PHARMACOLOGY AND THE NURSING PROCESS
9TH EDITION LILLEY’S TESTBANK/COMPLETE
GUIDE 2024/ALL CHAPTERS 1-58
, Chapter 01: The Nursing Process and Drug Therapy
MULTIPLE CHOICE
1. The caregiver is writing a nursing diagnosis for a plan of care for a outpatient who has
been newlydiagnosed with type 2 diabetes. Which statement reflects the correct format for
a nursing diagnosis?
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements
such as ―I‘m upset about having to test my blood sugars.
d. Anxiety related to new drug therapy, as evidenced by statements such as
―I‘m upset about having to test my blood sugars.
RIGHT CHOICE: D
Elaboration:->>>Formulation of nursing diagnoses is usually a three-step process. ―Anxiety is missing the
―related to and ―as evidenced by portions of defining characteristics. ―Anxiety related to new
drug therapy is missing the ―as evidenced by portion of defining characteristics. The
statement beginning ―Anxiety related to anxious feelings is incorrect because the ―related to
section is simply a restatement of the problem ―anxiety, not a separate factor related to the
response.
DIF: COGNITIVE LEVEL: Understanding
(Comprehension) TOP: NURSING PROCESS: Nursing
Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. The outpatient is to receive oral guaifenesin (Mucinex) twice a day. Today, the caregiver was
busy andgave the medication 2 hours after the scheduled dose was due. What type of problem
does this represent?
a. ―Right time
b. ―Right dose
c. ―Right route
d. ―Right medication
RIGHT CHOICE: A
Elaboration:->>>―Right time is correct because the medication was given more than 30 minutes
after the scheduled dose was due. ―Dose is incorrect because the dose is not related to the time the
medication administration is scheduled. ―Route is incorrect because the route is not affected.
―Medication is incorrect because the medication ordered will not change.
DIF: COGNITIVE LEVEL: Applying
(Application) TOP: NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
,3. The caregiver has been monitoring the outpatient‘s progress on a new drug regimen since the
first dose and documenting the outpatient‘s therapeutic response to the medication. Which
phase of thenursing process do these actions illustrate?
a. Nursing diagnosis
b. Planning
c. Implementation
d. Evaluation
RIGHT CHOICE: D
Elaboration:->>>Monitoring the outpatient‘s progress, including the outpatient‘s response to
the medication, is part ofthe evaluation phase. Planning, implementation, and nursing
diagnosis are not illustrated by this example.
DIF: COGNITIVE LEVEL: Understanding
(Comprehension) TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. The caregiver is assigned to a outpatient who is newly diagnosed with type 1 diabetes mellitus.
Whichstatement best illustrates an outcome criterion for this outpatient?
a. The outpatient will follow instructions.
b. The outpatient will not experience complications.
c. The outpatient will adhere to the new insulin treatment regimen.
d. The outpatient will demonstrate correct blood glucose testing technique.
RIGHT CHOICE: D
Elaboration:->>>―Demonstrating correct blood glucose testing technique is a specific and
measurable outcome criterion. ―Following instructions and ―not experiencing complications
are not specific criteria.
―Adhering to new regimen would be difficult to measure.
DIF: COGNITIVE LEVEL: Applying
(Application) TOP: NURSING PROCESS: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
5. Which activity best reflects the implementation phase of the nursing process for the
outpatient who is newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
b. Setting goals and outcome criteria with the outpatient‘s input
c. Recording a drug history regarding over-the-counter medications used at home
d. Formulating nursing diagnoses regarding deficient knowledge related to the
new treatment regimen
RIGHT CHOICE: A
Elaboration:->>>Education is an intervention that occurs during the implementation phase.
Setting goals andoutcomes reflects the planning phase. Recording a drug history reflects the
assessment phase. Formulating nursing diagnoses reflects analysis of data as part of
planning.
, DIF: COGNITIVE LEVEL: Applying
(Application) TOP: NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6. The medication order reads, ―Give ondright choiceetron (Zofran) 4 mg, 30 minutes before
beginningchemotherapy to prevent nausea. The caregiver notes that the route is missing
from the order. What is the caregiver‘s best action?
a. Give the medication intravenously because the outpatient might vomit.
b. Give the medication orally because the tablets are available in 4-mg doses.
c. Contact the prescriber to clarify the route of the medication ordered.
d. Hold the medication until the prescriber returns to make rounds.
RIGHT CHOICE: C
Elaboration:->>>A complete medication order includes the route of administration. If a
medication order does not include the route, the caregiver must ask the prescriber to clarify it.
The intravenous and oral routes are not interchangeable. Holding the medication until the
prescriber returns would meanthat the outpatient would not receive a needed medication.
DIF: COGNITIVE LEVEL: Applying
(Application) TOP: NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
7. When the caregiver considers the timing of a drug dose, which factor is appropriate to
consider when deciding when to give a drug?
a. The outpatient‘s ability to swallow
b. The outpatient‘s height
c. The outpatient‘s last meal
d. The outpatient‘s allergies
RIGHT CHOICE: C
Elaboration:->>>The caregiver must consider specific pharmacokinetic/pharmacodynamic
drug properties that may be affected by the timing of the last meal. The outpatient‘s ability to
swallow, height, and allergies are not factors to consider regarding the timing of the drug‘s
administration.
DIF: COGNITIVE LEVEL: Understanding
(Comprehension) TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
8. The caregiver is performing an assessment of a newly admitted outpatient. Which is an
example ofsubjective data?
a. Blood pressure 158/96 mm Hg
b. Weight 255 pounds
c. The outpatient reports that he uses the herbal product ginkgo.
d. The outpatient‘s laboratory work includes a complete blood count and urinalysis.
RIGHT CHOICE: C
Elaboration:->>>Subjective data include information shared through the spoken word by any
reliable source, suchas the outpatient. Objective data may be defined as any information
gathered through the senses or that which is seen, heard, felt, or smelled. A outpatient‘s blood
pressure, weight, and laboratory tests are all examples of objective data.
9TH EDITION LILLEY’S TESTBANK/COMPLETE
GUIDE 2024/ALL CHAPTERS 1-58
, Chapter 01: The Nursing Process and Drug Therapy
MULTIPLE CHOICE
1. The caregiver is writing a nursing diagnosis for a plan of care for a outpatient who has
been newlydiagnosed with type 2 diabetes. Which statement reflects the correct format for
a nursing diagnosis?
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements
such as ―I‘m upset about having to test my blood sugars.
d. Anxiety related to new drug therapy, as evidenced by statements such as
―I‘m upset about having to test my blood sugars.
RIGHT CHOICE: D
Elaboration:->>>Formulation of nursing diagnoses is usually a three-step process. ―Anxiety is missing the
―related to and ―as evidenced by portions of defining characteristics. ―Anxiety related to new
drug therapy is missing the ―as evidenced by portion of defining characteristics. The
statement beginning ―Anxiety related to anxious feelings is incorrect because the ―related to
section is simply a restatement of the problem ―anxiety, not a separate factor related to the
response.
DIF: COGNITIVE LEVEL: Understanding
(Comprehension) TOP: NURSING PROCESS: Nursing
Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. The outpatient is to receive oral guaifenesin (Mucinex) twice a day. Today, the caregiver was
busy andgave the medication 2 hours after the scheduled dose was due. What type of problem
does this represent?
a. ―Right time
b. ―Right dose
c. ―Right route
d. ―Right medication
RIGHT CHOICE: A
Elaboration:->>>―Right time is correct because the medication was given more than 30 minutes
after the scheduled dose was due. ―Dose is incorrect because the dose is not related to the time the
medication administration is scheduled. ―Route is incorrect because the route is not affected.
―Medication is incorrect because the medication ordered will not change.
DIF: COGNITIVE LEVEL: Applying
(Application) TOP: NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
,3. The caregiver has been monitoring the outpatient‘s progress on a new drug regimen since the
first dose and documenting the outpatient‘s therapeutic response to the medication. Which
phase of thenursing process do these actions illustrate?
a. Nursing diagnosis
b. Planning
c. Implementation
d. Evaluation
RIGHT CHOICE: D
Elaboration:->>>Monitoring the outpatient‘s progress, including the outpatient‘s response to
the medication, is part ofthe evaluation phase. Planning, implementation, and nursing
diagnosis are not illustrated by this example.
DIF: COGNITIVE LEVEL: Understanding
(Comprehension) TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. The caregiver is assigned to a outpatient who is newly diagnosed with type 1 diabetes mellitus.
Whichstatement best illustrates an outcome criterion for this outpatient?
a. The outpatient will follow instructions.
b. The outpatient will not experience complications.
c. The outpatient will adhere to the new insulin treatment regimen.
d. The outpatient will demonstrate correct blood glucose testing technique.
RIGHT CHOICE: D
Elaboration:->>>―Demonstrating correct blood glucose testing technique is a specific and
measurable outcome criterion. ―Following instructions and ―not experiencing complications
are not specific criteria.
―Adhering to new regimen would be difficult to measure.
DIF: COGNITIVE LEVEL: Applying
(Application) TOP: NURSING PROCESS: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
5. Which activity best reflects the implementation phase of the nursing process for the
outpatient who is newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
b. Setting goals and outcome criteria with the outpatient‘s input
c. Recording a drug history regarding over-the-counter medications used at home
d. Formulating nursing diagnoses regarding deficient knowledge related to the
new treatment regimen
RIGHT CHOICE: A
Elaboration:->>>Education is an intervention that occurs during the implementation phase.
Setting goals andoutcomes reflects the planning phase. Recording a drug history reflects the
assessment phase. Formulating nursing diagnoses reflects analysis of data as part of
planning.
, DIF: COGNITIVE LEVEL: Applying
(Application) TOP: NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6. The medication order reads, ―Give ondright choiceetron (Zofran) 4 mg, 30 minutes before
beginningchemotherapy to prevent nausea. The caregiver notes that the route is missing
from the order. What is the caregiver‘s best action?
a. Give the medication intravenously because the outpatient might vomit.
b. Give the medication orally because the tablets are available in 4-mg doses.
c. Contact the prescriber to clarify the route of the medication ordered.
d. Hold the medication until the prescriber returns to make rounds.
RIGHT CHOICE: C
Elaboration:->>>A complete medication order includes the route of administration. If a
medication order does not include the route, the caregiver must ask the prescriber to clarify it.
The intravenous and oral routes are not interchangeable. Holding the medication until the
prescriber returns would meanthat the outpatient would not receive a needed medication.
DIF: COGNITIVE LEVEL: Applying
(Application) TOP: NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
7. When the caregiver considers the timing of a drug dose, which factor is appropriate to
consider when deciding when to give a drug?
a. The outpatient‘s ability to swallow
b. The outpatient‘s height
c. The outpatient‘s last meal
d. The outpatient‘s allergies
RIGHT CHOICE: C
Elaboration:->>>The caregiver must consider specific pharmacokinetic/pharmacodynamic
drug properties that may be affected by the timing of the last meal. The outpatient‘s ability to
swallow, height, and allergies are not factors to consider regarding the timing of the drug‘s
administration.
DIF: COGNITIVE LEVEL: Understanding
(Comprehension) TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
8. The caregiver is performing an assessment of a newly admitted outpatient. Which is an
example ofsubjective data?
a. Blood pressure 158/96 mm Hg
b. Weight 255 pounds
c. The outpatient reports that he uses the herbal product ginkgo.
d. The outpatient‘s laboratory work includes a complete blood count and urinalysis.
RIGHT CHOICE: C
Elaboration:->>>Subjective data include information shared through the spoken word by any
reliable source, suchas the outpatient. Objective data may be defined as any information
gathered through the senses or that which is seen, heard, felt, or smelled. A outpatient‘s blood
pressure, weight, and laboratory tests are all examples of objective data.
