TestBankPharmacologyAPatient-Centered
NursingProcessApproach,11thEditionbyLinda
E.McCuistionChapter1-58A+Guiderevised Chapter01:TheNursingProcessandPatient-CenteredCare
McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,11thEdition
MULTIPLECHOICE
1.A5-year-oldchildwithtype1diabetesmellitushashadrepeatedhospitalizationsforepisodesof
hyperglycemia.Theparentstellthenursethattheycan’tkeeptrackofeverythingthathastobe
donetocarefortheirchild.Thenursereviewsmedications,diet,andsymptommanagementwith
theparentsanddrawsupadailychecklistforthefamilytouse.Theseactivitiesarecompletedin
whichstepofthenursingprocess?
a.Recognizingcues(assessment)
b.Analyzecues&prioritizehypothesis(analysis)
c.Generatesolutions(planning)
d.Takeaction(nursinginterventions)
ANS:D
Takingactionthroughnursinginterventionsiswherethenurseprovidespatienthealthteaching,
drugadministration,patientcare,andotherinterventionsnecessarytoassistthepatientin
accomplishingexpectedoutcomes.
DIF:CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:NursingIntervention
MSC:NCLEX:ManagementofClientCare
2.Allofthefollowingwouldbeconsideredsubjectivedata,EXCEPT:
a.Patient-reportedhealthhistory
b.Patient-reportedsignsandsymptomsoftheirillness
c.Financialbarriersreportedbythepatient’scaregiver
d.Vitalsignsobtainedfromthemedicalrecord
ANS:D
Subjectivedataisbasedonwhatpatientsorfamilymemberscommunicatetothenurse.Patient-
reportedhealthhistory,signsandsymptoms,andcaregiverreportedfinancialbarrierswouldbe
consideredsubjectivedata.Vitalsignsobtainedfromthemedicalrecordwouldbeconsidered
objectivedata.
DIF:CognitiveLevel:Understanding(Comprehension)TOP:NursingProcess:Planning
MSC:NCLEX:ManagementofClientCare
3.Thenurseisusingdatacollectedtodefineasetofinterventionstoachievethemostdesirable
outcomes.Whichofthefollowingstepsisthenurseapplying?
a.Recognizingcues(assessment)
b.Analyzecues&prioritizehypothesis(analysis)
c.Generatesolutions(planning)
d.Takeaction(nursinginterventions)
ANS:C
Whengeneratingsolutions(planning),thenurseidentifiesexpectedoutcomesandusesthe
patient’sproblem(s)todefineasetofinterventionstoachievethemostdesirableoutcomes.
Recognizingcues(assessment)involvesthegatheringofcues(information)fromthepatient
abouttheirhealthandlifestylepractices,whichareimportantfactsthataidthenurseinmaking
clinicalcaredecisions.Prioritizinghypothesisisusedtoorganizeandrankthepatientproblem(s)
identified.Finally,takingactioninvolvesimplementationofnursinginterventionstoaccomplish
theexpectedoutcomes.
DIF:CognitiveLevel:Understanding(Comprehension) TOP:NursingProcess:NursingIntervention
MSC:NCLEX:ManagementofClientCare
4.Thenurseispreparingtoadministeramedicationandreviewsthepatient’schartfordrug
allergies,serumcreatinine,andbloodureanitrogen(BUN)levels.Thenurse’sactionsare
reflectiveofwhichofthefollowing?
a.Recognizingcues(assessment)
b.Analyzecues&prioritizehypothesis(analysis)
c.Takeaction(nursinginterventions)
d.Generatesolutions(planning)
ANS:A
Recognizingcues(assessment)involvesgatheringsubjectiveandobjectiveinformationaboutthe
patientandthemedication.Laboratoryvaluesfromthepatient’schartwouldbeconsidered
collectionofobjectivedata.
DIF:CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:AssessmentMSC:NCLEX:ManagementofClientCare
5.Whichofthefollowingwouldbecorrectlycategorizedasobjectivedata?
a.Alistofherbalsupplementsregularlyusedprovidedbythepatient.
b.Labvaluesassociatedwiththedrugsthepatientistaking.
c.Theagesandrelationshipofallhouseholdmemberstothepatient.
d.Usualdietarypatternsandfoodintake.
ANS:B
Objectivedataaremeasuredanddetectedbyanotherpersonandwouldincludelabvalues.The
otherexamplesaresubjectivedata.
DIF:CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:AssessmentMSC:NCLEX:ManagementofClientCare
6.Thenursereviewsapatient’sdatabaseandlearnsthatthepatientlivesalone,isforgetful,and
doesnothaveanestablishedroutine.Thepatientwillbesenthomewiththreenewmedications
tobetakenatdifferenttimesoftheday.Thenursedevelopsadailymedicationchartandenlists
afamilymembertoputthepatient’spillsinapillorganizer.Thisisanexampleofwhich
elementofthenursingprocess?
a.Recognizingcues(assessment)
b.Analyzecues&prioritizehypothesis(analysis)
c.Takeaction(nursinginterventions) d.Generatesolutions(planning)
ANS:C
Takingaction(nursinginterventions)involveseducationandpatientcareinordertoassistthe
patienttoaccomplishthegoalsoftreatment.
DIF:CognitiveLevel:Applying(Application)
TOP:NursingProcess:NursingIntervention
MSC:NCLEX:ManagementofClientCare
7.Apatientwhoishospitalizedforchronicobstructivepulmonarydisease(COPD)wantstogo
home.Thenurseandthepatientdiscussthepatient’ssituationanddecidethatthepatientmaygo
homewhenabletoperformself-carewithoutdyspneaandhypoxia.Thisisanexampleofwhich
phaseofthenursingprocess?
a.Recognizingcues(assessment)
b.Analyzecues&prioritizehypothesis(analysis)
c.Takeaction(nursinginterventions)
d.Generatesolutions(planning)
ANS:D
Generatingsolutions(planning)involvesdefiningasetofinterventionstoachievethemost
desirableoutcomes,which,forthispatient,meansbeingabletoperformself-careactivities
withoutdyspneaandhypoxia.
DIF:CognitiveLevel:Understanding(Comprehension) TOP:NursingProcess:Planning
MSC:NCLEX:ManagementofClientCare
8.Apatientwillbesenthomewithametered-doseinhaler,andthenurseisprovidingteaching.
Whichisacorrectlywrittenexpectedoutcomeforthisprocess?
a.Thenursewilldemonstratethecorrectuseofametered-doseinhalertothepatient.
b.Thenursewillteachthepatienthowtoadministermedicationwithametered-dose
inhaler.
c.Thepatientwillknowhowtoself-administerthemedicationusingthemetered-
doseinhaler.
d.Thepatientwillindependentlyadministerthemedicationusingthemetered-dose
inhalerattheendofthesession.
ANS:D
Expectedoutcomesmustbepatient-centeredandclearlystatetheoutcomewithareasonable
deadlineandshouldidentifycomponentsforevaluation.
DIF:CognitiveLevel:Applying(Application) TOP:NursingProcess:Planning
MSC:NCLEX:ManagementofClientCare
9.Thenurseisgeneratingsolutions(planning)forapatientwhohaschroniclungdiseaseand
hypoxia.Thepatienthasbeenadmittedforincreasedoxygenneedsaboveabaselineof2L/min.
Thenursegeneratesanexpectedoutcomesstating,“Thepatientwillhaveoxygensaturationsof
>95%onroomairatthetimeofdischargefromthehospital.”Whatiswrongwiththisgoal?
a.Itcannotbeevaluated.
NursingProcessApproach,11thEditionbyLinda
E.McCuistionChapter1-58A+Guiderevised Chapter01:TheNursingProcessandPatient-CenteredCare
McCuistion:Pharmacology:APatient-CenteredNursingProcessApproach,11thEdition
MULTIPLECHOICE
1.A5-year-oldchildwithtype1diabetesmellitushashadrepeatedhospitalizationsforepisodesof
hyperglycemia.Theparentstellthenursethattheycan’tkeeptrackofeverythingthathastobe
donetocarefortheirchild.Thenursereviewsmedications,diet,andsymptommanagementwith
theparentsanddrawsupadailychecklistforthefamilytouse.Theseactivitiesarecompletedin
whichstepofthenursingprocess?
a.Recognizingcues(assessment)
b.Analyzecues&prioritizehypothesis(analysis)
c.Generatesolutions(planning)
d.Takeaction(nursinginterventions)
ANS:D
Takingactionthroughnursinginterventionsiswherethenurseprovidespatienthealthteaching,
drugadministration,patientcare,andotherinterventionsnecessarytoassistthepatientin
accomplishingexpectedoutcomes.
DIF:CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:NursingIntervention
MSC:NCLEX:ManagementofClientCare
2.Allofthefollowingwouldbeconsideredsubjectivedata,EXCEPT:
a.Patient-reportedhealthhistory
b.Patient-reportedsignsandsymptomsoftheirillness
c.Financialbarriersreportedbythepatient’scaregiver
d.Vitalsignsobtainedfromthemedicalrecord
ANS:D
Subjectivedataisbasedonwhatpatientsorfamilymemberscommunicatetothenurse.Patient-
reportedhealthhistory,signsandsymptoms,andcaregiverreportedfinancialbarrierswouldbe
consideredsubjectivedata.Vitalsignsobtainedfromthemedicalrecordwouldbeconsidered
objectivedata.
DIF:CognitiveLevel:Understanding(Comprehension)TOP:NursingProcess:Planning
MSC:NCLEX:ManagementofClientCare
3.Thenurseisusingdatacollectedtodefineasetofinterventionstoachievethemostdesirable
outcomes.Whichofthefollowingstepsisthenurseapplying?
a.Recognizingcues(assessment)
b.Analyzecues&prioritizehypothesis(analysis)
c.Generatesolutions(planning)
d.Takeaction(nursinginterventions)
ANS:C
Whengeneratingsolutions(planning),thenurseidentifiesexpectedoutcomesandusesthe
patient’sproblem(s)todefineasetofinterventionstoachievethemostdesirableoutcomes.
Recognizingcues(assessment)involvesthegatheringofcues(information)fromthepatient
abouttheirhealthandlifestylepractices,whichareimportantfactsthataidthenurseinmaking
clinicalcaredecisions.Prioritizinghypothesisisusedtoorganizeandrankthepatientproblem(s)
identified.Finally,takingactioninvolvesimplementationofnursinginterventionstoaccomplish
theexpectedoutcomes.
DIF:CognitiveLevel:Understanding(Comprehension) TOP:NursingProcess:NursingIntervention
MSC:NCLEX:ManagementofClientCare
4.Thenurseispreparingtoadministeramedicationandreviewsthepatient’schartfordrug
allergies,serumcreatinine,andbloodureanitrogen(BUN)levels.Thenurse’sactionsare
reflectiveofwhichofthefollowing?
a.Recognizingcues(assessment)
b.Analyzecues&prioritizehypothesis(analysis)
c.Takeaction(nursinginterventions)
d.Generatesolutions(planning)
ANS:A
Recognizingcues(assessment)involvesgatheringsubjectiveandobjectiveinformationaboutthe
patientandthemedication.Laboratoryvaluesfromthepatient’schartwouldbeconsidered
collectionofobjectivedata.
DIF:CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:AssessmentMSC:NCLEX:ManagementofClientCare
5.Whichofthefollowingwouldbecorrectlycategorizedasobjectivedata?
a.Alistofherbalsupplementsregularlyusedprovidedbythepatient.
b.Labvaluesassociatedwiththedrugsthepatientistaking.
c.Theagesandrelationshipofallhouseholdmemberstothepatient.
d.Usualdietarypatternsandfoodintake.
ANS:B
Objectivedataaremeasuredanddetectedbyanotherpersonandwouldincludelabvalues.The
otherexamplesaresubjectivedata.
DIF:CognitiveLevel:Understanding(Comprehension)
TOP:NursingProcess:AssessmentMSC:NCLEX:ManagementofClientCare
6.Thenursereviewsapatient’sdatabaseandlearnsthatthepatientlivesalone,isforgetful,and
doesnothaveanestablishedroutine.Thepatientwillbesenthomewiththreenewmedications
tobetakenatdifferenttimesoftheday.Thenursedevelopsadailymedicationchartandenlists
afamilymembertoputthepatient’spillsinapillorganizer.Thisisanexampleofwhich
elementofthenursingprocess?
a.Recognizingcues(assessment)
b.Analyzecues&prioritizehypothesis(analysis)
c.Takeaction(nursinginterventions) d.Generatesolutions(planning)
ANS:C
Takingaction(nursinginterventions)involveseducationandpatientcareinordertoassistthe
patienttoaccomplishthegoalsoftreatment.
DIF:CognitiveLevel:Applying(Application)
TOP:NursingProcess:NursingIntervention
MSC:NCLEX:ManagementofClientCare
7.Apatientwhoishospitalizedforchronicobstructivepulmonarydisease(COPD)wantstogo
home.Thenurseandthepatientdiscussthepatient’ssituationanddecidethatthepatientmaygo
homewhenabletoperformself-carewithoutdyspneaandhypoxia.Thisisanexampleofwhich
phaseofthenursingprocess?
a.Recognizingcues(assessment)
b.Analyzecues&prioritizehypothesis(analysis)
c.Takeaction(nursinginterventions)
d.Generatesolutions(planning)
ANS:D
Generatingsolutions(planning)involvesdefiningasetofinterventionstoachievethemost
desirableoutcomes,which,forthispatient,meansbeingabletoperformself-careactivities
withoutdyspneaandhypoxia.
DIF:CognitiveLevel:Understanding(Comprehension) TOP:NursingProcess:Planning
MSC:NCLEX:ManagementofClientCare
8.Apatientwillbesenthomewithametered-doseinhaler,andthenurseisprovidingteaching.
Whichisacorrectlywrittenexpectedoutcomeforthisprocess?
a.Thenursewilldemonstratethecorrectuseofametered-doseinhalertothepatient.
b.Thenursewillteachthepatienthowtoadministermedicationwithametered-dose
inhaler.
c.Thepatientwillknowhowtoself-administerthemedicationusingthemetered-
doseinhaler.
d.Thepatientwillindependentlyadministerthemedicationusingthemetered-dose
inhalerattheendofthesession.
ANS:D
Expectedoutcomesmustbepatient-centeredandclearlystatetheoutcomewithareasonable
deadlineandshouldidentifycomponentsforevaluation.
DIF:CognitiveLevel:Applying(Application) TOP:NursingProcess:Planning
MSC:NCLEX:ManagementofClientCare
9.Thenurseisgeneratingsolutions(planning)forapatientwhohaschroniclungdiseaseand
hypoxia.Thepatienthasbeenadmittedforincreasedoxygenneedsaboveabaselineof2L/min.
Thenursegeneratesanexpectedoutcomesstating,“Thepatientwillhaveoxygensaturationsof
>95%onroomairatthetimeofdischargefromthehospital.”Whatiswrongwiththisgoal?
a.Itcannotbeevaluated.
