Pharmacology 10th Edition McCuistion
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Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing
Process Approach, 10th Edition
MULTIPLE CHOICE
Q1. The nursing process is a five-step decision-making approach that includes all of the
following steps, EXCEPT:
A. Assessment
B. Patient problem
C. Planning
D. Right Drug
Answer: D. The nursing process is a five-step decision-making approach that includes:
1) assessment, 2) patient problem, 3) planning, 4) implementation, and 5) evaluation.
"Right drug" is one of the "Six Rights" of medication administration. | Concept: Nursing
Process / Management of Care
Q2. The nurse is using data collected to set goals or expected outcomes and
interventions that address the patient's problems. Which step of the nursing process is
the nurse applying?
A. Assessment
B. Patient problem
,C. Planning
D. Evaluation
Answer: C. During the planning phase, the nurse uses the data collected to set goals or
expected outcomes and interventions which address the patient's problems. The data
was collected during the "Assessment" and "Patient problem" steps. During the
"Evaluation" phase the nurse would determine whether the goals and objectives set
during the planning phase were met. | Concept: Nursing Process / Planning
Q3. 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. Assessment
B. Planning
C. Implementation
D. Evaluation
Answer: C. The implementation phase is the part of the nursing process in which the
nurse provides education, drug administration, patient care, and other interventions
necessary to assist the patient in accomplishing established medication goals. |
Concept: Nursing Process / Implementation
Q4. 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 phase of the nursing process?
A. Assessment
B. Evaluation
C. Implementation
D. Planning
Answer: A. Assessment involves gathering information about the patient and the drug,
including any previous use of the drug. | Concept: Nursing Process / Assessment
,Q5. Which assessment is categorized as objective data?
A. A list of herbal supplements regularly used
B. Lab values associated with the drugs the patient is taking
C. The ages and relationship to the patient of all household members
D. Usual dietary patterns and food intake
Answer: B. Objective data are measured and detected by another person and would
include lab values. The other examples are subjective data. | Concept: Health
Assessment / Data Collection
Q6. 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 phase of the nursing process?
A. Assessment
B. Evaluation
C. Implementation
D. Planning
Answer: C. The implementation phase involves education and patient care in order to
assist the patient to accomplish the goals of treatment. | Concept: Nursing Process /
Implementation
Q7. 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. Assessment
B. Evaluation
C. Implementation
D. Planning
, Answer: D. Planning involves goal setting, which, for this patient, means being able to
perform self-care activities without dyspnea and hypoxia. | Concept: Nursing Process /
Planning
Q8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing
teaching. Which is a correctly written goal 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.
Answer: D. Goals must be patient-centered and clearly state the outcome with a
reasonable deadline and should identify components for evaluation. | Concept: Nursing
Process / Goal Setting
Q9. The nurse is developing a plan of care 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 develops a goal 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.
Answer: D. This goal is not realistic because the patient is not usually on room air and
should not be expected to attain that goal by discharge from this hospitalization. |
Concept: Nursing Process / Realistic Goal Setting
Q10. 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 patient problem documented by the nurse is appropriate for this patient?
latest 2025-2026|Full Test Bank Chapters
1–112 Complete Coverage | 1000+ Verified
Q&A | Latest Updated Answers |
Guaranteed A+ High Score Study Guide
Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing
Process Approach, 10th Edition
MULTIPLE CHOICE
Q1. The nursing process is a five-step decision-making approach that includes all of the
following steps, EXCEPT:
A. Assessment
B. Patient problem
C. Planning
D. Right Drug
Answer: D. The nursing process is a five-step decision-making approach that includes:
1) assessment, 2) patient problem, 3) planning, 4) implementation, and 5) evaluation.
"Right drug" is one of the "Six Rights" of medication administration. | Concept: Nursing
Process / Management of Care
Q2. The nurse is using data collected to set goals or expected outcomes and
interventions that address the patient's problems. Which step of the nursing process is
the nurse applying?
A. Assessment
B. Patient problem
,C. Planning
D. Evaluation
Answer: C. During the planning phase, the nurse uses the data collected to set goals or
expected outcomes and interventions which address the patient's problems. The data
was collected during the "Assessment" and "Patient problem" steps. During the
"Evaluation" phase the nurse would determine whether the goals and objectives set
during the planning phase were met. | Concept: Nursing Process / Planning
Q3. 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. Assessment
B. Planning
C. Implementation
D. Evaluation
Answer: C. The implementation phase is the part of the nursing process in which the
nurse provides education, drug administration, patient care, and other interventions
necessary to assist the patient in accomplishing established medication goals. |
Concept: Nursing Process / Implementation
Q4. 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 phase of the nursing process?
A. Assessment
B. Evaluation
C. Implementation
D. Planning
Answer: A. Assessment involves gathering information about the patient and the drug,
including any previous use of the drug. | Concept: Nursing Process / Assessment
,Q5. Which assessment is categorized as objective data?
A. A list of herbal supplements regularly used
B. Lab values associated with the drugs the patient is taking
C. The ages and relationship to the patient of all household members
D. Usual dietary patterns and food intake
Answer: B. Objective data are measured and detected by another person and would
include lab values. The other examples are subjective data. | Concept: Health
Assessment / Data Collection
Q6. 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 phase of the nursing process?
A. Assessment
B. Evaluation
C. Implementation
D. Planning
Answer: C. The implementation phase involves education and patient care in order to
assist the patient to accomplish the goals of treatment. | Concept: Nursing Process /
Implementation
Q7. 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. Assessment
B. Evaluation
C. Implementation
D. Planning
, Answer: D. Planning involves goal setting, which, for this patient, means being able to
perform self-care activities without dyspnea and hypoxia. | Concept: Nursing Process /
Planning
Q8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing
teaching. Which is a correctly written goal 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.
Answer: D. Goals must be patient-centered and clearly state the outcome with a
reasonable deadline and should identify components for evaluation. | Concept: Nursing
Process / Goal Setting
Q9. The nurse is developing a plan of care 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 develops a goal 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.
Answer: D. This goal is not realistic because the patient is not usually on room air and
should not be expected to attain that goal by discharge from this hospitalization. |
Concept: Nursing Process / Realistic Goal Setting
Q10. 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 patient problem documented by the nurse is appropriate for this patient?
