NURS PHARM CH 1: THE NURSING PROCESS
AND DRUG THERAPY QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) 2025/2026 |
ALREADY GRADED A+
MULTIPLE CHOICE
• The nurse is writing a nursing diagnosis for a plan of care for a client
who has been newly diagnosed with type 2 diabetes. Which statement
reflects the correct format for a nursing diagnosis?
d. Anxiety related to new drug therapy, as evidenced by statements
such as “I’m upset about having to test my blood sugars.”
-PRECISE ANSWER--
D
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.
• The client is to receive oral guaifenesin (Mucinex) 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”
-PRECISE 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.
• The nurse has been monitoring the client’s progress on a new drug regimen
since the first dose and documenting the client’s therapeutic response to the
medication. Which phase of the nursing process do these actions illustrate?
d. Evaluation
-PRECISE ANSWER--
D
Monitoring the client’s progress, including the client’s response to the
medication, is part of the evaluation phase. Planning, implementation, and
nursing diagnosis are not illustrated by this example.
• The nurse is assigned to a client who is newly diagnosed with type 1
diabetes mellitus. Which statement best illustrates an outcome criterion
for this client?
, d. The client will demonstrate correct blood glucose testing technique.
-PRECISE 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.
• Which activity best reflects the implementation phase of the nursing
process for the client who is newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
-PRECISE 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 nursing diagnoses reflects
analysis of data as part of planning.
• The medication order reads, “Give ondansetron (Zofran) 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?
c. Contact the prescriber to clarify the route of the medication ordered.
-PRECISE 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 client would not receive a needed medication.
• When the nurse considers the timing of a drug dose, which factor is
appropriate to consider when deciding when to give a drug?
c. The client’s last meal
-PRECISE ANSWER-- C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug
, properties that may be affected by the timing of the last meal. The client’s
ability to swallow, height, and allergies are not factors to consider regarding
the timing of the drug’s administration.
• The nurse is performing an assessment of a newly admitted client. Which
is an example of subjective data?
c. The client reports that he uses the herbal product ginkgo.
-PRECISE ANSWER-- C
Subjective data include information shared through the spoken word by any
reliable source, such as the client. Objective data may be defined as any
information gathered through the senses or that which is seen, heard, felt, or
smelled. A client’s blood pressure, weight, and laboratory tests are all
examples of objective data.
AND DRUG THERAPY QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) 2025/2026 |
ALREADY GRADED A+
MULTIPLE CHOICE
• The nurse is writing a nursing diagnosis for a plan of care for a client
who has been newly diagnosed with type 2 diabetes. Which statement
reflects the correct format for a nursing diagnosis?
d. Anxiety related to new drug therapy, as evidenced by statements
such as “I’m upset about having to test my blood sugars.”
-PRECISE ANSWER--
D
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.
• The client is to receive oral guaifenesin (Mucinex) 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”
-PRECISE 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.
• The nurse has been monitoring the client’s progress on a new drug regimen
since the first dose and documenting the client’s therapeutic response to the
medication. Which phase of the nursing process do these actions illustrate?
d. Evaluation
-PRECISE ANSWER--
D
Monitoring the client’s progress, including the client’s response to the
medication, is part of the evaluation phase. Planning, implementation, and
nursing diagnosis are not illustrated by this example.
• The nurse is assigned to a client who is newly diagnosed with type 1
diabetes mellitus. Which statement best illustrates an outcome criterion
for this client?
, d. The client will demonstrate correct blood glucose testing technique.
-PRECISE 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.
• Which activity best reflects the implementation phase of the nursing
process for the client who is newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
-PRECISE 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 nursing diagnoses reflects
analysis of data as part of planning.
• The medication order reads, “Give ondansetron (Zofran) 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?
c. Contact the prescriber to clarify the route of the medication ordered.
-PRECISE 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 client would not receive a needed medication.
• When the nurse considers the timing of a drug dose, which factor is
appropriate to consider when deciding when to give a drug?
c. The client’s last meal
-PRECISE ANSWER-- C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug
, properties that may be affected by the timing of the last meal. The client’s
ability to swallow, height, and allergies are not factors to consider regarding
the timing of the drug’s administration.
• The nurse is performing an assessment of a newly admitted client. Which
is an example of subjective data?
c. The client reports that he uses the herbal product ginkgo.
-PRECISE ANSWER-- C
Subjective data include information shared through the spoken word by any
reliable source, such as the client. Objective data may be defined as any
information gathered through the senses or that which is seen, heard, felt, or
smelled. A client’s blood pressure, weight, and laboratory tests are all
examples of objective data.
