,Pharmacology and the Nursing Process 8th Edition x x x x x x x
Lilley Collins Snyder Test Bank
x x x x
Chapter 01: The Nursing Process and Drug TherapyTest Bank
x x x x x x x x x
MULTIPLE CHOICE x
1. The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly dia
x x x x x x x x x x x x x x x x x x x
gnosed withtype 2 diabetes. Which statement reflects the correct format for a nursing diagnos
x x x x x x x x x x x x x
is?
a. Anxiety
b. Anxiety related to new drug therapy
x x x x x
c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as ―I’m upset about ha
x x x x x x x x x x x x x x x x x
ving tmy blood sugars.‖
x x x
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I’m upset about having to test my bl
x x x x x x x x x x x x x x x x x x xx
ood su x
ANS: D x
Formulation of nursing diagnoses is usually a three- x x x x x x x
step process. ―Anxiety‖ is missing the ―related to‖ and ―asevidenced by‖ portions of defining character
x x x x x x x x x x x x x x
istics. ―Anxiety related to new drug therapy‖ is missing the ―as evidenced by‖ portion of defining char
x x x x x x x x x x x x x x x x
acteristics. The statement beginning ―Anxiety related to anxious feelings‖ is incorrect because the ―
x x x x x x x x x x x x x
related to‖ section is simply a restatement of the problem ―anxiety,‖ not a separate factor related to t
x x x x x x x x x x x x x x x x x
he response.
x
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 9
x x x x x x x
TOP: NURSING PROCESS: Nursing Diagnosis
x x x x
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy an
x x x x x x x x x x x x x x x x
d gave themedication 2 hours after the scheduled dose was due. What type of problem does this r
x x x x x x x x x x x x x x x x x
epresent?
a. ―Right time‖ problem
x x
b. ―Right dose‖ problem
x x
,c. ―Right route‖ problem
x x
d. ―Right medication‖ problem
x x
ANS: A x
―Right time‖ is correct because the medication was given more than 30 minutes after the scheduled
x x x x x x x x x x x x x x x x
dose was due. ―Dose‖ is incorrect because the dose is not related to the time the medication admini
x x x x x x x x x x x x x x x x x
stration is scheduled.―Route‖ is incorrect because the route is not affected. ―Medication‖ is incorrect
x x x x x x x x x x x x x
xbecause the medication ordered will not change.
x x x x x x
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 13 TO
x x x x x x x x
P: NURSING PROCESS: Implementation
x x x
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
x x x x x x x x x x
3. The nurse has been monitoring the patient’s progress on a new drug regimen since the first do
x x x x x x x x x x x x x x x x
se and documenting the patient’s therapeutic response to the medication. Which phase of the nurs
x x x x x x x x x x x x x x
ing process do theseactions illustrate?
x x x x
a. Nursing diagnosis x
b. Planning
c. Implementation
d. Evaluation
ANS: D x
Monitoring the patient’s progress, including the patient’s response to the medication, is part of the ev
x x x x x x x x x x x x x x x
aluationphase. Planning, implementation, and nursing diagnosis are not illustrated by this example
x x x x x x x x x x x
.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 1
x x x x x x x
5TOP: NURSING PROCESS: Evaluation
x x x
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus. Which st
x x x x x x x x x x x x x x x x x
atementbest illustrates an outcome criterion for this patient?
x x x x x x x
a. The patient will follow instructions.
x x x x
b. The patient will not experience complications.
x x x x x
, c. The patient will adhere to the new insulin treatment regimen.
x x x x x x x x x
d. The patient will demonstrate correct blood glucose testing technique.
x x x x x x x x
ANS: D x
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable outcome criterio
x x x x x x x x x x x x
n. ―Following instructions‖ and ―not experiencing complications‖ are not specific criteria. ―Adhering to
x x x x x x x x x x x x x
newregimen‖ would be difficult to measure. x x x x x
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 11 TO
x x x x x x x x
P: NURSING PROCESS: Planning
x x x
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
5. Which activity best reflects the implementation phase of the nursing process for the patient w
x x x x x x x x x x x x x x
ho is newly diagnosed with hypertension?
x x x x x
a. Providing education on keeping a journal of blood pressure readings
x x x x x x x x x
b. Setting goals and outcome criteria with the patient’s input
x x x x x x x x
c. Recording a drug history regarding over-the-counter medications used at home
x x x x x x x x x
d. Formulating nursing diagnoses regarding deficient knowledge related to the new treatment regimen
x x x x x x x x x x x
ANS: A x
Education is an intervention that occurs during the implementation phase. Setting goals and outcom
x x x x x x x x x x x x x
es reflects the planning phase. Recording a drug history reflects the assessment phase. Formulating
x x x x x x x x x x x x x
nursing diagnoses reflects analysis of data as part of planning.
x x x x x x x x x x
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 11 TO
x x x x x x x x
P: NURSING PROCESS: Implementation
x x x
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
6. The medication order reads, ―Give ondansetron (Zofran) 4 mg, 30 minutes before beginning che
x x x x x x x x x x x x x
motherapyto prevent nausea.‖ The nurse notes that the route is missing from the order. What is the
x x x x x x x x x x x x x x x x x
nurse’s best action? x x
a. Give the medication intravenously because the patient might vomit.
x x x x x x x x
b. Give the medication orally because the tablets are available in 4-mg doses.
x x x x x x x x x x x
c. Contact the prescriber to clarify the route of the medication ordered.
x x x x x x x x x x
Lilley Collins Snyder Test Bank
x x x x
Chapter 01: The Nursing Process and Drug TherapyTest Bank
x x x x x x x x x
MULTIPLE CHOICE x
1. The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly dia
x x x x x x x x x x x x x x x x x x x
gnosed withtype 2 diabetes. Which statement reflects the correct format for a nursing diagnos
x x x x x x x x x x x x x
is?
a. Anxiety
b. Anxiety related to new drug therapy
x x x x x
c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as ―I’m upset about ha
x x x x x x x x x x x x x x x x x
ving tmy blood sugars.‖
x x x
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I’m upset about having to test my bl
x x x x x x x x x x x x x x x x x x xx
ood su x
ANS: D x
Formulation of nursing diagnoses is usually a three- x x x x x x x
step process. ―Anxiety‖ is missing the ―related to‖ and ―asevidenced by‖ portions of defining character
x x x x x x x x x x x x x x
istics. ―Anxiety related to new drug therapy‖ is missing the ―as evidenced by‖ portion of defining char
x x x x x x x x x x x x x x x x
acteristics. The statement beginning ―Anxiety related to anxious feelings‖ is incorrect because the ―
x x x x x x x x x x x x x
related to‖ section is simply a restatement of the problem ―anxiety,‖ not a separate factor related to t
x x x x x x x x x x x x x x x x x
he response.
x
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 9
x x x x x x x
TOP: NURSING PROCESS: Nursing Diagnosis
x x x x
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy an
x x x x x x x x x x x x x x x x
d gave themedication 2 hours after the scheduled dose was due. What type of problem does this r
x x x x x x x x x x x x x x x x x
epresent?
a. ―Right time‖ problem
x x
b. ―Right dose‖ problem
x x
,c. ―Right route‖ problem
x x
d. ―Right medication‖ problem
x x
ANS: A x
―Right time‖ is correct because the medication was given more than 30 minutes after the scheduled
x x x x x x x x x x x x x x x x
dose was due. ―Dose‖ is incorrect because the dose is not related to the time the medication admini
x x x x x x x x x x x x x x x x x
stration is scheduled.―Route‖ is incorrect because the route is not affected. ―Medication‖ is incorrect
x x x x x x x x x x x x x
xbecause the medication ordered will not change.
x x x x x x
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 13 TO
x x x x x x x x
P: NURSING PROCESS: Implementation
x x x
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
x x x x x x x x x x
3. The nurse has been monitoring the patient’s progress on a new drug regimen since the first do
x x x x x x x x x x x x x x x x
se and documenting the patient’s therapeutic response to the medication. Which phase of the nurs
x x x x x x x x x x x x x x
ing process do theseactions illustrate?
x x x x
a. Nursing diagnosis x
b. Planning
c. Implementation
d. Evaluation
ANS: D x
Monitoring the patient’s progress, including the patient’s response to the medication, is part of the ev
x x x x x x x x x x x x x x x
aluationphase. Planning, implementation, and nursing diagnosis are not illustrated by this example
x x x x x x x x x x x
.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 1
x x x x x x x
5TOP: NURSING PROCESS: Evaluation
x x x
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus. Which st
x x x x x x x x x x x x x x x x x
atementbest illustrates an outcome criterion for this patient?
x x x x x x x
a. The patient will follow instructions.
x x x x
b. The patient will not experience complications.
x x x x x
, c. The patient will adhere to the new insulin treatment regimen.
x x x x x x x x x
d. The patient will demonstrate correct blood glucose testing technique.
x x x x x x x x
ANS: D x
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable outcome criterio
x x x x x x x x x x x x
n. ―Following instructions‖ and ―not experiencing complications‖ are not specific criteria. ―Adhering to
x x x x x x x x x x x x x
newregimen‖ would be difficult to measure. x x x x x
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 11 TO
x x x x x x x x
P: NURSING PROCESS: Planning
x x x
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
5. Which activity best reflects the implementation phase of the nursing process for the patient w
x x x x x x x x x x x x x x
ho is newly diagnosed with hypertension?
x x x x x
a. Providing education on keeping a journal of blood pressure readings
x x x x x x x x x
b. Setting goals and outcome criteria with the patient’s input
x x x x x x x x
c. Recording a drug history regarding over-the-counter medications used at home
x x x x x x x x x
d. Formulating nursing diagnoses regarding deficient knowledge related to the new treatment regimen
x x x x x x x x x x x
ANS: A x
Education is an intervention that occurs during the implementation phase. Setting goals and outcom
x x x x x x x x x x x x x
es reflects the planning phase. Recording a drug history reflects the assessment phase. Formulating
x x x x x x x x x x x x x
nursing diagnoses reflects analysis of data as part of planning.
x x x x x x x x x x
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 11 TO
x x x x x x x x
P: NURSING PROCESS: Implementation
x x x
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
6. The medication order reads, ―Give ondansetron (Zofran) 4 mg, 30 minutes before beginning che
x x x x x x x x x x x x x
motherapyto prevent nausea.‖ The nurse notes that the route is missing from the order. What is the
x x x x x x x x x x x x x x x x x
nurse’s best action? x x
a. Give the medication intravenously because the patient might vomit.
x x x x x x x x
b. Give the medication orally because the tablets are available in 4-mg doses.
x x x x x x x x x x x
c. Contact the prescriber to clarify the route of the medication ordered.
x x x x x x x x x x
