, 2
Chapter 01
The Nursing Process and Drug Therapy
MULTIPLE CHOICE
1. 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 feelings about drug therapy as evidenced by statements such as
―I’m upset about having to give myself shots‖
D. Anxiety related to new drug therapy as evidenced by statements such as ―I’m upset
about having to give myself shots‖
ANS: D
2. A patient is to receive oral digoxin (Lanoxin) daily; however, because he is unable to swallow,
he cannot take it orally, as ordered. What type of problem does this represent?
A. ―Right time‖ problem
B. ―Right dose‖ problem
C. ―Right route‖ problem
D. ―Right medication‖ problem
ANS: C
3. The nurse has been monitoring a patient’s progress on a new drug regimen since the first
dose and documenting signs of possible adverse effects. This example illustrates which
phase of the nursing process?
A. Planning
B. Evaluation
C. Implementation
D. Nursing diagnosis
ANS: B
4. 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 safe insulin self-administration technique.
ANS: D
5. Which activity best reflects the implementation phase of the nursing process for a patient who
is newly diagnosed with type 1 diabetes mellitus?
A. Providing education regarding self-injection technique
B. Setting goals and outcome criteria with the patient’s input
C. Recording a drug history regarding over-the-counter medications used at home
D. Formulating nursing diagnoses regarding knowledge deficit related to new
treatment regimen
ANS: A
, 3
6. The medication order reads, ―Give ondansetron 24 mg, 30 minutes before beginning
chemotherapy to prevent nausea.‖ The nurse notes that the route is missing from the order.
What is the nurse’s best action?
A. Giving the medication intravenously because it is for nausea prevention
B. Giving the medication orally because the tablets are available in 24 mg doses
C. Contacting the prescriber to clarify the route of the medication ordered
D. Holding the medication until the prescriber returns to clarify the order
ANS: C
7. When the nurse considers the timing of a drug dose, which of the factors listed below is
appropriate to consider when deciding when to give a drug?
A. The patient’s ability to swallow
B. The patient’s weight
C. The patient’s last meal
D. The patient’s allergies
ANS: C
MULTIPLE RESPONSE
1. When giving medications, the nurse will follow the rights of medication administration, which
include what rights? Select all that apply.
A. Right drug
B. Right route
C. Right dose
D. Right time
E. Right patient
F. Right documentation
ANS: A, B, C, D, E, F
OTHER
1. Place the phases of the nursing process in the correct order, with 1 as the first phase and 5
as the last phase.
1. Evaluation
2. Nursing Diagnoses
3. Assessment
4. Implementation
5. Planning
ANS: 3, 2, 5, 4, 1
, 4
Chapter 02
Pharmacologic Principles
MULTIPLE CHOICE
1. A patient is receiving two different drugs. At current dosages and dosage forms, both drugs
are absorbed into the circulation in identical amounts. Thus, because they have the same
absorption rates, they are
A. in a steady state.
B. synergistic.
C. compatible.
D. bioequivalent.
ANS: D
2. When given an intravenous (IV) medication, the patient says to the nurse, ―I usually take pills.
Why does this medication have to be given in the arm?‖ What is the nurse’s best answer?
A. ―The medication will cause fewer adverse effects when given intravenously.‖
B. ―The IV medication will be absorbed slowly into the tissues over time.‖
C. ―The action of the medication will begin sooner when given intravenously.‖
D. ―There is a lower chance of allergic reactions when drugs are given IV.‖
ANS: C
3. The nurse is administering parenteral drugs. Which statement is true regarding parenteral
drugs?
A. Parenteral drugs bypass the first-pass effect.
B. Absorption of parenteral drugs is affected by reduced blood flow to the stomach.
C. Absorption of parenteral drugs is altered by the presence of food in the stomach.
D. Parenteral drugs exert their effects while circulating in the bloodstream.
ANS: A
4. When monitoring a patient on an insulin drip to reduce blood glucose levels, the nurse notes
that the patient’s glucose level is extremely low, and the patient is lethargic and difficult to
awaken. This would be classified as which type of adverse drug reaction?
A. An adverse effect
B. An allergic reaction
C. An idiosyncratic reaction
D. A pharmacologic reaction
ANS: D
5. When reviewing pharmacology terms for a group of newly graduated nurses, the nurse
explains that a drug’s half-life is the time it takes for
A. the drug to elicit half of its therapeutic response.
B. one half of the original amount of a drug to reach the target cells.
C. one half of the original amount of a drug to be removed from the body.
D. one half of the original amount of a drug to be absorbed into the circulation.
ANS: C
Chapter 01
The Nursing Process and Drug Therapy
MULTIPLE CHOICE
1. 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 feelings about drug therapy as evidenced by statements such as
―I’m upset about having to give myself shots‖
D. Anxiety related to new drug therapy as evidenced by statements such as ―I’m upset
about having to give myself shots‖
ANS: D
2. A patient is to receive oral digoxin (Lanoxin) daily; however, because he is unable to swallow,
he cannot take it orally, as ordered. What type of problem does this represent?
A. ―Right time‖ problem
B. ―Right dose‖ problem
C. ―Right route‖ problem
D. ―Right medication‖ problem
ANS: C
3. The nurse has been monitoring a patient’s progress on a new drug regimen since the first
dose and documenting signs of possible adverse effects. This example illustrates which
phase of the nursing process?
A. Planning
B. Evaluation
C. Implementation
D. Nursing diagnosis
ANS: B
4. 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 safe insulin self-administration technique.
ANS: D
5. Which activity best reflects the implementation phase of the nursing process for a patient who
is newly diagnosed with type 1 diabetes mellitus?
A. Providing education regarding self-injection technique
B. Setting goals and outcome criteria with the patient’s input
C. Recording a drug history regarding over-the-counter medications used at home
D. Formulating nursing diagnoses regarding knowledge deficit related to new
treatment regimen
ANS: A
, 3
6. The medication order reads, ―Give ondansetron 24 mg, 30 minutes before beginning
chemotherapy to prevent nausea.‖ The nurse notes that the route is missing from the order.
What is the nurse’s best action?
A. Giving the medication intravenously because it is for nausea prevention
B. Giving the medication orally because the tablets are available in 24 mg doses
C. Contacting the prescriber to clarify the route of the medication ordered
D. Holding the medication until the prescriber returns to clarify the order
ANS: C
7. When the nurse considers the timing of a drug dose, which of the factors listed below is
appropriate to consider when deciding when to give a drug?
A. The patient’s ability to swallow
B. The patient’s weight
C. The patient’s last meal
D. The patient’s allergies
ANS: C
MULTIPLE RESPONSE
1. When giving medications, the nurse will follow the rights of medication administration, which
include what rights? Select all that apply.
A. Right drug
B. Right route
C. Right dose
D. Right time
E. Right patient
F. Right documentation
ANS: A, B, C, D, E, F
OTHER
1. Place the phases of the nursing process in the correct order, with 1 as the first phase and 5
as the last phase.
1. Evaluation
2. Nursing Diagnoses
3. Assessment
4. Implementation
5. Planning
ANS: 3, 2, 5, 4, 1
, 4
Chapter 02
Pharmacologic Principles
MULTIPLE CHOICE
1. A patient is receiving two different drugs. At current dosages and dosage forms, both drugs
are absorbed into the circulation in identical amounts. Thus, because they have the same
absorption rates, they are
A. in a steady state.
B. synergistic.
C. compatible.
D. bioequivalent.
ANS: D
2. When given an intravenous (IV) medication, the patient says to the nurse, ―I usually take pills.
Why does this medication have to be given in the arm?‖ What is the nurse’s best answer?
A. ―The medication will cause fewer adverse effects when given intravenously.‖
B. ―The IV medication will be absorbed slowly into the tissues over time.‖
C. ―The action of the medication will begin sooner when given intravenously.‖
D. ―There is a lower chance of allergic reactions when drugs are given IV.‖
ANS: C
3. The nurse is administering parenteral drugs. Which statement is true regarding parenteral
drugs?
A. Parenteral drugs bypass the first-pass effect.
B. Absorption of parenteral drugs is affected by reduced blood flow to the stomach.
C. Absorption of parenteral drugs is altered by the presence of food in the stomach.
D. Parenteral drugs exert their effects while circulating in the bloodstream.
ANS: A
4. When monitoring a patient on an insulin drip to reduce blood glucose levels, the nurse notes
that the patient’s glucose level is extremely low, and the patient is lethargic and difficult to
awaken. This would be classified as which type of adverse drug reaction?
A. An adverse effect
B. An allergic reaction
C. An idiosyncratic reaction
D. A pharmacologic reaction
ANS: D
5. When reviewing pharmacology terms for a group of newly graduated nurses, the nurse
explains that a drug’s half-life is the time it takes for
A. the drug to elicit half of its therapeutic response.
B. one half of the original amount of a drug to reach the target cells.
C. one half of the original amount of a drug to be removed from the body.
D. one half of the original amount of a drug to be absorbed into the circulation.
ANS: C
