,Test Bank For Pharmacology and the Nursing Process, 10th Edition
m m m m m m m m m
Chapter 01: The Nursing Process and Drug
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Therapy
m
MULTIPLE CHOICE m
1. The nurse is developing a human needs statement for a patient who has a new diagnosis of
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heart failure. Identification of human needs statements occur with which of these activities?
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m a.
Collection of patient data m m m
b. Administering interventions m
c. Deciding on patient outcomes m m m
d. Documenting the patient’s behavior m m m
ANS: A m
Identification of human needs occurs with the collection of patient data.
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DIF: Cognitive Level: Understanding (Comprehension)
m m m m
TOP: Nursing Process: Human Needs Statement
m m m m m m
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
m m m m m m m m m
2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and gave
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the medication 2 hours after the scheduled dose was due. What type of problem does this
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represent?
m
a. “Right time” m
b. “Right dose” m
c. “Right route” m
d. “Right medication” m
ANS: A m
“Right time” is correct because the medication was given more than 30 minutes after the
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mscheduled dose was due. “Dose” is incorrect because the dose is not related to the time the
m m m m m m m m m m m m m m m m
mmedication administration is scheduled. “Route” is incorrect because the route is not affected.
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m“Medication” is incorrect because the medication ordered will not change.
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DIF: Cognitive Level: Applying (Application)
m m m m
TOP: Nursing Process: Implementation
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MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
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3. The nurse has been monitoring the patient’s progress on a new drug regimen since the first
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dose and documenting the patient’s therapeutic response to the medication. Which phase of
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the nursing process do these actions illustrate? a. Human needs statement
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b. Planning
c. Implementation
d. Evaluation
Page m1
,Test Bank For Pharmacology and the Nursing Process, 10th Edition
m m m m m m m m m
Chapter 01: The Nursing Process and Drug
m m m m m m
Therapy
m
ANS: D m
Monitoring the patient’s progress, including the patient’s response to the medication, is part
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of the evaluation phase. Planning, implementation, and human needs statement are not
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millustrated by this example. m m m
DIF: Cognitive Level: Understanding (Comprehension)
m TOP: Nursing Process:
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Evaluation MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes
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mmellitus. Which statement best illustrates an outcome criterion for this patient? a.
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The patient will follow instructions.
m m m m
b. The patient will not experience complications.
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c. The patient will adhere to the new insulin treatment regimen.
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d. The patient will demonstrate correct blood glucose testing technique.
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ANS: D m
“Demonstrating correct blood glucose testing technique” is a specific and measurable
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moutcome criterion. “Following instructions” and “not experiencing complications” are not
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mspecific criteria. “Adhering to new regimen” would be difficult to measure.
m m m m m m m m m m
DIF: Cognitive Level: Applying (Application)
m TOP: Nursing Process:
m m m m m
Planning MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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5. Which activity best reflects the implementation phase of the nursing process for the patient
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who is newly diagnosed with hypertension?
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a. Providing education on keeping a journal of blood pressure readings
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b. Setting goals and outcome criteria with the patient’s input
m m m m m m m m
c. Recording a drug history regarding over-the-counter medications used at home
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d. Formulating human needs statements regarding deficient knowledge related to the
m m m m m m m m m
new treatment regimen
m m m
ANS: A m
Education is an intervention that occurs during the implementation phase. Setting goals and
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moutcomes reflects the planning phase. Recording a drug history reflects the assessment phase.
m m m m m m m m m m m m
mFormulating human needs statements reflects analysis of data as part of planning.
m m m m m m m m m m m
Page m2
, Test Bank For Pharmacology and the Nursing Process, 10th Edition
m m m m m m m m m
Chapter 01: The Nursing Process and Drug
m m m m m m
Therapy
m
DIF: Cognitive Level: Applying (Application)
m m m m
TOP: Nursing Process: Implementation
m m m m
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
m m m m m m m m m
6. The medication order reads, “Give ondansetron 4 mg, 30 minutes before beginning
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chemotherapy to prevent nausea.” The nurse notes that the route is missing from the
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order.
m
What is the nurse’s best action?
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a. Give the medication intravenously because the patient might vomit.
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b. Give the medication orally because the tablets are available in 4-mg doses.
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c. Contact the prescriber to clarify the route of the medication ordered.
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d. Hold the medication until the prescriber returns to make rounds.
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ANS: C m
A complete medication order includes the route of administration. If a medication order
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does not include the route, the nurse must ask the prescriber to clarify it. The intravenous
m m m m m m m m m m m m m m m m
and oral routes are not interchangeable. Holding the medication until the prescriber
m m m m m m m m m m m m
returns would mean that the patient would not receive a needed medication.
m m m m m m m m m m m m
DIF: Cognitive Level: Applying (Application)
m m m m
TOP: Nursing Process: Implementation
m m m m
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
m m m m m m m m m
7. When the nurse considers the timing of a drug dose, which factor is appropriate to consider
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when deciding when to give a drug? a. The patient’s ability to swallow
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b. The patient’s height m m
c. The patient’s last meal m m m
d. The patient’s allergies m m
ANS: C m
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that
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may be affected by the timing of the last meal. The patient’s ability to swallow, height,
m m m m m m m m m m m m m m m m
mand allergies are not factors to consider regarding the timing of the drug’s administration.
m m m m m m m m m m m m m
DIF: Cognitive Level: Understanding (Comprehension)
m m m m
TOP: Nursing Process: Assessment
m m m m
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
m m m m m m m m m
8. The nurse is performing an assessment of a newly admitted patient. Which is an example
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of subjective data?
m m m
Page m3
m m m m m m m m m
Chapter 01: The Nursing Process and Drug
m m m m m m
Therapy
m
MULTIPLE CHOICE m
1. The nurse is developing a human needs statement for a patient who has a new diagnosis of
m m m m m m m m m m m m m m m m
heart failure. Identification of human needs statements occur with which of these activities?
m m m m m m m m m m m m m
m a.
Collection of patient data m m m
b. Administering interventions m
c. Deciding on patient outcomes m m m
d. Documenting the patient’s behavior m m m
ANS: A m
Identification of human needs occurs with the collection of patient data.
m m m m m m m m m m
DIF: Cognitive Level: Understanding (Comprehension)
m m m m
TOP: Nursing Process: Human Needs Statement
m m m m m m
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
m m m m m m m m m
2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and gave
m m m m m m m m m m m m m m m m
the medication 2 hours after the scheduled dose was due. What type of problem does this
m m m m m m m m m m m m m m m m
represent?
m
a. “Right time” m
b. “Right dose” m
c. “Right route” m
d. “Right medication” m
ANS: A m
“Right time” is correct because the medication was given more than 30 minutes after the
m m m m m m m m m m m m m m
mscheduled dose was due. “Dose” is incorrect because the dose is not related to the time the
m m m m m m m m m m m m m m m m
mmedication administration is scheduled. “Route” is incorrect because the route is not affected.
m m m m m m m m m m m m
m“Medication” is incorrect because the medication ordered will not change.
m m m m m m m m m
DIF: Cognitive Level: Applying (Application)
m m m m
TOP: Nursing Process: Implementation
m m m m
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
m m m m m m m m m m
3. The nurse has been monitoring the patient’s progress on a new drug regimen since the first
m m m m m m m m m m m m m m m
dose and documenting the patient’s therapeutic response to the medication. Which phase of
m m m m m m m m m m m m m
the nursing process do these actions illustrate? a. Human needs statement
m m m m m m m m m m m
b. Planning
c. Implementation
d. Evaluation
Page m1
,Test Bank For Pharmacology and the Nursing Process, 10th Edition
m m m m m m m m m
Chapter 01: The Nursing Process and Drug
m m m m m m
Therapy
m
ANS: D m
Monitoring the patient’s progress, including the patient’s response to the medication, is part
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of the evaluation phase. Planning, implementation, and human needs statement are not
m m m m m m m m m m m m
millustrated by this example. m m m
DIF: Cognitive Level: Understanding (Comprehension)
m TOP: Nursing Process:
m m m m m
Evaluation MSC: NCLEX: Safe and Effective Care Environment: Management of Care
m m m m m m m m m m m
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes
m m m m m m m m m m m m m m
mmellitus. Which statement best illustrates an outcome criterion for this patient? a.
m m m m m m m m m m m
The patient will follow instructions.
m m m m
b. The patient will not experience complications.
m m m m m
c. The patient will adhere to the new insulin treatment regimen.
m m m m m m m m m
d. The patient will demonstrate correct blood glucose testing technique.
m m m m m m m m
ANS: D m
“Demonstrating correct blood glucose testing technique” is a specific and measurable
m m m m m m m m m m
moutcome criterion. “Following instructions” and “not experiencing complications” are not
m m m m m m m m m
mspecific criteria. “Adhering to new regimen” would be difficult to measure.
m m m m m m m m m m
DIF: Cognitive Level: Applying (Application)
m TOP: Nursing Process:
m m m m m
Planning MSC: NCLEX: Safe and Effective Care Environment: Management of Care
m m m m m m m m m m m
5. Which activity best reflects the implementation phase of the nursing process for the patient
m m m m m m m m m m m m m
who is newly diagnosed with hypertension?
m m m m m m
a. Providing education on keeping a journal of blood pressure readings
m m m m m m m m m
b. Setting goals and outcome criteria with the patient’s input
m m m m m m m m
c. Recording a drug history regarding over-the-counter medications used at home
m m m m m m m m m
d. Formulating human needs statements regarding deficient knowledge related to the
m m m m m m m m m
new treatment regimen
m m m
ANS: A m
Education is an intervention that occurs during the implementation phase. Setting goals and
m m m m m m m m m m m m
moutcomes reflects the planning phase. Recording a drug history reflects the assessment phase.
m m m m m m m m m m m m
mFormulating human needs statements reflects analysis of data as part of planning.
m m m m m m m m m m m
Page m2
, Test Bank For Pharmacology and the Nursing Process, 10th Edition
m m m m m m m m m
Chapter 01: The Nursing Process and Drug
m m m m m m
Therapy
m
DIF: Cognitive Level: Applying (Application)
m m m m
TOP: Nursing Process: Implementation
m m m m
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
m m m m m m m m m
6. The medication order reads, “Give ondansetron 4 mg, 30 minutes before beginning
m m m m m m m m m m m
chemotherapy to prevent nausea.” The nurse notes that the route is missing from the
m m m m m m m m m m m m m m
order.
m
What is the nurse’s best action?
m m m m m
a. Give the medication intravenously because the patient might vomit.
m m m m m m m m
b. Give the medication orally because the tablets are available in 4-mg doses.
m m m m m m m m m m m
c. Contact the prescriber to clarify the route of the medication ordered.
m m m m m m m m m m
d. Hold the medication until the prescriber returns to make rounds.
m m m m m m m m m
ANS: C m
A complete medication order includes the route of administration. If a medication order
m m m m m m m m m m m m
does not include the route, the nurse must ask the prescriber to clarify it. The intravenous
m m m m m m m m m m m m m m m m
and oral routes are not interchangeable. Holding the medication until the prescriber
m m m m m m m m m m m m
returns would mean that the patient would not receive a needed medication.
m m m m m m m m m m m m
DIF: Cognitive Level: Applying (Application)
m m m m
TOP: Nursing Process: Implementation
m m m m
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
m m m m m m m m m
7. When the nurse considers the timing of a drug dose, which factor is appropriate to consider
m m m m m m m m m m m m m m m
when deciding when to give a drug? a. The patient’s ability to swallow
m m m m m m m m m m m m m
b. The patient’s height m m
c. The patient’s last meal m m m
d. The patient’s allergies m m
ANS: C m
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that
m m m m m m m m
may be affected by the timing of the last meal. The patient’s ability to swallow, height,
m m m m m m m m m m m m m m m m
mand allergies are not factors to consider regarding the timing of the drug’s administration.
m m m m m m m m m m m m m
DIF: Cognitive Level: Understanding (Comprehension)
m m m m
TOP: Nursing Process: Assessment
m m m m
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
m m m m m m m m m
8. The nurse is performing an assessment of a newly admitted patient. Which is an example
m m m m m m m m m m m m m m
of subjective data?
m m m
Page m3
