11th Edition by Linda E. McCuistion Chapter 1-58
MULTIPLE7 b CHOI
C7bE
1. The7 b nursing 7 b process7 b is7 b a7 b five-step7 b decision-
making7 b approach7 b that7 b includes7 b all7 b of7 b the7 b following7bsteps,7 b EXCEPT:
a. Assessment
b. Patient7 b problem
c. Planning
d. Right7 b Drug
ANS:7 b 7 b D
The7 b nursing7 b process7 b 7 b is7 b a7 b five-step7 b 7 b decision-
making7 b approach7 b 7 b that7 b includes:7 b 1)7 b assessment,7 b 2)7 b patient7 b problem,7 b
3)7 b planning,
4)7 b implementation,7 b and7 b 5)7 b evaluation.7 b “Right7 b drug”7 b is7 b one7 b of7 b theq
1“Six7 b Rights”7bof7 b medication7 b administration.
DIF:7 b 7 b Cognitive7 b 7 b Level:7 b 7 b Understanding7 b (Comprehension)
TOP:7 b 7 b Nursing7 b Process:7 b Planning7bMSC:7 b 7 b NCLEX:7 b 7 b Management7 b 7 b of7 b 7 b Care
2. The7 b nurse7 b is7 b using7 b data7 b collected7 b to7 b set7 b goals7 b or7 b expected7 b o
utcomes7 b and7 b interventions7 b that7baddress7 b the7 b patient’s7 b problems.7 b Whi
ch7 b step7 b of7 b the7 b nursi7 b ng7 b process7 b is7 b the7 b nurse7 b applying?
a. Assessment
b. Patient7 b problem
c. Planning N
d. Evaluation
ANS:7 b 7 b C
During7 b the7 b planning7 b phase,7 b the7 b nurse7 b uses7 b the7 b data7 b collected7 b to7 b
set7 b goals7 b or7 b e7bxpected7 b outcomes7band7 b interventions7 b which7 b address7 b the7 b
patient’s7 b problems.7 b The7 b d7 b ata7 b was7 b collected7 b during7 b the7 b “Assessment”7
b and7 b “Patient7 b problem”7 b steps.7 b During7 b the7 b “Evaluation”7 b phase7 b the7 b n
urse7 b would7 b determine7 b whether7 b the7 b goals7 b and7 b obj
ectives7 b set7 b during7 b the7 b planning7 b phase7 b were7 b met.
DIF:
Cognitive7 b 7 b Level:7 b 7 b Understanding7 b (Compreh
ension)7bTOP:
Nursing7 b Process:7 b Nursing7 b Int
erve7bntion
MSC:7 b 7 b NCLEX:7 b 7 b Management7 b 7 b of7 b 7 b Care
3. A7 b 5-year-
old7 b child7 b with7 b type7 b 17 b diabetes7 b mellitus7 b has7 b had7 b repeated7 b hospitaliz
Test7 b 7 b Bank7 b 7 b Pharmacology7 b 7 b A7 b 7 b Patient-
Centered7 b 7 b Nursing7 b Process7 b 7 b Approach,7 b 7 b 11th7 b 7 b Edition7 b 7 b by7 b 7 b Linda7 b 7 b E.7 b 7 b McCuisti
on7 b 7 b Chapter7 b 7 b 1-58
, ations7 b for7 b episodes7bof7 b hyperglycemia.7 b The7 b parents7 b tell7 b the7 b nurse7 b tha
t7 b they7 b can’t7 b keep7 b tr7back7 b of7 b everything7 b that7 b has7 b to7 b be7 b done7
b to7 b care7 b for7 b their7 b child.7 b The7 b nurse7 b r7beviews7 b medications,7 b diet,
7 b and7 b symptom7 b management7 b with7 b the7 b parents7 b and7 b dr
Test7 b 7 b Bank7 b 7 b Pharmacology7 b 7 b A7 b 7 b Patient-
Centered7 b 7 b Nursing7 b Process7 b 7 b Approach,7 b 7 b 11th7 b 7 b Edition7 b 7 b by7 b 7 b Linda7 b 7 b E.7 b 7 b McCuisti
on7 b 7 b Chapter7 b 7 b 1-58
, aws7 b up7 b a7 b daily7 b checklist7 b for7 b the7 b family7 b to7 b use.7 b These7 b activi
ties7 b are7 b complete7bd7 b in7 b which7 b step7 b of7 b the7 b nursing7 b process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS:7 b 7 b C
Test7 b 7 b Bank7 b 7 b Pharmacology7 b 7 b A7 b 7 b Patient-
Centered7 b 7 b Nursing7 b Process7 b 7 b Approach,7 b 7 b 11th7 b 7 b Edition7 b 7 b by7 b 7 b Linda7 b 7 b E.7 b 7 b McCuisti
on7 b 7 b Chapter7 b 7 b 1-58
, The7 b implementation7 b phase7 b is7 b the7 b part7 b of7 b the7 b nursing7 b proces
s7 b in7 b which7 b th7be7 b nurse7 b provides7 b education,7 b drug7 b administration,7
b patient7 b care,7 b and7 b other7 b in7 b terventions7 b necessary7 b to7 b assist7 b the7bpat
ient7 b in7 b accomplishing7 b established7 b medi7bcation7 b goals.
DIF:
Cognitive7 b 7 b Level:7 b 7 b Understanding7 b (Compreh
ension)7bTOP:
Nursing7 b Process:7 b Nursing7 b Int
erve7bntion
MSC:7 b 7 b NCLEX:7 b 7 b Management7 b 7 b of7 b 7 b Care
4. The7 bnurse7 b is7 b preparing7 b to7 b administer7 b a7 b medication7 b and7 b reviews
7 b the7 b patie7 b nt’s7 b chart7 b for7 b drug7ballergies,7 b serum7 b creatinine,7 b and7 b
blood7 b urea7 b nitrogen7 b (B7bUN)7 b levels.7 b The7 b nurse’s7 b actions7 b are7breflec
tive7 b of7 b which7 b phase7 b of7 b the7 b nursi7bng7 b process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:7 b 7 b A
Assessment7 b involves7 b gathering7 b information7 b about7 b the7 b patient7 b and
7 b the7 b dru7 b g,7 b including7 b any7bprevious7 b use7 b of7 b the7 b drug.
DIF:7 b 7 b Cognitive7 b 7 b Level:7 b 7 b Understanding7 b (Comprehension)
TOP: Nursing7 b Process:7 b 7 b Assessment7 b MSC:7 b 7 b NCLEX:7 b 7 b Management7 b 7 b of7 b 7 b Care
5. Which7 b assessment7 b is7 b categorized7 b as7 b objective7 b data?
a. A7 b list7 b of7 b herbal7 b supplements7 b regularly7 b used
b. Lab7 b values7 b associated7 b with7 b the7 b drugs7 b the7 b patient7 b is7 b taking
c. The7 b ages7 b and7 b relationship7 b to7 b the7 b patient7 b of7 b all7 b household7 b mem
bers
d. Usual7 b dietary7 b patterns7 b and7 b fNo o d 7 b intake
ANS:7 b 7 b B
Objective7 b data7 b are7 b measured7 b and7 b detected7 b by7 b another7 b person7 b and7
b would7 b i7 b nclude7 b lab7 b values.7bThe7 b other7 b examples7 b are7 b subjective7 b data.
DIF:7 b 7 b Cognitive7 b 7 b Level:7 b 7 b Understanding7 b (Comprehension)
TOP: Nursing7 b Process:7 b 7 b Assessment7 b MSC:7 b 7 b NCLEX:7 b 7 b Management7 b 7 b of7 b 7 b Care
6. The7 b nurse7 b reviews7 b a7 b patient’s7 b database7 b and7 b learns7 b that7 b the7 b patie
nt7 b lives7 b alo7 b ne,7 b is7 b forgetful,7 b and7bdoes7 b not7 b have7 b an7 b established
7 b routine.7 b The7 b patient7 b will7bbe7 b sent7 b home7 b with7 b three7 b new7 b me
dications7 b to7 b be7 b taken7 b at7 b different7 b times7 b of
the7 b day.7 b The7 b nurse7 b develops7 b a7 b daily7 b medication7 b chart7 b and7 b
Test7 b 7 b Bank7 b 7 b Pharmacology7 b 7 b A7 b 7 b Patient-
Centered7 b 7 b Nursing7 b Process7 b 7 b Approach,7 b 7 b 11th7 b 7 b Edition7 b 7 b by7 b 7 b Linda7 b 7 b E.7 b 7 b McCuisti
on7 b 7 b Chapter7 b 7 b 1-58