,Chapter 01: The Nursing Process and Drug Therapy
zx zx zx zx zx zx zx
Lilley: Pharmacology and the Nursing Process, 10th Edition
zx zx zx zx zx zx zx
MULTIPLE CHOICE zx
1. The nurse is developing a human needs statement for a patient who has a new diagnosis of
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
heart failure. Identification of human needs statements occur with which of these activities?
zx zx zx zx zx zx zx zx zx zx zx zx
a. Collection of patient data zx zx zx
b. Administering interventions zx
c. Deciding on patient outcomes zx zx zx
d. Documenting the patient‘s behavior zx zx zx
ANS: A zx
Identification of human needs occurs with the collection of patient data.
zx zx zx zx zx zx zx zx zx zx
DIF:
Cognitive Level: Understanding (Comprehension) zx zx zx zx
TOP: Nursing Process: Human Needs Statement
z x zx zx zx zx
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
z x zx zx zx zx zx zx zx zx
2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and gave the
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
medication 2 hours after the scheduled dose was due. What type of problem does this represe
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
nt?
a. ―Right time‖ zx
b. ―Right dose‖ zx
c. ―Right route‖ zx
d. ―Right medication‖ zx
ANS: A zx
―Right time‖ is correct because the medication was given more than 30 minutes after the schedule
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
d dose was due. ―Dose‖ is incorrect because the dose is not related to the time the medication adm
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
inistration is scheduled. ―Route‖ is incorrect because the route is not affected.
zx zx zx zx zx zx zx zx zx zx zx
―Medication‖ is incorrect because the medication ordered will not change. zx zx zx zx zx zx zx zx zx
DIF:
Cognitive Level: Applying (Application) zx zx zx zx
TOP: Nursing Process: Implementation
z x zx zx
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
z x zx zx zx zx zx zx zx zx zx
3. The nurse has been monitoring the patient‘s progress on a new drug regimen since the first
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
dose and documenting the patient‘s therapeutic response to the medication. Which phase of
zx zx zx zx zx zx zx zx zx zx zx zx zx
the nursing process do these actions illustrate?
zx zx zx zx zx zx
a. Human needs statement zx zx
b. Planning
c. Implementation
d. Evaluation
ANS: D zx
Monitoring the patient‘s progress, including the patient‘s response to the medication, is part of t
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
he evaluation phase. Planning, implementation, and human needs statement are not illustrated b
zx zx zx zx zx zx zx zx zx zx zx zx
y this example.
zx zx
,DIF: z x z x Cognitive Level: Understanding (Comprehension)
zx zx zx TOP: Nursing Process: Evaluation
z x zx zx
, MSC: NCLEX: Safe and Effective Care Environment: Management of Care
z x zx zx zx zx zx zx zx zx
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
Which statement best illustrates an outcome criterion for this patient?
zx zx zx zx zx zx zx zx zx
a. The patient will follow instructions.
zx zx zx zx
b. The patient will not experience complications.
zx zx zx zx zx
c. The patient will adhere to the new insulin treatment regimen.
zx zx zx zx zx zx zx zx zx
d. The patient will demonstrate correct blood glucose testing technique.
zx zx zx zx zx zx zx zx
ANS: D zx
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable outc zx zx zx zx zx zx zx zx zx zx zx
ome criterion. ―Following instructions‖ and ―not experiencing complications‖ are not specifi
zx zx zx zx zx zx zx zx zx zx
c criteria. ―Adhering to new regimen‖ would be difficult to measure.
zx zx zx zx zx zx zx zx zx zx
DIF: Cognitive Level: Applying (Application) zx zx zx
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment: M
z x zx zx zx z x zx zx zx zx zx zx
anagement of Care zx zx
5. Which activity best reflects the implementation phase of the nursing process for the patient
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
who is newly diagnosed with hypertension?
zx zx zx zx zx
a. Providing education on keeping a journal of blood pressure readings zx zx zx zx zx zx zx zx zx
b. Setting goals and outcome criteria with the patient‘s input
zx zx zx zx zx zx zx zx
c. Recording a drug history regarding over-the-counter medications used at home zx zx zx zx zx zx zx zx zx
d. Formulating human needs statements regarding deficient knowledge related to the zx zx zx zx zx zx zx zx zx zx
new treatment regimen zx zx
ANS: A zx
Education is an intervention that occurs during the implementation phase. Setting goals and outco
zx zx zx zx zx zx zx zx zx zx zx zx zx
mes reflects the planning phase. Recording a drug history reflects the assessment phase. Formulatin
zx zx zx zx zx zx zx zx zx zx zx zx zx
g human needs statements reflects analysis of data as part of planning.
zx zx zx zx zx zx zx zx zx zx zx
DIF:
Cognitive Level: Applying (Application) zx zx zx zx
TOP: Nursing Process: Implementation
z x zx zx
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
z x zx zx zx zx zx zx zx zx
6. The medication order reads, ―Give ondansetron 4 mg, 30 minutes before beginning chem
zx zx zx zx zx zx zx zx zx zx zx zx
otherapy to prevent nausea.‖ The nurse notes that the route is missing from the order. What
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
is the nurse‘s best action?
zx zx zx zx
a. Give the medication intravenously because the patient might vomit.
zx zx zx zx zx zx zx zx
b. Give the medication orally because the tablets are available in 4-mg doses.
zx zx zx zx zx zx zx zx zx zx zx
c. Contact the prescriber to clarify the route of the medication ordered.
zx zx zx zx zx zx zx zx zx zx
d. Hold the medication until the prescriber returns to make rounds.
zx zx zx zx zx zx zx zx zx
ANS: C zx
A complete medication order includes the route of administration. If a medication order does n
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
ot include the route, the nurse must ask the prescriber to clarify it. The intravenous and oral rou
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
tes are not interchangeable. Holding the medication until the prescriber returns would mean th
zx zx zx zx zx zx zx zx zx zx zx zx zx
at the patient would not receive a needed medication.
zx zx zx zx zx zx zx zx
DIF:
Cognitive Level: Applying (Application) zx zx zx zx
TOP: Nursing Process: Implementation
z x zx zx
zx zx zx zx zx zx zx
Lilley: Pharmacology and the Nursing Process, 10th Edition
zx zx zx zx zx zx zx
MULTIPLE CHOICE zx
1. The nurse is developing a human needs statement for a patient who has a new diagnosis of
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
heart failure. Identification of human needs statements occur with which of these activities?
zx zx zx zx zx zx zx zx zx zx zx zx
a. Collection of patient data zx zx zx
b. Administering interventions zx
c. Deciding on patient outcomes zx zx zx
d. Documenting the patient‘s behavior zx zx zx
ANS: A zx
Identification of human needs occurs with the collection of patient data.
zx zx zx zx zx zx zx zx zx zx
DIF:
Cognitive Level: Understanding (Comprehension) zx zx zx zx
TOP: Nursing Process: Human Needs Statement
z x zx zx zx zx
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
z x zx zx zx zx zx zx zx zx
2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and gave the
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
medication 2 hours after the scheduled dose was due. What type of problem does this represe
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
nt?
a. ―Right time‖ zx
b. ―Right dose‖ zx
c. ―Right route‖ zx
d. ―Right medication‖ zx
ANS: A zx
―Right time‖ is correct because the medication was given more than 30 minutes after the schedule
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
d dose was due. ―Dose‖ is incorrect because the dose is not related to the time the medication adm
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
inistration is scheduled. ―Route‖ is incorrect because the route is not affected.
zx zx zx zx zx zx zx zx zx zx zx
―Medication‖ is incorrect because the medication ordered will not change. zx zx zx zx zx zx zx zx zx
DIF:
Cognitive Level: Applying (Application) zx zx zx zx
TOP: Nursing Process: Implementation
z x zx zx
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
z x zx zx zx zx zx zx zx zx zx
3. The nurse has been monitoring the patient‘s progress on a new drug regimen since the first
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
dose and documenting the patient‘s therapeutic response to the medication. Which phase of
zx zx zx zx zx zx zx zx zx zx zx zx zx
the nursing process do these actions illustrate?
zx zx zx zx zx zx
a. Human needs statement zx zx
b. Planning
c. Implementation
d. Evaluation
ANS: D zx
Monitoring the patient‘s progress, including the patient‘s response to the medication, is part of t
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
he evaluation phase. Planning, implementation, and human needs statement are not illustrated b
zx zx zx zx zx zx zx zx zx zx zx zx
y this example.
zx zx
,DIF: z x z x Cognitive Level: Understanding (Comprehension)
zx zx zx TOP: Nursing Process: Evaluation
z x zx zx
, MSC: NCLEX: Safe and Effective Care Environment: Management of Care
z x zx zx zx zx zx zx zx zx
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
Which statement best illustrates an outcome criterion for this patient?
zx zx zx zx zx zx zx zx zx
a. The patient will follow instructions.
zx zx zx zx
b. The patient will not experience complications.
zx zx zx zx zx
c. The patient will adhere to the new insulin treatment regimen.
zx zx zx zx zx zx zx zx zx
d. The patient will demonstrate correct blood glucose testing technique.
zx zx zx zx zx zx zx zx
ANS: D zx
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable outc zx zx zx zx zx zx zx zx zx zx zx
ome criterion. ―Following instructions‖ and ―not experiencing complications‖ are not specifi
zx zx zx zx zx zx zx zx zx zx
c criteria. ―Adhering to new regimen‖ would be difficult to measure.
zx zx zx zx zx zx zx zx zx zx
DIF: Cognitive Level: Applying (Application) zx zx zx
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment: M
z x zx zx zx z x zx zx zx zx zx zx
anagement of Care zx zx
5. Which activity best reflects the implementation phase of the nursing process for the patient
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
who is newly diagnosed with hypertension?
zx zx zx zx zx
a. Providing education on keeping a journal of blood pressure readings zx zx zx zx zx zx zx zx zx
b. Setting goals and outcome criteria with the patient‘s input
zx zx zx zx zx zx zx zx
c. Recording a drug history regarding over-the-counter medications used at home zx zx zx zx zx zx zx zx zx
d. Formulating human needs statements regarding deficient knowledge related to the zx zx zx zx zx zx zx zx zx zx
new treatment regimen zx zx
ANS: A zx
Education is an intervention that occurs during the implementation phase. Setting goals and outco
zx zx zx zx zx zx zx zx zx zx zx zx zx
mes reflects the planning phase. Recording a drug history reflects the assessment phase. Formulatin
zx zx zx zx zx zx zx zx zx zx zx zx zx
g human needs statements reflects analysis of data as part of planning.
zx zx zx zx zx zx zx zx zx zx zx
DIF:
Cognitive Level: Applying (Application) zx zx zx zx
TOP: Nursing Process: Implementation
z x zx zx
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
z x zx zx zx zx zx zx zx zx
6. The medication order reads, ―Give ondansetron 4 mg, 30 minutes before beginning chem
zx zx zx zx zx zx zx zx zx zx zx zx
otherapy to prevent nausea.‖ The nurse notes that the route is missing from the order. What
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
is the nurse‘s best action?
zx zx zx zx
a. Give the medication intravenously because the patient might vomit.
zx zx zx zx zx zx zx zx
b. Give the medication orally because the tablets are available in 4-mg doses.
zx zx zx zx zx zx zx zx zx zx zx
c. Contact the prescriber to clarify the route of the medication ordered.
zx zx zx zx zx zx zx zx zx zx
d. Hold the medication until the prescriber returns to make rounds.
zx zx zx zx zx zx zx zx zx
ANS: C zx
A complete medication order includes the route of administration. If a medication order does n
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
ot include the route, the nurse must ask the prescriber to clarify it. The intravenous and oral rou
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
tes are not interchangeable. Holding the medication until the prescriber returns would mean th
zx zx zx zx zx zx zx zx zx zx zx zx zx
at the patient would not receive a needed medication.
zx zx zx zx zx zx zx zx
DIF:
Cognitive Level: Applying (Application) zx zx zx zx
TOP: Nursing Process: Implementation
z x zx zx
