,Chapter 1: Pharmacology and the Nursing Process in LPN
Practice
1. Chapter 1: The LPN/VN’s Role and the Nursing Process
A patient is prescribed a new antihypertensive medication. The
LPN reviews the patient's chart, noting a history of asthma, and
recognizes that the new medication is a nonselective beta-
blocker. The LPN knows this class is contraindicated in patients
with asthma. Which phase of the nursing process is the LPN
demonstrating?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
Rationale:
Correct: (A) Assessment. The LPN is collecting and analyzing
data (the new drug order and the patient's medical history) to
identify a potential problem, which is the essence of the
assessment phase.
Incorrect: (B) Diagnosis: The LPN is identifying a risk but is not
formulating an actual nursing diagnosis statement.
Incorrect: (C) Planning: This phase involves setting goals and
outcomes, which has not yet occurred.
Incorrect: (D) Evaluation: This phase involves determining the
effectiveness of interventions after they have been
,implemented.
Teaching Point: Assessment involves data collection and
analysis to identify patient problems.
2. Chapter 1: The LPN/VN’s Role and the Nursing Process
An LPN is preparing to administer an oral medication to a
patient. The LPN checks the patient’s identification band and
asks the patient to state their name and date of birth. This
action primarily fulfills which of the "Rights" of medication
administration?
A) Right Route
B) Right Patient
C) Right Documentation
D) Right Time
Rationale:
Correct: (B) Right Patient. Using two patient identifiers (name
and date of birth) is the standard procedure to ensure the
medication is given to the correct individual.
Incorrect: (A) Right Route: This refers to ensuring the drug is
given by the correct method (e.g., oral, IV).
Incorrect: (C) Right Documentation: This involves recording the
administration after the dose is given.
Incorrect: (D) Right Time: This refers to administering the
medication at the correct scheduled interval.
Teaching Point: Always use two patient identifiers to ensure the
Right Patient.
, 3. Chapter 1: Using the Clinical Judgment Model
After administering a first dose of antibiotic, an LPN observes
the patient developing urticaria and respiratory wheezing. The
LPN recognizes these signs as a possible anaphylactic reaction.
According to the Clinical Judgment Model, which action
represents the first step of "Recognizing Cues"?
A) Administering prescribed epinephrine immediately.
B) Notifying the registered nurse (RN) and primary provider.
C) Identifying the new skin rash and wheezing as critical data.
D) Documenting the reaction in the patient's medical record.
Rationale:
Correct: (C) Identifying the new skin rash and wheezing as
critical data. Recognizing cues involves identifying the most
relevant and critical information from the clinical scenario.
Incorrect: (A) and (B): These actions represent responses or
interventions, which occur after cues are recognized and
analyzed.
Incorrect: (D): Documentation is an important but subsequent
step, not the initial recognition of cues.
Teaching Point: Recognizing cues is the first step: identifying
relevant clinical data.
4. Chapter 1: The LPN/VN’s Role and the Nursing Process
The LPN's role in the nursing diagnosis phase of the nursing
process is best described as:
A) Formulating independent nursing diagnoses for the patient's
care plan.
Practice
1. Chapter 1: The LPN/VN’s Role and the Nursing Process
A patient is prescribed a new antihypertensive medication. The
LPN reviews the patient's chart, noting a history of asthma, and
recognizes that the new medication is a nonselective beta-
blocker. The LPN knows this class is contraindicated in patients
with asthma. Which phase of the nursing process is the LPN
demonstrating?
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
Rationale:
Correct: (A) Assessment. The LPN is collecting and analyzing
data (the new drug order and the patient's medical history) to
identify a potential problem, which is the essence of the
assessment phase.
Incorrect: (B) Diagnosis: The LPN is identifying a risk but is not
formulating an actual nursing diagnosis statement.
Incorrect: (C) Planning: This phase involves setting goals and
outcomes, which has not yet occurred.
Incorrect: (D) Evaluation: This phase involves determining the
effectiveness of interventions after they have been
,implemented.
Teaching Point: Assessment involves data collection and
analysis to identify patient problems.
2. Chapter 1: The LPN/VN’s Role and the Nursing Process
An LPN is preparing to administer an oral medication to a
patient. The LPN checks the patient’s identification band and
asks the patient to state their name and date of birth. This
action primarily fulfills which of the "Rights" of medication
administration?
A) Right Route
B) Right Patient
C) Right Documentation
D) Right Time
Rationale:
Correct: (B) Right Patient. Using two patient identifiers (name
and date of birth) is the standard procedure to ensure the
medication is given to the correct individual.
Incorrect: (A) Right Route: This refers to ensuring the drug is
given by the correct method (e.g., oral, IV).
Incorrect: (C) Right Documentation: This involves recording the
administration after the dose is given.
Incorrect: (D) Right Time: This refers to administering the
medication at the correct scheduled interval.
Teaching Point: Always use two patient identifiers to ensure the
Right Patient.
, 3. Chapter 1: Using the Clinical Judgment Model
After administering a first dose of antibiotic, an LPN observes
the patient developing urticaria and respiratory wheezing. The
LPN recognizes these signs as a possible anaphylactic reaction.
According to the Clinical Judgment Model, which action
represents the first step of "Recognizing Cues"?
A) Administering prescribed epinephrine immediately.
B) Notifying the registered nurse (RN) and primary provider.
C) Identifying the new skin rash and wheezing as critical data.
D) Documenting the reaction in the patient's medical record.
Rationale:
Correct: (C) Identifying the new skin rash and wheezing as
critical data. Recognizing cues involves identifying the most
relevant and critical information from the clinical scenario.
Incorrect: (A) and (B): These actions represent responses or
interventions, which occur after cues are recognized and
analyzed.
Incorrect: (D): Documentation is an important but subsequent
step, not the initial recognition of cues.
Teaching Point: Recognizing cues is the first step: identifying
relevant clinical data.
4. Chapter 1: The LPN/VN’s Role and the Nursing Process
The LPN's role in the nursing diagnosis phase of the nursing
process is best described as:
A) Formulating independent nursing diagnoses for the patient's
care plan.
