TEST BANK
Pharmacology and the Nursing Process
Linda Lane Lilley
10th Edition
Chapter 1-58 (Correct Answers with Rationales)
PR
O
FD
O
C
,Table of Contents
PART 1: Pharmacology Basics
1. The Nursing Process and Drug Therapy
2. Pharmacologic Principles
3. Lifespan Considerations
4. Cultural, Legal, and Ethical Considerations
5. Medication Errors: Preventing and Responding
6. Patient Education and Drug Therapy
7. Over-the-Counter Drugs and Herbal and Dietary Supplements
8. Gene Therapy and Pharmacogenomics
9. Photo Atlas of Drug Administration
PART 2: Drugs Affecting the Central Nervous System
PR
10. Analgesic Drugs
11. General and Local Anesthetics
12. Central Nervous System Depressants and Muscle Relaxants
13. Central Nervous System Stimulants and Related Drugs
O
14. Antiepileptic Drugs
15. Antiparkinson Drugs
16. Psychotherapeutic Drugs
FD
17. Substance Use Disorder
PART 3: Drugs Affecting the Autonomic Nervous System
18. Adrenergic Drugs
19. Adrenergic-Blocking Drugs
O
20. Cholinergic Drugs
21. Cholinergic-Blocking Drugs
C
PART 4: Drugs Affecting the Cardiovascular and Renal Systems
22. Antihypertensive Drugs
23. Antianginal Drugs
24. Heart Failure Drugs
25. Antidysrhythmic Drugs
26. Coagulation Modifier Drugs
27. Antilipemic Drugs
28. Diuretic Drugs
29. Fluids and Electrolytes
PART 5: Drugs Affecting the Endocrine and Reproductive Systems
30. Pituitary Drugs
31. Thyroid and Antithyroid Drugs
32. Antidiabetic Drugs
33. Adrenal Drugs
, 34. Women’s Health Drugs
35. Men’s Health Drugs
PART 6: Drugs Affecting the Respiratory System
36. Antihistamines, Decongestants, Antitussives, and Expectorants
37. Respiratory Drugs
PART 7: Antiinfective and Antiinflammatory Drugs
38. Antibiotics Part 1
39. Antibiotics Part 2
40. Antiviral Drugs
41. Antitubercular Drugs
42. Antifungal Drugs
43. Antimalarial, Antiprotozoal, and Anthelmintic Drugs
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44. Antiinflammatory and Antigout Drugs
PART 8: Chemotherapeutic Drugs and Biologic and Immune Modifiers
45. Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs
46. Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific Drugs and Miscellaneous Drugs
47. Biologic Response–Modifying and Antirheumatic Drugs
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48. Immunosuppressant Drugs
49. Immunizing Drugs
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PART 9: Drugs Affecting the Gastrointestinal System and Nutrition
50. Acid-Controlling Drugs
51. Bowel Disorder Drugs
52. Antiemetic and Antinausea Drugs
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53. Vitamins and Minerals
54. Anemia Drugs
55. Nutritional Supplements
C
PART 10: Dermatologic, Ophthalmic, and Otic Drugs
56. Dermatologic Drugs
57. Ophthalmic Drugs
58. Otic Drugs
,Objective: Ch 01: The Nursing Process and Drug Therapy
1. Question Name: 0001 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
Pharmacology and the Nursing Process 10th Ed
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly
diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing
diagnosis?
A. Anxiety
B. Anxiety related to new drug therapy
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as
“I’m upset about having to test my blood sugars.”
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset about
PR
having to test my blood sugars.”
Correct Answer: D
Explanation/Rationale:
ANS: D
O
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety related to new
drug therapy” is missing the “as evidenced by” portion of defining characteristics. The statement
FD
beginning “Anxiety related to anxious feelings” is incorrect because the “related to” section is
simply a restatement of the problem “anxiety,” not a separate factor related to the response.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 9
TOP: NURSING PROCESS: Nursing Diagnosis
O
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
Reference/Notes:
C
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
Date Created: 01/31/13 14:18:01 Date Modified: 01/31/13 14:18:01 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
2. Question Name: 0002 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
Pharmacology and the Nursing Process 10th Ed
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and
gave the medication 2 hours after the scheduled dose was due. What type of problem does this
represent?
* A. “Right time” problem
B. “Right dose” problem
C. “Right route” problem
D. “Right medication” problem
PR
Correct Answer: A
Explanation/Rationale:
ANS: A
O
“Right time” is correct because the medication was given more than 30 minutes after the
scheduled dose was due. “Dose” is incorrect because the dose is not related to the time the
medication administration is scheduled. “Route” is incorrect because the route is not affected.
FD
“Medication” is incorrect because the medication ordered will not change.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 13
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
O
Reference/Notes:
Keywords:
C
Points: 1.00 Penalty: 0.00 Score Mode: Active
Date Created: 01/31/13 14:18:01 Date Modified: 01/31/13 14:18:01 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
,3. Question Name: 0003 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
Pharmacology and the Nursing Process 10th Ed
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose
and documenting the patient’s therapeutic response to the medication. Which phase of the nursing
process do these actions illustrate?
A. Nursing diagnosis
B. Planning
C. Implementation
* D. Evaluation
Correct Answer: D
PR
Explanation/Rationale:
ANS: D
Monitoring the patient’s progress, including the patient’s response to the medication, is part of
the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by this
example.
O
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 15
FD
TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
O
Date Created: 01/31/13 14:18:01 Date Modified: 01/31/13 14:18:01 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
C
No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
4. Question Name: 0004 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
, Pharmacology and the Nursing Process 10th Ed
The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus. Which
statement best illustrates an outcome criterion for this patient?
A. The patient will follow instructions.
B. The patient will not experience complications.
C. The patient will adhere to the new insulin treatment regimen.
* D. The patient will demonstrate correct blood glucose testing technique.
Correct Answer: D
Explanation/Rationale:
ANS: D
“Demonstrating correct blood glucose testing technique” is a specific and measurable outcome
criterion. “Following instructions” and “not experiencing complications” are not specific criteria.
PR
“Adhering to new regimen” would be difficult to measure.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 11
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
O
Reference/Notes:
Keywords:
FD
Points: 1.00 Penalty: 0.00 Score Mode: Active
Date Created: 01/31/13 14:18:01 Date Modified: 01/31/13 14:18:01 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
O
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
C
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
5. Question Name: 0005 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
Pharmacology and the Nursing Process 10th Ed
Which activity best reflects the implementation phase of the nursing process for the patient who is
newly diagnosed with hypertension?
* A. Providing education on keeping a journal of blood pressure readings
B. Setting goals and outcome criteria with the patient’s input
Pharmacology and the Nursing Process
Linda Lane Lilley
10th Edition
Chapter 1-58 (Correct Answers with Rationales)
PR
O
FD
O
C
,Table of Contents
PART 1: Pharmacology Basics
1. The Nursing Process and Drug Therapy
2. Pharmacologic Principles
3. Lifespan Considerations
4. Cultural, Legal, and Ethical Considerations
5. Medication Errors: Preventing and Responding
6. Patient Education and Drug Therapy
7. Over-the-Counter Drugs and Herbal and Dietary Supplements
8. Gene Therapy and Pharmacogenomics
9. Photo Atlas of Drug Administration
PART 2: Drugs Affecting the Central Nervous System
PR
10. Analgesic Drugs
11. General and Local Anesthetics
12. Central Nervous System Depressants and Muscle Relaxants
13. Central Nervous System Stimulants and Related Drugs
O
14. Antiepileptic Drugs
15. Antiparkinson Drugs
16. Psychotherapeutic Drugs
FD
17. Substance Use Disorder
PART 3: Drugs Affecting the Autonomic Nervous System
18. Adrenergic Drugs
19. Adrenergic-Blocking Drugs
O
20. Cholinergic Drugs
21. Cholinergic-Blocking Drugs
C
PART 4: Drugs Affecting the Cardiovascular and Renal Systems
22. Antihypertensive Drugs
23. Antianginal Drugs
24. Heart Failure Drugs
25. Antidysrhythmic Drugs
26. Coagulation Modifier Drugs
27. Antilipemic Drugs
28. Diuretic Drugs
29. Fluids and Electrolytes
PART 5: Drugs Affecting the Endocrine and Reproductive Systems
30. Pituitary Drugs
31. Thyroid and Antithyroid Drugs
32. Antidiabetic Drugs
33. Adrenal Drugs
, 34. Women’s Health Drugs
35. Men’s Health Drugs
PART 6: Drugs Affecting the Respiratory System
36. Antihistamines, Decongestants, Antitussives, and Expectorants
37. Respiratory Drugs
PART 7: Antiinfective and Antiinflammatory Drugs
38. Antibiotics Part 1
39. Antibiotics Part 2
40. Antiviral Drugs
41. Antitubercular Drugs
42. Antifungal Drugs
43. Antimalarial, Antiprotozoal, and Anthelmintic Drugs
PR
44. Antiinflammatory and Antigout Drugs
PART 8: Chemotherapeutic Drugs and Biologic and Immune Modifiers
45. Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs
46. Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific Drugs and Miscellaneous Drugs
47. Biologic Response–Modifying and Antirheumatic Drugs
O
48. Immunosuppressant Drugs
49. Immunizing Drugs
FD
PART 9: Drugs Affecting the Gastrointestinal System and Nutrition
50. Acid-Controlling Drugs
51. Bowel Disorder Drugs
52. Antiemetic and Antinausea Drugs
O
53. Vitamins and Minerals
54. Anemia Drugs
55. Nutritional Supplements
C
PART 10: Dermatologic, Ophthalmic, and Otic Drugs
56. Dermatologic Drugs
57. Ophthalmic Drugs
58. Otic Drugs
,Objective: Ch 01: The Nursing Process and Drug Therapy
1. Question Name: 0001 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
Pharmacology and the Nursing Process 10th Ed
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly
diagnosed with type 2 diabetes. Which statement reflects the correct format for a nursing
diagnosis?
A. Anxiety
B. Anxiety related to new drug therapy
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as
“I’m upset about having to test my blood sugars.”
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset about
PR
having to test my blood sugars.”
Correct Answer: D
Explanation/Rationale:
ANS: D
O
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the
“related to” and “as evidenced by” portions of defining characteristics. “Anxiety related to new
drug therapy” is missing the “as evidenced by” portion of defining characteristics. The statement
FD
beginning “Anxiety related to anxious feelings” is incorrect because the “related to” section is
simply a restatement of the problem “anxiety,” not a separate factor related to the response.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 9
TOP: NURSING PROCESS: Nursing Diagnosis
O
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
Reference/Notes:
C
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
Date Created: 01/31/13 14:18:01 Date Modified: 01/31/13 14:18:01 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
2. Question Name: 0002 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
Pharmacology and the Nursing Process 10th Ed
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and
gave the medication 2 hours after the scheduled dose was due. What type of problem does this
represent?
* A. “Right time” problem
B. “Right dose” problem
C. “Right route” problem
D. “Right medication” problem
PR
Correct Answer: A
Explanation/Rationale:
ANS: A
O
“Right time” is correct because the medication was given more than 30 minutes after the
scheduled dose was due. “Dose” is incorrect because the dose is not related to the time the
medication administration is scheduled. “Route” is incorrect because the route is not affected.
FD
“Medication” is incorrect because the medication ordered will not change.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 13
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
O
Reference/Notes:
Keywords:
C
Points: 1.00 Penalty: 0.00 Score Mode: Active
Date Created: 01/31/13 14:18:01 Date Modified: 01/31/13 14:18:01 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
,3. Question Name: 0003 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
Pharmacology and the Nursing Process 10th Ed
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose
and documenting the patient’s therapeutic response to the medication. Which phase of the nursing
process do these actions illustrate?
A. Nursing diagnosis
B. Planning
C. Implementation
* D. Evaluation
Correct Answer: D
PR
Explanation/Rationale:
ANS: D
Monitoring the patient’s progress, including the patient’s response to the medication, is part of
the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by this
example.
O
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 15
FD
TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
O
Date Created: 01/31/13 14:18:01 Date Modified: 01/31/13 14:18:01 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
C
No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
4. Question Name: 0004 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
, Pharmacology and the Nursing Process 10th Ed
The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus. Which
statement best illustrates an outcome criterion for this patient?
A. The patient will follow instructions.
B. The patient will not experience complications.
C. The patient will adhere to the new insulin treatment regimen.
* D. The patient will demonstrate correct blood glucose testing technique.
Correct Answer: D
Explanation/Rationale:
ANS: D
“Demonstrating correct blood glucose testing technique” is a specific and measurable outcome
criterion. “Following instructions” and “not experiencing complications” are not specific criteria.
PR
“Adhering to new regimen” would be difficult to measure.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 11
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
O
Reference/Notes:
Keywords:
FD
Points: 1.00 Penalty: 0.00 Score Mode: Active
Date Created: 01/31/13 14:18:01 Date Modified: 01/31/13 14:18:01 Date Used:
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
Correct Responses (%): Correct Responses (%):
O
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
C
Point Biserial: 0.00 Point Biserial: 0.00
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
5. Question Name: 0005 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley
Pharmacology and the Nursing Process 10th Ed
Which activity best reflects the implementation phase of the nursing process for the patient who is
newly diagnosed with hypertension?
* A. Providing education on keeping a journal of blood pressure readings
B. Setting goals and outcome criteria with the patient’s input
