TestBankPharmacologyAPatient-Centered
ie ie ie ie
Nursing Process Approach, 11th Edition by
ie ie ie ie ie ie ie
Linda E. McCuistion Chapter 1-58
ie ie ie ie ie
,Chapter01:TheNursingProcessandPatient-CenteredCare
ie ie ie ie ie ie ie
McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,11thEdition ie ie ie ie ie ie ie ie
MULTIPLE CHOICE ie
1. Allofthefollowingwouldbeconsidered subjective data, EXCEPT:
ie ie ie ie ie ie ie ie ie
a. Patient-reportedhealthhistory ie ie
b. Patient-reportedsignsandsymptomsoftheirillness ie ie ie ie ie ie
c. Financialbarriersreportedbythepatient’s caregiver ie ie ie ie ie ie
d. Vitalsignsobtainedfromthemedical record ie ie ie ie ie ie
ANS: D i e
Subjectivedataisbasedonwhat patientsorfamilymemberscommunicate tothenurse.Patient- reported ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
healthhistory, signs and symptoms, and caregiverreportedfinancialbarriers would be considered
ie ie ie ie ie ie ie ie ie ie ie ie ie
subjective data. Vital signs obtained from the medical record would be considered objective data.
ie ie ie ie ie ie ie ie ie ie ie ie ie ie
DIF: Cognitive Level: Understanding (Comprehension) ie ie ie TOP: NursingProcess:Planning i e ie ie
MSC: NCLEX: Management of Client Care
ie i e ie ie ie ie
2. Thenurseisusingdatacollected todefineasetof interventions toachievethemostdesirable
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
ie outcomes. Which of the following steps is the nurse applying? ie ie ie ie ie ie ie ie ie
a. Recognizingcues(assessment) ie ie
b. Analyzecues&prioritizehypothesis(analysis) ie ie ie ie ie
c. Generatesolutions(planning) ie ie
d. Takeaction(nursinginterventions) ie ie ie
ANS: C i e
When generating solutions (planning), the nurse identifies expected outcomes and uses the patient’s
ie ie ie ie ie ie ie ie ie ie ie ie
problem(s) to define a set of interventions to achieve the most desirable outcomes. Recognizing cues
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
(assessment) involves the gathering of cues (information) from the patient about their health and
ie ie ie ie ie ie ie ie ie ie ie ie ie ie
lifestyle practices, which are important facts that aid the nurse in making clinicalcaredecisions.
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
Prioritizinghypothesisisusedtoorganizeandrankthepatientproblem(s) identified.Finally,taking
ie ie ie ie ie ie ie ie ie ie ie ie ie ie
actioninvolves implementationof nursing interventionsto accomplish the expected outcomes.
ie ie ie ie ie ie ie ie ie ie ie
DIF: Cognitive Level: Understanding (Comprehension) ie ie ie
TOP: Nursing Process: Nursing Intervention
ie i e ie ie ie
MSC: NCLEX:ManagementofClientCare i e ie ie ie ie
3. A5-year-old child with type1diabetesmellitus hashadrepeatedhospitalizations forepisodesof
ie ie ie ie ie ie ie ie ie ie ie ie ie ie
hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to be doneto
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
carefortheirchild.Thenursereviewsmedications, diet,andsymptom management with the parents and
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
draws up a daily checklist for the family to use. These activities arecompleted in which step of the
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
nursing process?
ie ie
a. Recognizingcues(assessment) ie ie
b. Analyzecues&prioritizehypothesis(analysis) ie ie ie ie ie
, c. Generatesolutions(planning) ie ie
d. Takeaction(nursinginterventions) ie ie ie
ANS: D i e
Takingactionthroughnursinginterventionsiswherethenurseprovidespatienthealthteaching, drug
ie ie ie ie ie ie ie ie ie ie ie ie ie
administration, patient care, and other interventions necessary to assist the patient in accomplishing
ie ie ie ie ie ie ie ie ie ie ie ie ie
expected outcomes.
ie ie
DIF: Cognitive Level: Understanding (Comprehension) ie ie ie
TOP: Nursing Process: Nursing Intervention
ie i e ie ie ie
MSC: NCLEX:ManagementofClientCare i e ie ie ie ie
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
ie ie ie ie ie ie ie ie ie ie ie ie ie ie
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
ie ie ie ie ie ie ie ie ie ie ie ie ie
reflective of which of the following?
ie ie ie ie ie ie
a. Recognizingcues(assessment) ie ie
b. Analyzecues&prioritizehypothesis(analysis) ie ie ie ie ie
c. Takeaction(nursinginterventions) ie ie ie
d. Generatesolutions(planning) ie ie
ANS: A i e
Recognizingcues(assessment)involvesgatheringsubjectiveandobjectiveinformationaboutthe ie ie ie ie ie ie ie ie ie ie
patient and the medication. Laboratory values from the patient’s chart would be considered collection
ie ie ie ie ie ie ie ie ie ie ie ie ie ie
of objective data.
ie ie ie
DIF: Cognitive Level: Understanding(Comprehension) ie ie ie
TOP: NursingProcess: Assessment i MSC: NCLEX:ManagementofClientCare
e ie ie i e ie ie ie ie
5. Whichofthe followingwouldbecorrectlycategorized asobjective data?
ie ie ie ie ie ie ie ie ie ie
a. Alist ofherbalsupplements regularlyused provided bythe patient.
ie ie ie ie ie ie ie ie ie ie
b. Labvalues associatedwith thedrugs thepatient istaking. ie ie ie ie ie ie ie ie ie
c. Theagesandrelationship ofallhousehold members tothepatient. ie ie ie ie ie ie ie ie ie ie
d. Usualdietarypatternsandfoodintake. ie ie ie ie ie
ANS: B i e
Objectivedataaremeasuredanddetectedbyanotherpersonandwouldincludelabvalues.The other ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
examples are subjective data.
ie ie ie ie
DIF: Cognitive Level: Understanding(Comprehension) ie ie ie
TOP: NursingProcess: Assessment i MSC: NCLEX:ManagementofClientCare
e ie ie i e ie ie ie ie
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and does not
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
have an established routine. The patient will be sent home with three new medications tobetakenat
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
differenttimes oftheday.Thenursedevelops adailymedicationchartand enlists a family member to
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
put the patient’s pills in a pill organizer. This is an example of which element of the nursing process?
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
a. Recognizingcues(assessment) ie ie
b. Analyzecues&prioritizehypothesis(analysis) ie ie ie ie ie
c. Takeaction(nursinginterventions) ie ie ie
, d. Generatesolutions(planning) ie ie
ANS: C i e
Takingaction(nursinginterventions)involveseducationandpatient carein ordertoassistthe patient to
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
accomplish the goals of treatment.
ie ie ie ie ie
DIF: CognitiveLevel: Applying (Application) ie ie ie
TOP: Nursing Process: Nursing Intervention
ie ie ie ie ie
MSC: NCLEX: Management of Client Care
ie i e ie ie ie ie
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home.
ie ie ie ie ie ie ie ie ie ie ie ie ie ie
Thenurseand thepatient discuss thepatient’s situationanddecidethatthepatientmaygo home when
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
able to perform self-carewithout dyspnea and hypoxia. This is an exampleof which phase of the
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
nursing process?
ie ie
a. Recognizingcues(assessment) ie ie
b. Analyzecues&prioritizehypothesis(analysis) ie ie ie ie ie
c. Takeaction(nursinginterventions) ie ie ie
d. Generatesolutions(planning) ie ie
ANS: D i e
Generating solutions (planning) involves defining a set of interventions to achieve the most ie ie ie ie ie ie ie ie ie ie ie ie
desirable outcomes, which, for this patient, means being able to perform self-care activities
ie ie ie ie ie ie ie ie ie ie ie ie ie
without dyspnea and hypoxia.
ie ie ie ie
DIF: Cognitive Level: Understanding (Comprehension)
i e ie ie ie TOP: Nursing Process: Planning ie ie ie
MSC: NCLEX: Management of Client Care
ie i e ie ie ie ie
8. Apatientwillbesenthomewith ametered-doseinhaler,and thenurseisprovidingteaching. Which
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
ie is a correctly written expected outcome for this process?
ie ie ie ie ie ie ie ie
a. Thenursewilldemonstrate thecorrect useof a metered-doseinhaler to thepatient.
ie ie ie ie ie ie ie ie ie ie ie ie ie
b. Thenursewillteachthepatienthowtoadministermedicationwithametered-dose
ie ie ie ie ie ie ie ie ie ie ie ie
inhaler.
ie
c. Thepatientwillknowhowtoself-administerthemedicationusingthemetered- dose
ie ie ie ie ie ie ie ie ie ie ie ie
inhaler.
ie
d. Thepatientwillindependentlyadministerthemedicationusingthemetered-dose
ie ie ie ie ie ie ie ie ie
inhaler at the end of the session.
ie ie ie ie ie ie ie
ANS: D i e
Expected outcomes must be patient-centered and clearly state the outcome with a reasonable ie ie ie ie ie ie ie ie ie ie ie ie
deadline and should identify components for evaluation.
ie ie ie ie ie ie ie
DIF: Cognitive Level: Applying (Application)
i e ie ie ie TOP: Nursing Process: Planning ie ie ie
MSC: NCLEX: Management of Client Care
ie i e ie ie ie ie
9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and hypoxia.
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
Thepatient hasbeenadmittedforincreasedoxygenneeds aboveabaselineof2 L/min. Thenurse
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
generates an expected outcomes stating, “Thepatientwill haveoxygen saturations of
ie ie ie ie ie ie ie ie ie ie ie ie
>95%on roomair at the time ofdischargefromthehospital.”What is wrongwith this goal?
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
a. Itcannotbeevaluated. ie ie ie
ie ie ie ie
Nursing Process Approach, 11th Edition by
ie ie ie ie ie ie ie
Linda E. McCuistion Chapter 1-58
ie ie ie ie ie
,Chapter01:TheNursingProcessandPatient-CenteredCare
ie ie ie ie ie ie ie
McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,11thEdition ie ie ie ie ie ie ie ie
MULTIPLE CHOICE ie
1. Allofthefollowingwouldbeconsidered subjective data, EXCEPT:
ie ie ie ie ie ie ie ie ie
a. Patient-reportedhealthhistory ie ie
b. Patient-reportedsignsandsymptomsoftheirillness ie ie ie ie ie ie
c. Financialbarriersreportedbythepatient’s caregiver ie ie ie ie ie ie
d. Vitalsignsobtainedfromthemedical record ie ie ie ie ie ie
ANS: D i e
Subjectivedataisbasedonwhat patientsorfamilymemberscommunicate tothenurse.Patient- reported ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
healthhistory, signs and symptoms, and caregiverreportedfinancialbarriers would be considered
ie ie ie ie ie ie ie ie ie ie ie ie ie
subjective data. Vital signs obtained from the medical record would be considered objective data.
ie ie ie ie ie ie ie ie ie ie ie ie ie ie
DIF: Cognitive Level: Understanding (Comprehension) ie ie ie TOP: NursingProcess:Planning i e ie ie
MSC: NCLEX: Management of Client Care
ie i e ie ie ie ie
2. Thenurseisusingdatacollected todefineasetof interventions toachievethemostdesirable
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
ie outcomes. Which of the following steps is the nurse applying? ie ie ie ie ie ie ie ie ie
a. Recognizingcues(assessment) ie ie
b. Analyzecues&prioritizehypothesis(analysis) ie ie ie ie ie
c. Generatesolutions(planning) ie ie
d. Takeaction(nursinginterventions) ie ie ie
ANS: C i e
When generating solutions (planning), the nurse identifies expected outcomes and uses the patient’s
ie ie ie ie ie ie ie ie ie ie ie ie
problem(s) to define a set of interventions to achieve the most desirable outcomes. Recognizing cues
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
(assessment) involves the gathering of cues (information) from the patient about their health and
ie ie ie ie ie ie ie ie ie ie ie ie ie ie
lifestyle practices, which are important facts that aid the nurse in making clinicalcaredecisions.
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
Prioritizinghypothesisisusedtoorganizeandrankthepatientproblem(s) identified.Finally,taking
ie ie ie ie ie ie ie ie ie ie ie ie ie ie
actioninvolves implementationof nursing interventionsto accomplish the expected outcomes.
ie ie ie ie ie ie ie ie ie ie ie
DIF: Cognitive Level: Understanding (Comprehension) ie ie ie
TOP: Nursing Process: Nursing Intervention
ie i e ie ie ie
MSC: NCLEX:ManagementofClientCare i e ie ie ie ie
3. A5-year-old child with type1diabetesmellitus hashadrepeatedhospitalizations forepisodesof
ie ie ie ie ie ie ie ie ie ie ie ie ie ie
hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to be doneto
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
carefortheirchild.Thenursereviewsmedications, diet,andsymptom management with the parents and
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
draws up a daily checklist for the family to use. These activities arecompleted in which step of the
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
nursing process?
ie ie
a. Recognizingcues(assessment) ie ie
b. Analyzecues&prioritizehypothesis(analysis) ie ie ie ie ie
, c. Generatesolutions(planning) ie ie
d. Takeaction(nursinginterventions) ie ie ie
ANS: D i e
Takingactionthroughnursinginterventionsiswherethenurseprovidespatienthealthteaching, drug
ie ie ie ie ie ie ie ie ie ie ie ie ie
administration, patient care, and other interventions necessary to assist the patient in accomplishing
ie ie ie ie ie ie ie ie ie ie ie ie ie
expected outcomes.
ie ie
DIF: Cognitive Level: Understanding (Comprehension) ie ie ie
TOP: Nursing Process: Nursing Intervention
ie i e ie ie ie
MSC: NCLEX:ManagementofClientCare i e ie ie ie ie
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
ie ie ie ie ie ie ie ie ie ie ie ie ie ie
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
ie ie ie ie ie ie ie ie ie ie ie ie ie
reflective of which of the following?
ie ie ie ie ie ie
a. Recognizingcues(assessment) ie ie
b. Analyzecues&prioritizehypothesis(analysis) ie ie ie ie ie
c. Takeaction(nursinginterventions) ie ie ie
d. Generatesolutions(planning) ie ie
ANS: A i e
Recognizingcues(assessment)involvesgatheringsubjectiveandobjectiveinformationaboutthe ie ie ie ie ie ie ie ie ie ie
patient and the medication. Laboratory values from the patient’s chart would be considered collection
ie ie ie ie ie ie ie ie ie ie ie ie ie ie
of objective data.
ie ie ie
DIF: Cognitive Level: Understanding(Comprehension) ie ie ie
TOP: NursingProcess: Assessment i MSC: NCLEX:ManagementofClientCare
e ie ie i e ie ie ie ie
5. Whichofthe followingwouldbecorrectlycategorized asobjective data?
ie ie ie ie ie ie ie ie ie ie
a. Alist ofherbalsupplements regularlyused provided bythe patient.
ie ie ie ie ie ie ie ie ie ie
b. Labvalues associatedwith thedrugs thepatient istaking. ie ie ie ie ie ie ie ie ie
c. Theagesandrelationship ofallhousehold members tothepatient. ie ie ie ie ie ie ie ie ie ie
d. Usualdietarypatternsandfoodintake. ie ie ie ie ie
ANS: B i e
Objectivedataaremeasuredanddetectedbyanotherpersonandwouldincludelabvalues.The other ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
examples are subjective data.
ie ie ie ie
DIF: Cognitive Level: Understanding(Comprehension) ie ie ie
TOP: NursingProcess: Assessment i MSC: NCLEX:ManagementofClientCare
e ie ie i e ie ie ie ie
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and does not
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
have an established routine. The patient will be sent home with three new medications tobetakenat
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
differenttimes oftheday.Thenursedevelops adailymedicationchartand enlists a family member to
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
put the patient’s pills in a pill organizer. This is an example of which element of the nursing process?
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
a. Recognizingcues(assessment) ie ie
b. Analyzecues&prioritizehypothesis(analysis) ie ie ie ie ie
c. Takeaction(nursinginterventions) ie ie ie
, d. Generatesolutions(planning) ie ie
ANS: C i e
Takingaction(nursinginterventions)involveseducationandpatient carein ordertoassistthe patient to
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
accomplish the goals of treatment.
ie ie ie ie ie
DIF: CognitiveLevel: Applying (Application) ie ie ie
TOP: Nursing Process: Nursing Intervention
ie ie ie ie ie
MSC: NCLEX: Management of Client Care
ie i e ie ie ie ie
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home.
ie ie ie ie ie ie ie ie ie ie ie ie ie ie
Thenurseand thepatient discuss thepatient’s situationanddecidethatthepatientmaygo home when
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
able to perform self-carewithout dyspnea and hypoxia. This is an exampleof which phase of the
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
nursing process?
ie ie
a. Recognizingcues(assessment) ie ie
b. Analyzecues&prioritizehypothesis(analysis) ie ie ie ie ie
c. Takeaction(nursinginterventions) ie ie ie
d. Generatesolutions(planning) ie ie
ANS: D i e
Generating solutions (planning) involves defining a set of interventions to achieve the most ie ie ie ie ie ie ie ie ie ie ie ie
desirable outcomes, which, for this patient, means being able to perform self-care activities
ie ie ie ie ie ie ie ie ie ie ie ie ie
without dyspnea and hypoxia.
ie ie ie ie
DIF: Cognitive Level: Understanding (Comprehension)
i e ie ie ie TOP: Nursing Process: Planning ie ie ie
MSC: NCLEX: Management of Client Care
ie i e ie ie ie ie
8. Apatientwillbesenthomewith ametered-doseinhaler,and thenurseisprovidingteaching. Which
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
ie is a correctly written expected outcome for this process?
ie ie ie ie ie ie ie ie
a. Thenursewilldemonstrate thecorrect useof a metered-doseinhaler to thepatient.
ie ie ie ie ie ie ie ie ie ie ie ie ie
b. Thenursewillteachthepatienthowtoadministermedicationwithametered-dose
ie ie ie ie ie ie ie ie ie ie ie ie
inhaler.
ie
c. Thepatientwillknowhowtoself-administerthemedicationusingthemetered- dose
ie ie ie ie ie ie ie ie ie ie ie ie
inhaler.
ie
d. Thepatientwillindependentlyadministerthemedicationusingthemetered-dose
ie ie ie ie ie ie ie ie ie
inhaler at the end of the session.
ie ie ie ie ie ie ie
ANS: D i e
Expected outcomes must be patient-centered and clearly state the outcome with a reasonable ie ie ie ie ie ie ie ie ie ie ie ie
deadline and should identify components for evaluation.
ie ie ie ie ie ie ie
DIF: Cognitive Level: Applying (Application)
i e ie ie ie TOP: Nursing Process: Planning ie ie ie
MSC: NCLEX: Management of Client Care
ie i e ie ie ie ie
9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and hypoxia.
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
Thepatient hasbeenadmittedforincreasedoxygenneeds aboveabaselineof2 L/min. Thenurse
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
generates an expected outcomes stating, “Thepatientwill haveoxygen saturations of
ie ie ie ie ie ie ie ie ie ie ie ie
>95%on roomair at the time ofdischargefromthehospital.”What is wrongwith this goal?
ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie ie
a. Itcannotbeevaluated. ie ie ie
