FULL TEST BANK FOR
PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS APPROACH, 11TH
EDITION
By Linda E. Mccuistion Chapter 1-58|CORRECT ANSWERS
,TABLE OF CONTENTS
Chapter 01: The Nursing Process And Patient-Centered Care.....................................................................................................3
Chapter 02: Drug Development And Ethical Considerations .......................................................................................................9
Chapter 03: Pharmacokinetics And Pharmacodynamics ............................................................................................................17
Chapter 04: Pharmacogenetics ....................................................................................................................................................30
Chapter 05: Complementary And Alternative Therapies ............................................................................................................33
Chapter 06: Pediatric Considerations ..........................................................................................................................................38
Chapter 07: Geriatric Considerations ..........................................................................................................................................45
Chapter 08: Drugs In Substance Use Disorder ...........................................................................................................................50
Chapter 09: Safety And Quality ...................................................................................................................................................56
Chapter 10: Drug Administration ................................................................................................................................................62
Chapter 11: Drug Calculations ....................................................................................................................................................67
Chapter 12: Fluid Volume And Electrolytes ................................................................................................................................71
Chapter 13: Vitamin And Mineral Replacement .........................................................................................................................80
Chapter 14: Nutritional Support ..................................................................................................................................................87
Chapter 15: Adrenergic Agonists And Antagonists .....................................................................................................................94
Chapter 16: Cholinergic Agonists And Antagonists ..................................................................................................................100
Chapter 17: Stimulants ...............................................................................................................................................................106
Chapter 18: Depressants ............................................................................................................................................................110
Chapter 19: Antiseizure Drugs ...................................................................................................................................................117
Chapter 20: Drugs For Parkinsonism And Alzheimer Disease ................................................................................................123
Chapter 21: Drugs For Neuromuscular Disorders And Muscle Spasms .................................................................................130
Chapter 22: Antipsychotics And Anxiolytics..............................................................................................................................135
Chapter 23: Antidepressants And Mood Stabilizers ..................................................................................................................142
Chapter 24: Antiinflammatories ................................................................................................................................................149
Chapter 25: Analgesics ...............................................................................................................................................................156
Chapter 26: Penicillins, Other Beta-Lactams, And Cephalosporins .........................................................................................162
Chapter 27: Macrolides, Oxazolidinones, Lincosamides, Glycopeptides, Ketolides, And Lipopeptides ..................................167
Chapter 28: Tetracyclines, Glycylcyclines, Aminoglycosides, And Fluoroquinolones............................................................171
Chapter 29: Sulfonamides And Nitroimidazoles Antibiotics .....................................................................................................175
Chapter 30: Antituberculars, Antifungals, And Antivirals........................................................................................................179
Chapter 31: Antimalarials, Anthelmintics, And Peptides..........................................................................................................187
Chapter 32: HIV- And AIDS-Related Drugs .............................................................................................................................191
Chapter 33: Transplant Drugs ...................................................................................................................................................195
Chapter 34: Vaccines..................................................................................................................................................................197
Chapter 35: Anticancer Drugs ...................................................................................................................................................201
Chapter 36: Targeted Therapies To Treat Cancer ....................................................................................................................206
Chapter 37: Biologic Response Modifiers..................................................................................................................................211
,Chapter 38: Upper Respiratory Disorders..................................................................................................................................216
Chapter 39: Lower Respiratory Disorders .................................................................................................................................222
Chapter 40: Cardiac Glycosides, Antianginals, And Antidysrhythmics ....................................................................................230
Chapter 41: Diuretics..................................................................................................................................................................240
Chapter 42: Antihypertensives ...................................................................................................................................................246
Chapter 43: Anticoagulants, Antiplatelets, And Thrombolytics ................................................................................................255
Chapter 44: Antihyperlipidemics And Drugs To Improve Peripheral Blood Flow ............................................................265
Chapter 45: Gastrointestinal Tract Disorders............................................................................................................................272
Chapter 46: Antiulcer Drugs ......................................................................................................................................................281
Chapter 47: Eye And Ear Disorders ..........................................................................................................................................290
Chapter 48: Dermatologic Disorders .........................................................................................................................................295
Chapter 49: Pituitary, Thyroid, Parathyroid, And Adrenal Disorders ......................................................................................302
Chapter 50: Antidiabetics ...........................................................................................................................................................312
Chapter 51: Urinary Disorders...................................................................................................................................................321
Chapter 52: Pregnancy And Preterm Labor ..............................................................................................................................328
Chapter 53: Labor, Delivery, And Postpartum ..........................................................................................................................337
Chapter 54: Neonatal And Newborn..........................................................................................................................................344
Chapter 55: Women’s Reproductive Health ..............................................................................................................................347
Chapter 56: Men’s Health And Reproductive Disorders...........................................................................................................356
Chapter 57: Sexually Transmitted Infections ............................................................................................................................362
Chapter 58: Adult And Pediatric Emergency Drugs .................................................................................................................366
Chapter 01: The Nursing Process And Patient-Centered Care
Mccuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
MULTIPLE CHOICE
1. All Of The Following Would Be Considered Subjective Data, EXCEPT:
a. Patient-Reported Health History
b. Patient-Reported Signs And Symptoms Of Their Illness
c. Financial Barriers Reported By The Patient’s Caregiver
d. Vital Signs Obtained From The Medical Record
ANS: D
Subjective Data Is Based On What Patients Or Family Members Communicate To The
Nurse. Patient- Reported Health History, Signs And Symptoms, And Caregiver Reported
Financial Barriers Would Be Considered Subjective Data. Vital Signs Obtained From The
Medical Record Would Be Considered Objective Data.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
Planning MSC: NCLEX: Management Of Client Care
2. The Nurse Is Using Data Collected To Define A Set Of Interventions To Achieve
The Most Desirable Outcomes. Which Of The Following Steps Is The Nurse
Applying?
, a. Recognizing Cues (Assessment)
b. Analyze Cues & Prioritize Hypothesis (Analysis)
c. Generate Solutions (Planning)
d. Take Action (Nursing Interventions)
ANS: C
When Generating Solutions (Planning), The Nurse Identifies Expected Outcomes And Uses
The Patient’s Problem(S) To Define A Set Of Interventions To Achieve The Most Desirable
Outcomes. Recognizing Cues (Assessment) Involves The Gathering Of Cues (Information)
From The Patient About Their Health And Lifestyle Practices, Which Are Important Facts That
Aid The Nurse In Making Clinical Care Decisions. Prioritizing Hypothesis Is Used To Organize
And Rank The Patient Problem(S) Identified. Finally, Taking Action Involves Implementation
Of Nursing Interventions To Accomplish The Expected Outcomes.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management Of Client Care
3. A 5-Year-Old Child With Type 1 Diabetes Mellitus Has Had Repeated Hospitalizations For
Episodes Of Hyperglycemia. The Parents Tell The Nurse That They Can’t Keep Track Of
Everything That Has To Be Done To Care For Their Child. The Nurse Reviews Medications,
Diet, And Symptom Management With The Parents And Draws Up A Daily Checklist For The
Family To Use. These Activities Are Completed In Which Step Of The Nursing Process?
a. Recognizing Cues (Assessment)
b. Analyze Cues & Prioritize Hypothesis (Analysis)
, c. Generate Solutions (Planning)
d. Take Action (Nursing Interventions)
ANS: D
Taking Action Through Nursing Interventions Is Where The Nurse Provides Patient Health
Teaching, Drug Administration, Patient Care, And Other Interventions Necessary To Assist
The Patient In Accomplishing Expected Outcomes.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management Of Client Care
4. The Nurse Is Preparing To Administer A Medication And Reviews The Patient’s Chart
For Drug Allergies, Serum Creatinine, And Blood Urea Nitrogen (BUN) Levels. The
Nurse’s Actions Are Reflective Of Which Of The Following?
a. Recognizing Cues (Assessment)
b. Analyze Cues & Prioritize Hypothesis (Analysis)
c. Take Action (Nursing Interventions)
d. Generate Solutions (Planning)
ANS: A
Recognizing Cues (Assessment) Involves Gathering Subjective And Objective Information
About The Patient And The Medication. Laboratory Values From The Patient’s Chart Would Be
Considered Collection Of Objective Data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management Of Client Care
5. Which Of The Following Would Be Correctly Categorized As Objective Data?
a. A List Of Herbal Supplements Regularly Used Provided By The Patient.
b. Lab Values Associated With The Drugs The Patient Is Taking.
c. The Ages And Relationship Of All Household Members To The Patient.
d. Usual Dietary Patterns And Food 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 Client Care
6. The Nurse Reviews A Patient’s Database And Learns That The Patient Lives Alone, Is
Forgetful, And 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 Medication Chart And Enlists A Family Member To Put The Patient’s Pills In A Pill
Organizer. This Is An Example Of Which Element Of The Nursing Process?
a. Recognizing Cues (Assessment)
b. Analyze Cues & Prioritize Hypothesis (Analysis)
c. Take Action (Nursing Interventions)
, d. Generate Solutions (Planning)
ANS: C
Taking Action (Nursing Interventions) 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 Client Care
7. A Patient Who Is Hospitalized For Chronic Obstructive Pulmonary Disease (COPD) Wants
To Go Home. The Nurse And The Patient Discuss The Patient’s 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. Recognizing Cues (Assessment)
b. Analyze Cues & Prioritize Hypothesis (Analysis)
c. Take Action (Nursing Interventions)
d. Generate Solutions (Planning)
ANS: D
Generating Solutions (Planning) Involves Defining A Set Of Interventions To Achieve The
Most Desirable Outcomes, 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 Client Care
8. A Patient Will Be Sent Home With A Metered-Dose Inhaler, And The Nurse Is
Providing Teaching. Which Is A Correctly Written Expected Outcome 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.
ANS: D
Expected Outcomes 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 Client Care
9. The Nurse Is Generating Solutions (Planning) 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 Generates An Expected Outcomes Stating,
“The Patient Will Have Oxygen Saturations Of
>95% On Room Air At The Time Of Discharge From The Hospital.” What Is Wrong With This Goal?
a. It Cannot Be Evaluated.
, b. It Is Not Measurable.
c. It Is Not Patient-Centered.
d. It Is Not Realistic.
ANS: D
The Expected Outcome Is Not Realistic Because The Patient Is Not Usually On Room Air And
Should Not Be Expected To Attain That Expected Outcome By Discharge From This
Hospitalization.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Planning MSC: NCLEX: Management Of Client 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 Hypothesis (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 Hypothesis (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 Client 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 Patient’s Level Of Frustration When Teaching Skills. In This
Case, Breaking The Steps Down Into Individual Parts Will Help With This Patient’s
Frustration Level.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Planning MSC: NCLEX: Management Of Client Care
12. A School-Age Child Will Begin Taking A Medication To Be Administered At 5 Ml Three
Times Daily. The Child’s Parent Tells The Nurse 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. Encourage The Child To Be More Responsible And That It Is Important
To Take The Medication As Prescribed.
, b. Putting A Note On The Child’s 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 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 | Nursing Process: Planning
MSC: NCLEX: Management Of Client Care
13. A High-School Student Regularly Forgets To Use A Twice-Daily Inhaled Corticosteroid To
Prevent Asthma Flares And Is Repeatedly Admitted To The Hospital. The Child’s 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 Child’s Toothbrush To Use Before Brushing Teeth.
d. Suggest That The Child’s 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 Hospitalization Is Not Working. Asking The Child’s Parents To Administer The
Medication Does Not Empower The Adolescent To Take Responsibility.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Planning | Nursing Process: Nursing Intervention
MSC: NCLEX: Management Of Client 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 Continues To Have More Than 25 Lesions. The
Child’s Parent Affirms That The Child Is Using The Medications As Prescribed. Which
Statement Below Is Correct For This Patient To Evaluate The Outcome?
a. “Goal Of Fewer Than 10 Lesions In 6 To 8 Weeks Is Not Met.”
b. “Goal That The Medication Will Be Effective Is Not Met.”
c. “Goal That The Patient Will Take Medications As Prescribed Is Not Met.”
d. “Goal That The Patient Understands The Medication Regimen Is Not Met.”
ANS: A
PHARMACOLOGY A PATIENT-CENTERED NURSING PROCESS APPROACH, 11TH
EDITION
By Linda E. Mccuistion Chapter 1-58|CORRECT ANSWERS
,TABLE OF CONTENTS
Chapter 01: The Nursing Process And Patient-Centered Care.....................................................................................................3
Chapter 02: Drug Development And Ethical Considerations .......................................................................................................9
Chapter 03: Pharmacokinetics And Pharmacodynamics ............................................................................................................17
Chapter 04: Pharmacogenetics ....................................................................................................................................................30
Chapter 05: Complementary And Alternative Therapies ............................................................................................................33
Chapter 06: Pediatric Considerations ..........................................................................................................................................38
Chapter 07: Geriatric Considerations ..........................................................................................................................................45
Chapter 08: Drugs In Substance Use Disorder ...........................................................................................................................50
Chapter 09: Safety And Quality ...................................................................................................................................................56
Chapter 10: Drug Administration ................................................................................................................................................62
Chapter 11: Drug Calculations ....................................................................................................................................................67
Chapter 12: Fluid Volume And Electrolytes ................................................................................................................................71
Chapter 13: Vitamin And Mineral Replacement .........................................................................................................................80
Chapter 14: Nutritional Support ..................................................................................................................................................87
Chapter 15: Adrenergic Agonists And Antagonists .....................................................................................................................94
Chapter 16: Cholinergic Agonists And Antagonists ..................................................................................................................100
Chapter 17: Stimulants ...............................................................................................................................................................106
Chapter 18: Depressants ............................................................................................................................................................110
Chapter 19: Antiseizure Drugs ...................................................................................................................................................117
Chapter 20: Drugs For Parkinsonism And Alzheimer Disease ................................................................................................123
Chapter 21: Drugs For Neuromuscular Disorders And Muscle Spasms .................................................................................130
Chapter 22: Antipsychotics And Anxiolytics..............................................................................................................................135
Chapter 23: Antidepressants And Mood Stabilizers ..................................................................................................................142
Chapter 24: Antiinflammatories ................................................................................................................................................149
Chapter 25: Analgesics ...............................................................................................................................................................156
Chapter 26: Penicillins, Other Beta-Lactams, And Cephalosporins .........................................................................................162
Chapter 27: Macrolides, Oxazolidinones, Lincosamides, Glycopeptides, Ketolides, And Lipopeptides ..................................167
Chapter 28: Tetracyclines, Glycylcyclines, Aminoglycosides, And Fluoroquinolones............................................................171
Chapter 29: Sulfonamides And Nitroimidazoles Antibiotics .....................................................................................................175
Chapter 30: Antituberculars, Antifungals, And Antivirals........................................................................................................179
Chapter 31: Antimalarials, Anthelmintics, And Peptides..........................................................................................................187
Chapter 32: HIV- And AIDS-Related Drugs .............................................................................................................................191
Chapter 33: Transplant Drugs ...................................................................................................................................................195
Chapter 34: Vaccines..................................................................................................................................................................197
Chapter 35: Anticancer Drugs ...................................................................................................................................................201
Chapter 36: Targeted Therapies To Treat Cancer ....................................................................................................................206
Chapter 37: Biologic Response Modifiers..................................................................................................................................211
,Chapter 38: Upper Respiratory Disorders..................................................................................................................................216
Chapter 39: Lower Respiratory Disorders .................................................................................................................................222
Chapter 40: Cardiac Glycosides, Antianginals, And Antidysrhythmics ....................................................................................230
Chapter 41: Diuretics..................................................................................................................................................................240
Chapter 42: Antihypertensives ...................................................................................................................................................246
Chapter 43: Anticoagulants, Antiplatelets, And Thrombolytics ................................................................................................255
Chapter 44: Antihyperlipidemics And Drugs To Improve Peripheral Blood Flow ............................................................265
Chapter 45: Gastrointestinal Tract Disorders............................................................................................................................272
Chapter 46: Antiulcer Drugs ......................................................................................................................................................281
Chapter 47: Eye And Ear Disorders ..........................................................................................................................................290
Chapter 48: Dermatologic Disorders .........................................................................................................................................295
Chapter 49: Pituitary, Thyroid, Parathyroid, And Adrenal Disorders ......................................................................................302
Chapter 50: Antidiabetics ...........................................................................................................................................................312
Chapter 51: Urinary Disorders...................................................................................................................................................321
Chapter 52: Pregnancy And Preterm Labor ..............................................................................................................................328
Chapter 53: Labor, Delivery, And Postpartum ..........................................................................................................................337
Chapter 54: Neonatal And Newborn..........................................................................................................................................344
Chapter 55: Women’s Reproductive Health ..............................................................................................................................347
Chapter 56: Men’s Health And Reproductive Disorders...........................................................................................................356
Chapter 57: Sexually Transmitted Infections ............................................................................................................................362
Chapter 58: Adult And Pediatric Emergency Drugs .................................................................................................................366
Chapter 01: The Nursing Process And Patient-Centered Care
Mccuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
MULTIPLE CHOICE
1. All Of The Following Would Be Considered Subjective Data, EXCEPT:
a. Patient-Reported Health History
b. Patient-Reported Signs And Symptoms Of Their Illness
c. Financial Barriers Reported By The Patient’s Caregiver
d. Vital Signs Obtained From The Medical Record
ANS: D
Subjective Data Is Based On What Patients Or Family Members Communicate To The
Nurse. Patient- Reported Health History, Signs And Symptoms, And Caregiver Reported
Financial Barriers Would Be Considered Subjective Data. Vital Signs Obtained From The
Medical Record Would Be Considered Objective Data.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
Planning MSC: NCLEX: Management Of Client Care
2. The Nurse Is Using Data Collected To Define A Set Of Interventions To Achieve
The Most Desirable Outcomes. Which Of The Following Steps Is The Nurse
Applying?
, a. Recognizing Cues (Assessment)
b. Analyze Cues & Prioritize Hypothesis (Analysis)
c. Generate Solutions (Planning)
d. Take Action (Nursing Interventions)
ANS: C
When Generating Solutions (Planning), The Nurse Identifies Expected Outcomes And Uses
The Patient’s Problem(S) To Define A Set Of Interventions To Achieve The Most Desirable
Outcomes. Recognizing Cues (Assessment) Involves The Gathering Of Cues (Information)
From The Patient About Their Health And Lifestyle Practices, Which Are Important Facts That
Aid The Nurse In Making Clinical Care Decisions. Prioritizing Hypothesis Is Used To Organize
And Rank The Patient Problem(S) Identified. Finally, Taking Action Involves Implementation
Of Nursing Interventions To Accomplish The Expected Outcomes.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management Of Client Care
3. A 5-Year-Old Child With Type 1 Diabetes Mellitus Has Had Repeated Hospitalizations For
Episodes Of Hyperglycemia. The Parents Tell The Nurse That They Can’t Keep Track Of
Everything That Has To Be Done To Care For Their Child. The Nurse Reviews Medications,
Diet, And Symptom Management With The Parents And Draws Up A Daily Checklist For The
Family To Use. These Activities Are Completed In Which Step Of The Nursing Process?
a. Recognizing Cues (Assessment)
b. Analyze Cues & Prioritize Hypothesis (Analysis)
, c. Generate Solutions (Planning)
d. Take Action (Nursing Interventions)
ANS: D
Taking Action Through Nursing Interventions Is Where The Nurse Provides Patient Health
Teaching, Drug Administration, Patient Care, And Other Interventions Necessary To Assist
The Patient In Accomplishing Expected Outcomes.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management Of Client Care
4. The Nurse Is Preparing To Administer A Medication And Reviews The Patient’s Chart
For Drug Allergies, Serum Creatinine, And Blood Urea Nitrogen (BUN) Levels. The
Nurse’s Actions Are Reflective Of Which Of The Following?
a. Recognizing Cues (Assessment)
b. Analyze Cues & Prioritize Hypothesis (Analysis)
c. Take Action (Nursing Interventions)
d. Generate Solutions (Planning)
ANS: A
Recognizing Cues (Assessment) Involves Gathering Subjective And Objective Information
About The Patient And The Medication. Laboratory Values From The Patient’s Chart Would Be
Considered Collection Of Objective Data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management Of Client Care
5. Which Of The Following Would Be Correctly Categorized As Objective Data?
a. A List Of Herbal Supplements Regularly Used Provided By The Patient.
b. Lab Values Associated With The Drugs The Patient Is Taking.
c. The Ages And Relationship Of All Household Members To The Patient.
d. Usual Dietary Patterns And Food 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 Client Care
6. The Nurse Reviews A Patient’s Database And Learns That The Patient Lives Alone, Is
Forgetful, And 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 Medication Chart And Enlists A Family Member To Put The Patient’s Pills In A Pill
Organizer. This Is An Example Of Which Element Of The Nursing Process?
a. Recognizing Cues (Assessment)
b. Analyze Cues & Prioritize Hypothesis (Analysis)
c. Take Action (Nursing Interventions)
, d. Generate Solutions (Planning)
ANS: C
Taking Action (Nursing Interventions) 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 Client Care
7. A Patient Who Is Hospitalized For Chronic Obstructive Pulmonary Disease (COPD) Wants
To Go Home. The Nurse And The Patient Discuss The Patient’s 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. Recognizing Cues (Assessment)
b. Analyze Cues & Prioritize Hypothesis (Analysis)
c. Take Action (Nursing Interventions)
d. Generate Solutions (Planning)
ANS: D
Generating Solutions (Planning) Involves Defining A Set Of Interventions To Achieve The
Most Desirable Outcomes, 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 Client Care
8. A Patient Will Be Sent Home With A Metered-Dose Inhaler, And The Nurse Is
Providing Teaching. Which Is A Correctly Written Expected Outcome 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.
ANS: D
Expected Outcomes 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 Client Care
9. The Nurse Is Generating Solutions (Planning) 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 Generates An Expected Outcomes Stating,
“The Patient Will Have Oxygen Saturations Of
>95% On Room Air At The Time Of Discharge From The Hospital.” What Is Wrong With This Goal?
a. It Cannot Be Evaluated.
, b. It Is Not Measurable.
c. It Is Not Patient-Centered.
d. It Is Not Realistic.
ANS: D
The Expected Outcome Is Not Realistic Because The Patient Is Not Usually On Room Air And
Should Not Be Expected To Attain That Expected Outcome By Discharge From This
Hospitalization.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Planning MSC: NCLEX: Management Of Client 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 Hypothesis (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 Hypothesis (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 Client 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 Patient’s Level Of Frustration When Teaching Skills. In This
Case, Breaking The Steps Down Into Individual Parts Will Help With This Patient’s
Frustration Level.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Planning MSC: NCLEX: Management Of Client Care
12. A School-Age Child Will Begin Taking A Medication To Be Administered At 5 Ml Three
Times Daily. The Child’s Parent Tells The Nurse 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. Encourage The Child To Be More Responsible And That It Is Important
To Take The Medication As Prescribed.
, b. Putting A Note On The Child’s 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 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 | Nursing Process: Planning
MSC: NCLEX: Management Of Client Care
13. A High-School Student Regularly Forgets To Use A Twice-Daily Inhaled Corticosteroid To
Prevent Asthma Flares And Is Repeatedly Admitted To The Hospital. The Child’s 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 Child’s Toothbrush To Use Before Brushing Teeth.
d. Suggest That The Child’s 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 Hospitalization Is Not Working. Asking The Child’s Parents To Administer The
Medication Does Not Empower The Adolescent To Take Responsibility.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Planning | Nursing Process: Nursing Intervention
MSC: NCLEX: Management Of Client 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 Continues To Have More Than 25 Lesions. The
Child’s Parent Affirms That The Child Is Using The Medications As Prescribed. Which
Statement Below Is Correct For This Patient To Evaluate The Outcome?
a. “Goal Of Fewer Than 10 Lesions In 6 To 8 Weeks Is Not Met.”
b. “Goal That The Medication Will Be Effective Is Not Met.”
c. “Goal That The Patient Will Take Medications As Prescribed Is Not Met.”
d. “Goal That The Patient Understands The Medication Regimen Is Not Met.”
ANS: A
