,Item Bank: Lilley Pharmacology and the Nursing Process 10th Ed
xv xv xv xv xv xv xv xv xv
Objective: Ch 01: The Nursing Process and Drug Therapy
x v xv xv xv xv xv xv xv
1. Question Name: 0001 xv xv Type: MC xv Objective: Ch 01: The Nursing Process and Drug Therapy
xv xv xv xv xv xv xv xv xv
The nurse is writing a nursing diagnosis for a plan of care for a patient who has
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
been newlydiagnosed with type 2 diabetes. Which statement reflects the correct
xv xv xv xv xv xv xv xv xv xv xv xv
format for a nursing diagnosis?
xv xv xv xv xv
A. Anxiety
B. Anxiety related to new drug therapy xv xv xv xv xv
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements
xv xv xv xv xv xv xv xv xv xv xv
such as“I’m upset about having to test my blood sugars.”
xv xv xv xv xv xv xv xv xv xv xv
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
abouthaving to test my blood sugars.”
xv xv xv xv xv xv xv
Correct Answer: D xv xv
xv Explanation/Rationale:
ANS: D x v
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the
xv xv xv xv xv xv xv xv xv xv xv xv
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety related to
xv xv xv xv xv xv xv xv xv xv xv xv xv
new drug therapy” is missing the “as evidenced by” portion of defining characteristics. The
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
statementbeginning “Anxiety related to anxious feelings” is incorrect because the “related
xv xv xv xv xv xv xv xv xv xv xv xv
to” section is simply a restatement of the problem “anxiety,” not a separate factor related
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
to the response.
xv xv xv
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. xv xv xv
9TOP: NURSING PROCESS: Nursing Diagnosis
xv v
x xv xv xv
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
xv xv xv xv xv xv xv xv xv
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: xv
ActiveDate Created:
x v v
x 01/31/13 14:18:01 xv Date Modified: xv xv
01/31/13 14:18:01 Date Used: Difficulty: Easy xv xv xv
Discrimination: Low
Item Analysis: Last
xv Item Analysis: Cumulative
xv xv xv
No. of Students Responded: 0
xv xv No. of Students Responded: 0 xv xv xv xv
Correct Responses (%): xv Correct Responses (%): xv xv xv
Total Group: 0.00 xv Total Group: 0.00 xv
Upper 27% of Group: 0.00 xv Upper 27% of Group:
xv 0.00 xv xv xv xv
Lower 27% of Group: 0.00 xv Lower 27% of Group:
xv 0.00 xv xv xv xv
Point Biserial: xv0.00 Point Biserial: 0.00 xv
Response Frequencies (%) xv xv
, 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
xv xv Type: MC xv Objective: Ch 01: The Nursing Process and Drug Therapy
xv xv xv xv xv xv xv xv xv
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
andgave the medication 2 hours after the scheduled dose was due. What type of problem
xv v
x xv xv xv xv xv xv xv xv xv xv xv xv xv xv
does this represent?
xv xv xv
* A. “Right time” problem
x v xv xv
B. “Right dose” problem xv xv
C. “Right route” problem xv xv
D. “Right medication” problem xv xv
Correct Answer: A xv xv
xv Explanation/Rationale:
ANS: A x v
“Right time” is correct because the medication was given more than 30 minutes after the
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
scheduled dose was due. “Dose” is incorrect because the dose is not related to the time
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
the medication administration is scheduled. “Route” is incorrect because the route is not
xv xv xv xv xv xv xv xv xv xv xv xv xv
affected.“Medication” is incorrect because the medication ordered will not change.
xv xv xv xv xv xv xv xv xv xv xv
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. xv xv xv
13TOP:
xv v
x NURSING
PROCESS: Implementation
xv xv
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
xv xv xv xv xv xv xv xv xv xv
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: xv
ActiveDate Created:
x v v
x 01/31/13 14:18:01
xv Date Modified: xv xv
01/31/13 14:18:01 Date Used: Difficulty: Easy xv xv xv
Discrimination: Low
Item Analysis: Last
xv Item Analysis: Cumulative
xv xv xv
No. of Students Responded: 0
xv xv No. of Students Responded: 0
xv xv xv xv
Correct Responses (%): xv Correct Responses (%):xv xv xv
Total Group: 0.00
xv Total Group: 0.00 xv
Upper 27% of Group: 0.00xv Upper 27% of Group:
xv xv 0.00 xv xv xv
Lower 27% of Group: 0.00xv Lower 27% of Group:
xv xv 0.00 xv xv xv
Point Biserial: xv 0.00 Point Biserial: 0.00 xv
Response Frequencies (%) xv xv
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: 0003
xv xv Type: MC xv Objective: Ch 01: The Nursing Process and Drug Therapy
xv xv xv xv xv xv xv xv xv
The nurse has been monitoring the patient’s progress on a new drug regimen since the first
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
dose and documenting the patient’s therapeutic response to the medication. Which phase of
xv xv xv xv xv xv xv xv xv xv xv xv xv
the nursingprocess do these actions illustrate?
xv xv xv xv xv xv xv
A. Nursing diagnosis xv
B. Planning
C. Implementation
* D. Evaluation
xv
Correct Answer: D xv xv
xv Explanation/Rationale:
ANS: D x v
Monitoring the patient’s progress, including the patient’s response to the medication, is part
xv xv xv xv xv xv xv xv xv xv xv xv
of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated
xv xv xv xv xv xv xv xv xv xv xv xv
by thisexample.
xv xv v
x
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. xv xv xv
15TOP:
xv v
x NURSING
PROCESS: Evaluation
xv xv
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
xv xv xv xv xv xv xv xv xv
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: xv
ActiveDate Created:
x v v
x 01/31/13 14:18:01
xv Date Modified: xv xv
01/31/13 14:18:01 Date Used: Difficulty: Easy xv xv xv
Discrimination: Low
Item Analysis: Last
xv Item Analysis: Cumulative
xv xv xv
No. of Students Responded: 0
xv xv No. of Students Responded: 0
xv xv xv xv
Correct Responses (%): xv Correct Responses (%): xv xv xv
Total Group: 0.00
xv Total Group: 0.00 xv
Upper 27% of Group: 0.00 xv Upper 27% of Group:
xv xv 0.00 xv xv xv
Lower 27% of Group: 0.00 xv Lower 27% of Group:
xv xv 0.00 xv xv xv
Point Biserial: xv 0.00 Point Biserial: 0.00 xv
Response Frequencies (%) xv xv
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: 0004
xv xv Type: MC xv Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
xv xv xv xv xv xv xv xv xv xv
xv xv xv xv xv xv xv xv xv
Objective: Ch 01: The Nursing Process and Drug Therapy
x v xv xv xv xv xv xv xv
1. Question Name: 0001 xv xv Type: MC xv Objective: Ch 01: The Nursing Process and Drug Therapy
xv xv xv xv xv xv xv xv xv
The nurse is writing a nursing diagnosis for a plan of care for a patient who has
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
been newlydiagnosed with type 2 diabetes. Which statement reflects the correct
xv xv xv xv xv xv xv xv xv xv xv xv
format for a nursing diagnosis?
xv xv xv xv xv
A. Anxiety
B. Anxiety related to new drug therapy xv xv xv xv xv
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements
xv xv xv xv xv xv xv xv xv xv xv
such as“I’m upset about having to test my blood sugars.”
xv xv xv xv xv xv xv xv xv xv xv
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
abouthaving to test my blood sugars.”
xv xv xv xv xv xv xv
Correct Answer: D xv xv
xv Explanation/Rationale:
ANS: D x v
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the
xv xv xv xv xv xv xv xv xv xv xv xv
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety related to
xv xv xv xv xv xv xv xv xv xv xv xv xv
new drug therapy” is missing the “as evidenced by” portion of defining characteristics. The
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
statementbeginning “Anxiety related to anxious feelings” is incorrect because the “related
xv xv xv xv xv xv xv xv xv xv xv xv
to” section is simply a restatement of the problem “anxiety,” not a separate factor related
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
to the response.
xv xv xv
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. xv xv xv
9TOP: NURSING PROCESS: Nursing Diagnosis
xv v
x xv xv xv
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
xv xv xv xv xv xv xv xv xv
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: xv
ActiveDate Created:
x v v
x 01/31/13 14:18:01 xv Date Modified: xv xv
01/31/13 14:18:01 Date Used: Difficulty: Easy xv xv xv
Discrimination: Low
Item Analysis: Last
xv Item Analysis: Cumulative
xv xv xv
No. of Students Responded: 0
xv xv No. of Students Responded: 0 xv xv xv xv
Correct Responses (%): xv Correct Responses (%): xv xv xv
Total Group: 0.00 xv Total Group: 0.00 xv
Upper 27% of Group: 0.00 xv Upper 27% of Group:
xv 0.00 xv xv xv xv
Lower 27% of Group: 0.00 xv Lower 27% of Group:
xv 0.00 xv xv xv xv
Point Biserial: xv0.00 Point Biserial: 0.00 xv
Response Frequencies (%) xv xv
, 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
xv xv Type: MC xv Objective: Ch 01: The Nursing Process and Drug Therapy
xv xv xv xv xv xv xv xv xv
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
andgave the medication 2 hours after the scheduled dose was due. What type of problem
xv v
x xv xv xv xv xv xv xv xv xv xv xv xv xv xv
does this represent?
xv xv xv
* A. “Right time” problem
x v xv xv
B. “Right dose” problem xv xv
C. “Right route” problem xv xv
D. “Right medication” problem xv xv
Correct Answer: A xv xv
xv Explanation/Rationale:
ANS: A x v
“Right time” is correct because the medication was given more than 30 minutes after the
xv xv xv xv xv xv xv xv xv xv xv xv xv xv
scheduled dose was due. “Dose” is incorrect because the dose is not related to the time
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
the medication administration is scheduled. “Route” is incorrect because the route is not
xv xv xv xv xv xv xv xv xv xv xv xv xv
affected.“Medication” is incorrect because the medication ordered will not change.
xv xv xv xv xv xv xv xv xv xv xv
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. xv xv xv
13TOP:
xv v
x NURSING
PROCESS: Implementation
xv xv
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
xv xv xv xv xv xv xv xv xv xv
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: xv
ActiveDate Created:
x v v
x 01/31/13 14:18:01
xv Date Modified: xv xv
01/31/13 14:18:01 Date Used: Difficulty: Easy xv xv xv
Discrimination: Low
Item Analysis: Last
xv Item Analysis: Cumulative
xv xv xv
No. of Students Responded: 0
xv xv No. of Students Responded: 0
xv xv xv xv
Correct Responses (%): xv Correct Responses (%):xv xv xv
Total Group: 0.00
xv Total Group: 0.00 xv
Upper 27% of Group: 0.00xv Upper 27% of Group:
xv xv 0.00 xv xv xv
Lower 27% of Group: 0.00xv Lower 27% of Group:
xv xv 0.00 xv xv xv
Point Biserial: xv 0.00 Point Biserial: 0.00 xv
Response Frequencies (%) xv xv
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: 0003
xv xv Type: MC xv Objective: Ch 01: The Nursing Process and Drug Therapy
xv xv xv xv xv xv xv xv xv
The nurse has been monitoring the patient’s progress on a new drug regimen since the first
xv xv xv xv xv xv xv xv xv xv xv xv xv xv xv
dose and documenting the patient’s therapeutic response to the medication. Which phase of
xv xv xv xv xv xv xv xv xv xv xv xv xv
the nursingprocess do these actions illustrate?
xv xv xv xv xv xv xv
A. Nursing diagnosis xv
B. Planning
C. Implementation
* D. Evaluation
xv
Correct Answer: D xv xv
xv Explanation/Rationale:
ANS: D x v
Monitoring the patient’s progress, including the patient’s response to the medication, is part
xv xv xv xv xv xv xv xv xv xv xv xv
of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated
xv xv xv xv xv xv xv xv xv xv xv xv
by thisexample.
xv xv v
x
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. xv xv xv
15TOP:
xv v
x NURSING
PROCESS: Evaluation
xv xv
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
xv xv xv xv xv xv xv xv xv
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: xv
ActiveDate Created:
x v v
x 01/31/13 14:18:01
xv Date Modified: xv xv
01/31/13 14:18:01 Date Used: Difficulty: Easy xv xv xv
Discrimination: Low
Item Analysis: Last
xv Item Analysis: Cumulative
xv xv xv
No. of Students Responded: 0
xv xv No. of Students Responded: 0
xv xv xv xv
Correct Responses (%): xv Correct Responses (%): xv xv xv
Total Group: 0.00
xv Total Group: 0.00 xv
Upper 27% of Group: 0.00 xv Upper 27% of Group:
xv xv 0.00 xv xv xv
Lower 27% of Group: 0.00 xv Lower 27% of Group:
xv xv 0.00 xv xv xv
Point Biserial: xv 0.00 Point Biserial: 0.00 xv
Response Frequencies (%) xv xv
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: 0004
xv xv Type: MC xv Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
xv xv xv xv xv xv xv xv xv xv