,Item Bank: Lilley Pharmacology and the Nursing Process 7th Ed
g g g g g g g g g
Objective: Ch 01: The Nursing Process and Drug Therapy
g g g g g g g g g
1. Question Name: 0001 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
g g g g g g g g g g g Item Bank: Lilley g g
Pharmacology and the Nursing Process 7th Ed
g g g g g g g
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly
g g g g g g g g g g g g g g g g g g
diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing
g g g g g g g g g g g g g g
diagnosis?
g
A. Anxiety
B. Anxiety related to new drug therapy g g g g g
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as
g g g g g g g g g g g g g
“I’m upset about having to test my blood sugars.”
g g g g g g g g g
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset about
g g g g g g g g g g g g g g g
having to test my blood sugars.”
g g g g g g
Correct Answer: D g g
Explanation/Rationale:
g
ANS: D g
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the “related
g g g g g g g g g g g g g
to” and “as evidenced by” portions of defining characteristics. “Anxiety related to new drug
g g g g g g g g g g g g g g
therapy” is missing the “as evidenced by” portion of defining characteristics. The statement
g g g g g g g g g g g g g
beginning “Anxiety related to anxious feelings” is incorrect because the “related to” section is
g g g g g g g g g g g g g g
simply a restatement of the problem “anxiety,” not a separate factor related to the response.
g g g g g g g g g g g g g g g
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 9 g g g g
TOP: NURSING PROCESS: Nursing Diagnosis
g g g g
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
g g g g g g g g g
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: g
g Active Date Created: g 01/31/13 14:18:01 g Date Modified: g g
01/31/13 14:18:01 Date Used: Difficulty: Easy g g g
Discrimination: Low
Item Analysis: Last
g Item Analysis: Cumulative
g g g
No. of Students Responded:
g 0g No. of Students Responded: g 0 g g g
Correct Responses (%): g Correct Responses (%): g g g
Total Group: 0.00 g Total Group: 0.00 g
Upper 27% of Group: 0.00 g Upper 27% of Group:
g 0.00
g g g g
Lower 27% of Group: 0.00 g Lower 27% of Group:
g 0.00
g g g g
Point Biserial: g 0.00 Point Biserial: 0.00 g
Response Frequencies (%) g g
, 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
g Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
g g g g g g g g g g Item Bank: Lilley
g g
Pharmacology and the Nursing Process 7th Ed
g g g g g g g
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and gave
g g g g g g g g g g g g g g g g g
the medication 2 hours after the scheduled dose was due. What type of problem does this represent?
g g g g g g g g g g g g g g g g g
* A. “Right time” problem
g g g
B. “Right dose” problem
g g g
C. “Right route” problem
g g g
D. “Right medication” problem
g g g
Correct Answer: A g g
gExplanation/Rationale:
ANS: A g
“Right time” is correct because the medication was given more than 30 minutes after the scheduled
g g g g g g g g g g g g g g g
dose was due. “Dose” is incorrect because the dose is not related to the time the medication
g g g g g g g g g g g g g g g g g
administration is scheduled. “Route” is incorrect because the route is not affected. “Medication” is
g g g g g g g g g g g g g g
incorrect because the medication ordered will not change.
g g g g g g g g
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 13 g g g g
TOP: NURSING PROCESS: Implementation
g g g
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
g g g g g g g g g g
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: g
g Active Date Created: g 01/31/13 14:18:01
g Date Modified: g g
01/31/13 14:18:01 Date Used: Difficulty: Easy g g g
Discrimination: Low
Item Analysis: Last
g gItem Analysis: Cumulative g g
No. of Students Responded:
g g 0 No. of Students Responded:
g 0 g g g
Correct Responses (%): g Correct Responses (%): g g g
Total Group: g 0.00 Total Group: 0.00 g
Upper 27% of Group: 0.00 g g Upper 27% of Group:
g 0.00 g g g
Lower 27% of Group: 0.00 g Lower 27% of Group:
g g 0.00 g g g
Point Biserial: g 0.00 Point Biserial: 0.00 g
Response Frequencies (%) g g
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 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
g g g g g g g g g g g Item Bank: Lilley
g g
Pharmacology and the Nursing Process 7th Ed
g g g g g g g
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose and
g g g g g g g g g g g g g g g g g
documenting the patient’s therapeutic response to the medication. Which phase of the nursing process
g g g g g g g g g g g g g g
do these actions illustrate?
g g g g
A. Nursing diagnosis g
B. Planning
C. Implementation
* D. Evaluation
g
Correct Answer: D g g
Explanation/Rationale:
g
ANS: D g
Monitoring the patient’s progress, including the patient’s response to the medication, is part of the
g g g g g g g g g g g g g g
evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by this
g g g g g g g g g g g g
example.
g
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 15 g g g g
TOP: NURSING PROCESS: Evaluation
g g g
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
g g g g g g g g g
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: g
g Active Date Created: g 01/31/13 14:18:01
g Date Modified: g g
01/31/13 14:18:01 Date Used: Difficulty: Easy g g g
Discrimination: Low
Item Analysis: Last
g Item Analysis: Cumulative
g g g
No. of Students Responded:
g g 0 No. of Students Responded:
g 0 g g g
Correct Responses (%): g Correct Responses (%): g g g
Total Group: 0.00
g Total Group: 0.00 g
Upper 27% of Group: 0.00 g Upper 27% of Group:
g g 0.00 g g g
Lower 27% of Group: 0.00 g Lower 27% of Group:
g g 0.00 g g g
Point Biserial: g 0.00 Point Biserial: 0.00 g
Response Frequencies (%) g g
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: 0004g g Type: MC g Objective: Ch 01: The Nursing Process and Drug Therapy
g g g g g g g g Item Bank: Lilley
g g
g g g g g g g g g
Objective: Ch 01: The Nursing Process and Drug Therapy
g g g g g g g g g
1. Question Name: 0001 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
g g g g g g g g g g g Item Bank: Lilley g g
Pharmacology and the Nursing Process 7th Ed
g g g g g g g
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly
g g g g g g g g g g g g g g g g g g
diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing
g g g g g g g g g g g g g g
diagnosis?
g
A. Anxiety
B. Anxiety related to new drug therapy g g g g g
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as
g g g g g g g g g g g g g
“I’m upset about having to test my blood sugars.”
g g g g g g g g g
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset about
g g g g g g g g g g g g g g g
having to test my blood sugars.”
g g g g g g
Correct Answer: D g g
Explanation/Rationale:
g
ANS: D g
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the “related
g g g g g g g g g g g g g
to” and “as evidenced by” portions of defining characteristics. “Anxiety related to new drug
g g g g g g g g g g g g g g
therapy” is missing the “as evidenced by” portion of defining characteristics. The statement
g g g g g g g g g g g g g
beginning “Anxiety related to anxious feelings” is incorrect because the “related to” section is
g g g g g g g g g g g g g g
simply a restatement of the problem “anxiety,” not a separate factor related to the response.
g g g g g g g g g g g g g g g
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 9 g g g g
TOP: NURSING PROCESS: Nursing Diagnosis
g g g g
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
g g g g g g g g g
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: g
g Active Date Created: g 01/31/13 14:18:01 g Date Modified: g g
01/31/13 14:18:01 Date Used: Difficulty: Easy g g g
Discrimination: Low
Item Analysis: Last
g Item Analysis: Cumulative
g g g
No. of Students Responded:
g 0g No. of Students Responded: g 0 g g g
Correct Responses (%): g Correct Responses (%): g g g
Total Group: 0.00 g Total Group: 0.00 g
Upper 27% of Group: 0.00 g Upper 27% of Group:
g 0.00
g g g g
Lower 27% of Group: 0.00 g Lower 27% of Group:
g 0.00
g g g g
Point Biserial: g 0.00 Point Biserial: 0.00 g
Response Frequencies (%) g g
, 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
g Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
g g g g g g g g g g Item Bank: Lilley
g g
Pharmacology and the Nursing Process 7th Ed
g g g g g g g
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and gave
g g g g g g g g g g g g g g g g g
the medication 2 hours after the scheduled dose was due. What type of problem does this represent?
g g g g g g g g g g g g g g g g g
* A. “Right time” problem
g g g
B. “Right dose” problem
g g g
C. “Right route” problem
g g g
D. “Right medication” problem
g g g
Correct Answer: A g g
gExplanation/Rationale:
ANS: A g
“Right time” is correct because the medication was given more than 30 minutes after the scheduled
g g g g g g g g g g g g g g g
dose was due. “Dose” is incorrect because the dose is not related to the time the medication
g g g g g g g g g g g g g g g g g
administration is scheduled. “Route” is incorrect because the route is not affected. “Medication” is
g g g g g g g g g g g g g g
incorrect because the medication ordered will not change.
g g g g g g g g
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 13 g g g g
TOP: NURSING PROCESS: Implementation
g g g
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
g g g g g g g g g g
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: g
g Active Date Created: g 01/31/13 14:18:01
g Date Modified: g g
01/31/13 14:18:01 Date Used: Difficulty: Easy g g g
Discrimination: Low
Item Analysis: Last
g gItem Analysis: Cumulative g g
No. of Students Responded:
g g 0 No. of Students Responded:
g 0 g g g
Correct Responses (%): g Correct Responses (%): g g g
Total Group: g 0.00 Total Group: 0.00 g
Upper 27% of Group: 0.00 g g Upper 27% of Group:
g 0.00 g g g
Lower 27% of Group: 0.00 g Lower 27% of Group:
g g 0.00 g g g
Point Biserial: g 0.00 Point Biserial: 0.00 g
Response Frequencies (%) g g
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 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy
g g g g g g g g g g g Item Bank: Lilley
g g
Pharmacology and the Nursing Process 7th Ed
g g g g g g g
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose and
g g g g g g g g g g g g g g g g g
documenting the patient’s therapeutic response to the medication. Which phase of the nursing process
g g g g g g g g g g g g g g
do these actions illustrate?
g g g g
A. Nursing diagnosis g
B. Planning
C. Implementation
* D. Evaluation
g
Correct Answer: D g g
Explanation/Rationale:
g
ANS: D g
Monitoring the patient’s progress, including the patient’s response to the medication, is part of the
g g g g g g g g g g g g g g
evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by this
g g g g g g g g g g g g
example.
g
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 15 g g g g
TOP: NURSING PROCESS: Evaluation
g g g
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
g g g g g g g g g
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: g
g Active Date Created: g 01/31/13 14:18:01
g Date Modified: g g
01/31/13 14:18:01 Date Used: Difficulty: Easy g g g
Discrimination: Low
Item Analysis: Last
g Item Analysis: Cumulative
g g g
No. of Students Responded:
g g 0 No. of Students Responded:
g 0 g g g
Correct Responses (%): g Correct Responses (%): g g g
Total Group: 0.00
g Total Group: 0.00 g
Upper 27% of Group: 0.00 g Upper 27% of Group:
g g 0.00 g g g
Lower 27% of Group: 0.00 g Lower 27% of Group:
g g 0.00 g g g
Point Biserial: g 0.00 Point Biserial: 0.00 g
Response Frequencies (%) g g
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: 0004g g Type: MC g Objective: Ch 01: The Nursing Process and Drug Therapy
g g g g g g g g Item Bank: Lilley
g g
