Test Bank Pharmacology A Patient-Centered
cc cc cc cc
Nursing Process Approach, 11th Edition by Linda
s s
cc cc cc cc cc cc sc s s c
E. McCuistion Chapter 1-58 A+ Guide revised
cc cc cc cc cc cc
,Chapter01:TheNursingProcessandPatient-CenteredCare
s s s s s
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
ss ss ss ss ss ss ss ss
MULTIPLE CHOICE ss
1. A5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of
s ss ss ss ss ss ss ss ss ss ss ss ss ss
hyperglycemia. The parents tell the nurse that they can‘t keep track of everything that
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
has to be done to care for their child. The nursereviews medications, diet, and symptom
ss ss ss ss ss ss ss ss ss ss ss s ss ss ss ss
management with the parents and draws up a daily checklist for the family to use. These
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
activities are completed in which step of the nursing process?
ss ss ss ss ss ss ss ss ss ss
a. Recognizing cues (assessment) cc s
b. Analyzecues &prioritizehypothesis (analysis) s ss s s ss
c. Generatesolutions (planning) ss
d. Takeaction (nursinginterventions) ss
ANS: s s D
Takingaction through nursing interventions iswherethenurseprovidespatient health teaching, drug
ss ss cc ss s s s s ss s ss
administration, patient care, and other interventions necessary to assist the patient in
ss ss ss ss ss ss ss ss ss ss ss ss
accomplishing expected outcomes.
ss ss ss
DIF: Cognitive Level: Understanding (Comprehension) ss ss ss
TOP: Nursing Process: Nursing Intervention
ss s s ss ss ss
MSC: NCLEX:Management ofClientCare
s s s ss s s
2. Allof the following would be considered subjective data, EXCEPT:
s ss ss ss s ss ss ss
a. Patient-reportedhealth history ss
b. Patient-reportedsigns andsymptoms oftheirillness s ss s ss s s
c. Financial barriers reportedbythepatient‘s caregiver s s s s s ss
d. Vitalsigns obtained from themedical record
s s ss ss s ss
ANS: s s D
Subjective data isbased onwhat patients or family members communicate tothe nurse. Patient-
ss ss s ss s ss ss ss ss ss ss s ss ss
reported health history, signs and symptoms, and caregiver reported financial barriers would be
ss ss ss ss ss ss ss ss ss ss ss ss ss
considered subjective data. Vital signs obtained from the medical record would be considered
ss ss ss ss ss ss ss ss ss ss ss ss ss
objective data.
ss ss
DIF: Cognitive Level: Understanding (Comprehension) ss ss ss TOP: NursingProcess:Planning
ss s s
MSC: NCLEX: Management of Client Care
ss s s ss ss ss ss
3. Thenurseis usingdata collected to define aset of interventions to achieve the most desirable
s s ss s ss ss ss ss s s ss ss ss ss ss ss
ss outcomes. Which of the following steps is the nurse applying? ss ss ss ss ss ss ss ss ss
a. Recognizing cues (assessment) cc s
b. Analyzecues &prioritizehypothesis (analysis) s ss s s ss
c. Generatesolutions (planning) ss
d. Takeaction (nursinginterventions) ss
ANS: s s C
When generating solutions (planning), the nurse identifies expected outcomes and uses the
ss ss ss ss ss ss ss ss ss ss ss
patient‘s problem(s) to define a set of interventions to achieve the most desirable outcomes.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
Recognizing cues (assessment) involves the gathering of cues (information) from the patient
ss ss ss ss ss ss ss ss ss ss ss ss
about their health and lifestyle practices, which are important facts that aid the nurse in
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
making clinical care decisions. Prioritizing hypothesis is used to organize and rank the patient
ss s s ss ss ss ss ss ss ss ss ss ss ss s
problem(s) identified. Finally, taking action involves implementation of nursing interventions to
ss ss ss ss ss ss ss ss ss ss ss
accomplish the expected outcomes.
ss ss ss ss
DIF: Cognitive Level: Understanding (Comprehension) ss ss ss
, TOP: Nursing Process: Nursing Intervention
s s cc ss cc
MSC:
ss NCLEX: Management of Client Care
s s ss ss ss ss
4. The nurse isss preparing to administer a medication and reviews the patient‘s
ss s s ss s s ss s s s s s s s s s s
chart for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The
s s s s ss ss ss ss ss ss ss ss ss ss ss
nurse‘s actions are reflective of which of the following?
ss ss ss ss ss ss ss ss ss
a. Recognizing cues (assessment) cc s
b. Analyzecues &prioritizehypothesis (analysis) s ss s s ss
c. Takeaction (nursinginterventions) cc s
d. Generatesolutions (planning) ss
ANS: s s A
Recognizingcues (assessment)involves gathering subjectiveandobjectiveinformation aboutthe
s s s ss ss s s s ss s
patient and the medication. Laboratory values from the patient‘s chart would be considered
ss ss ss ss ss ss ss ss ss ss ss ss ss
collection of objective data.
ss ss ss ss
DIF: Cognitive Level: Understanding (Comprehension) ss ss cc
TOP: Nursing Process: Assessment MSC: NCLEX:Management ofClient Care cc ss s s s ss s ss
5. Whichof the following would becorrectly categorized as objective data?
ss ss ss ss s ss ss ss ss
a. Alist of herbal supplements regularlyused provided bythe patient.
ss s ss ss s ss ss s ss
b. Lab values associated with thedrugs the patient is taking.
ss ss ss ss s ss ss ss ss
c. The ages and relationship of all household members to thepatient.
cc ss ss ss s ss ss ss ss s
d. Usual dietarypatterns and food intake.
ss ss ss ss
ANS: s s B
Objectivedata aremeasured and detected byanotherperson and would includelabvalues. The other
s ss s ss s ss s s ss ss ss s s ss ss
examples are subjective data.
ss ss ss ss
DIF: Cognitive Level: Understanding (Comprehension) ss ss cc
TOP: Nursing Process: Assessment MSC: NCLEX: Management ofClient Care cc ss s s ss ss s ss
6. The nurse reviews a patient‘s database and learns that the patient lives alone, is forgetful, and
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
does not have an established routine. The patient will be sent home with three new
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
medications to betaken at different times of the day. The nurse develops a dailymedication
ss ss ss s ss ss ss ss ss s ss ss ss ss ss s
chart and enlists a family member to put the patient‘s pills in a pill organizer. This is an
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
example of which element of the nursing process?
ss ss ss ss ss ss ss ss
a. Recognizing cues (assessment) cc s
b. Analyzecues &prioritizehypothesis (analysis) s ss s s ss
c. Takeaction (nursinginterventions) cc s
, d. Generatesolutions (planning) ss
ANS: s s C
Takingaction (nursing interventions) involves education andpatient carein ordertoassist the
ss ss ss ss ss s ss ss s s ss
patient to accomplish the goals of treatment.
ss ss ss ss ss ss ss
DIF: Cognitive Level: Applying (Application) ss ss ss
TOP: Nursing Process: Nursing Intervention
ss ss ss ss ss
MSC: NCLEX: Management of Client
ss s s ss ss ss
Care
ss
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
ss ss ss ss ss ss ss ss ss ss ss ss ss
home.Thenurse and the patient discuss the patient‘s situation and decide that thepatient may go
ss s s ss ss ss ss ss ss ss ss ss ss ss s ss ss
home when able to perform self-care without dyspnea and hypoxia. This is an example of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
which phase of the nursing process?
ss ss ss ss ss ss
a. Recognizing cues (assessment) cc s
b. Analyzecues &prioritizehypothesis (analysis) s ss s s ss
c. Takeaction (nursinginterventions) cc s
d. Generatesolutions (planning) ss
ANS: s s D
Generating solutions (planning) involves defining a set of interventions to achieve the
ss ss ss ss ss ss ss ss s s ss ss
smost desirable outcomes, which, for this patient, means being able to perform self-care
s ss ss ss ss ss ss ss ss ss ss ss ss
activities without dyspnea and hypoxia.
ss ss ss ss ss
DIF: Cognitive Level: Understanding (Comprehension)
s s ss ss ss TOP: Nursing Process: Planning ss ss ss
MSC: NCLEX: Management of Client Care
ss s s ss ss ss ss
8. Apatient will besent homewith ametered-dose inhaler, and the nurseis providingteaching.
s ss ss s ss s ss s s ss ss s s ss s
Which is a correctly written expected outcome for this process?
ss ss ss ss ss ss ss ss ss ss
a. The nursewill demonstrate thecorrect use of a metered-dose inhaler to the patient.
cc s ss ss s ss ss ss ss ss ss ss ss
b. The nursewill teach the patient howtoadminister medication with ametered-dose
cc s ss ss ss ss s ss ss ss s
inhaler. ss
c. The patient will knowhowtoself-administer the medicationusing themetered-
cc ss ss s s s ss s ss s
dose inhaler.
ss ss
d. The patient will independently administer the medication using the metered-dose
cc ss ss ss ss ss ss s ss
inhaler at the end of the session.
ss ss ss ss ss ss ss
ANS: s s D
Expected outcomes must be patient-centered and clearly state the outcome with a
ss ss ss ss ss ss ss ss ss ss ss
sreasonable deadline and should identify components for evaluation.
s ss ss ss ss ss ss ss
DIF: Cognitive Level: Applying (Application)
s s ss ss ss TOP: Nursing Process: Planning ss ss ss
MSC: NCLEX: Management of Client Care
ss s s ss ss ss ss
9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
hypoxia.Thepatient has been admitted forincreased oxygen needs above a baseline of2 L/min.
ss s ss ss ss ss s ss ss ss ss s ss s ss
Thenurse generates an expected outcomes stating, ―The patient will have oxygen saturations
ss s ss ss ss ss ss ss ss ss ss ss ss
of
ss
>95% on room air at the time of discharge from the hospital.‖ What is wrong with this goal?
s ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
a. It cannot be evaluated.
ss ss s
cc cc cc cc
Nursing Process Approach, 11th Edition by Linda
s s
cc cc cc cc cc cc sc s s c
E. McCuistion Chapter 1-58 A+ Guide revised
cc cc cc cc cc cc
,Chapter01:TheNursingProcessandPatient-CenteredCare
s s s s s
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
ss ss ss ss ss ss ss ss
MULTIPLE CHOICE ss
1. A5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of
s ss ss ss ss ss ss ss ss ss ss ss ss ss
hyperglycemia. The parents tell the nurse that they can‘t keep track of everything that
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
has to be done to care for their child. The nursereviews medications, diet, and symptom
ss ss ss ss ss ss ss ss ss ss ss s ss ss ss ss
management with the parents and draws up a daily checklist for the family to use. These
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
activities are completed in which step of the nursing process?
ss ss ss ss ss ss ss ss ss ss
a. Recognizing cues (assessment) cc s
b. Analyzecues &prioritizehypothesis (analysis) s ss s s ss
c. Generatesolutions (planning) ss
d. Takeaction (nursinginterventions) ss
ANS: s s D
Takingaction through nursing interventions iswherethenurseprovidespatient health teaching, drug
ss ss cc ss s s s s ss s ss
administration, patient care, and other interventions necessary to assist the patient in
ss ss ss ss ss ss ss ss ss ss ss ss
accomplishing expected outcomes.
ss ss ss
DIF: Cognitive Level: Understanding (Comprehension) ss ss ss
TOP: Nursing Process: Nursing Intervention
ss s s ss ss ss
MSC: NCLEX:Management ofClientCare
s s s ss s s
2. Allof the following would be considered subjective data, EXCEPT:
s ss ss ss s ss ss ss
a. Patient-reportedhealth history ss
b. Patient-reportedsigns andsymptoms oftheirillness s ss s ss s s
c. Financial barriers reportedbythepatient‘s caregiver s s s s s ss
d. Vitalsigns obtained from themedical record
s s ss ss s ss
ANS: s s D
Subjective data isbased onwhat patients or family members communicate tothe nurse. Patient-
ss ss s ss s ss ss ss ss ss ss s ss ss
reported health history, signs and symptoms, and caregiver reported financial barriers would be
ss ss ss ss ss ss ss ss ss ss ss ss ss
considered subjective data. Vital signs obtained from the medical record would be considered
ss ss ss ss ss ss ss ss ss ss ss ss ss
objective data.
ss ss
DIF: Cognitive Level: Understanding (Comprehension) ss ss ss TOP: NursingProcess:Planning
ss s s
MSC: NCLEX: Management of Client Care
ss s s ss ss ss ss
3. Thenurseis usingdata collected to define aset of interventions to achieve the most desirable
s s ss s ss ss ss ss s s ss ss ss ss ss ss
ss outcomes. Which of the following steps is the nurse applying? ss ss ss ss ss ss ss ss ss
a. Recognizing cues (assessment) cc s
b. Analyzecues &prioritizehypothesis (analysis) s ss s s ss
c. Generatesolutions (planning) ss
d. Takeaction (nursinginterventions) ss
ANS: s s C
When generating solutions (planning), the nurse identifies expected outcomes and uses the
ss ss ss ss ss ss ss ss ss ss ss
patient‘s problem(s) to define a set of interventions to achieve the most desirable outcomes.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
Recognizing cues (assessment) involves the gathering of cues (information) from the patient
ss ss ss ss ss ss ss ss ss ss ss ss
about their health and lifestyle practices, which are important facts that aid the nurse in
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
making clinical care decisions. Prioritizing hypothesis is used to organize and rank the patient
ss s s ss ss ss ss ss ss ss ss ss ss ss s
problem(s) identified. Finally, taking action involves implementation of nursing interventions to
ss ss ss ss ss ss ss ss ss ss ss
accomplish the expected outcomes.
ss ss ss ss
DIF: Cognitive Level: Understanding (Comprehension) ss ss ss
, TOP: Nursing Process: Nursing Intervention
s s cc ss cc
MSC:
ss NCLEX: Management of Client Care
s s ss ss ss ss
4. The nurse isss preparing to administer a medication and reviews the patient‘s
ss s s ss s s ss s s s s s s s s s s
chart for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The
s s s s ss ss ss ss ss ss ss ss ss ss ss
nurse‘s actions are reflective of which of the following?
ss ss ss ss ss ss ss ss ss
a. Recognizing cues (assessment) cc s
b. Analyzecues &prioritizehypothesis (analysis) s ss s s ss
c. Takeaction (nursinginterventions) cc s
d. Generatesolutions (planning) ss
ANS: s s A
Recognizingcues (assessment)involves gathering subjectiveandobjectiveinformation aboutthe
s s s ss ss s s s ss s
patient and the medication. Laboratory values from the patient‘s chart would be considered
ss ss ss ss ss ss ss ss ss ss ss ss ss
collection of objective data.
ss ss ss ss
DIF: Cognitive Level: Understanding (Comprehension) ss ss cc
TOP: Nursing Process: Assessment MSC: NCLEX:Management ofClient Care cc ss s s s ss s ss
5. Whichof the following would becorrectly categorized as objective data?
ss ss ss ss s ss ss ss ss
a. Alist of herbal supplements regularlyused provided bythe patient.
ss s ss ss s ss ss s ss
b. Lab values associated with thedrugs the patient is taking.
ss ss ss ss s ss ss ss ss
c. The ages and relationship of all household members to thepatient.
cc ss ss ss s ss ss ss ss s
d. Usual dietarypatterns and food intake.
ss ss ss ss
ANS: s s B
Objectivedata aremeasured and detected byanotherperson and would includelabvalues. The other
s ss s ss s ss s s ss ss ss s s ss ss
examples are subjective data.
ss ss ss ss
DIF: Cognitive Level: Understanding (Comprehension) ss ss cc
TOP: Nursing Process: Assessment MSC: NCLEX: Management ofClient Care cc ss s s ss ss s ss
6. The nurse reviews a patient‘s database and learns that the patient lives alone, is forgetful, and
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
does not have an established routine. The patient will be sent home with three new
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
medications to betaken at different times of the day. The nurse develops a dailymedication
ss ss ss s ss ss ss ss ss s ss ss ss ss ss s
chart and enlists a family member to put the patient‘s pills in a pill organizer. This is an
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
example of which element of the nursing process?
ss ss ss ss ss ss ss ss
a. Recognizing cues (assessment) cc s
b. Analyzecues &prioritizehypothesis (analysis) s ss s s ss
c. Takeaction (nursinginterventions) cc s
, d. Generatesolutions (planning) ss
ANS: s s C
Takingaction (nursing interventions) involves education andpatient carein ordertoassist the
ss ss ss ss ss s ss ss s s ss
patient to accomplish the goals of treatment.
ss ss ss ss ss ss ss
DIF: Cognitive Level: Applying (Application) ss ss ss
TOP: Nursing Process: Nursing Intervention
ss ss ss ss ss
MSC: NCLEX: Management of Client
ss s s ss ss ss
Care
ss
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
ss ss ss ss ss ss ss ss ss ss ss ss ss
home.Thenurse and the patient discuss the patient‘s situation and decide that thepatient may go
ss s s ss ss ss ss ss ss ss ss ss ss ss s ss ss
home when able to perform self-care without dyspnea and hypoxia. This is an example of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
which phase of the nursing process?
ss ss ss ss ss ss
a. Recognizing cues (assessment) cc s
b. Analyzecues &prioritizehypothesis (analysis) s ss s s ss
c. Takeaction (nursinginterventions) cc s
d. Generatesolutions (planning) ss
ANS: s s D
Generating solutions (planning) involves defining a set of interventions to achieve the
ss ss ss ss ss ss ss ss s s ss ss
smost desirable outcomes, which, for this patient, means being able to perform self-care
s ss ss ss ss ss ss ss ss ss ss ss ss
activities without dyspnea and hypoxia.
ss ss ss ss ss
DIF: Cognitive Level: Understanding (Comprehension)
s s ss ss ss TOP: Nursing Process: Planning ss ss ss
MSC: NCLEX: Management of Client Care
ss s s ss ss ss ss
8. Apatient will besent homewith ametered-dose inhaler, and the nurseis providingteaching.
s ss ss s ss s ss s s ss ss s s ss s
Which is a correctly written expected outcome for this process?
ss ss ss ss ss ss ss ss ss ss
a. The nursewill demonstrate thecorrect use of a metered-dose inhaler to the patient.
cc s ss ss s ss ss ss ss ss ss ss ss
b. The nursewill teach the patient howtoadminister medication with ametered-dose
cc s ss ss ss ss s ss ss ss s
inhaler. ss
c. The patient will knowhowtoself-administer the medicationusing themetered-
cc ss ss s s s ss s ss s
dose inhaler.
ss ss
d. The patient will independently administer the medication using the metered-dose
cc ss ss ss ss ss ss s ss
inhaler at the end of the session.
ss ss ss ss ss ss ss
ANS: s s D
Expected outcomes must be patient-centered and clearly state the outcome with a
ss ss ss ss ss ss ss ss ss ss ss
sreasonable deadline and should identify components for evaluation.
s ss ss ss ss ss ss ss
DIF: Cognitive Level: Applying (Application)
s s ss ss ss TOP: Nursing Process: Planning ss ss ss
MSC: NCLEX: Management of Client Care
ss s s ss ss ss ss
9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
hypoxia.Thepatient has been admitted forincreased oxygen needs above a baseline of2 L/min.
ss s ss ss ss ss s ss ss ss ss s ss s ss
Thenurse generates an expected outcomes stating, ―The patient will have oxygen saturations
ss s ss ss ss ss ss ss ss ss ss ss ss
of
ss
>95% on room air at the time of discharge from the hospital.‖ What is wrong with this goal?
s ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
a. It cannot be evaluated.
ss ss s
