,Chapter 01: Pharmacology and the Nursing Process in LPN Practice Visovsky: Introd
Pharmacology, 10th Edition
MULTIPLE CHOICE
1. The LPN is collecting data for the initial assessment of a patient upon admission to a
before giving the patient’s prescribed drugs. Which action should the LPN consider to
priority? a. Obtain any special equipment that will be needed to give the patient’s d
b. Monitor the patient for a response to the drug given.
c. Collect data about the patient and the patient’s health condition.
d. Review the nursing care plan to verify that it is accurate.
ANS: C
Collecting and documenting data about the patient and the patient’s health conditio
before any drugs are given. Information regarding the present illness, any signs and
medical records, drug history, and vital signs are needed before drugs are given. Dec
equipment that will be needed to give the patient’s drug is part of the planning phas
process. Monitoring the patient for his response to given drug is part of the evaluatio
process. Reviewing the nursing care plan to verify that it is being followed accurately
implementation stage of the nursing process.
DIF: Cognitive Level: Applying REF: p. 2
2. The LPN is working with a patient in the planning stage of the nursing process related
prescribed drugs. Which action should the LPN take during this stage?
a. Develop a nursing goal to plan the procedures needed to give drug.
b. Develop a teaching plan for the patient regarding the drug’s actions.
c. Determine that the patient is experiencing the expected response to his drug.
d. Determine how much the patient understands about his drug.
, d. Diagnosis
ANS: C
In the evaluation phase of the nursing process, the LPN understands and teaches to
therapeutic effects, expected side effects, and potential adverse effects.
DIF: Cognitive Level: Remembering REF: p. 2
4. Which of the following is an example of subjective data?
a. The patient states she has pain in her left arm.
b. The medical chart has a recorded blood pressure of 128/88.
c. The serum potassium level is 3.8 mmol/L.
d. The patient’s ECG shows normal sinus rhythm.
ANS: A
Reports from the patient or patient’s caregiver are considered subjective data. Sympt
nausea, or dizziness are examples of symptoms that cannot be “seen” and are data c
patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from
examples of objective data.
DIF: Cognitive Level: Remembering REF: p. 2
5. Which statement provides an example of objective data?
a. The wife states the patient was confused last night.
b. Grimacing with movement is present during the examination.
c. The patient reports moderate alcohol consumption.
d. The patient states pain is severe.
ANS: B
Measurable data obtained during a physical exam such as grimacing with movemen
objective data. Subjective data includes information presented by the patient or fam
substantiated such as a wife’s report of a patient’s confusion, patient report of degre
consumption, and a patient’s pain rating.
, DIF: Cognitive Level: Remembering REF: p. 4
7. The LPN is collecting objective data for inclusion in the nursing assessment. Which pi
indicates that the LPN has a clear understanding of objective assessment data?
a. A patient’s rating of chest pain as 8 on a 1 to 10 scale.
b. Family members report that patient has been experiencing pain for 1 month.
c. Detailed history of the patient’s current illness upon admission.
d. Compilation of past laboratory results and x-ray reports.
ANS: D
The patient’s past laboratory and x-ray results are examples of objective data. A pain
family member’s description of the patient’s pain, and history of current illness are e
data.
DIF: Cognitive Level: Remembering REF: p. 3
8. A patient recently began a taking blood pressure drug and presents for a follow-up ap
nurse reviews the patient’s daily blood pressure recordings. Which stage of the nursin
to this review? a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: D
The evaluation phase involves examining the results that occur when the plan is imp
the patient’s daily blood pressure recording examines the patient’s response to the d
phase provides initial information about the patient, the problem, and anything that
choice of treatment. The planning phase involves using patient assessment data and
and write care plans. The diagnosis phase involves decision-making about the patien
including medical diagnoses made by the healthcare provider and nursing diagnoses
the North American Nursing Diagnosis Association (NANDA).
Pharmacology, 10th Edition
MULTIPLE CHOICE
1. The LPN is collecting data for the initial assessment of a patient upon admission to a
before giving the patient’s prescribed drugs. Which action should the LPN consider to
priority? a. Obtain any special equipment that will be needed to give the patient’s d
b. Monitor the patient for a response to the drug given.
c. Collect data about the patient and the patient’s health condition.
d. Review the nursing care plan to verify that it is accurate.
ANS: C
Collecting and documenting data about the patient and the patient’s health conditio
before any drugs are given. Information regarding the present illness, any signs and
medical records, drug history, and vital signs are needed before drugs are given. Dec
equipment that will be needed to give the patient’s drug is part of the planning phas
process. Monitoring the patient for his response to given drug is part of the evaluatio
process. Reviewing the nursing care plan to verify that it is being followed accurately
implementation stage of the nursing process.
DIF: Cognitive Level: Applying REF: p. 2
2. The LPN is working with a patient in the planning stage of the nursing process related
prescribed drugs. Which action should the LPN take during this stage?
a. Develop a nursing goal to plan the procedures needed to give drug.
b. Develop a teaching plan for the patient regarding the drug’s actions.
c. Determine that the patient is experiencing the expected response to his drug.
d. Determine how much the patient understands about his drug.
, d. Diagnosis
ANS: C
In the evaluation phase of the nursing process, the LPN understands and teaches to
therapeutic effects, expected side effects, and potential adverse effects.
DIF: Cognitive Level: Remembering REF: p. 2
4. Which of the following is an example of subjective data?
a. The patient states she has pain in her left arm.
b. The medical chart has a recorded blood pressure of 128/88.
c. The serum potassium level is 3.8 mmol/L.
d. The patient’s ECG shows normal sinus rhythm.
ANS: A
Reports from the patient or patient’s caregiver are considered subjective data. Sympt
nausea, or dizziness are examples of symptoms that cannot be “seen” and are data c
patient, caregiver, or others. Laboratory values, ECG results, or vital sign data from
examples of objective data.
DIF: Cognitive Level: Remembering REF: p. 2
5. Which statement provides an example of objective data?
a. The wife states the patient was confused last night.
b. Grimacing with movement is present during the examination.
c. The patient reports moderate alcohol consumption.
d. The patient states pain is severe.
ANS: B
Measurable data obtained during a physical exam such as grimacing with movemen
objective data. Subjective data includes information presented by the patient or fam
substantiated such as a wife’s report of a patient’s confusion, patient report of degre
consumption, and a patient’s pain rating.
, DIF: Cognitive Level: Remembering REF: p. 4
7. The LPN is collecting objective data for inclusion in the nursing assessment. Which pi
indicates that the LPN has a clear understanding of objective assessment data?
a. A patient’s rating of chest pain as 8 on a 1 to 10 scale.
b. Family members report that patient has been experiencing pain for 1 month.
c. Detailed history of the patient’s current illness upon admission.
d. Compilation of past laboratory results and x-ray reports.
ANS: D
The patient’s past laboratory and x-ray results are examples of objective data. A pain
family member’s description of the patient’s pain, and history of current illness are e
data.
DIF: Cognitive Level: Remembering REF: p. 3
8. A patient recently began a taking blood pressure drug and presents for a follow-up ap
nurse reviews the patient’s daily blood pressure recordings. Which stage of the nursin
to this review? a. Assessment
b. Planning
c. Diagnosis
d. Evaluation
ANS: D
The evaluation phase involves examining the results that occur when the plan is imp
the patient’s daily blood pressure recording examines the patient’s response to the d
phase provides initial information about the patient, the problem, and anything that
choice of treatment. The planning phase involves using patient assessment data and
and write care plans. The diagnosis phase involves decision-making about the patien
including medical diagnoses made by the healthcare provider and nursing diagnoses
the North American Nursing Diagnosis Association (NANDA).
