Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
, Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
TABLE OF CONTENTS
Unit 1: Introduction to Pharmacology
Chapter 1.The Nursing Process and Patient-Centered Care Chapter
2.Drug Development and Ethical Considerations Chapter
3.Pharmacokinetics and Pharmacodynamics Chapter
4.Pharmacogenetics
Chapter 5.Complementary and Alternative Therapies Chapter 6.Pediatric
Considerations
Chapter 7.Geriatric Considerations
Chapter 8.Drugs in Substance Use Disorder
Unit 2: Pharmacotherapy and Drug Administration
Chapter 9.Safety and Quality Chapter
10.Drug Administration Chapter 11.Drug
Calculations
Unit 3: Maintenance of Homeostasis Chapter 12.Fluid
Volume and Electrolytes Chapter 13.Vitamin and
Mineral Replacement Chapter 14.Nutritional Support
Unit 4: Autonomic Nervous System Drugs Chapter
15.Adrenergic Agonists and Antagonists Chapter
16.Cholinergic Agonists and Antagonists
Unit 5: Central and Peripheral Nervous System Drugs
Chapter 17.Stimulants Chapter
18.Depressants Chapter
19.Antiseizure Drugs
21.Drugs for
Neuromuscular Disorders and Muscle Spasms Unit 6: Mental and Behavioral Health
Drugs
Chapter 22.Antipsychotics and Anxiolytics Chapter
23.Antidepressants and Mood Stabilizers
Unit 7: Pain and Inflammation Management Drugs
Chapter 24.Antiinflammatories
Chapter 25.Analgesics
Unit 8: Antimicrobial Drugs
Chapter 26.Antibacterials
Chapter 27.Antituberculars, Antifungals, and Antivirals Chapter
28.Antimalarials, Anthelmintics, and Peptides Unit 9: Immunologic
Drugs
Chapter 29.HIV- and AIDS-Related Drugs Chapter
30.Transplant Drugs
Chapter 31.Vaccines
Unit 10: Antineoplastics and Biologic Response Modifiers
Chapter 32.Anticancer Drugs
Chapter 33.Targeted Therapies to Treat Cancer Chapter
34.Biologic Response Modifiers
Unit 11: Respiratory Drugs
Chapter 35.Upper Respiratory Disorders Chapter
36.Lower Respiratory Disorders Unit 12:
Cardiovascular Drugs
Chapter 37.Cardiac Glycosides, Antianginals, and Antidysrhythmics
, Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
Chapter 38.Diuretics
Chapter 39.Antihypertensives
Chapter 40.Anticoagulants, Antiplatelets, and Thrombolytics
Chapter 41.Antihyperlipidemics and Drugs to Improve Peripheral Blood Flow
Unit 13: Gastrointestinal Drugs
Chapter 42.Gastrointestinal Tract Disorders Chapter
43.Antiulcer Drugs
Unit 14: Eye, Ear, and Skin Drugs Chapter
44.Eye and Ear Disorders Chapter
45.Dermatologic Disorders Unit 15:
Endocrine Drugs
Chapter 46.Pituitary, Thyroid, Parathyroid, and Adrenal Disorders Chapter
47.Antidiabetics
Unit 16: Renal and Urologic Drugs
Chapter 48.Urinary Disorders
Unit 17: Reproductive and Gender-Related Drugs
Chapter 49.Pregnancy and Preterm Labor Chapter
50.Labor, Delivery, and Postpartum Chapter 51.Neonatal
and Newborn
Chapter 52.Reproductive Health
Chapter Health and Reproductive Disorders Chapter
54.Sexually Transmitted Infections
Unit 18: Sexually Transmitted Infections
Chapter 55.Adult and Pediatric Emergency Drugs
Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition
MULTIPLE CHOICE
1. The nursing process is a five-step decision-making approach that includes all of the following steps, EXCEPT:
a. Assessment
b. Patient problem
c. Planning
d. Right Drug
ANS: D
The nursing process is a five-step decision-making approach that includes: 1) assessment, 2) patient problem, 3) planning, 4)
implementation, and 5) evaluation. is one of
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
2. The nurse is using data collected to set goals or expected outcomes and interventions
step of the nursing process is the nurse applying?
a. Assessment
b. Patient problem
c. Planning N
d. Evaluation
ANS: C
During the planning phase, the nurse uses the data collected to set goals or expected outcomes
,Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
and steps.
During the phase the nurse would determine whether the goals and objectives set during the planning phase were met.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: Nursing Intervention
MSC: NCLEX: Management of Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hyperglycemia. The parents tell the
et, and
symptom management with the parents and draws up a daily checklist for the family to use. These activities are completed in w hich
step of the nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C
The implementation phase is the part of the nursing process in which the nurse provides education, drug administration, patient care,
and other interventions necessary to assist the patient in accomplishing established medication goals.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: Nursing Intervention
MSC: NCLEX: Management of Care
4. The nurse is preparing to administer a medication and reviews the for drug allergies, serum creatinine, and blood
urea nitrogen (BUN) levels. The actions are reflective of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A
Assessment involves gathering information about the patient and the drug, including any previous use of the drug.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
5. Which assessment is categorized as objective data?
a. A list of herbal supplements regularly used
b. Lab values associated with the drugs the patient is taking
c. The ages and relationship to the patient of all household members
d. Usual dietary patterns and fNo o d intake
ANS: B
Objective data are measured and detected by another person and would include lab values. The other examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
6. The nurse reviews a database and learns that the patient lives alone, is forgetful, and
,Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
does not have an established routine. The patient will be sent home with three new medications to be taken at different times of the
day. The nurse develops a daily
example of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: C
The implementation phase involves education and patient care in order to assist the patient to accomplish the goals of treatment.
DIF: Cognitive Level: Applying (Application) TOP:
Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Care
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home. The nurse and the patient discuss
the situation and decide that the patient may go home when able to perform self-care without dyspnea and hypoxia. This is an
example of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D
Planning involves goal setting, which, for this patient, means being able to perform self-care activities without dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching. Which is a correctly written goal for this
process?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
b. The nurse will teach the patient how to administer medication with a metered-dose inhaler.
c. The patient will know how to self-administer the medication using the metered-dose inhaler.
d. The patient will independently administer the medication using the metered-dose inhaler at the end of the session.
N
ANS: D
Goals must be patient-centered and clearly state the outcome with a reasonable deadline and should identify components for
evaluation.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia. The patient has been admitted for
increased oxygen needs above a baseline of 2 L/min. The nurse patient will have oxygen saturations of
a. It cannot be evaluated.
b. It is not measurable.
,Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
c. It is not patient-centered.
d. It is not realistic.
ANS: D
This goal is not realistic because the patient is not usually on room air and should not be expected to attain that goal by discharge from
this hospitalization.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
10. The nurse is developing a teaching plan for an elderly patient who will begin taking an antihypertensive drug that causes
dizziness and orthostatic hypotension. Which patient problem documented by the nurse is appropriate for this patient?
a. Deficient knowledge related to drug side effects
b. Ineffective health maintenance related to age
c. Readiness for enhanced knowledge related to medication side effects
d. Risk for injury related to side effects of the medication
ANS: D
This patient has an increased risk for injury because of drug side effects, so this is an appropriate patient problem to direct the type of
care and follow-up the patient will receive.
DIF: Cognitive Level: Applying (Application) TOP:
Nursing Process: Nursing Diagnosis MSC: NCLEX:
Management of Care
11. An older patient must learn to administer a medication using a device that requires manual dexterity. The patient becomes frustrated
and expresses lack of self-confidence in performing this task. Which action will the nurse perform next?
a. Ask the patient to keep trying until the skill is learned.
b. Provide written instructions with illustrations showing each step of the skill.
c. Schedule multiple sessions and practice each step separately.
d. Teach the procedure to family members who can administer the medication for the patient.
ANS: C
Nurses should be sensitive to level of frustration when teaching skills. In this case, breaking the steps down into inN
dividual parts
will help with this frustration level.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
12. A school-age child will begin taking a medication to be administered at 5 mL three
that, with a previous use of the drug, the child repeatedly forgot to bring the medication home from school, resulting in missed
evening doses. What will the nurse recommend?
a. Asking the provider if the medication may be taken before school, after school, and at bedtime
b. Putting a note on the locker to encourage the child to take responsibility for medication administration
c. Asking the provider if 7.5 mL may be taken in the morning and 7.5 mL may be taken in the evening so that the
correct amount is given daily
d. Taking the noon dose to school every day and giving it to the school nurse to administer
ANS: C
For busy families with school-age children, it may be necessary to adjust the medication
,Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
schedule to one that fits their schedule. The nurse should ask the provider if a revised schedule is possible. In this case, the most effective
revised schedule would involve not taking the medication while at school. Putting a note on the locker is not likely to be effective. It is
not correct to adjust the dose.
DIF: Cognitive Level: Applying (Application) TOP: Nursing
Process: Nursing Intervention/Planning MSC: NCLEX: Management
of Care
13. A high-school student regularly forge ts to use a twice-daily inhaled corticosteroid to prevent asthma flares and is repeatedly admitted
to the hospital. The parent tells the nurse that the child has been told that forgetting to take the medication causes frequent
hospitalizations. The nurse will:
a. encourage the child to take responsibility for taking the medication.
b. reinforce the need to take prescribed medications to avoid hospitalizations.
c. suggest putting the inhaler with the toothbrush to use before brushing teeth.
d. suggest that the parents administer the medication to increase compliance.
ANS: C
It is important to empower patients to take responsibility for managing medications. Putting the medication with the toothbrush can
help this child remember to use it. Telling the child to take medications and reminding the child that failure to do so results in
ke
responsibility.
DIF: Cognitive Level: Applying (Application) TOP: Nursing
Process: Planning/Nursing Intervention MSC: NCLEX: Management
of Care
14. An adolescent patient who has acne is given a regimen of topical medications and an oral antibiotic that generally clears up lesions to
fewer than 10 within 6 to 8 weeks. At a 2-month follow-up, the patient c o ntinu eNs to have more than 25 lesions. The parent
affirms that the child is using the medications as prescribed. Which evaluation statement is correct for this patient?
a. of fewer than 10 lesions in 6 to 8 weeks is not
b. that the medication will be effective is not
c. that the patient will take medications as prescribed is not
d. that the patient understands the medication regimen is not
ANS: A
All indications are that this patient is taking the medications and they are not effective. The first statement is correct because it
identifies a measurable goal and a specific time frame.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Evaluation MSC:
NCLEX: Management of Care
15. During a home visit, the nurse learns that a patient has not been taking their medications as prescribed. The patient reports having
no insurance and tells the nurse that the drug is too expensive. After learning that there is no substitute medication, the nurse will
perform which action next?
a. Assist the patient to apply for a patient-assist program.
b. Contact the pharmacy to request a reduction in the cost of the drug.
c. Determine the annual income.
d. Give the patient the number of a charitable organization that may be able to help.
ANS: C
,Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
Patient-assist programs may be helpful, but many are dependent on the income, so the nurse should determine that first. It is
unlikely that the pharmacy would offer a cost reduction. The patient has demonstrated an inability to navigate the system by simply
not taking the medication, so only providing a phone number to the patient is not likely to be effective.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Assessment/Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
, Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
Chapter 02: Drug Development and Ethical Considerations
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition
MULTIPLE CHOICE
1. The nurse is obtaining consent from a subject newly recruited for a clinical drug trial that will last for 6 months. All subjects will be
guess if the
symptoms for
a. for the duration of the study is
b. may end at any time without
c. from the study may end at any time, but the gift certificate will not be
d. can request placement in the treatment
ANS: B
All participants have the right to autonomy, which is the right to self-determination. Patients have the right to refuse to participate or to
withdraw from a study at any time without penalty. Patients generally are not allowed to choose participation in either the treatment or
the control group.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: Nursing Intervention
MSC: NCLEX: Management of Client Care
N
2. The nurse is assisting with a c linic al drug trial in which the side effects of two effective drugs are being compared. A patient who would
benefit from either drug has elected to withdraw from the study, and the nurse assists with the paperwork to facilitate this. This is an
example of
a. autonomy.
b. beneficence.
c. justice.
d. veracity.
ANS: A
All participants have the right to autonomy, which is the right to self-determination. Patients have the right to refuse to participate or
to withdraw from a study at any time without penalty even if the health care provider disagrees with that choice.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC:
NCLEX: Management of Client Care
3. During a clinical drug trial for a new medication, researchers note a previously unknown serious adverse effect occurring in
more than 50% of subjects. The study is discontinued. Which ethical principle is being exercised?
a. Beneficence
b. Justice
c. Respect for persons
d. Veracity
, Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
ANS: A
Beneficence is the duty to protect subjects from harm. Once a serious adverse effect is noted and it is determined that the benefits do
not outweigh the risks of the study, researchers have an ethical obligation to stop the study.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC:
NCLEX: Management of Client Care
4. In a 5-year experimental clinical trial to investigate a new cancer treatment, researchers in the second year note overwhelming
improvement in almost all of the subjects in the treatment group. It is decided to stop the trial early and report the findings due to the
overwhelmingly beneficial effects. This decision was made based on which ethical principle?
a. Beneficence
b. Justice
c. Respect for persons
d. Veracity
ANS: B
The principle of justice requires that all people be treated fairly. Because the findings were overwhelmingly positive, an ethical decision
was made to stop the study early and report findings so that additional people could gain benefit from the treatment.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC:
NCLEX: Management of Client Care
5. The nurse is enrolling subjects for a double-blind experimental study. One patient asks the nurse to explain the role of
the expe
N rimental group. The nurse will explain that subjects in the
experimental group in this type of study:
a. are selected for participation in that group.
b. have unique baseline characteristics.
c. receive a placebo.
d. receive the experimental treatment being evaluated.
ANS: D
In a double-blind experimental study, subjects in the experimental group receive the treatment or drug under study. They are randomly
assigned and not selected. They should have similar baseline characteristics to those in the control group. They do not recei ve a
placebo.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: Nursing Intervention: Patient Teaching MSC: NCLEX: Management of
Client Care
6. The nurse is obtaining signatures on consent forms for participation in a clinical drug want
to do this, but I
a. Ask the patient to clarify concerns.
b. Reinforce that cash is given to all subjects equally.
c. Report this statement to the lead investigator.
d. Review the elements of the study and obtain consent.
ANS: C
, Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
TABLE OF CONTENTS
Unit 1: Introduction to Pharmacology
Chapter 1.The Nursing Process and Patient-Centered Care Chapter
2.Drug Development and Ethical Considerations Chapter
3.Pharmacokinetics and Pharmacodynamics Chapter
4.Pharmacogenetics
Chapter 5.Complementary and Alternative Therapies Chapter 6.Pediatric
Considerations
Chapter 7.Geriatric Considerations
Chapter 8.Drugs in Substance Use Disorder
Unit 2: Pharmacotherapy and Drug Administration
Chapter 9.Safety and Quality Chapter
10.Drug Administration Chapter 11.Drug
Calculations
Unit 3: Maintenance of Homeostasis Chapter 12.Fluid
Volume and Electrolytes Chapter 13.Vitamin and
Mineral Replacement Chapter 14.Nutritional Support
Unit 4: Autonomic Nervous System Drugs Chapter
15.Adrenergic Agonists and Antagonists Chapter
16.Cholinergic Agonists and Antagonists
Unit 5: Central and Peripheral Nervous System Drugs
Chapter 17.Stimulants Chapter
18.Depressants Chapter
19.Antiseizure Drugs
21.Drugs for
Neuromuscular Disorders and Muscle Spasms Unit 6: Mental and Behavioral Health
Drugs
Chapter 22.Antipsychotics and Anxiolytics Chapter
23.Antidepressants and Mood Stabilizers
Unit 7: Pain and Inflammation Management Drugs
Chapter 24.Antiinflammatories
Chapter 25.Analgesics
Unit 8: Antimicrobial Drugs
Chapter 26.Antibacterials
Chapter 27.Antituberculars, Antifungals, and Antivirals Chapter
28.Antimalarials, Anthelmintics, and Peptides Unit 9: Immunologic
Drugs
Chapter 29.HIV- and AIDS-Related Drugs Chapter
30.Transplant Drugs
Chapter 31.Vaccines
Unit 10: Antineoplastics and Biologic Response Modifiers
Chapter 32.Anticancer Drugs
Chapter 33.Targeted Therapies to Treat Cancer Chapter
34.Biologic Response Modifiers
Unit 11: Respiratory Drugs
Chapter 35.Upper Respiratory Disorders Chapter
36.Lower Respiratory Disorders Unit 12:
Cardiovascular Drugs
Chapter 37.Cardiac Glycosides, Antianginals, and Antidysrhythmics
, Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
Chapter 38.Diuretics
Chapter 39.Antihypertensives
Chapter 40.Anticoagulants, Antiplatelets, and Thrombolytics
Chapter 41.Antihyperlipidemics and Drugs to Improve Peripheral Blood Flow
Unit 13: Gastrointestinal Drugs
Chapter 42.Gastrointestinal Tract Disorders Chapter
43.Antiulcer Drugs
Unit 14: Eye, Ear, and Skin Drugs Chapter
44.Eye and Ear Disorders Chapter
45.Dermatologic Disorders Unit 15:
Endocrine Drugs
Chapter 46.Pituitary, Thyroid, Parathyroid, and Adrenal Disorders Chapter
47.Antidiabetics
Unit 16: Renal and Urologic Drugs
Chapter 48.Urinary Disorders
Unit 17: Reproductive and Gender-Related Drugs
Chapter 49.Pregnancy and Preterm Labor Chapter
50.Labor, Delivery, and Postpartum Chapter 51.Neonatal
and Newborn
Chapter 52.Reproductive Health
Chapter Health and Reproductive Disorders Chapter
54.Sexually Transmitted Infections
Unit 18: Sexually Transmitted Infections
Chapter 55.Adult and Pediatric Emergency Drugs
Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition
MULTIPLE CHOICE
1. The nursing process is a five-step decision-making approach that includes all of the following steps, EXCEPT:
a. Assessment
b. Patient problem
c. Planning
d. Right Drug
ANS: D
The nursing process is a five-step decision-making approach that includes: 1) assessment, 2) patient problem, 3) planning, 4)
implementation, and 5) evaluation. is one of
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
2. The nurse is using data collected to set goals or expected outcomes and interventions
step of the nursing process is the nurse applying?
a. Assessment
b. Patient problem
c. Planning N
d. Evaluation
ANS: C
During the planning phase, the nurse uses the data collected to set goals or expected outcomes
,Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
and steps.
During the phase the nurse would determine whether the goals and objectives set during the planning phase were met.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: Nursing Intervention
MSC: NCLEX: Management of Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hyperglycemia. The parents tell the
et, and
symptom management with the parents and draws up a daily checklist for the family to use. These activities are completed in w hich
step of the nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C
The implementation phase is the part of the nursing process in which the nurse provides education, drug administration, patient care,
and other interventions necessary to assist the patient in accomplishing established medication goals.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: Nursing Intervention
MSC: NCLEX: Management of Care
4. The nurse is preparing to administer a medication and reviews the for drug allergies, serum creatinine, and blood
urea nitrogen (BUN) levels. The actions are reflective of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A
Assessment involves gathering information about the patient and the drug, including any previous use of the drug.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
5. Which assessment is categorized as objective data?
a. A list of herbal supplements regularly used
b. Lab values associated with the drugs the patient is taking
c. The ages and relationship to the patient of all household members
d. Usual dietary patterns and fNo o d intake
ANS: B
Objective data are measured and detected by another person and would include lab values. The other examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
6. The nurse reviews a database and learns that the patient lives alone, is forgetful, and
,Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
does not have an established routine. The patient will be sent home with three new medications to be taken at different times of the
day. The nurse develops a daily
example of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: C
The implementation phase involves education and patient care in order to assist the patient to accomplish the goals of treatment.
DIF: Cognitive Level: Applying (Application) TOP:
Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Care
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home. The nurse and the patient discuss
the situation and decide that the patient may go home when able to perform self-care without dyspnea and hypoxia. This is an
example of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D
Planning involves goal setting, which, for this patient, means being able to perform self-care activities without dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching. Which is a correctly written goal for this
process?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
b. The nurse will teach the patient how to administer medication with a metered-dose inhaler.
c. The patient will know how to self-administer the medication using the metered-dose inhaler.
d. The patient will independently administer the medication using the metered-dose inhaler at the end of the session.
N
ANS: D
Goals must be patient-centered and clearly state the outcome with a reasonable deadline and should identify components for
evaluation.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia. The patient has been admitted for
increased oxygen needs above a baseline of 2 L/min. The nurse patient will have oxygen saturations of
a. It cannot be evaluated.
b. It is not measurable.
,Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
c. It is not patient-centered.
d. It is not realistic.
ANS: D
This goal is not realistic because the patient is not usually on room air and should not be expected to attain that goal by discharge from
this hospitalization.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
10. The nurse is developing a teaching plan for an elderly patient who will begin taking an antihypertensive drug that causes
dizziness and orthostatic hypotension. Which patient problem documented by the nurse is appropriate for this patient?
a. Deficient knowledge related to drug side effects
b. Ineffective health maintenance related to age
c. Readiness for enhanced knowledge related to medication side effects
d. Risk for injury related to side effects of the medication
ANS: D
This patient has an increased risk for injury because of drug side effects, so this is an appropriate patient problem to direct the type of
care and follow-up the patient will receive.
DIF: Cognitive Level: Applying (Application) TOP:
Nursing Process: Nursing Diagnosis MSC: NCLEX:
Management of Care
11. An older patient must learn to administer a medication using a device that requires manual dexterity. The patient becomes frustrated
and expresses lack of self-confidence in performing this task. Which action will the nurse perform next?
a. Ask the patient to keep trying until the skill is learned.
b. Provide written instructions with illustrations showing each step of the skill.
c. Schedule multiple sessions and practice each step separately.
d. Teach the procedure to family members who can administer the medication for the patient.
ANS: C
Nurses should be sensitive to level of frustration when teaching skills. In this case, breaking the steps down into inN
dividual parts
will help with this frustration level.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
12. A school-age child will begin taking a medication to be administered at 5 mL three
that, with a previous use of the drug, the child repeatedly forgot to bring the medication home from school, resulting in missed
evening doses. What will the nurse recommend?
a. Asking the provider if the medication may be taken before school, after school, and at bedtime
b. Putting a note on the locker to encourage the child to take responsibility for medication administration
c. Asking the provider if 7.5 mL may be taken in the morning and 7.5 mL may be taken in the evening so that the
correct amount is given daily
d. Taking the noon dose to school every day and giving it to the school nurse to administer
ANS: C
For busy families with school-age children, it may be necessary to adjust the medication
,Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
schedule to one that fits their schedule. The nurse should ask the provider if a revised schedule is possible. In this case, the most effective
revised schedule would involve not taking the medication while at school. Putting a note on the locker is not likely to be effective. It is
not correct to adjust the dose.
DIF: Cognitive Level: Applying (Application) TOP: Nursing
Process: Nursing Intervention/Planning MSC: NCLEX: Management
of Care
13. A high-school student regularly forge ts to use a twice-daily inhaled corticosteroid to prevent asthma flares and is repeatedly admitted
to the hospital. The parent tells the nurse that the child has been told that forgetting to take the medication causes frequent
hospitalizations. The nurse will:
a. encourage the child to take responsibility for taking the medication.
b. reinforce the need to take prescribed medications to avoid hospitalizations.
c. suggest putting the inhaler with the toothbrush to use before brushing teeth.
d. suggest that the parents administer the medication to increase compliance.
ANS: C
It is important to empower patients to take responsibility for managing medications. Putting the medication with the toothbrush can
help this child remember to use it. Telling the child to take medications and reminding the child that failure to do so results in
ke
responsibility.
DIF: Cognitive Level: Applying (Application) TOP: Nursing
Process: Planning/Nursing Intervention MSC: NCLEX: Management
of Care
14. An adolescent patient who has acne is given a regimen of topical medications and an oral antibiotic that generally clears up lesions to
fewer than 10 within 6 to 8 weeks. At a 2-month follow-up, the patient c o ntinu eNs to have more than 25 lesions. The parent
affirms that the child is using the medications as prescribed. Which evaluation statement is correct for this patient?
a. of fewer than 10 lesions in 6 to 8 weeks is not
b. that the medication will be effective is not
c. that the patient will take medications as prescribed is not
d. that the patient understands the medication regimen is not
ANS: A
All indications are that this patient is taking the medications and they are not effective. The first statement is correct because it
identifies a measurable goal and a specific time frame.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Evaluation MSC:
NCLEX: Management of Care
15. During a home visit, the nurse learns that a patient has not been taking their medications as prescribed. The patient reports having
no insurance and tells the nurse that the drug is too expensive. After learning that there is no substitute medication, the nurse will
perform which action next?
a. Assist the patient to apply for a patient-assist program.
b. Contact the pharmacy to request a reduction in the cost of the drug.
c. Determine the annual income.
d. Give the patient the number of a charitable organization that may be able to help.
ANS: C
,Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
Patient-assist programs may be helpful, but many are dependent on the income, so the nurse should determine that first. It is
unlikely that the pharmacy would offer a cost reduction. The patient has demonstrated an inability to navigate the system by simply
not taking the medication, so only providing a phone number to the patient is not likely to be effective.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Assessment/Nursing Intervention
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
, Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
Chapter 02: Drug Development and Ethical Considerations
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition
MULTIPLE CHOICE
1. The nurse is obtaining consent from a subject newly recruited for a clinical drug trial that will last for 6 months. All subjects will be
guess if the
symptoms for
a. for the duration of the study is
b. may end at any time without
c. from the study may end at any time, but the gift certificate will not be
d. can request placement in the treatment
ANS: B
All participants have the right to autonomy, which is the right to self-determination. Patients have the right to refuse to participate or to
withdraw from a study at any time without penalty. Patients generally are not allowed to choose participation in either the treatment or
the control group.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: Nursing Intervention
MSC: NCLEX: Management of Client Care
N
2. The nurse is assisting with a c linic al drug trial in which the side effects of two effective drugs are being compared. A patient who would
benefit from either drug has elected to withdraw from the study, and the nurse assists with the paperwork to facilitate this. This is an
example of
a. autonomy.
b. beneficence.
c. justice.
d. veracity.
ANS: A
All participants have the right to autonomy, which is the right to self-determination. Patients have the right to refuse to participate or
to withdraw from a study at any time without penalty even if the health care provider disagrees with that choice.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC:
NCLEX: Management of Client Care
3. During a clinical drug trial for a new medication, researchers note a previously unknown serious adverse effect occurring in
more than 50% of subjects. The study is discontinued. Which ethical principle is being exercised?
a. Beneficence
b. Justice
c. Respect for persons
d. Veracity
, Test Bank for Pharmacology 10th Edition (Saunders; 2020) A Patient -Centered Nursing Process Approach by Linda Mccuistion, Isbn no; 9781416029359, all 55 Chapters Covered.
ANS: A
Beneficence is the duty to protect subjects from harm. Once a serious adverse effect is noted and it is determined that the benefits do
not outweigh the risks of the study, researchers have an ethical obligation to stop the study.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC:
NCLEX: Management of Client Care
4. In a 5-year experimental clinical trial to investigate a new cancer treatment, researchers in the second year note overwhelming
improvement in almost all of the subjects in the treatment group. It is decided to stop the trial early and report the findings due to the
overwhelmingly beneficial effects. This decision was made based on which ethical principle?
a. Beneficence
b. Justice
c. Respect for persons
d. Veracity
ANS: B
The principle of justice requires that all people be treated fairly. Because the findings were overwhelmingly positive, an ethical decision
was made to stop the study early and report findings so that additional people could gain benefit from the treatment.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: N/A MSC:
NCLEX: Management of Client Care
5. The nurse is enrolling subjects for a double-blind experimental study. One patient asks the nurse to explain the role of
the expe
N rimental group. The nurse will explain that subjects in the
experimental group in this type of study:
a. are selected for participation in that group.
b. have unique baseline characteristics.
c. receive a placebo.
d. receive the experimental treatment being evaluated.
ANS: D
In a double-blind experimental study, subjects in the experimental group receive the treatment or drug under study. They are randomly
assigned and not selected. They should have similar baseline characteristics to those in the control group. They do not recei ve a
placebo.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: Nursing Intervention: Patient Teaching MSC: NCLEX: Management of
Client Care
6. The nurse is obtaining signatures on consent forms for participation in a clinical drug want
to do this, but I
a. Ask the patient to clarify concerns.
b. Reinforce that cash is given to all subjects equally.
c. Report this statement to the lead investigator.
d. Review the elements of the study and obtain consent.
ANS: C
