11th Edition by Linda E. McCuistion Chapter 1-58
MULTIPLE5 g CHOI
C5gE
1. The5 g nursing 5 g process5 g is5 g a5 g five-step 5 g decision-
making5 g approach5 g that5 g includes5 g all5 g of5 g the5 g following5gsteps,5 g EXCEPT:
a. Assessment
b. Patient5 g problem
c. Planning
d. Right5 g Drug
ANS:5 g 5 g D
The5 g nursing5 g process5 g 5 g is5 g a5 g five-step5 g 5 g decision-
making5 g approach5 g 5 g that5 g includes:5 g 1)5 g assessment,5 g 2)5 g patient5 g problem,5 g 3
)5 g planning,
4)5 g implementation,5 g and5 g 5)5 g evaluation.5 g “Right5 g drug”5 g is5 g one5 g of5 g theq1
“Six5 g Rights”5gof5 g medication5 g administration.
DIF:5 g 5 g Cognitive5 g 5 g Level:5 g 5 g Understanding5 g (Comprehension)
TOP:5 g 5 g Nursing5 g Process:5 g Planning5gMSC:5 g 5 g NCLEX:5 g 5 g Management5 g 5 g of5 g 5 g Care
2. The5 g nurse5 g is5 g using5 g data5 g collected5 g to5 g set5 g goals5 g or5 g expected5 g ou
tcomes5 g and5 g interventions5 g that5gaddress5 g the5 g patient’s5 g problems.5 g Whic
h5 g step5 g of5 g the5 g nursi5 g ng5 g process5 g is5 g the5 g nurse5 g applying?
a. Assessment
b. Patient5 g problem
c. Planning N
d. Evaluation
ANS:5 g 5 g C
During5 g the5 g planning5 g phase,5 g the5 g nurse5 g uses5 g the5 g data5 g collected5 g to5 g s
et5 g goals5 g or5 g e5gxpected5 g outcomes5gand5 g interventions5 g which5 g address5 g the5 g p
atient’s5 g problems.5 g The5 g d5 g ata5 g was5 g collected5 g during5 g the5 g “Assessment”5 g a
nd5 g “Patient5 g problem”5 g steps.5 g During5 g the5 g “Evaluation”5 g phase5 g the5 g nurs
e5 g would5 g determine5 g whether5 g the5 g goals5 g and5 g obj
ectives5 g set5 g during5 g the5 g planning5 g phase5 g were5 g met.
DIF:
Cognitive5 g 5 g Level:5 g 5 g Understanding5 g (Compreh
ension)5gTOP:
Nursing5 g Process:5 g Nursing5 g Int
erve5gntion
MSC:5 g 5 g NCLEX:5 g 5 g Management5 g 5 g of5 g 5 g Care
3. A5 g 5-year-
old5 g child5 g with5 g type5 g 15 g diabetes5 g mellitus5 g has5 g had5 g repeated5 g hospitaliz
Test5 g 5 g Bank5 g 5 g Pharmacology5 g 5 g A5 g 5 g Patient-
Centered5 g 5 g Nursing5 g Process5 g 5 g Approach,5 g 5 g 11th5 g 5 g Edition5 g 5 g by5 g 5 g Linda5 g 5 g E.5 g 5 g McCuistio
n5 g 5 g Chapter5 g 5 g 1-58
, ations5 g for5 g episodes5gof5 g hyperglycemia.5 g The5 g parents5 g tell5 g the5 g nurse5 g that
5 g they5 g can’t5 g keep5 g tr5gack5 g of5 g everything5 g that5 g has5 g to5 g be5 g done5 g
to5 g care5 g for5 g their5 g child.5 g The5 g nurse5 g r5geviews5 g medications,5 g diet,5 g
and5 g symptom5 g management5 g with5 g the5 g parents5 g and5 g dr
Test5 g 5 g Bank5 g 5 g Pharmacology5 g 5 g A5 g 5 g Patient-
Centered5 g 5 g Nursing5 g Process5 g 5 g Approach,5 g 5 g 11th5 g 5 g Edition5 g 5 g by5 g 5 g Linda5 g 5 g E.5 g 5 g McCuistio
n5 g 5 g Chapter5 g 5 g 1-58
, aws5 g up5 g a5 g daily5 g checklist5 g for5 g the5 g family5 g to5 g use.5 g These5 g activiti
es5 g are5 g complete5gd5 g in5 g which5 g step5 g of5 g the5 g nursing5 g process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS:5 g 5 g C
Test5 g 5 g Bank5 g 5 g Pharmacology5 g 5 g A5 g 5 g Patient-
Centered5 g 5 g Nursing5 g Process5 g 5 g Approach,5 g 5 g 11th5 g 5 g Edition5 g 5 g by5 g 5 g Linda5 g 5 g E.5 g 5 g McCuistio
n5 g 5 g Chapter5 g 5 g 1-58
, The5 g implementation5 g phase5 g is5 g the5 g part5 g of5 g the5 g nursing5 g process
5 g in5 g which 5 g th5ge5 g nurse5 g provides5 g education,5 g drug5 g administration,5 g p
atient5 g care,5 g and5 g other5 g in5 g terventions5 g necessary5 g to5 g assist5 g the5gpatient
5 g in5 g accomplishing5 g established5 g medi5gcation5 g goals.
DIF:
Cognitive5 g 5 g Level:5 g 5 g Understanding5 g (Compreh
ension)5gTOP:
Nursing5 g Process:5 g Nursing5 g Int
erve5gntion
MSC:5 g 5 g NCLEX:5 g 5 g Management5 g 5 g of5 g 5 g Care
4. The5 g nurse5 g is5 g preparing5 g to5 g administer5 g a5 medication5 g and5 g reviews5
g
g the5 g patie5 g nt’s5 g chart5 g for5 g drug5gallergies,5 g serum5 g creatinine,5 g and5 g bl
ood5 g urea5 g nitrogen5 g (B5gUN)5 g levels.5 g The5 g nurse’s5 g actions5 g are5greflectiv
e5 g of5 g which5 g phase5 g of5 g the5 g nursi5gng5 g process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS:5 g 5 g A
Assessment5 g involves5 g gathering5 g information5 g about5 g the5 g patient5 g and
5 g the5 g dru5 g g,5 g including5 g any5gprevious5 g use5 g of5 g the5 g drug.
DIF:5 g 5 g Cognitive5 g 5 g Level:5 g 5 g Understanding5 g (Comprehension)
TOP: Nursing5 g Process:5 g 5 g Assessment5 g MSC:5 g 5 g NCLEX:5 g 5 g Management5 g 5 g of5 g 5 g Care
5. Which5 g assessment5 g is5 g categorized5 g as5 g objective5 g data?
a. A5 g list5 g of5 g herbal5 g supplements5 g regularly5 g used
b. Lab5 g values5 g associated5 g with5 g the5 g drugs5 g the5 g patient5 g is5 g taking
c. The5 g ages5 g and5 g relationship5 g to5 g the5 g patient5 g of5 g all5 g household5 g memb
ers
d. Usual5 g dietary5 g patterns5 g and5 g fNo o d 5 g intake
ANS:5 g 5 g B
Objective5 g data5 g are5 g measured5 g and5 g detected5 g by5 g another5 g person5 g and5 g
would5 g i5 g nclude5 g lab5 g values.5gThe5 g other5 g examples5 g are5 g subjective5 g data.
DIF:5 g 5 g Cognitive5 g 5 g Level:5 g 5 g Understanding5 g (Comprehension)
TOP: Nursing5 g Process:5 g 5 g Assessment5 g MSC:5 g 5 g NCLEX:5 g 5 g Management5 g 5 g of5 g 5 g Care
6. The5 g nurse5 g reviews5 g a5 g patient’s5 g database5 g and5 g learns5 g that5 g the5 g patien
t5 g lives5 g alo5 g ne,5 g is5 g forgetful,5 g and5gdoes5 g not5 g have5 g an5 g established5
g routine.5 g The5 g patient5 g will5gbe5 g sent5 g home5 g with5 g three5 g new5 g medic
ations5 g to5 g be5 g taken5 g at5 g different5 g times5 g of
the5 g day.5 g The5 g nurse5 g develops5 g a5 g daily5 g medication5 g chart5 g and5 g e
Test5 g 5 g Bank5 g 5 g Pharmacology5 g 5 g A5 g 5 g Patient-
Centered5 g 5 g Nursing5 g Process5 g 5 g Approach,5 g 5 g 11th5 g 5 g Edition5 g 5 g by5 g 5 g Linda5 g 5 g E.5 g 5 g McCuistio
n5 g 5 g Chapter5 g 5 g 1-58