lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
a. A hp “right hp time” problem hp
b. A hp “right hp dose” problem hp
c. A hp “right hp route” problem hp
d. A hp “right hp medication” problem hp
ANS: C hp
This is a “right route” problem: the nurse cannot assume the route and must cla
hp hp hp hp hp hp hp hp hp hp hp hp hp hp
prescriber. This is not a “right time” problem because the ordered frequency ha
hp hp hp hp hp hp hp hp hp hp hp hp hp
not a “right dose” problem because the dose is not related to an inability to
hp hp hp hp hp hp hp hp hp hp hp hp hp hp hp
“right medication” problem because the medication ordered will not change, just
hp hp hp hp hp hp hp hp hp hp hp
DIF: Cognitive Level: Application hp hp
3. The nurse has been monitoring the patient’s progress on his new drug regimen sin
hp hp hp hp hp hp hp hp hp hp hp hp hp
has been documenting signs of possible adverse effects. What nursing process ph
hp hp hp hp hp hp hp hp hp hp hp hp
practising?
hp
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis hp
ANS: B hp
Monitoring the patient’s progress is part of the evaluation phase. Planning, implem
hp hp hp hp hp hp hp hp hp hp hp
diagnosis are not illustrated by this example.
hp hp hp hp hp hp hp
DIF: Cognitive Level: Application hp hp
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diab
hp hp hp hp hp hp hp hp hp hp hp hp hp hp hp
statement best illustrates an outcome criterion for this patient?
hp hp hp hp hp hp hp hp hp
a. The patient will follow instructions.
hp hp hp hp
b. The patient will not experience complications.
hp hp hp hp hp
c. The patient adheres to the new insulin treatment regimen.
hp hp hp hp hp hp hp hp
d. The patient demonstrates safe insulin self-administration technique.
hp hp hp hp hp hp
ANS: D hp
Having the patient demonstrate safe insulin self-administration technique is a spec
hp hp hp hp hp hp hp hp hp hp
outcome criterion. Following instructions and avoiding complications are not spec
hp hp hp hp hp hp hp hp hp hp
to the new insulin treatment regimen is not objective and would be difficult to
hp hp hp hp hp hp hp hp hp hp hp hp hp hp hp
DIF: Cognitive Level: Application hp hp
5. Which activity best reflects the implementation phase of the nursing process for t
hp hp hp hp hp hp hp hp hp hp hp hp
newly diagnosed with type 1 diabetes mellitus?
hp hp hp hp hp hp hp
a. Providing education regarding self-injection technique
hp hp hp hp
b. Setting goals and outcome criteria with the patient’s input
hp hp hp hp hp hp hp hp
c. Recording a history of over-the-counter medications used at home
hp hp hp hp hp hp hp hp
d. Formulating nursing diagnoses regarding knowledge deficits hp hp hp hp hp
related to the new treatment regimen
hp hp hp hp hp hp
ANS: A hp
Education is an intervention that occurs during the implementation phase. Setting
hp hp hp hp hp hp hp hp hp hp h
criteria reflects the planning phase. Recording a drug history reflects the assessm
hp hp hp hp hp hp hp hp hp hp hp hp
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider
hp hp hp hp hp hp hp hp hp hp hp hp hp hp hp
nurse a medication order over the telephone, but the nurse does not recall the
hp hp hp hp hp hp hp hp hp hp hp hp hp hp h
best way for the nurse to avoid medication errors?
hp hp hp hp hp hp hp hp hp
a. Recopy the order neatly on the order sheet, with the most common route ind
hp hp hp hp hp hp hp hp hp hp hp hp hp
b. Consult with the pharmacist for clarification about the most common route
hp hp hp hp hp hp hp hp hp hp
c. Call the health care provider to clarify the route of administration
hp hp hp hp hp hp hp hp hp hp
d. Withhold the drug until the health care provider visits the patient
hp hp hp hp hp hp hp hp hp hp
ANS: C hp
If a medication order does not include the route, the nurse must ask the health c
hp hp hp hp hp hp hp hp hp hp hp hp hp hp hp
Never assume the route of administration.
hp hp hp hp hp hp
DIF: Cognitive Level: Application | Cognitive Level: Analysis hp hp hp hp hp hp
7. Which constitutes the traditional Five Rights of medication administration?
hp hp hp hp hp hp hp hp
a. Right drug, right route, right dose, right time, and right patient
hp hp hp hp hp hp hp hp hp hp
b. Right drug, the right effect, the right route, the right time, and the right patie
hp hp hp hp hp hp hp hp hp hp hp hp hp hp
c. Right patient, right strength, right diagnosis, right drug, and right route
hp hp hp hp hp hp hp hp hp hp
d. Right patient, right diagnosis, right drug, right route, and right time
hp hp hp hp hp hp hp hp hp hp
ANS: A hp
The traditional Five Rights of medication administration were considered to be Rig
hp hp hp hp hp hp hp hp hp hp hp
dose, Right time, and Right patient. Right effect, right strength, and right diagnos
hp hp hp hp hp hp hp hp hp hp hp hp hp
traditional Five Rights.
hp hp hp
DIF: Cognitive Level: Comprehension hp hp
8. What correctly describes the nursing process?
hp hp hp hp hp
a. Diagnosing, planning, assessing, implementing, and finally evaluating
hp hp hp hp hp hp
b. Assessing, then diagnosing, implementing, and ending with evaluating
hp hp hp hp hp hp hp
c. A linear direction that begins with assessing and continues
hp hp hp hp hp hp hp hp
through diagnosing, planning, and finally implementing
hp hp hp hp hp hp
d. An ongoing process that begins with assessing and continues
hp hp hp hp hp hp hp hp
with diagnosing, planning, implementing, and evaluating
hp hp hp hp hp hp
ANS: D hp
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step pro
hp hp hp hp hp hp hp hp hp hp hp
assessing and continues through diagnosing, planning, implementing, and finally e
hp hp hp hp hp hp hp hp hp hp
then lead back to any of the other phases.
hp hp hp hp hp hp hp hp hp
DIF: Cognitive Level: Application hp hp
9. When the nurse is considering the timing of a drug dose, which is most importan
hp hp hp hp hp hp hp hp hp hp hp hp hp hp
a. The patient’s identification
hp hp
b. The patient’s weight hp hp
c. The patient’s last meal hp hp hp
d. Any drug or food allergies
hp hp hp hp
ANS: C hp
, lOMoARcPSD| 13728229
related to new drug therapy, as evidenced by statements such as ‘I’m upset abo
hp hp hp hp hp hp hp hp hp hp hp hp hp hp
myself shots.’” The answer “Anxiety” is missing the “related to” and “as evidenc
hp hp hp hp hp hp hp hp hp hp hp hp hp
answer “Anxiety related to new drug therapy” is missing the “as evidenced by”
hp hp hp hp hp hp hp hp hp hp hp hp hp hp
characteristics. The “related to” section in “Anxiety related to anxious feelings abo
hp hp hp hp hp hp hp hp hp hp hp hp
evidenced by statements such as ‘I’m upset about having to give myself shots’”
hp hp hp hp hp hp hp hp hp hp hp hp hp h
restatement of the problem “anxiety,” not a separate factor related to the respo
hp hp hp hp hp hp hp hp hp hp hp hp hp
DIF: Cognitive Level: Analysis hp hp
OTHER
1. Place the phases of the nursing process in the correct order, starting with the firs
hp hp hp hp hp hp hp hp hp hp hp hp hp hp
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
hp hp hp hp
DIF: Cognitive Level: Analysis hp hp
, lOMoARcPSD| 13728229
a. A hp “right hp time” problem hp
b. A hp “right hp dose” problem hp
c. A hp “right hp route” problem hp
d. A hp “right hp medication” problem hp
ANS: C hp
This is a “right route” problem: the nurse cannot assume the route and must cla
hp hp hp hp hp hp hp hp hp hp hp hp hp hp
prescriber. This is not a “right time” problem because the ordered frequency ha
hp hp hp hp hp hp hp hp hp hp hp hp hp
not a “right dose” problem because the dose is not related to an inability to
hp hp hp hp hp hp hp hp hp hp hp hp hp hp hp
“right medication” problem because the medication ordered will not change, just
hp hp hp hp hp hp hp hp hp hp hp
DIF: Cognitive Level: Application hp hp
3. The nurse has been monitoring the patient’s progress on his new drug regimen sin
hp hp hp hp hp hp hp hp hp hp hp hp hp
has been documenting signs of possible adverse effects. What nursing process ph
hp hp hp hp hp hp hp hp hp hp hp hp
practising?
hp
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis hp
ANS: B hp
Monitoring the patient’s progress is part of the evaluation phase. Planning, implem
hp hp hp hp hp hp hp hp hp hp hp
diagnosis are not illustrated by this example.
hp hp hp hp hp hp hp
DIF: Cognitive Level: Application hp hp
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diab
hp hp hp hp hp hp hp hp hp hp hp hp hp hp hp
statement best illustrates an outcome criterion for this patient?
hp hp hp hp hp hp hp hp hp
a. The patient will follow instructions.
hp hp hp hp
b. The patient will not experience complications.
hp hp hp hp hp
c. The patient adheres to the new insulin treatment regimen.
hp hp hp hp hp hp hp hp
d. The patient demonstrates safe insulin self-administration technique.
hp hp hp hp hp hp
ANS: D hp
Having the patient demonstrate safe insulin self-administration technique is a spec
hp hp hp hp hp hp hp hp hp hp
outcome criterion. Following instructions and avoiding complications are not spec
hp hp hp hp hp hp hp hp hp hp
to the new insulin treatment regimen is not objective and would be difficult to
hp hp hp hp hp hp hp hp hp hp hp hp hp hp hp
DIF: Cognitive Level: Application hp hp
5. Which activity best reflects the implementation phase of the nursing process for t
hp hp hp hp hp hp hp hp hp hp hp hp
newly diagnosed with type 1 diabetes mellitus?
hp hp hp hp hp hp hp
a. Providing education regarding self-injection technique
hp hp hp hp
b. Setting goals and outcome criteria with the patient’s input
hp hp hp hp hp hp hp hp
c. Recording a history of over-the-counter medications used at home
hp hp hp hp hp hp hp hp
d. Formulating nursing diagnoses regarding knowledge deficits hp hp hp hp hp
related to the new treatment regimen
hp hp hp hp hp hp
ANS: A hp
Education is an intervention that occurs during the implementation phase. Setting
hp hp hp hp hp hp hp hp hp hp h
criteria reflects the planning phase. Recording a drug history reflects the assessm
hp hp hp hp hp hp hp hp hp hp hp hp
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider
hp hp hp hp hp hp hp hp hp hp hp hp hp hp hp
nurse a medication order over the telephone, but the nurse does not recall the
hp hp hp hp hp hp hp hp hp hp hp hp hp hp h
best way for the nurse to avoid medication errors?
hp hp hp hp hp hp hp hp hp
a. Recopy the order neatly on the order sheet, with the most common route ind
hp hp hp hp hp hp hp hp hp hp hp hp hp
b. Consult with the pharmacist for clarification about the most common route
hp hp hp hp hp hp hp hp hp hp
c. Call the health care provider to clarify the route of administration
hp hp hp hp hp hp hp hp hp hp
d. Withhold the drug until the health care provider visits the patient
hp hp hp hp hp hp hp hp hp hp
ANS: C hp
If a medication order does not include the route, the nurse must ask the health c
hp hp hp hp hp hp hp hp hp hp hp hp hp hp hp
Never assume the route of administration.
hp hp hp hp hp hp
DIF: Cognitive Level: Application | Cognitive Level: Analysis hp hp hp hp hp hp
7. Which constitutes the traditional Five Rights of medication administration?
hp hp hp hp hp hp hp hp
a. Right drug, right route, right dose, right time, and right patient
hp hp hp hp hp hp hp hp hp hp
b. Right drug, the right effect, the right route, the right time, and the right patie
hp hp hp hp hp hp hp hp hp hp hp hp hp hp
c. Right patient, right strength, right diagnosis, right drug, and right route
hp hp hp hp hp hp hp hp hp hp
d. Right patient, right diagnosis, right drug, right route, and right time
hp hp hp hp hp hp hp hp hp hp
ANS: A hp
The traditional Five Rights of medication administration were considered to be Rig
hp hp hp hp hp hp hp hp hp hp hp
dose, Right time, and Right patient. Right effect, right strength, and right diagnos
hp hp hp hp hp hp hp hp hp hp hp hp hp
traditional Five Rights.
hp hp hp
DIF: Cognitive Level: Comprehension hp hp
8. What correctly describes the nursing process?
hp hp hp hp hp
a. Diagnosing, planning, assessing, implementing, and finally evaluating
hp hp hp hp hp hp
b. Assessing, then diagnosing, implementing, and ending with evaluating
hp hp hp hp hp hp hp
c. A linear direction that begins with assessing and continues
hp hp hp hp hp hp hp hp
through diagnosing, planning, and finally implementing
hp hp hp hp hp hp
d. An ongoing process that begins with assessing and continues
hp hp hp hp hp hp hp hp
with diagnosing, planning, implementing, and evaluating
hp hp hp hp hp hp
ANS: D hp
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step pro
hp hp hp hp hp hp hp hp hp hp hp
assessing and continues through diagnosing, planning, implementing, and finally e
hp hp hp hp hp hp hp hp hp hp
then lead back to any of the other phases.
hp hp hp hp hp hp hp hp hp
DIF: Cognitive Level: Application hp hp
9. When the nurse is considering the timing of a drug dose, which is most importan
hp hp hp hp hp hp hp hp hp hp hp hp hp hp
a. The patient’s identification
hp hp
b. The patient’s weight hp hp
c. The patient’s last meal hp hp hp
d. Any drug or food allergies
hp hp hp hp
ANS: C hp
, lOMoARcPSD| 13728229
related to new drug therapy, as evidenced by statements such as ‘I’m upset abo
hp hp hp hp hp hp hp hp hp hp hp hp hp hp
myself shots.’” The answer “Anxiety” is missing the “related to” and “as evidenc
hp hp hp hp hp hp hp hp hp hp hp hp hp
answer “Anxiety related to new drug therapy” is missing the “as evidenced by”
hp hp hp hp hp hp hp hp hp hp hp hp hp hp
characteristics. The “related to” section in “Anxiety related to anxious feelings abo
hp hp hp hp hp hp hp hp hp hp hp hp
evidenced by statements such as ‘I’m upset about having to give myself shots’”
hp hp hp hp hp hp hp hp hp hp hp hp hp h
restatement of the problem “anxiety,” not a separate factor related to the respo
hp hp hp hp hp hp hp hp hp hp hp hp hp
DIF: Cognitive Level: Analysis hp hp
OTHER
1. Place the phases of the nursing process in the correct order, starting with the firs
hp hp hp hp hp hp hp hp hp hp hp hp hp hp
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
hp hp hp hp
DIF: Cognitive Level: Analysis hp hp
