Test Bank PHARMACOLOGY A PATIENT-CENTERED
NURSING PROCESS APPROACH, 11TH EDITION BY
LINDA E. MCCUISTION Chapter 1-58
,Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
MULTIPLE CHOICE
1. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes
of hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to
be done to care for their child. The nurse reviews medications, diet, and symptom management
with the parents and draws up a daily checklist for the family to use. These activities are
completed in which step of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Generate solutions (planning)
d. Take action (nursing interventions)
CORRECT ANSWER>>D
Taking action through nursing interventions is where the nurse provides patient health
teaching, drug administration, patient care, and other interventions necessary to assist the
patient in accomplishing expected outcomes.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Client Care
2. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
reflective of which of the following?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
CORRECT ANSWER>>A
Recognizing cues (assessment) involves gathering subjective and objective information about
the patient and the medication. Laboratory values from the patient’s chart would be considered
collection of objective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
3. Which of the following would be correctly categorized as objective data?
a. A list of herbal supplements regularly used provided by the patient.
b. Lab values associated with the drugs the patient is taking.
c. The ages and relationship of all household members to the patient.
d. Usual dietary patterns and food intake.
CORRECT ANSWER>>B
Objective data are measured and detected by another person and would include lab values. The
other examples are subjective data.
, DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
4. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and
does not have an established routine. The patient will be sent home with three new medications
to be taken at different times of the day. The nurse develops a daily medication chart and
enlists a family member to put the patient’s pills in a pill organizer. This is an example of
which element of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
CORRECT ANSWER>>C
Taking action (nursing interventions) involves education and patient care in order to assist the
patient to accomplish the goals of treatment.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Client Care
5. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
home. The nurse and the patient discuss the patient’s situation and decide that the patient may
go home when able to perform self-care without dyspnea and hypoxia. This is an example of
which phase of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
CORRECT ANSWER>>D
Generating solutions (planning) involves defining a set of interventions to achieve the most
desirable outcomes, which, for this patient, means being able to perform self-care activities
without dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning
MSC: NCLEX: Management of Client Care
6. A patient will be sent home with a metered-dose inhaler, and the nurse is providing
teaching. Which is a correctly written expected outcome for this process?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
b. The nurse will teach the patient how to administer medication with a metered-
dose inhaler.
c. The patient will know how to self-administer the medication using the
metered- dose inhaler.
d. The patient will independently administer the medication using the metered-
dose inhaler at the end of the session.
CORRECT ANSWER>>D
Expected outcomes must be patient-centered and clearly state the outcome with a reasonable
deadline and should identify components for evaluation.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning
MSC: NCLEX: Management of Client Care
7. The nurse is generating solutions (planning) for a patient who has chronic lung disease and
hypoxia. The patient has been admitted for increased oxygen needs above a baseline of 2
, L/min. The nurse generates an expected outcomes stating, “The patient will have oxygen
saturations of
>95% on room air at the time of discharge from the hospital.” What is wrong with this goal?
a. It cannot be evaluated.
b. It is not measurable.
c. It is not patient-centered.
d. It is not realistic.
CORRECT ANSWER>>D
The expected outcome is not realistic because the patient is not usually on room air and should
not be expected to attain that expected outcome by discharge from this hospitalization.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Planning MSC: NCLEX: Management of Client Care
8. The nurse is developing a teaching plan for an elderly patient who will begin taking an
antihypertensive drug that causes dizziness and orthostatic hypotension. Which
hypothesis (problem) documented by the nurse is appropriate for this patient?
a. Deficient knowledge related to drug side effects.
b. Ineffective health maintenance related to age.
c. Readiness for enhanced knowledge related to medication side effects.
d. Risk for injury related to side effects of the medication.
CORRECT ANSWER>>D
This patient has an increased risk for injury because of drug side effects, so this is an appropriate
hypothesis (problem) to direct the type of care and follow-up the patient will receive.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing Diagnosis
MSC: NCLEX: Management of Client Care
9. An older patient must learn to administer a medication using a device that requires manual
dexterity. The patient becomes frustrated and expresses lack of self-confidence in
performing this task. Which action will the nurse perform next?
a. Ask the patient to keep trying until the skill is learned.
b. Provide written instructions with illustrations showing each step of the skill.
c. Schedule multiple sessions and practice each step separately.
d. Teach the procedure to family members who can administer the medication for
the patient.
CORRECT ANSWER>>C
Nurses should be sensitive to patient’s level of frustration when teaching skills. In this case,
breaking the steps down into individual parts will help with this patient’s frustration level.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Planning MSC: NCLEX: Management of Client Care
10. A school-age child will begin taking a medication to be administered at 5 mL three times daily.
The child’s parent tells the nurse that, with a previous use of the drug, the child repeatedly
forgot to bring the medication home from school, resulting in missed evening doses. What will
the nurse recommend?
a. Encourage the child to be more responsible and that it is important to take
the medication as prescribed.
NURSING PROCESS APPROACH, 11TH EDITION BY
LINDA E. MCCUISTION Chapter 1-58
,Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition
MULTIPLE CHOICE
1. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes
of hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to
be done to care for their child. The nurse reviews medications, diet, and symptom management
with the parents and draws up a daily checklist for the family to use. These activities are
completed in which step of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Generate solutions (planning)
d. Take action (nursing interventions)
CORRECT ANSWER>>D
Taking action through nursing interventions is where the nurse provides patient health
teaching, drug administration, patient care, and other interventions necessary to assist the
patient in accomplishing expected outcomes.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Client Care
2. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are
reflective of which of the following?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
CORRECT ANSWER>>A
Recognizing cues (assessment) involves gathering subjective and objective information about
the patient and the medication. Laboratory values from the patient’s chart would be considered
collection of objective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
3. Which of the following would be correctly categorized as objective data?
a. A list of herbal supplements regularly used provided by the patient.
b. Lab values associated with the drugs the patient is taking.
c. The ages and relationship of all household members to the patient.
d. Usual dietary patterns and food intake.
CORRECT ANSWER>>B
Objective data are measured and detected by another person and would include lab values. The
other examples are subjective data.
, DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
4. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and
does not have an established routine. The patient will be sent home with three new medications
to be taken at different times of the day. The nurse develops a daily medication chart and
enlists a family member to put the patient’s pills in a pill organizer. This is an example of
which element of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
CORRECT ANSWER>>C
Taking action (nursing interventions) involves education and patient care in order to assist the
patient to accomplish the goals of treatment.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Client Care
5. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
home. The nurse and the patient discuss the patient’s situation and decide that the patient may
go home when able to perform self-care without dyspnea and hypoxia. This is an example of
which phase of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
CORRECT ANSWER>>D
Generating solutions (planning) involves defining a set of interventions to achieve the most
desirable outcomes, which, for this patient, means being able to perform self-care activities
without dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning
MSC: NCLEX: Management of Client Care
6. A patient will be sent home with a metered-dose inhaler, and the nurse is providing
teaching. Which is a correctly written expected outcome for this process?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
b. The nurse will teach the patient how to administer medication with a metered-
dose inhaler.
c. The patient will know how to self-administer the medication using the
metered- dose inhaler.
d. The patient will independently administer the medication using the metered-
dose inhaler at the end of the session.
CORRECT ANSWER>>D
Expected outcomes must be patient-centered and clearly state the outcome with a reasonable
deadline and should identify components for evaluation.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning
MSC: NCLEX: Management of Client Care
7. The nurse is generating solutions (planning) for a patient who has chronic lung disease and
hypoxia. The patient has been admitted for increased oxygen needs above a baseline of 2
, L/min. The nurse generates an expected outcomes stating, “The patient will have oxygen
saturations of
>95% on room air at the time of discharge from the hospital.” What is wrong with this goal?
a. It cannot be evaluated.
b. It is not measurable.
c. It is not patient-centered.
d. It is not realistic.
CORRECT ANSWER>>D
The expected outcome is not realistic because the patient is not usually on room air and should
not be expected to attain that expected outcome by discharge from this hospitalization.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Planning MSC: NCLEX: Management of Client Care
8. The nurse is developing a teaching plan for an elderly patient who will begin taking an
antihypertensive drug that causes dizziness and orthostatic hypotension. Which
hypothesis (problem) documented by the nurse is appropriate for this patient?
a. Deficient knowledge related to drug side effects.
b. Ineffective health maintenance related to age.
c. Readiness for enhanced knowledge related to medication side effects.
d. Risk for injury related to side effects of the medication.
CORRECT ANSWER>>D
This patient has an increased risk for injury because of drug side effects, so this is an appropriate
hypothesis (problem) to direct the type of care and follow-up the patient will receive.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing Diagnosis
MSC: NCLEX: Management of Client Care
9. An older patient must learn to administer a medication using a device that requires manual
dexterity. The patient becomes frustrated and expresses lack of self-confidence in
performing this task. Which action will the nurse perform next?
a. Ask the patient to keep trying until the skill is learned.
b. Provide written instructions with illustrations showing each step of the skill.
c. Schedule multiple sessions and practice each step separately.
d. Teach the procedure to family members who can administer the medication for
the patient.
CORRECT ANSWER>>C
Nurses should be sensitive to patient’s level of frustration when teaching skills. In this case,
breaking the steps down into individual parts will help with this patient’s frustration level.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Planning MSC: NCLEX: Management of Client Care
10. A school-age child will begin taking a medication to be administered at 5 mL three times daily.
The child’s parent tells the nurse that, with a previous use of the drug, the child repeatedly
forgot to bring the medication home from school, resulting in missed evening doses. What will
the nurse recommend?
a. Encourage the child to be more responsible and that it is important to take
the medication as prescribed.
