,Item Bank: Lilley Pharmacology and the Nursing Process 7th Ed
B! B! B! B! B! B! B! B! B!
Objective: Ch 01: The Nursing Process and Drug Therapy
B ! B! B! B! B! B! B! B!
1. Question Name: 0001 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
B! B! B! B! B! B! B! B! B! B! B!
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
B! B! B
! B! B! B! B! B! B!
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been ne
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B!
wlydiagnosed with type 2 diabetes. Which statement reflects the correct format for a nur
B
! B! B! B! B! B! B! B! B! B! B! B! B! B!
sing diagnosis? B!
A. Anxiety
B. Anxiety related to new drug therapy B! B! B! B! B!
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such
B! B! B! B! B! B! B! B! B! B! B! B! B!
as“I’m upset about having to test my blood sugars.”
B
! B! B! B! B! B! B! B! B!
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset abo
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B!
uthaving to test my blood sugars.”
B
! B! B! B! B! B!
Correct Answer: D Explanation/Ra
B! B! B!
tionale:
ANS: D B !
Formulation of nursing diagnoses is usually a three- B! B! B! B! B! B! B!
step process. “Anxiety” is missing the “related to” and “as evidenced by” portions of defining
B! B! B! B! B! B! B! B! B! B! B! B! B! B!
characteristics. “Anxiety related to new drug therapy” is missing the “as evidenced by” portio
B! B! B! B! B! B! B! B! B! B! B! B! B! B!
n of defining characteristics. The statementbeginning “Anxiety related to anxious feelings” is i
B! B! B! B! B! B
! B! B! B! B! B! B! B!
ncorrect because the “related to” section is simply a restatement of the problem “anxiety,” not
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B
a separate factor related to the response.
! B! B! B! B! B! B!
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: B! B! B!
p. 9TOP: B! B
!
NURSING PROCESS: Nursing Diagnosis B! B! B!
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
B! B! B! B! B! B! B! B! B!
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: Active Date Created: 01/31/13 14:18:01 Date Modified: B! B ! B
! B! B! B!
01/31/13 14:18:01 Date Used: Difficulty: Easy B! B! B!
Discrimination: Low
Item Analysis: Last
B! Item Analysis: Cumulative
B! B! B!
No. of Students Responded: 0
B! B! No. of Students Responded: 0
B! B! B! B!
Correct Responses (%): B! Correct Responses (%): B! B! B!
Total Group: 0.00 B! Total Group: 0.00 B!
Upper 27% of Group: 0.00 B! Upper 27% of Group:
B! B! 0.00 B! B! B!
Lower 27% of Group: 0.00 B! Lower 27% of Group:
B! B! 0.00 B! B! B!
Point Biserial: B! 0.00 Point Biserial: 0.00 B!
Response Frequencies (%) B! B!
, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
2. Question Name: 0002 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
B! B! B! B! B! B! B! B! B! B! B!
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
B! B! B
! B! B! B! B! B! B!
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy andg
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B
!
ave the medication 2 hours after the scheduled dose was due. What type of problem does this r
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B!
epresent?
* A. “Right time” problem
B ! B! B!
B. “Right dose” problem B! B!
C. “Right route” problem B! B!
D. “Right medication” problem B! B!
Correct Answer: A Explanation/Ra
B! B! B!
tionale:
ANS: A B !
“Right time” is correct because the medication was given more than 30 minutes after the sche
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B!
duled dose was due. “Dose” is incorrect because the dose is not related to the time the medic
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B!
ation administration is scheduled. “Route” is incorrect because the route is not affected.“Medic
B! B! B! B! B! B! B! B! B! B! B! B! B
!
ation” is incorrect because the medication ordered will not change.
B! B! B! B! B! B! B! B! B!
DIF: COGNITIVE LEVEL: Applying (Application) REF: B! B! B!
p. 13TOP: B! B
!
NURSING PROCESS: Implementation B! B!
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
B! B! B! B! B! B! B! B! B! B!
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: Active Date Created: 01/31/13 14:18:01 Date Modified:
B! B ! B
! B! B! B!
01/31/13 14:18:01 Date Used: Difficulty: Easy B! B! B!
Discrimination: Low
Item Analysis: Last
B! B!Item Analysis: Cumulative B! B!
No. of Students Responded: 0
B! B! No. of Students Responded: 0
B! B! B! B!
Correct Responses (%): B! Correct Responses (%):
B! B! B!
Total Group: B! 0.00 Total Group: 0.00 B!
Upper 27% of Group: 0.00
B! B!Upper 27% of Group:
B! 0.00 B! B! B!
Lower 27% of Group: 0.00
B! Lower 27% of Group:
B! B! 0.00 B! B! B!
Point Biserial: B! 0.00 Point Biserial: 0.00 B!
Response Frequencies (%) B! B!
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
, 3. Question Name: 0003 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
B! B! B! B! B! B! B! B! B! B! B!
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
B! B! B
! B! B! B! B! B! B!
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dos
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B!
e and documenting the patient’s therapeutic response to the medication. Which phase of the nurs
B! B! B! B! B! B! B! B! B! B! B! B! B! B!
ingprocess do these actions illustrate?
B
! B! B! B! B!
A. Nursing diagnosis B!
B. Planning
C. Implementation
* D. Evaluation
B!
Correct Answer: D Explanation/Ra
B! B! B!
tionale:
ANS: D B !
Monitoring the patient’s progress, including the patient’s response to the medication, is part o
B! B! B! B! B! B! B! B! B! B! B! B! B!
f the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by t
B! B! B! B! B! B! B! B! B! B! B! B! B!
hisexample. B
!
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: B! B! B!
p. 15TOP: B! B
!
NURSING PROCESS: Evaluation B! B!
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
B! B! B! B! B! B! B! B! B!
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: Active Date Created: 01/31/13 14:18:01 Date Modified: B! B ! B
! B! B! B!
01/31/13 14:18:01 Date Used: Difficulty: Easy B! B! B!
Discrimination: Low
Item Analysis: Last
B! Item Analysis: Cumulative
B! B! B!
No. of Students Responded: 0
B! B! No. of Students Responded: 0
B! B! B! B!
Correct Responses (%): B! Correct Responses (%): B! B! B!
Total Group: 0.00
B! Total Group: 0.00 B!
Upper 27% of Group: 0.00 B! Upper 27% of Group:
B! B! 0.00 B! B! B!
Lower 27% of Group: 0.00 B! Lower 27% of Group:
B! B! 0.00 B! B! B!
Point Biserial: B! 0.00 Point Biserial: 0.00 B!
Response Frequencies (%) B! B!
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
4. Question Name: 0004
B! B! Type: MC B! Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
B! B! B! B! B! B! B! B! B! B!
B! B! B! B! B! B! B! B! B!
Objective: Ch 01: The Nursing Process and Drug Therapy
B ! B! B! B! B! B! B! B!
1. Question Name: 0001 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
B! B! B! B! B! B! B! B! B! B! B!
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
B! B! B
! B! B! B! B! B! B!
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been ne
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B!
wlydiagnosed with type 2 diabetes. Which statement reflects the correct format for a nur
B
! B! B! B! B! B! B! B! B! B! B! B! B! B!
sing diagnosis? B!
A. Anxiety
B. Anxiety related to new drug therapy B! B! B! B! B!
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such
B! B! B! B! B! B! B! B! B! B! B! B! B!
as“I’m upset about having to test my blood sugars.”
B
! B! B! B! B! B! B! B! B!
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset abo
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B!
uthaving to test my blood sugars.”
B
! B! B! B! B! B!
Correct Answer: D Explanation/Ra
B! B! B!
tionale:
ANS: D B !
Formulation of nursing diagnoses is usually a three- B! B! B! B! B! B! B!
step process. “Anxiety” is missing the “related to” and “as evidenced by” portions of defining
B! B! B! B! B! B! B! B! B! B! B! B! B! B!
characteristics. “Anxiety related to new drug therapy” is missing the “as evidenced by” portio
B! B! B! B! B! B! B! B! B! B! B! B! B! B!
n of defining characteristics. The statementbeginning “Anxiety related to anxious feelings” is i
B! B! B! B! B! B
! B! B! B! B! B! B! B!
ncorrect because the “related to” section is simply a restatement of the problem “anxiety,” not
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B
a separate factor related to the response.
! B! B! B! B! B! B!
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: B! B! B!
p. 9TOP: B! B
!
NURSING PROCESS: Nursing Diagnosis B! B! B!
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
B! B! B! B! B! B! B! B! B!
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: Active Date Created: 01/31/13 14:18:01 Date Modified: B! B ! B
! B! B! B!
01/31/13 14:18:01 Date Used: Difficulty: Easy B! B! B!
Discrimination: Low
Item Analysis: Last
B! Item Analysis: Cumulative
B! B! B!
No. of Students Responded: 0
B! B! No. of Students Responded: 0
B! B! B! B!
Correct Responses (%): B! Correct Responses (%): B! B! B!
Total Group: 0.00 B! Total Group: 0.00 B!
Upper 27% of Group: 0.00 B! Upper 27% of Group:
B! B! 0.00 B! B! B!
Lower 27% of Group: 0.00 B! Lower 27% of Group:
B! B! 0.00 B! B! B!
Point Biserial: B! 0.00 Point Biserial: 0.00 B!
Response Frequencies (%) B! B!
, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
2. Question Name: 0002 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
B! B! B! B! B! B! B! B! B! B! B!
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
B! B! B
! B! B! B! B! B! B!
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy andg
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B
!
ave the medication 2 hours after the scheduled dose was due. What type of problem does this r
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B!
epresent?
* A. “Right time” problem
B ! B! B!
B. “Right dose” problem B! B!
C. “Right route” problem B! B!
D. “Right medication” problem B! B!
Correct Answer: A Explanation/Ra
B! B! B!
tionale:
ANS: A B !
“Right time” is correct because the medication was given more than 30 minutes after the sche
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B!
duled dose was due. “Dose” is incorrect because the dose is not related to the time the medic
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B!
ation administration is scheduled. “Route” is incorrect because the route is not affected.“Medic
B! B! B! B! B! B! B! B! B! B! B! B! B
!
ation” is incorrect because the medication ordered will not change.
B! B! B! B! B! B! B! B! B!
DIF: COGNITIVE LEVEL: Applying (Application) REF: B! B! B!
p. 13TOP: B! B
!
NURSING PROCESS: Implementation B! B!
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
B! B! B! B! B! B! B! B! B! B!
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: Active Date Created: 01/31/13 14:18:01 Date Modified:
B! B ! B
! B! B! B!
01/31/13 14:18:01 Date Used: Difficulty: Easy B! B! B!
Discrimination: Low
Item Analysis: Last
B! B!Item Analysis: Cumulative B! B!
No. of Students Responded: 0
B! B! No. of Students Responded: 0
B! B! B! B!
Correct Responses (%): B! Correct Responses (%):
B! B! B!
Total Group: B! 0.00 Total Group: 0.00 B!
Upper 27% of Group: 0.00
B! B!Upper 27% of Group:
B! 0.00 B! B! B!
Lower 27% of Group: 0.00
B! Lower 27% of Group:
B! B! 0.00 B! B! B!
Point Biserial: B! 0.00 Point Biserial: 0.00 B!
Response Frequencies (%) B! B!
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
, 3. Question Name: 0003 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
B! B! B! B! B! B! B! B! B! B! B!
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
B! B! B
! B! B! B! B! B! B!
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dos
B! B! B! B! B! B! B! B! B! B! B! B! B! B! B! B!
e and documenting the patient’s therapeutic response to the medication. Which phase of the nurs
B! B! B! B! B! B! B! B! B! B! B! B! B! B!
ingprocess do these actions illustrate?
B
! B! B! B! B!
A. Nursing diagnosis B!
B. Planning
C. Implementation
* D. Evaluation
B!
Correct Answer: D Explanation/Ra
B! B! B!
tionale:
ANS: D B !
Monitoring the patient’s progress, including the patient’s response to the medication, is part o
B! B! B! B! B! B! B! B! B! B! B! B! B!
f the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by t
B! B! B! B! B! B! B! B! B! B! B! B! B!
hisexample. B
!
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: B! B! B!
p. 15TOP: B! B
!
NURSING PROCESS: Evaluation B! B!
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
B! B! B! B! B! B! B! B! B!
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: Active Date Created: 01/31/13 14:18:01 Date Modified: B! B ! B
! B! B! B!
01/31/13 14:18:01 Date Used: Difficulty: Easy B! B! B!
Discrimination: Low
Item Analysis: Last
B! Item Analysis: Cumulative
B! B! B!
No. of Students Responded: 0
B! B! No. of Students Responded: 0
B! B! B! B!
Correct Responses (%): B! Correct Responses (%): B! B! B!
Total Group: 0.00
B! Total Group: 0.00 B!
Upper 27% of Group: 0.00 B! Upper 27% of Group:
B! B! 0.00 B! B! B!
Lower 27% of Group: 0.00 B! Lower 27% of Group:
B! B! 0.00 B! B! B!
Point Biserial: B! 0.00 Point Biserial: 0.00 B!
Response Frequencies (%) B! B!
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
4. Question Name: 0004
B! B! Type: MC B! Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
B! B! B! B! B! B! B! B! B! B!
