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