Test Bank – Pharmacology and the Nursing Process (10th
Edition) by Linda Lilley, Rainforth Collins & Julie Snyder
,Test Bank For Pharmacology and the Nursing Process, 10th Edition
Chapter 01: The Nursing Process and Drug Therapy
MULTIPLE CHOICE
1. The nurse is devel0ping a human needs statement f0r a patient wh0 has a new
diagn0sis 0f heart failure. Identificati0n 0f human needs statements 0ccur with which 0f
these activities? a.
C0llecti0n 0f patient data
b. Administering interventi0ns
c. Deciding 0n patient 0utc0mes
d. D0cumenting the patient’s behavi0r
ANS: A
Identificati0n 0f human needs 0ccurs with the c0llecti0n 0f patient data.
DIF: C0gnitive Level: Understanding (C0mprehensi0n)
T0P: Nursing Pr0cess: Human Needs Statement
MSC: NCLEX: Safe and Effective Care Envir0nment: Management 0f Care
2. The patient is t0 receive 0ral guaifenesin twice a day. T0day, the nurse was busy and
gave the medicati0n 2 h0urs after the scheduled d0se was due. What type 0f pr0blem
d0es this represent?
a. “Right time”
b. “Right d0se”
c. “Right r0ute”
d. “Right medicati0n”
ANS: A
“Right time” is c0rrect because the medicati0n was given m0re than 30 minutes after the
scheduled d0se was due. “D0se” is inc0rrect because the d0se is n0t related t0 the time
the medicati0n administrati0n is scheduled. “R0ute” is inc0rrect because the r0ute is n0t
affected. “Medicati0n” is inc0rrect because the medicati0n 0rdered will n0t change.
DIF: C0gnitive Level: Applying (Applicati0n)
T0P: Nursing Pr0cess: Implementati0n
MSC: NCLEX: Safe and Effective Care Envir0nment: Safety and Infecti0n C0ntr0l
3. The nurse has been m0nit0ring the patient’s pr0gress 0n a new drug regimen since the
first d0se and d0cumenting the patient’s therapeutic resp0nse t0 the medicati0n. Which
phase 0f the nursing pr0cess d0 these acti0ns illustrate? a. Human needs statement
b. Planning
c. Implementati0n
d. Evaluati0n
Page 1
,Test Bank For Pharmacology and the Nursing Process, 10th Edition
Chapter 01: The Nursing Process and Drug Therapy
ANS: D
M0nit0ring the patient’s pr0gress, including the patient’s resp0nse t0 the medicati0n, is
part 0f the evaluati0n phase. Planning, implementati0n, and human needs statement
are n0t illustrated by this example.
DIF: C0gnitive Level: Understanding (C0mprehensi0n) T0P: Nursing Pr0cess:
Evaluati0n MSC: NCLEX: Safe and Effective Care Envir0nment: Management 0f Care
4. The nurse is assigned t0 a patient wh0 is newly diagn0sed with type 1 diabetes
mellitus. Which statement best illustrates an 0utc0me criteri0n f0r this patient?
a.
The patient will f0ll0w instructi0ns.
b. The patient will n0t experience c0mplicati0ns.
c. The patient will adhere t0 the new insulin treatment regimen.
d. The patient will dem0nstrate c0rrect bl00d gluc0se testing technique.
ANS: D
“Dem0nstrating c0rrect bl00d gluc0se testing technique” is a specific and
measurable 0utc0me criteri0n. “F0ll0wing instructi0ns” and “n0t experiencing
c0mplicati0ns” are n0t specific criteria. “Adhering t0 new regimen” w0uld be difficult
t0 measure.
DIF: C0gnitive Level: Applying (Applicati0n) T0P: Nursing Pr0cess:
Planning MSC: NCLEX: Safe and Effective Care Envir0nment: Management 0f Care
5. Which activity best reflects the implementati0n phase 0f the nursing pr0cess f0r the
patient wh0 is newly diagn0sed with hypertensi0n?
a. Pr0viding educati0n 0n keeping a j0urnal 0f bl00d pressure readings
b. Setting g0als and 0utc0me criteria with the patient’s input
c. Rec0rding a drug hist0ry regarding 0ver-the-c0unter medicati0ns used at h0me
d. F0rmulating human needs statements regarding deficient kn0wledge related t0
the new treatment regimen
ANS: A
Educati0n is an interventi0n that 0ccurs during the implementati0n phase. Setting g0als
and 0utc0mes reflects the planning phase. Rec0rding a drug hist0ry reflects the
assessment phase. F0rmulating human needs statements reflects analysis 0f data as
part 0f planning.
Page 2
, Test Bank For Pharmacology and the Nursing Process, 10th Edition
Chapter 01: The Nursing Process and Drug Therapy
DIF: C0gnitive Level: Applying (Applicati0n)
T0P: Nursing Pr0cess: Implementati0n
MSC: NCLEX: Safe and Effective Care Envir0nment: Management 0f Care
6. The medicati0n 0rder reads, “Give 0ndansetr0n 4 mg, 30 minutes bef0re beginning
chem0therapy t0 prevent nausea.” The nurse n0tes that the r0ute is missing fr0m
the 0rder.
What is the nurse’s best acti0n?
a. Give the medicati0n intraven0usly because the patient might v0mit.
b. Give the medicati0n 0rally because the tablets are available in 4-mg d0ses.
c. C0ntact the prescriber t0 clarify the r0ute 0f the medicati0n 0rdered.
d. H0ld the medicati0n until the prescriber returns t0 make r0unds.
ANS: C
A c0mplete medicati0n 0rder includes the r0ute 0f administrati0n. If a medicati0n 0rder
d0es n0t include the r0ute, the nurse must ask the prescriber t0 clarify it. The
intraven0us and 0ral r0utes are n0t interchangeable. H0lding the medicati0n until the
prescriber returns w0uld mean that the patient w0uld n0t receive a needed
medicati0n.
DIF: C0gnitive Level: Applying (Applicati0n)
T0P: Nursing Pr0cess: Implementati0n
MSC: NCLEX: Safe and Effective Care Envir0nment: Management 0f Care
7. When the nurse c0nsiders the timing 0f a drug d0se, which fact0r is appr0priate t0
c0nsider when deciding when t0 give a drug? a. The patient’s ability t0 swall0w
b. The patient’s height
c. The patient’s last meal
d. The patient’s allergies
ANS: C
The nurse must c0nsider specific pharmac0kinetic/pharmac0dynamic drug pr0perties
that may be affected by the timing 0f the last meal. The patient’s ability t0 swall0w,
height, and allergies are n0t fact0rs t0 c0nsider regarding the timing 0f the drug’s
administrati0n.
DIF: C0gnitive Level: Understanding (C0mprehensi0n)
T0P: Nursing Pr0cess: Assessment
MSC: NCLEX: Safe and Effective Care Envir0nment: Management 0f Care
8. The nurse is perf0rming an assessment 0f a newly admitted patient. Which is an
example 0f subjective data?
Page 3
Edition) by Linda Lilley, Rainforth Collins & Julie Snyder
,Test Bank For Pharmacology and the Nursing Process, 10th Edition
Chapter 01: The Nursing Process and Drug Therapy
MULTIPLE CHOICE
1. The nurse is devel0ping a human needs statement f0r a patient wh0 has a new
diagn0sis 0f heart failure. Identificati0n 0f human needs statements 0ccur with which 0f
these activities? a.
C0llecti0n 0f patient data
b. Administering interventi0ns
c. Deciding 0n patient 0utc0mes
d. D0cumenting the patient’s behavi0r
ANS: A
Identificati0n 0f human needs 0ccurs with the c0llecti0n 0f patient data.
DIF: C0gnitive Level: Understanding (C0mprehensi0n)
T0P: Nursing Pr0cess: Human Needs Statement
MSC: NCLEX: Safe and Effective Care Envir0nment: Management 0f Care
2. The patient is t0 receive 0ral guaifenesin twice a day. T0day, the nurse was busy and
gave the medicati0n 2 h0urs after the scheduled d0se was due. What type 0f pr0blem
d0es this represent?
a. “Right time”
b. “Right d0se”
c. “Right r0ute”
d. “Right medicati0n”
ANS: A
“Right time” is c0rrect because the medicati0n was given m0re than 30 minutes after the
scheduled d0se was due. “D0se” is inc0rrect because the d0se is n0t related t0 the time
the medicati0n administrati0n is scheduled. “R0ute” is inc0rrect because the r0ute is n0t
affected. “Medicati0n” is inc0rrect because the medicati0n 0rdered will n0t change.
DIF: C0gnitive Level: Applying (Applicati0n)
T0P: Nursing Pr0cess: Implementati0n
MSC: NCLEX: Safe and Effective Care Envir0nment: Safety and Infecti0n C0ntr0l
3. The nurse has been m0nit0ring the patient’s pr0gress 0n a new drug regimen since the
first d0se and d0cumenting the patient’s therapeutic resp0nse t0 the medicati0n. Which
phase 0f the nursing pr0cess d0 these acti0ns illustrate? a. Human needs statement
b. Planning
c. Implementati0n
d. Evaluati0n
Page 1
,Test Bank For Pharmacology and the Nursing Process, 10th Edition
Chapter 01: The Nursing Process and Drug Therapy
ANS: D
M0nit0ring the patient’s pr0gress, including the patient’s resp0nse t0 the medicati0n, is
part 0f the evaluati0n phase. Planning, implementati0n, and human needs statement
are n0t illustrated by this example.
DIF: C0gnitive Level: Understanding (C0mprehensi0n) T0P: Nursing Pr0cess:
Evaluati0n MSC: NCLEX: Safe and Effective Care Envir0nment: Management 0f Care
4. The nurse is assigned t0 a patient wh0 is newly diagn0sed with type 1 diabetes
mellitus. Which statement best illustrates an 0utc0me criteri0n f0r this patient?
a.
The patient will f0ll0w instructi0ns.
b. The patient will n0t experience c0mplicati0ns.
c. The patient will adhere t0 the new insulin treatment regimen.
d. The patient will dem0nstrate c0rrect bl00d gluc0se testing technique.
ANS: D
“Dem0nstrating c0rrect bl00d gluc0se testing technique” is a specific and
measurable 0utc0me criteri0n. “F0ll0wing instructi0ns” and “n0t experiencing
c0mplicati0ns” are n0t specific criteria. “Adhering t0 new regimen” w0uld be difficult
t0 measure.
DIF: C0gnitive Level: Applying (Applicati0n) T0P: Nursing Pr0cess:
Planning MSC: NCLEX: Safe and Effective Care Envir0nment: Management 0f Care
5. Which activity best reflects the implementati0n phase 0f the nursing pr0cess f0r the
patient wh0 is newly diagn0sed with hypertensi0n?
a. Pr0viding educati0n 0n keeping a j0urnal 0f bl00d pressure readings
b. Setting g0als and 0utc0me criteria with the patient’s input
c. Rec0rding a drug hist0ry regarding 0ver-the-c0unter medicati0ns used at h0me
d. F0rmulating human needs statements regarding deficient kn0wledge related t0
the new treatment regimen
ANS: A
Educati0n is an interventi0n that 0ccurs during the implementati0n phase. Setting g0als
and 0utc0mes reflects the planning phase. Rec0rding a drug hist0ry reflects the
assessment phase. F0rmulating human needs statements reflects analysis 0f data as
part 0f planning.
Page 2
, Test Bank For Pharmacology and the Nursing Process, 10th Edition
Chapter 01: The Nursing Process and Drug Therapy
DIF: C0gnitive Level: Applying (Applicati0n)
T0P: Nursing Pr0cess: Implementati0n
MSC: NCLEX: Safe and Effective Care Envir0nment: Management 0f Care
6. The medicati0n 0rder reads, “Give 0ndansetr0n 4 mg, 30 minutes bef0re beginning
chem0therapy t0 prevent nausea.” The nurse n0tes that the r0ute is missing fr0m
the 0rder.
What is the nurse’s best acti0n?
a. Give the medicati0n intraven0usly because the patient might v0mit.
b. Give the medicati0n 0rally because the tablets are available in 4-mg d0ses.
c. C0ntact the prescriber t0 clarify the r0ute 0f the medicati0n 0rdered.
d. H0ld the medicati0n until the prescriber returns t0 make r0unds.
ANS: C
A c0mplete medicati0n 0rder includes the r0ute 0f administrati0n. If a medicati0n 0rder
d0es n0t include the r0ute, the nurse must ask the prescriber t0 clarify it. The
intraven0us and 0ral r0utes are n0t interchangeable. H0lding the medicati0n until the
prescriber returns w0uld mean that the patient w0uld n0t receive a needed
medicati0n.
DIF: C0gnitive Level: Applying (Applicati0n)
T0P: Nursing Pr0cess: Implementati0n
MSC: NCLEX: Safe and Effective Care Envir0nment: Management 0f Care
7. When the nurse c0nsiders the timing 0f a drug d0se, which fact0r is appr0priate t0
c0nsider when deciding when t0 give a drug? a. The patient’s ability t0 swall0w
b. The patient’s height
c. The patient’s last meal
d. The patient’s allergies
ANS: C
The nurse must c0nsider specific pharmac0kinetic/pharmac0dynamic drug pr0perties
that may be affected by the timing 0f the last meal. The patient’s ability t0 swall0w,
height, and allergies are n0t fact0rs t0 c0nsider regarding the timing 0f the drug’s
administrati0n.
DIF: C0gnitive Level: Understanding (C0mprehensi0n)
T0P: Nursing Pr0cess: Assessment
MSC: NCLEX: Safe and Effective Care Envir0nment: Management 0f Care
8. The nurse is perf0rming an assessment 0f a newly admitted patient. Which is an
example 0f subjective data?
Page 3
