Lilley:bPharmacologybandbthebNursingbProcess,b10thbEdition(2025/2026)updates
MULTIPLEbCHOICE
1. Thebnursebisbdevelopingbabhumanbneedsbstatementbforbabpatientbwhobhasbabnewbdiagnosis
bofbheartbfailure.bIdentificationbofbhumanbneedsbstatementsboccurbwithbwhichbofbthesebacti
vities?
a. Collectionbofbpatientbdata
b. Administeringbinterventions
c. Decidingbonbpatientboutcomes
d. Documentingbthebpatient‘sbbehavior
ANS:b A
Identificationbofbhumanbneedsboccursbwithbthebcollectionbofbpatientbdata.
DIF:
CognitivebLevel:bUnderstandingb(Comprehension
)bTOP:b NursingbProcess:bHumanbNeedsbStatement
MSC:b NCLEX:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
2. Thebpatientbisbtobreceiveboralbguaifenesinbtwicebabday.bToday,bthebnursebwasbbusybandbgaveb
thebmedicationb2bhoursbafterbthebscheduledbdosebwasbdue.bWhatbtypebofbproblembdoesbthisb
represent?
a. ―Rightb time‖
b. ―Rightb dose‖
c. ―Rightb route‖
d. ―Rightb medication‖
ANS:b A
―Rightbtime‖bisbcorrectbbecausebthebmedicationbwasbgivenbmorebthanb30bminutesbafterbthebsche
duledbdosebwasbdue.b―Dose‖bisbincorrectbbecausebthebdosebisbnotbrelatedbtobthebtimebthebmedica
tionbadministrationbisbscheduled.b―Route‖bisbincorrectbbecausebthebroutebisbnotbaffected.
―Medication‖bisbincorrectbbecausebthebmedicationborderedbwillbnotbchange.
DIF:
CognitivebLevel:bApplyingb(Application
)bTOP:b NursingbProcess:bImplementation
MSC:b NCLEX:bSafebandbEffectivebCarebEnvironment:bSafetybandbInfectionbControl
3. Thebnursebhasbbeenbmonitoringbthebpatient‘sbprogressbonbabnewbdrugbregimenbsincebthebfi
rstbdosebandbdocumentingbthebpatient‘sbtherapeuticbresponsebtobthebmedication.bWhichbph
asebofbthebnursingbprocessbdobthesebactionsbillustrate?
a. Humanbneedsbstatement
b. Planning
c. Implementation
d. Evaluation
ANS:b D
Monitoringbthebpatient‘sbprogress,bincludingbthebpatient‘sbresponsebtobthebmedication,bisbpart
bofbthebevaluationbphase.bPlanning,bimplementation,bandbhumanbneedsbstatementbarebnotbillus
tratedbbybthisbexample.
PRIMEXAM.COM
,DIF:b b CognitivebLevel:bUnderstandingb(Comprehension) TOP:b NursingbProcess:bEvaluation
PRIMEXAM.COM
, MSC:b NCLEX:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
4. Thebnursebisbassignedbtobabpatientbwhobisbnewlybdiagnosedbwithbtypeb1bdiabetesbmellit
us.bWhichbstatementbbestbillustratesbanboutcomebcriterionbforbthisbpatient?
a. Thebpatientbwillbfollowbinstructions.
b. Thebpatientbwillbnotbexperiencebcomplications.
c. Thebpatientbwillbadherebtobthebnewbinsulinbtreatmentbregimen.
d. Thebpatientbwillbdemonstratebcorrectbbloodbglucosebtestingbtechnique.
ANS:b D
―Demonstratingbcorrectbbloodbglucosebtestingbtechnique‖bisbabspecificbandbmeasurablebo
utcomebcriterion.b―Followingbinstructions‖bandb―notbexperiencingbcomplications‖barebnotbs
pecificbcriteria.b―Adheringbtobnewbregimen‖bwouldbbebdifficultbtobmeasure.
DIF: CognitivebLevel:bApplyingb(Application)
TOP:b NursingbProcess:bPlanningbMSC:b NCLEX:bSafebandbEffectivebCarebEnvironment:b
ManagementbofbCare
5. Whichbactivitybbestbreflectsbthebimplementationbphasebofbthebnursingbprocessbforbthebpati
entbwhobisbnewlybdiagnosedbwithbhypertension?
a. Providingbeducationbonbkeepingbabjournalbofbbloodbpressurebreadings
b. Settingbgoalsbandboutcomebcriteriabwithbthebpatient‘sbinput
c. Recordingbabdrugbhistorybregardingbover-the-counterbmedicationsbusedbatbhome
d. Formulatingbhumanbneedsbstatementsbregardingbdeficientbknowledgebrelatedbtobt
hebnewbtreatmentbregimen
ANS:b A
Educationbisbanbinterventionbthatboccursbduringbthebimplementationbphase.bSettingbgoalsbandbout
comesbreflectsbthebplanningbphase.bRecordingbabdrugbhistorybreflectsbthebassessmentbphase.bForm
ulatingbhumanbneedsbstatementsbreflectsbanalysisbofbdatabasbpartbofbplanning.
DIF:
CognitivebLevel:bApplyingb(Application
)bTOP:b NursingbProcess:bImplementation
MSC:b NCLEX:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
6. Thebmedicationborderbreads,b―Givebondansetronb4bmg,b30bminutesbbeforebbeginningbch
emotherapybtobpreventbnausea.‖bThebnursebnotesbthatbthebroutebisbmissingbfrombtheborder
.bWhatbisbthebnurse‘sbbestbaction?
a. Givebthebmedicationbintravenouslybbecausebthebpatientbmightbvomit.
b. Givebthebmedicationborallybbecausebthebtabletsbarebavailablebinb4-mgbdoses.
c. Contactbthebprescriberbtobclarifybthebroutebofbthebmedicationbordered.
d. Holdbthebmedicationbuntilbthebprescriberbreturnsbtobmakebrounds.
ANS:b C
Abcompletebmedicationborderbincludesbthebroutebofbadministration.bIfbabmedicationborderbdoe
sbnotbincludebthebroute,bthebnursebmustbaskbthebprescriberbtobclarifybit.bThebintravenousbandb
oralbroutesbarebnotbinterchangeable.bHoldingbthebmedicationbuntilbthebprescriberbreturnsbwou
ldbmeanbthatbthebpatientbwouldbnotbreceivebabneededbmedication.
DIF:
CognitivebLevel:bApplyingb(Application
)bTOP:b NursingbProcess:bImplementation
PRIMEXAM.COM
, MSC:b NCLEX:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
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