #gfresults
ANS: # g f C
Subjective #gfdata #gfinclude #gfinformation #gfshared #gfthrough #gfthe #gfspoken #gfword #gfby #gfany
#gfreliable #gfsource, #gfsuch #gfas #gfthe #gfpatient. #gfObjective #gfdata #gfmay #gfbe #gfdefined #gfas #gfany
#gfinformation #gfgathered #gfthrough #gfthe #gfsenses #gfor #gfthat #gfwhich #gfis #gfseen, #gfheard, #gffelt, #gfor
#gfsmelled. #gfA #gfpatient‘s #gfpulse, #gfweight, #gfand #gflaboratory #gftests #gfare #gfall #gfexamples #gfof
#gfobjective #gfdata.
DIF: Cognitive #gfLevel: #gfUnderstanding
#gf(Comprehension) #gfTOP: # g f Nursing #gfProcess:
#gfAssessment
MSC: # g f NCLEX: #gfSafe #gfand #gfEffective #gfCare #gfEnvironment: #gfManagement #gfof #gfCare
MULTIPLE #gfRESPONSE
1. When giving #gfmedications, #gfthe #gfnurse #gfwill #gffollow #gfthe #gfrights #gfof #gfmedication
#gf
#gfadministration. #gfThe #gfrights #gfinclude #gfthe #gfright #gfdocumentation, #gfthe #gfright #gfreason, #gfthe
#gfright #gfresponse, #gfand #gfthe #gfpatient‘s #gfright #gfto #gfrefuse. #gfWhich #gfof #gfthese #gfare #gfadditional
#gfrights? #gf(Select #gfall #gfthat #gfapply.)
a. Right #gfdrug
b. Right #gfroute
c. Right #gfdose
d. Right #gfdiagnosis
e. Right #gftime
f. Right #gfpatient
ANS: # g f A, #gfB, #gfC, #gfE, #gfF
Additional #gfrights #gfof #gfmedication #gfadministration #gfmust #gfalways #gfinclude #gfthe #gfright #gfdrug,
#gfright #gfdose, #gfright #gftime, #gfright #gfroute, #gfand #gfright #gfpatient. #gfThe #gfright #gfdiagnosis #gfis
#gfincorrect.
SCHOLARVAULT
