,Item Bank: Lilley Pharmacology and the Nursing Process 7th Ed
c c c c c c c c c
Objective: Ch 01: The Nursing Process and Drug Therapy
c c c c c c c c
1. Question Name: 0001
c Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
c c c c c c c c c c
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
c c c c c c c c c
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newlydiag
c c c c c c c c c c c c c c c c c c c
nosed with type 2 diabetes. Which statement reflects the correct format for a nursing diagnosis
c c c c c c c c c c c c c c
?
A. Anxiety
B. Anxiety related to new drug therapy c c c c c
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as“I’
c c c c c c c c c c c c c c
m upset about having to test my blood sugars.”
c c c c c c c c
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset abouthavi
c c c c c c c c c c c c c c c c
ng to test my blood sugars.”
c c c c c
Correct Answer: D Explanation/Rati
c c c
onale:
ANS: D c
Formulation of nursing diagnoses is usually a three- c c c c c c c
step process. “Anxiety” is missing the “related to” and “as evidenced by” portions of defining charac
c c c c c c c c c c c c c c c
teristics. “Anxiety related to new drug therapy” is missing the “as evidenced by” portion of defining
c c c c c c c c c c c c c c c c
characteristics. The statementbeginning “Anxiety related to anxious feelings” is incorrect because tc c c c c c c c c c c c
he “related to” section is simply a restatement of the problem “anxiety,” not a separate factor related t
c c c c c c c c c c c c c c c c c
o the response.
c c
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: c c c
p. 9TOP: c c
NURSING PROCESS: Nursing Diagnosis c c c
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
c c c c c c c c c
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: c c c c c c
01/31/13 14:18:01 Date Used: Difficulty: Easy c c c
Discrimination: Low
Item Analysis: Last
c Item Analysis: Cumulative
c c c
No. of Students Responded:
c 0c No. of Students Responded: 0 c c c c
Correct Responses (%): c Correct Responses (%): c c c
Total Group: 0.00 c Total Group: 0.00 c
Upper 27% of Group: 0.00 c Upper 27% of Group: 0.00
c c c c c
Lower 27% of Group: 0.00 c Lower 27% of Group: 0.00c c c c c
Point Biserial: c 0.00 Point Biserial: 0.00 c
Response Frequencies (%) c c
, 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
c Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
c c c c c c c c c c
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
c c c c c c c c c
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy andgave th
c c c c c c c c c c c c c c c c c c
e medication 2 hours after the scheduled dose was due. What type of problem does this represent?
c c c c c c c c c c c c c c c c
* A. “Right time” problem
c c c
B. “Right dose” problem c c
C. “Right route” problem c c
D. “Right medication” problem c c
Correct Answer: A Explanation/Rati
c c c
onale:
ANS: A c
“Right time” is correct because the medication was given more than 30 minutes after the scheduled d
c c c c c c c c c c c c c c c c
ose was due. “Dose” is incorrect because the dose is not related to the time the medication administra
c c c c c c c c c c c c c c c c c
tion is scheduled. “Route” is incorrect because the route is not affected.“Medication” is incorrect bec
c c c c c c c c c c c c c c c
ause the medication ordered will not change.
c c c c c c
DIF: COGNITIVE LEVEL: Applying (Application) REF: c c c
p. 13TOP: c c
NURSING PROCESS: Implementation c c
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
c c c c c c c c c c
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: c c c c c c
01/31/13 14:18:01 Date Used: Difficulty: Easy c c c
Discrimination: Low
Item Analysis: Last
c Item Analysis: Cumulative
c c c
No. of Students Responded:
c c 0 No. of Students Responded:
c 0 c c c
Correct Responses (%): c Correct Responses (%): c c c
Total Group: 0.00
c Total Group: 0.00 c
Upper 27% of Group: 0.00 c Upper 27% of Group:
c 0.00
c c c c
Lower 27% of Group: 0.00 c Lower 27% of Group:
c 0.00
c c c c
Point Biserial: c 0.00 Point Biserial: 0.00 c
Response Frequencies (%) c c
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
c Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
c c c c c c c c c c
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
c c c c c c c c c
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose and do
c c c c c c c c c c c c c c c c c c
cumenting the patient’s therapeutic response to the medication. Which phase of the nursingprocess do
c c c c c c c c c c c c c c c
these actions illustrate?
c c
A. Nursing diagnosis c
B. Planning
C. Implementation
* D. Evaluation
c
Correct Answer: D Explanation/Rati
c c c
onale:
ANS: D c
Monitoring the patient’s progress, including the patient’s response to the medication, is part of the e
c c c c c c c c c c c c c c c
valuation phase. Planning, implementation, and nursing diagnosis are not illustrated by thisexample
c c c c c c c c c c c c
.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: c c c
p. 15TOP: c c
NURSING PROCESS: Evaluation c c
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
c c c c c c c c c
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified:c c c c c c
01/31/13 14:18:01 Date Used: Difficulty: Easy c c c
Discrimination: Low
Item Analysis: Last
c c Item Analysis: Cumulative c c
No. of Students Responded:
c c 0 No. of Students Responded:
c 0 c c c
Correct Responses (%): c Correct Responses (%):
c c c
Total Group: c 0.00 Total Group: 0.00 c
Upper 27% of Group: 0.00
c cUpper 27% of Group:
c 0.00 c c c
Lower 27% of Group: 0.00
c cLower 27% of Group:
c 0.00 c c c
Point Biserial: c 0.00 Point Biserial: 0.00 c
Response Frequencies (%) c c
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
c c Type: MC c Objective: Ch 01: The Nursing Process and Drug Therapy
c c c c c c c c Item Bank: Lilley
c c
c c c c c c c c c
Objective: Ch 01: The Nursing Process and Drug Therapy
c c c c c c c c
1. Question Name: 0001
c Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
c c c c c c c c c c
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
c c c c c c c c c
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newlydiag
c c c c c c c c c c c c c c c c c c c
nosed with type 2 diabetes. Which statement reflects the correct format for a nursing diagnosis
c c c c c c c c c c c c c c
?
A. Anxiety
B. Anxiety related to new drug therapy c c c c c
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as“I’
c c c c c c c c c c c c c c
m upset about having to test my blood sugars.”
c c c c c c c c
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset abouthavi
c c c c c c c c c c c c c c c c
ng to test my blood sugars.”
c c c c c
Correct Answer: D Explanation/Rati
c c c
onale:
ANS: D c
Formulation of nursing diagnoses is usually a three- c c c c c c c
step process. “Anxiety” is missing the “related to” and “as evidenced by” portions of defining charac
c c c c c c c c c c c c c c c
teristics. “Anxiety related to new drug therapy” is missing the “as evidenced by” portion of defining
c c c c c c c c c c c c c c c c
characteristics. The statementbeginning “Anxiety related to anxious feelings” is incorrect because tc c c c c c c c c c c c
he “related to” section is simply a restatement of the problem “anxiety,” not a separate factor related t
c c c c c c c c c c c c c c c c c
o the response.
c c
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: c c c
p. 9TOP: c c
NURSING PROCESS: Nursing Diagnosis c c c
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
c c c c c c c c c
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: c c c c c c
01/31/13 14:18:01 Date Used: Difficulty: Easy c c c
Discrimination: Low
Item Analysis: Last
c Item Analysis: Cumulative
c c c
No. of Students Responded:
c 0c No. of Students Responded: 0 c c c c
Correct Responses (%): c Correct Responses (%): c c c
Total Group: 0.00 c Total Group: 0.00 c
Upper 27% of Group: 0.00 c Upper 27% of Group: 0.00
c c c c c
Lower 27% of Group: 0.00 c Lower 27% of Group: 0.00c c c c c
Point Biserial: c 0.00 Point Biserial: 0.00 c
Response Frequencies (%) c c
, 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
c Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
c c c c c c c c c c
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
c c c c c c c c c
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy andgave th
c c c c c c c c c c c c c c c c c c
e medication 2 hours after the scheduled dose was due. What type of problem does this represent?
c c c c c c c c c c c c c c c c
* A. “Right time” problem
c c c
B. “Right dose” problem c c
C. “Right route” problem c c
D. “Right medication” problem c c
Correct Answer: A Explanation/Rati
c c c
onale:
ANS: A c
“Right time” is correct because the medication was given more than 30 minutes after the scheduled d
c c c c c c c c c c c c c c c c
ose was due. “Dose” is incorrect because the dose is not related to the time the medication administra
c c c c c c c c c c c c c c c c c
tion is scheduled. “Route” is incorrect because the route is not affected.“Medication” is incorrect bec
c c c c c c c c c c c c c c c
ause the medication ordered will not change.
c c c c c c
DIF: COGNITIVE LEVEL: Applying (Application) REF: c c c
p. 13TOP: c c
NURSING PROCESS: Implementation c c
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
c c c c c c c c c c
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: c c c c c c
01/31/13 14:18:01 Date Used: Difficulty: Easy c c c
Discrimination: Low
Item Analysis: Last
c Item Analysis: Cumulative
c c c
No. of Students Responded:
c c 0 No. of Students Responded:
c 0 c c c
Correct Responses (%): c Correct Responses (%): c c c
Total Group: 0.00
c Total Group: 0.00 c
Upper 27% of Group: 0.00 c Upper 27% of Group:
c 0.00
c c c c
Lower 27% of Group: 0.00 c Lower 27% of Group:
c 0.00
c c c c
Point Biserial: c 0.00 Point Biserial: 0.00 c
Response Frequencies (%) c c
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
c Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
c c c c c c c c c c
Item Bank: LilleyPharmacology and the Nursing Process 7th Ed
c c c c c c c c c
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose and do
c c c c c c c c c c c c c c c c c c
cumenting the patient’s therapeutic response to the medication. Which phase of the nursingprocess do
c c c c c c c c c c c c c c c
these actions illustrate?
c c
A. Nursing diagnosis c
B. Planning
C. Implementation
* D. Evaluation
c
Correct Answer: D Explanation/Rati
c c c
onale:
ANS: D c
Monitoring the patient’s progress, including the patient’s response to the medication, is part of the e
c c c c c c c c c c c c c c c
valuation phase. Planning, implementation, and nursing diagnosis are not illustrated by thisexample
c c c c c c c c c c c c
.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: c c c
p. 15TOP: c c
NURSING PROCESS: Evaluation c c
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
c c c c c c c c c
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified:c c c c c c
01/31/13 14:18:01 Date Used: Difficulty: Easy c c c
Discrimination: Low
Item Analysis: Last
c c Item Analysis: Cumulative c c
No. of Students Responded:
c c 0 No. of Students Responded:
c 0 c c c
Correct Responses (%): c Correct Responses (%):
c c c
Total Group: c 0.00 Total Group: 0.00 c
Upper 27% of Group: 0.00
c cUpper 27% of Group:
c 0.00 c c c
Lower 27% of Group: 0.00
c cLower 27% of Group:
c 0.00 c c c
Point Biserial: c 0.00 Point Biserial: 0.00 c
Response Frequencies (%) c c
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
c c Type: MC c Objective: Ch 01: The Nursing Process and Drug Therapy
c c c c c c c c Item Bank: Lilley
c c
