Test Bank Pharmacology: A Patient-Centered Nursing Process Approach 12th Edition by Linda E. McCuistion, Kathleen V. DiMaggio & Mary B. Winton Expert Approved| Complete Chapter 1-55 ||Complete A+ Guide

Test Bank Pharmacology A Patient-Centered
1x 1x 1x 1x




Nursing Process Approach, 11th Edition by
1x 1x 1x 1x 1x 1x 1x




Linda E. McCuistion Chapter 1-58
1x 1x 1x 1x 1x

,Chapter 01: The Nursing Process and Patient-Centered Care
1x 1x 1x 1x 1x 1x 1x




McCuistion: Pharmacology:A Patient-CenteredNursing Process Approach, 11thEdition
1x 1x 1x 1x 1x 1x 1x 1x




MULTIPLE CHOICE 1x




1. All of the following would be considered subjective data, EXCEPT:
1x 1x 1x 1x 1x 1x 1x 1x 1x




a. Patient-reported health history 1x 1x




b. Patient-reported signs and symptoms of their illness 1x 1x 1x 1x 1x 1x




c. Financial barriers reported by the patient’s caregiver 1x 1x 1x 1x 1x 1x




d. Vital signs obtained from the medical record 1x 1x 1x 1x 1x 1x




ANS: D 1x




Subjective data is based on what patients or family members communicate to the nurse. Patient-
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




reported health history, signs and symptoms, and caregiver reported financial barriers would be
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




considered subjective data. Vital signs obtained from the medical record would be considered
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




objective data.
1x 1x




DIF: Cognitive Level: Understanding (Comprehension) 1x 1x 1x TOP: Nursing Process: Planning 1x 1x 1x




MSC: NCLEX: Management of Client Care
1x 1 x 1x 1x 1x 1x




2. The nurse is using data collected to define a set of interventions to achieve the most desirable
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




outcomes. Which of the following steps is the nurse applying?
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




a. Recognizingcues (assessment) 1x 1x




b. Analyze cues & prioritize hypothesis (analysis) 1x 1x 1x 1x 1x




c. Generate solutions (planning) 1x 1x




d. Takeaction (nursing interventions) 1x 1x 1x




ANS: C 1x




When generating solutions (planning), the nurse identifies expected outcomes and uses the
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




patient’s problem(s) to define a set of interventions to achieve the most desirable outcomes.
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




Recognizing cues (assessment) involves the gathering of cues (information) from the patient
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




about their health and lifestyle practices, which are important facts that aid the nurse in making
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




clinical care decisions. Prioritizing hypothesis is used to organize and rank the patient problem(s)
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




identified. Finally, taking action involves implementation of nursing interventions to accomplish
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




the expected outcomes.
1x 1x 1x




DIF: Cognitive Level: Understanding (Comprehension) 1x 1x 1x




TOP: Nursing Process: Nursing Intervention
1x 1 x 1x 1x 1x




MSC: NCLEX: Management of Client Care
1 x 1x 1x 1x 1x




3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to be
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




done to care for their child. The nurse reviews medications, diet, and symptom management with
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




the parents and draws up a daily checklist for the family to use. These activities are completed in
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




which step of the nursing process?
1x 1x 1x 1x 1x 1x




a. Recognizingcues (assessment) 1x 1x




b. Analyze cues & prioritize hypothesis (analysis) 1x 1x 1x 1x 1x

, c. Generate solutions (planning) 1x 1x




d. Takeaction (nursing interventions) 1x 1x 1x




ANS: D 1x




Taking action through nursing interventions is where the nurse provides patient health teaching, drug
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




administration, patient care, and other interventions necessary to assist the patient in
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




accomplishing expected outcomes.
1x 1x 1x




DIF: Cognitive Level: Understanding (Comprehension) 1x 1x 1x




TOP: Nursing Process: Nursing Intervention
1x 1 x 1x 1x 1x




MSC: NCLEX: Management of Client Care
1 x 1x 1x 1x 1x




4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




reflective of which of the following?
1x 1x 1x 1x 1x 1x




a. Recognizingcues (assessment) 1x 1x




b. Analyze cues & prioritize hypothesis (analysis) 1x 1x 1x 1x 1x




c. Takeaction (nursing interventions) 1x 1x 1x




d. Generate solutions (planning) 1x 1x




ANS: A 1x




Recognizing cues (assessment) involves gathering subjective and objective information about the
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




patient and the medication. Laboratory values from the patient’s chart would be considered
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




collection of objective data.
1x 1x 1x 1x




DIF: Cognitive Level: Understanding (Comprehension) 1x 1x 1x




TOP: Nursing Process: Assessment
1 x MSC: NCLEX: Management of Client Care 1x 1x 1 x 1x 1x 1x 1x




5. Which of the following would be correctly categorized as objective data?
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




a. A list of herbal supplements regularly used provided by the patient.
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




b. Lab values associated with the drugs the patient is taking.
1x 1x 1x 1x 1x 1x 1x 1x 1x




c. Theages and relationship of all household members to the patient.
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




d. Usual dietary patterns and food intake. 1x 1x 1x 1x 1x




ANS: B 1x




Objective data are measured and detected by another person and would include lab values. The other
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




examples are subjective data.
1x 1x 1x 1x




DIF: Cognitive Level: Understanding (Comprehension) 1x 1x 1x




TOP: Nursing Process: Assessment
1 x MSC: NCLEX: Management of Client Care 1x 1x 1 x 1x 1x 1x 1x




6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




does not have an established routine. The patient will be sent home with three new medications
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




to be taken at different times of the day. The nurse develops a daily medication chart and enlists a
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




family member to put the patient’s pills in a pill organizer. This is an example of which element
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




of the nursing process?
1x 1x 1x 1x




a. Recognizingcues (assessment) 1x 1x




b. Analyze cues & prioritize hypothesis (analysis) 1x 1x 1x 1x 1x




c. Takeaction (nursing interventions) 1x 1x 1x

, d. Generate solutions (planning) 1x 1x




ANS: C 1x




Taking action (nursing interventions) involves education and patient care in order to assist the
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




patient to accomplish the goals of treatment.
1x 1x 1x 1x 1x 1x 1x




DIF: Cognitive Level: Applying (Application) 1x 1x 1x




TOP: Nursing Process: Nursing Intervention
1x 1x 1x 1x 1x




MSC: NCLEX: Management of Client Care
1x 1 x 1x 1x 1x 1x




7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




home. The nurse and the patient discuss the patient’s situation and decide that the patient may go
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




home when able to perform self-care without dyspnea and hypoxia. This is an example of which
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




phase of the nursing process?
1x 1x 1x 1x 1x




a. Recognizingcues (assessment) 1x 1x




b. Analyze cues & prioritize hypothesis (analysis) 1x 1x 1x 1x 1x




c. Takeaction (nursing interventions) 1x 1x 1x




d. Generate solutions (planning) 1x 1x




ANS: D 1x




Generating solutions (planning) involves defining a set of interventions to achieve the most
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




desirable outcomes, which, for this patient, means being able to perform self-care activities
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




without dyspnea and hypoxia.
1x 1x 1x 1x




DIF: Cognitive Level: Understanding (Comprehension)
1 x 1x 1x 1x TOP: Nursing Process: Planning 1x 1x 1x




MSC: NCLEX: Management of Client Care
1x 1 x 1x 1x 1x 1x




8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching.
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




1x Which is a correctly written expected outcome for this process?
1x 1x 1x 1x 1x 1x 1x 1x 1x




a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




b. The nurse will teach the patient how to administer medication with a metered-dose
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




1xinhaler.
c. The patient will know how to self-administer the medication using the metered-
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




1xdose inhaler. 1x




d. The patient will independently administer the medication using the metered-dose
1x 1x 1x 1x 1x 1x 1x 1x 1x




1xinhaler at the end of the session. 1x 1x 1x 1x 1x 1x




ANS: D 1x




Expected outcomes must be patient-centered and clearly state the outcome with a reasonable
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




deadline and should identify components for evaluation.
1x 1x 1x 1x 1x 1x 1x




DIF: Cognitive Level: Applying (Application)
1 x 1x 1x 1x TOP: Nursing Process: Planning 1x 1x 1x




MSC: NCLEX: Management of Client Care
1x 1 x 1x 1x 1x 1x




9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




hypoxia. The patient has been admitted for increased oxygen needs above a baseline of 2 L/min.
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




The nurse generates an expected outcomes stating, “The patient will have oxygen saturations of
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




>95% on room air at the time of discharge from the hospital.” What is wrong with this goal?
1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x 1x




a. It cannot be evaluated.
1x 1x 1x