Introduction to Clinical Phar
5% 5% 5%
macology 10th Edition Test B
5% 5% 5% 5%
ank McCuistion
5%
, TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
Chapter 01: The Nursing Process and Patient-Centered Care
5% 5% 5% 5% 5% 5% 5%
McCuistion: Pharmacology: A Patient- 5% 5% 5%
Centered Nursing Process Approach, 10th Edition
5% 5% 5% 5% 5%
MULTIPLE CHOICE 5%
1. The nursing process is a five-step decision-
5% 5% 5% 5% 5% 5%
making approach that includes all of the following steps, EXCEPT:
5% 5% 5% 5% 5% 5% 5% 5% 5%
a. Assessment
b. Patient problem 5%
c. Planning
d. Right Drug 5%
ANS: 5 % D
The nursing process is a five-step decision-
5% 5% 5% 5% 5% 5%
making approach that includes: 1) assessment, 2) patient problem, 3) planning, 4) implemen
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
tation, and 5) evaluation. “Right drug” is one of the “Six Rights” of medication administrati
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
on.
DIF: Cognitive Level: Understanding (Comprehension)5% 5% 5%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
5 % 5% 5% 5% 5 % 5% 5% 5%
2. The nurse is using data collected to set goals or expected outcomes and interventions th
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
at address the patient’s problems. Which step of the nursing process is the nurse appl
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ying?
a. Assessment
b. Patient problem 5%
c. Planning
N
d. Evaluation
ANS: 5 % C
During the planning phase, the nurse uses the data collected to set goals or expected outcom
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
es and interventions which address the patient’s problems. The data was collected during th
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
e “Assessment” and “Patient problem” steps. During the “Evaluation” phase the nurse woul
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
d determine whether the goals and objectives set during the planning phase were met.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
DIF:
Cognitive Level: Understanding (Comprehension 5% 5% 5%
) TOP: Nursing Process: Nursing Intervention
5% 5 % 5% 5% 5%
MSC: NCLEX: Management of Care
5 % 5% 5% 5%
3. A 5-year-
5%
old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hyp
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
erglycemia. The parents tell the nurse that they can’t keep track of everything that has to b
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
e done to care for their child. The nurse reviews medications, diet, and symptom managem
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ent with the parents and draws up a daily checklist for the family to use. These activities a
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
re completed in which step of the nursing process?
5% 5% 5% 5% 5% 5% 5% 5%
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: 5 % C
m
, TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
The implementation phase is the part of the nursing process in which the nurse provides ed
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ucation, drug administration, patient care, and other interventions necessary to assist the patie
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
nt in accomplishing established medication goals.
5% 5% 5% 5% 5%
DIF:
Cognitive Level: Understanding (Comprehension 5% 5% 5%
) TOP: Nursing Process: Nursing Intervention
5% 5 % 5% 5% 5%
MSC: NCLEX: Management of Care
5 % 5% 5% 5%
4. The nurse is preparing to administer a medication and reviews the patient’s chart for dr
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s action
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
s are reflective of which phase of the nursing process?
5% 5% 5% 5% 5% 5% 5% 5% 5%
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: 5 % A
Assessment involves gathering information about the patient and the drug, including any pre
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
vious use of the drug. 5% 5% 5% 5%
DIF: Cognitive Level: Understanding (Comprehension) 5% 5% 5%
TOP: Nursing Process: Assessment
5 % MSC: NCLEX: Management of Care
5% 5% 5 % 5% 5% 5%
5. Which assessment is categorized as objective data?
5% 5% 5% 5% 5% 5%
a. A list of herbal supplements regularly used
5% 5% 5% 5% 5% 5%
b. Lab values associated with the drugs the patient is taking
5% 5% 5% 5% 5% 5% 5% 5% 5%
c. The ages and relationship to the patient of all household members
5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
d. Usual dietary patterns and fNo o d intake
5% 5% 5% 5% 5%
ANS: 5 % B
Objective data are measured and detected by another person and would include lab values.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5
The other examples are subjective data.
% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Understanding (Comprehension) 5% 5% 5%
TOP: Nursing Process: Assessment
5 % MSC: NCLEX: Management of Care
5% 5% 5 % 5% 5% 5%
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, a
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
nd does not have an established routine. The patient will be sent home with three new me
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
dications to be taken at different times of the day. The nurse develops a daily medication
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
chart and enlists a family member to put the patient’s pills in a pill organizer. This is an e
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
xample of which phase of the nursing process?
5% 5% 5% 5% 5% 5% 5%
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: 5 % C
The implementation phase involves education and patient care in order to assist the patient to
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
accomplish the goals of treatment.
5% 5% 5% 5% 5%
DIF:
Cognitive Level: Applying (Application
5% 5% 5%
) TOP:
5% 5 Nursing Process: Nursing Interventio
% 5% 5% 5%
n
m
, TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
MSC: NCLEX: Management of Care
5 % 5% 5% 5%
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
go home. The nurse and the patient discuss the patient’s situation and decide that the patien
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
t may go home when able to perform self-
5% 5% 5% 5% 5% 5% 5% 5%
care without dyspnea and hypoxia. This is an example of which phase of the nursing proc
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ess?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: 5 % D
Planning involves goal setting, which, for this patient, means being able to perform self-
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
care activities without dyspnea and hypoxia.
5% 5% 5% 5% 5%
DIF: Cognitive Level: Understanding (Comprehension)5% 5% 5%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
5 % 5% 5% 5% 5 % 5% 5% 5%
8. A patient will be sent home with a metered-
5% 5% 5% 5% 5% 5% 5% 5%
dose inhaler, and the nurse is providing teaching. Which is a correctly written goal for thi
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
s process?
5%
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
b. The nurse will teach the patient how to administer medication with a metered-
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
dose inhaler. 5%
c. The patient will know how to self-
5% 5% 5% 5% 5% 5%
administer the medication using the metered-dose inhaler. 5% 5% 5% 5% 5% 5%
d. The patient will independently administer the medication using the metered-
5% 5% 5% 5% 5% 5% 5% 5% 5%
dose inhaler at the end of the session.
5% 5% 5% 5% 5% 5% 5%
N
ANS: 5 % D
Goals must be patient- 5% 5% 5%
centered and clearly state the outcome with a reasonable deadline and should identify compo
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
nents for evaluation.5% 5%
DIF: Cognitive Level: Applying (Application) 5% 5% 5%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
5 % 5% 5% 5% 5 % 5% 5% 5%
9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypox
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ia. The patient has been admitted for increased oxygen needs above a baseline of 2 L/min.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5
%The nurse develops a goal stating, “The patient will have oxygen saturations of >95% on r
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
oom air at the time of discharge from the hospital.” What is wrong with this goal?
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
a. It cannot be evaluated.
5% 5% 5%
b. It is not measurable.
5% 5% 5%
c. It is not patient-centered.
5% 5% 5%
d. It is not realistic.
5% 5% 5%
ANS: 5 % D
This goal is not realistic because the patient is not usually on room air and should not be ex
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
pected to attain that goal by discharge from this hospitalization.
5% 5% 5% 5% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Applying (Application) 5% 5% 5%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
5 % 5% 5% 5% 5 % 5% 5% 5%
m
5% 5% 5%
macology 10th Edition Test B
5% 5% 5% 5%
ank McCuistion
5%
, TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
Chapter 01: The Nursing Process and Patient-Centered Care
5% 5% 5% 5% 5% 5% 5%
McCuistion: Pharmacology: A Patient- 5% 5% 5%
Centered Nursing Process Approach, 10th Edition
5% 5% 5% 5% 5%
MULTIPLE CHOICE 5%
1. The nursing process is a five-step decision-
5% 5% 5% 5% 5% 5%
making approach that includes all of the following steps, EXCEPT:
5% 5% 5% 5% 5% 5% 5% 5% 5%
a. Assessment
b. Patient problem 5%
c. Planning
d. Right Drug 5%
ANS: 5 % D
The nursing process is a five-step decision-
5% 5% 5% 5% 5% 5%
making approach that includes: 1) assessment, 2) patient problem, 3) planning, 4) implemen
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
tation, and 5) evaluation. “Right drug” is one of the “Six Rights” of medication administrati
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
on.
DIF: Cognitive Level: Understanding (Comprehension)5% 5% 5%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
5 % 5% 5% 5% 5 % 5% 5% 5%
2. The nurse is using data collected to set goals or expected outcomes and interventions th
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
at address the patient’s problems. Which step of the nursing process is the nurse appl
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ying?
a. Assessment
b. Patient problem 5%
c. Planning
N
d. Evaluation
ANS: 5 % C
During the planning phase, the nurse uses the data collected to set goals or expected outcom
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
es and interventions which address the patient’s problems. The data was collected during th
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
e “Assessment” and “Patient problem” steps. During the “Evaluation” phase the nurse woul
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
d determine whether the goals and objectives set during the planning phase were met.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
DIF:
Cognitive Level: Understanding (Comprehension 5% 5% 5%
) TOP: Nursing Process: Nursing Intervention
5% 5 % 5% 5% 5%
MSC: NCLEX: Management of Care
5 % 5% 5% 5%
3. A 5-year-
5%
old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hyp
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
erglycemia. The parents tell the nurse that they can’t keep track of everything that has to b
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
e done to care for their child. The nurse reviews medications, diet, and symptom managem
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ent with the parents and draws up a daily checklist for the family to use. These activities a
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
re completed in which step of the nursing process?
5% 5% 5% 5% 5% 5% 5% 5%
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: 5 % C
m
, TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
The implementation phase is the part of the nursing process in which the nurse provides ed
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ucation, drug administration, patient care, and other interventions necessary to assist the patie
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
nt in accomplishing established medication goals.
5% 5% 5% 5% 5%
DIF:
Cognitive Level: Understanding (Comprehension 5% 5% 5%
) TOP: Nursing Process: Nursing Intervention
5% 5 % 5% 5% 5%
MSC: NCLEX: Management of Care
5 % 5% 5% 5%
4. The nurse is preparing to administer a medication and reviews the patient’s chart for dr
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s action
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
s are reflective of which phase of the nursing process?
5% 5% 5% 5% 5% 5% 5% 5% 5%
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: 5 % A
Assessment involves gathering information about the patient and the drug, including any pre
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
vious use of the drug. 5% 5% 5% 5%
DIF: Cognitive Level: Understanding (Comprehension) 5% 5% 5%
TOP: Nursing Process: Assessment
5 % MSC: NCLEX: Management of Care
5% 5% 5 % 5% 5% 5%
5. Which assessment is categorized as objective data?
5% 5% 5% 5% 5% 5%
a. A list of herbal supplements regularly used
5% 5% 5% 5% 5% 5%
b. Lab values associated with the drugs the patient is taking
5% 5% 5% 5% 5% 5% 5% 5% 5%
c. The ages and relationship to the patient of all household members
5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
d. Usual dietary patterns and fNo o d intake
5% 5% 5% 5% 5%
ANS: 5 % B
Objective data are measured and detected by another person and would include lab values.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5
The other examples are subjective data.
% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Understanding (Comprehension) 5% 5% 5%
TOP: Nursing Process: Assessment
5 % MSC: NCLEX: Management of Care
5% 5% 5 % 5% 5% 5%
6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, a
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
nd does not have an established routine. The patient will be sent home with three new me
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
dications to be taken at different times of the day. The nurse develops a daily medication
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
chart and enlists a family member to put the patient’s pills in a pill organizer. This is an e
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
xample of which phase of the nursing process?
5% 5% 5% 5% 5% 5% 5%
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: 5 % C
The implementation phase involves education and patient care in order to assist the patient to
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
accomplish the goals of treatment.
5% 5% 5% 5% 5%
DIF:
Cognitive Level: Applying (Application
5% 5% 5%
) TOP:
5% 5 Nursing Process: Nursing Interventio
% 5% 5% 5%
n
m
, TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
MSC: NCLEX: Management of Care
5 % 5% 5% 5%
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
go home. The nurse and the patient discuss the patient’s situation and decide that the patien
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
t may go home when able to perform self-
5% 5% 5% 5% 5% 5% 5% 5%
care without dyspnea and hypoxia. This is an example of which phase of the nursing proc
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ess?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: 5 % D
Planning involves goal setting, which, for this patient, means being able to perform self-
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
care activities without dyspnea and hypoxia.
5% 5% 5% 5% 5%
DIF: Cognitive Level: Understanding (Comprehension)5% 5% 5%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
5 % 5% 5% 5% 5 % 5% 5% 5%
8. A patient will be sent home with a metered-
5% 5% 5% 5% 5% 5% 5% 5%
dose inhaler, and the nurse is providing teaching. Which is a correctly written goal for thi
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
s process?
5%
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
b. The nurse will teach the patient how to administer medication with a metered-
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
dose inhaler. 5%
c. The patient will know how to self-
5% 5% 5% 5% 5% 5%
administer the medication using the metered-dose inhaler. 5% 5% 5% 5% 5% 5%
d. The patient will independently administer the medication using the metered-
5% 5% 5% 5% 5% 5% 5% 5% 5%
dose inhaler at the end of the session.
5% 5% 5% 5% 5% 5% 5%
N
ANS: 5 % D
Goals must be patient- 5% 5% 5%
centered and clearly state the outcome with a reasonable deadline and should identify compo
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
nents for evaluation.5% 5%
DIF: Cognitive Level: Applying (Application) 5% 5% 5%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
5 % 5% 5% 5% 5 % 5% 5% 5%
9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypox
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
ia. The patient has been admitted for increased oxygen needs above a baseline of 2 L/min.
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5
%The nurse develops a goal stating, “The patient will have oxygen saturations of >95% on r
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
oom air at the time of discharge from the hospital.” What is wrong with this goal?
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
a. It cannot be evaluated.
5% 5% 5%
b. It is not measurable.
5% 5% 5%
c. It is not patient-centered.
5% 5% 5%
d. It is not realistic.
5% 5% 5%
ANS: 5 % D
This goal is not realistic because the patient is not usually on room air and should not be ex
5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5% 5%
pected to attain that goal by discharge from this hospitalization.
5% 5% 5% 5% 5% 5% 5% 5% 5%
DIF: Cognitive Level: Applying (Application) 5% 5% 5%
TOP: Nursing Process: Planning MSC: NCLEX: Management of Care
5 % 5% 5% 5% 5 % 5% 5% 5%
m