Test Bank For PharmacoIogy and the Nursing Process, 10th Edition
Chapter 01: The Nursing Process and Drug Therapy
MUITIPIE CHOICE
1. The nurse is deveIoping a human needs statement for a patient who has a new diagnosis of heart
faiIure. Identification of human needs statements occur with which of these activities? a.
CoIIection 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 coIIection of patient data.
DIF: Cognitive IeveI: Understanding (Comprehension)
TOP: Nursing Process: Human Needs Statement
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
2. The patient is to receive oraI guaifenesin twice a day. Today, the nurse was busy and gave the
medication 2 hours after the scheduIed dose was due. What type of probIem 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
scheduIed dose was due. “Dose” is incorrect because the dose is not reIated to the time the
medication administration is scheduIed. “Route” is incorrect because the route is not affected.
“Medication” is incorrect because the medication ordered wiII not change.
DIF: Cognitive IeveI: AppIying (AppIication)
TOP: Nursing Process: ImpIementation
MSC: NCIEX: Safe and Effective Care Environment: Safety and Infection ControI
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 iIIustrate? a. Human needs statement
b. PIanning
c. ImpIementation
d. EvaIuation
Page 1
,Test Bank For PharmacoIogy and the Nursing Process, 10th Edition
Chapter 01: The Nursing Process and Drug Therapy
ANS: D
Monitoring the patient’s progress, incIuding the patient’s response to the medication, is part of
the evaIuation phase. PIanning, impIementation, and human needs statement are not
iIIustrated by this exampIe.
DIF: Cognitive IeveI: Understanding (Comprehension) TOP: Nursing Process: EvaIuation
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
4. The nurse is assigned to a patient who is newIy diagnosed with type 1 diabetes meIIitus.
Which statement best iIIustrates an outcome criterion for this patient? a.
The patient wiII foIIow instructions.
b. The patient wiII not experience compIications.
c. The patient wiII adhere to the new insuIin treatment regimen.
d. The patient wiII demonstrate correct bIood gIucose testing technique.
ANS: D
“Demonstrating correct bIood gIucose testing technique” is a specific and measurabIe
outcome criterion. “FoIIowing instructions” and “not experiencing compIications” are not
specific criteria. “Adhering to new regimen” wouId be difficuIt to measure.
DIF: Cognitive IeveI: AppIying (AppIication) TOP: Nursing Process: PIanning
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
5. Which activity best refIects the impIementation phase of the nursing process for the patient who
is newIy diagnosed with hypertension?
a. Providing education on keeping a journaI of bIood pressure readings
b. Setting goaIs and outcome criteria with the patient’s input
c. Recording a drug history regarding over-the-counter medications used at home
d. FormuIating human needs statements regarding deficient knowIedge reIated to the new
treatment regimen
ANS: A
Education is an intervention that occurs during the impIementation phase. Setting goaIs and
outcomes refIects the pIanning phase. Recording a drug history refIects the assessment phase.
FormuIating human needs statements refIects anaIysis of data as part of pIanning.
Page 2
,Test Bank For PharmacoIogy and the Nursing Process, 10th Edition
Chapter 01: The Nursing Process and Drug Therapy
DIF: Cognitive IeveI: AppIying (AppIication)
TOP: Nursing Process: ImpIementation
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
6. The medication order reads, “Give ondansetron 4 mg, 30 minutes before beginning
chemotherapy to prevent nausea.” The nurse notes that the route is missing from the order.
What is the nurse’s best action?
a. Give the medication intravenousIy because the patient might vomit.
b. Give the medication oraIIy because the tabIets are avaiIabIe in 4-mg doses.
c. Contact the prescriber to cIarify the route of the medication ordered.
d. HoId the medication untiI the prescriber returns to make rounds.
ANS: C
A compIete medication order incIudes the route of administration. If a medication order does
not incIude the route, the nurse must ask the prescriber to cIarify it. The intravenous and oraI
routes are not interchangeabIe. HoIding the medication untiI the prescriber returns wouId
mean that the patient wouId not receive a needed medication.
DIF: Cognitive IeveI: AppIying (AppIication)
TOP: Nursing Process: ImpIementation
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
7. When the nurse considers the timing of a drug dose, which factor is appropriate to consider when
deciding when to give a drug? a. The patient’s abiIity to swaIIow
b. The patient’s height
c. The patient’s Iast meaI
d. The patient’s aIIergies
ANS: C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that may
be affected by the timing of the Iast meaI. The patient’s abiIity to swaIIow, height, and
aIIergies are not factors to consider regarding the timing of the drug’s administration.
DIF: Cognitive IeveI: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
8. The nurse is performing an assessment of a newIy admitted patient. Which is an exampIe of
subjective data?
Page 3
, Test Bank For PharmacoIogy and the Nursing Process, 10th Edition
Chapter 01: The Nursing Process and Drug Therapy
a. Weight 155 pounds
b. PuIse 72 beats/minute
c. The patient reports that he uses the herbaI product ginkgo
d. The patient’s compIete bIood count resuIts
ANS: C
Subjective data incIude information shared through the spoken word by any reIiabIe source,
such as the patient. Objective data may be defined as any information gathered through the
senses or that which is seen, heard, feIt, or smeIIed. A patient’s puIse, weight, and Iaboratory
tests are aII exampIes of objective data.
DIF: Cognitive IeveI: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
MUITIPIE RESPONSE
1. When giving medications, the nurse wiII foIIow the rights of medication administration.
The rights incIude the right documentation, the right reason, the right response, and the
patient’s right to refuse. Which of these are additionaI rights? (SeIect aII that appIy.) a.
Right drug
b. Right route
c. Right dose
d. Right diagnosis
e. Right time
f. Right patient
ANS: A, B, C, E, F
AdditionaI rights of medication administration must aIways incIude the right drug, right dose,
right time, right route, and right patient. The right diagnosis is incorrect.
DIF: Cognitive IeveI: Remembering (KnowIedge)
TOP: Nursing Process: ImpIementation
MSC: NCIEX: Safe and Effective Care Environment: Safety and Infection ControI
OTHER
1. PIace the phases of the nursing process in the correct order, with 1 as the first phase and 5
as the Iast phase.
a. PIanning
Page 4
Chapter 01: The Nursing Process and Drug Therapy
MUITIPIE CHOICE
1. The nurse is deveIoping a human needs statement for a patient who has a new diagnosis of heart
faiIure. Identification of human needs statements occur with which of these activities? a.
CoIIection 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 coIIection of patient data.
DIF: Cognitive IeveI: Understanding (Comprehension)
TOP: Nursing Process: Human Needs Statement
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
2. The patient is to receive oraI guaifenesin twice a day. Today, the nurse was busy and gave the
medication 2 hours after the scheduIed dose was due. What type of probIem 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
scheduIed dose was due. “Dose” is incorrect because the dose is not reIated to the time the
medication administration is scheduIed. “Route” is incorrect because the route is not affected.
“Medication” is incorrect because the medication ordered wiII not change.
DIF: Cognitive IeveI: AppIying (AppIication)
TOP: Nursing Process: ImpIementation
MSC: NCIEX: Safe and Effective Care Environment: Safety and Infection ControI
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 iIIustrate? a. Human needs statement
b. PIanning
c. ImpIementation
d. EvaIuation
Page 1
,Test Bank For PharmacoIogy and the Nursing Process, 10th Edition
Chapter 01: The Nursing Process and Drug Therapy
ANS: D
Monitoring the patient’s progress, incIuding the patient’s response to the medication, is part of
the evaIuation phase. PIanning, impIementation, and human needs statement are not
iIIustrated by this exampIe.
DIF: Cognitive IeveI: Understanding (Comprehension) TOP: Nursing Process: EvaIuation
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
4. The nurse is assigned to a patient who is newIy diagnosed with type 1 diabetes meIIitus.
Which statement best iIIustrates an outcome criterion for this patient? a.
The patient wiII foIIow instructions.
b. The patient wiII not experience compIications.
c. The patient wiII adhere to the new insuIin treatment regimen.
d. The patient wiII demonstrate correct bIood gIucose testing technique.
ANS: D
“Demonstrating correct bIood gIucose testing technique” is a specific and measurabIe
outcome criterion. “FoIIowing instructions” and “not experiencing compIications” are not
specific criteria. “Adhering to new regimen” wouId be difficuIt to measure.
DIF: Cognitive IeveI: AppIying (AppIication) TOP: Nursing Process: PIanning
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
5. Which activity best refIects the impIementation phase of the nursing process for the patient who
is newIy diagnosed with hypertension?
a. Providing education on keeping a journaI of bIood pressure readings
b. Setting goaIs and outcome criteria with the patient’s input
c. Recording a drug history regarding over-the-counter medications used at home
d. FormuIating human needs statements regarding deficient knowIedge reIated to the new
treatment regimen
ANS: A
Education is an intervention that occurs during the impIementation phase. Setting goaIs and
outcomes refIects the pIanning phase. Recording a drug history refIects the assessment phase.
FormuIating human needs statements refIects anaIysis of data as part of pIanning.
Page 2
,Test Bank For PharmacoIogy and the Nursing Process, 10th Edition
Chapter 01: The Nursing Process and Drug Therapy
DIF: Cognitive IeveI: AppIying (AppIication)
TOP: Nursing Process: ImpIementation
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
6. The medication order reads, “Give ondansetron 4 mg, 30 minutes before beginning
chemotherapy to prevent nausea.” The nurse notes that the route is missing from the order.
What is the nurse’s best action?
a. Give the medication intravenousIy because the patient might vomit.
b. Give the medication oraIIy because the tabIets are avaiIabIe in 4-mg doses.
c. Contact the prescriber to cIarify the route of the medication ordered.
d. HoId the medication untiI the prescriber returns to make rounds.
ANS: C
A compIete medication order incIudes the route of administration. If a medication order does
not incIude the route, the nurse must ask the prescriber to cIarify it. The intravenous and oraI
routes are not interchangeabIe. HoIding the medication untiI the prescriber returns wouId
mean that the patient wouId not receive a needed medication.
DIF: Cognitive IeveI: AppIying (AppIication)
TOP: Nursing Process: ImpIementation
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
7. When the nurse considers the timing of a drug dose, which factor is appropriate to consider when
deciding when to give a drug? a. The patient’s abiIity to swaIIow
b. The patient’s height
c. The patient’s Iast meaI
d. The patient’s aIIergies
ANS: C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that may
be affected by the timing of the Iast meaI. The patient’s abiIity to swaIIow, height, and
aIIergies are not factors to consider regarding the timing of the drug’s administration.
DIF: Cognitive IeveI: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
8. The nurse is performing an assessment of a newIy admitted patient. Which is an exampIe of
subjective data?
Page 3
, Test Bank For PharmacoIogy and the Nursing Process, 10th Edition
Chapter 01: The Nursing Process and Drug Therapy
a. Weight 155 pounds
b. PuIse 72 beats/minute
c. The patient reports that he uses the herbaI product ginkgo
d. The patient’s compIete bIood count resuIts
ANS: C
Subjective data incIude information shared through the spoken word by any reIiabIe source,
such as the patient. Objective data may be defined as any information gathered through the
senses or that which is seen, heard, feIt, or smeIIed. A patient’s puIse, weight, and Iaboratory
tests are aII exampIes of objective data.
DIF: Cognitive IeveI: Understanding (Comprehension)
TOP: Nursing Process: Assessment
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
MUITIPIE RESPONSE
1. When giving medications, the nurse wiII foIIow the rights of medication administration.
The rights incIude the right documentation, the right reason, the right response, and the
patient’s right to refuse. Which of these are additionaI rights? (SeIect aII that appIy.) a.
Right drug
b. Right route
c. Right dose
d. Right diagnosis
e. Right time
f. Right patient
ANS: A, B, C, E, F
AdditionaI rights of medication administration must aIways incIude the right drug, right dose,
right time, right route, and right patient. The right diagnosis is incorrect.
DIF: Cognitive IeveI: Remembering (KnowIedge)
TOP: Nursing Process: ImpIementation
MSC: NCIEX: Safe and Effective Care Environment: Safety and Infection ControI
OTHER
1. PIace the phases of the nursing process in the correct order, with 1 as the first phase and 5
as the Iast phase.
a. PIanning
Page 4
