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Pharmacology Pharmacology
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Lilley Pharmacology andLilley
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Pharmacology
Nursing
Pharmacology
Process,
andand
the
10th
the
Nursing
Edition.pdfhttps://www.stuvia.com/user/filwe1099salmin
Nursing
Process,
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Chapter 01: The Nursing Process and Drug Therapy
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse is developing a human needs statement for a patient who has a new diagnosis of heart failure.
Identification of human needs statements occur with which of these activities?
a. Collection of patient data
b. Administering interventions
c. Deciding on patient outcomes
d. Documenting the patient‘s behavior
ANSWER: A
Identification of human needs occurs with the collection of patient data.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Human Needs Statement
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and gave 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
ANSWER: A
―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 nurse has been monitoring the patient‘s progress on a new drug regimen since the first dose and
documenting the patient‘s therapeutic response to the medication. Which phase of the nursing process do
these actions illustrate?
a. Human needs statement
b. Planning
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Pharmacology
Nursing
Pharmacology
Process,
andand
the
10th
the
Nursing
Edition.pdfhttps://www.stuvia.com/user/filwe1099salmin
Nursing
Process,
Process,
10th10th
Edition.pdf
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c. Implementation
d. Evaluation
ANSWER: D
Monitoring the patient‘s progress, including the patient‘s response to the medication, is part of the
evaluation phase. Planning, implementation, and human needs statement 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 nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus. Which statement
best illustrates an outcome criterion for this patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient will adhere to the new insulin treatment regimen.
d. The patient will demonstrate correct blood glucose testing technique.
ANSWER: D
―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 patient 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 patient‘s input
c. Recording a drug history regarding over-the-counter medications used at home
d. Formulating human needs statements regarding deficient knowledge related to the new treatment
regimen
ANSWER: A
Education is an intervention that occurs during the implementation phase. Setting goals and outcomes
reflects the planning phase. Recording a drug history reflects the assessment phase. Formulating human
needs statements reflects analysis of data as part of planning.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Implementation
Lilley Pharmacology andhttps://www.stuvia.com/user/filwe1099salminLilley
the Nursing Process, 10th Edition.pdf Pharmacology and the Nursing
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Process, 10th Edition.pdf of 350
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Lilley Pharmacology andLilley
the
Pharmacology
Nursing
Pharmacology
Process,
andand
the
10th
the
Nursing
Edition.pdfhttps://www.stuvia.com/user/filwe1099salmin
Nursing
Process,
Process,
10th10th
Edition.pdf
Edition.pdfhttps://www.stuvia.com/user/filwe1099salmin
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6. The medication order reads, ―Give ondansetron 4 mg, 30 minutes before beginning chemotherapy to
prevent nausea. The nurse notes that the route is missing from the order. What is the nurse‘s best action?
a. Give the medication intravenously because the patient 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.
ANSWER: C
A complete medication order includes the route of administration. If a medication order does not include
the route, the nurse must ask the prescriber to clarify it. The intravenous and oral routes are not
interchangeable. Holding the medication until the prescriber returns would mean that the patient 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 nurse considers the timing of a drug dose, which factor is appropriate to consider when deciding
when to give a drug?
a. The patient‘s ability to swallow
b. The patient‘s height
c. The patient‘s last meal
d. The patient‘s allergies
ANSWER: C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that may be affected
by the timing of the last meal. The patient‘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 nurse is performing an assessment of a newly admitted patient. Which is an example of subjective
data?
a. Weight 155 pounds
b. Pulse 72 beats/minute
c. The patient reports that he uses the herbal product ginkgo
d. The patient‘s complete blood count results
Lilley Pharmacology andhttps://www.stuvia.com/user/filwe1099salminLilley
the Nursing Process, 10th Edition.pdf Pharmacology and the Nursing
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Process, 10th Edition.pdf of 350
Pharmacology Pharmacology
and the Nursing
and
Process,
the Nursing
10thand
Edition
Process,
the Nursing
–
10th
Lilley
Edition
Process,
– Test
–10th
Lilley
Bank.pdfhttps://www.stuvia.com/user/filwe1099salmin
Edition
– Test
–Bank.pdfhttps://www.stuvia.com/user/filwe1099salmin
Lilley – Test Bank.pdf
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Lilley Pharmacology andLilley
the
Pharmacology
Nursing
Pharmacology
Process,
andand
the
10th
the
Nursing
Edition.pdfhttps://www.stuvia.com/user/filwe1099salmin
Nursing
Process,
Process,
10th10th
Edition.pdf
Edition.pdfhttps://www.stuvia.com/user/filwe1099salmin
Chapter 01: The Nursing Process and Drug Therapy
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. The nurse is developing a human needs statement for a patient who has a new diagnosis of heart failure.
Identification of human needs statements occur with which of these activities?
a. Collection of patient data
b. Administering interventions
c. Deciding on patient outcomes
d. Documenting the patient‘s behavior
ANSWER: A
Identification of human needs occurs with the collection of patient data.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Human Needs Statement
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and gave 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
ANSWER: A
―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 nurse has been monitoring the patient‘s progress on a new drug regimen since the first dose and
documenting the patient‘s therapeutic response to the medication. Which phase of the nursing process do
these actions illustrate?
a. Human needs statement
b. Planning
Lilley Pharmacology andhttps://www.stuvia.com/user/filwe1099salminLilley
the Nursing Process, 10th Edition.pdf Pharmacology and the Nursing
https://www.stuvia.com/user/filwe1099salmin2
Process, 10th Edition.pdf of 350
,https://www.stuvia.com/user/filwe1099salminLilley
Lilley Pharmacology andLilley
the
Pharmacology
Nursing
Pharmacology
Process,
andand
the
10th
the
Nursing
Edition.pdfhttps://www.stuvia.com/user/filwe1099salmin
Nursing
Process,
Process,
10th10th
Edition.pdf
Edition.pdfhttps://www.stuvia.com/user/filwe1099salmin
c. Implementation
d. Evaluation
ANSWER: D
Monitoring the patient‘s progress, including the patient‘s response to the medication, is part of the
evaluation phase. Planning, implementation, and human needs statement 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 nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus. Which statement
best illustrates an outcome criterion for this patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient will adhere to the new insulin treatment regimen.
d. The patient will demonstrate correct blood glucose testing technique.
ANSWER: D
―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 patient 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 patient‘s input
c. Recording a drug history regarding over-the-counter medications used at home
d. Formulating human needs statements regarding deficient knowledge related to the new treatment
regimen
ANSWER: A
Education is an intervention that occurs during the implementation phase. Setting goals and outcomes
reflects the planning phase. Recording a drug history reflects the assessment phase. Formulating human
needs statements reflects analysis of data as part of planning.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Implementation
Lilley Pharmacology andhttps://www.stuvia.com/user/filwe1099salminLilley
the Nursing Process, 10th Edition.pdf Pharmacology and the Nursing
https://www.stuvia.com/user/filwe1099salmin3
Process, 10th Edition.pdf of 350
, https://www.stuvia.com/user/filwe1099salminLilley
Lilley Pharmacology andLilley
the
Pharmacology
Nursing
Pharmacology
Process,
andand
the
10th
the
Nursing
Edition.pdfhttps://www.stuvia.com/user/filwe1099salmin
Nursing
Process,
Process,
10th10th
Edition.pdf
Edition.pdfhttps://www.stuvia.com/user/filwe1099salmin
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6. The medication order reads, ―Give ondansetron 4 mg, 30 minutes before beginning chemotherapy to
prevent nausea. The nurse notes that the route is missing from the order. What is the nurse‘s best action?
a. Give the medication intravenously because the patient 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.
ANSWER: C
A complete medication order includes the route of administration. If a medication order does not include
the route, the nurse must ask the prescriber to clarify it. The intravenous and oral routes are not
interchangeable. Holding the medication until the prescriber returns would mean that the patient 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 nurse considers the timing of a drug dose, which factor is appropriate to consider when deciding
when to give a drug?
a. The patient‘s ability to swallow
b. The patient‘s height
c. The patient‘s last meal
d. The patient‘s allergies
ANSWER: C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that may be affected
by the timing of the last meal. The patient‘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 nurse is performing an assessment of a newly admitted patient. Which is an example of subjective
data?
a. Weight 155 pounds
b. Pulse 72 beats/minute
c. The patient reports that he uses the herbal product ginkgo
d. The patient‘s complete blood count results
Lilley Pharmacology andhttps://www.stuvia.com/user/filwe1099salminLilley
the Nursing Process, 10th Edition.pdf Pharmacology and the Nursing
https://www.stuvia.com/user/filwe1099salmin4
Process, 10th Edition.pdf of 350
