Test Bank for
Pharmacology and the Nursing Process
3rd Edition
Authors: Linda Lilley, Shelly Collins, Julie Snyder
Chapter 1-55 With Rational Answers
Chapter 1: The Nursing Process and Drug Therapy
Lilley & Aucker: Pharmacology and the Nursing Process, 3rd edition
1-1. A judgment about a potential need or problem of a particular
patient is:
A. A goal
B. An assessment
C. Subjective data
D. A nursing diagnosis
(D) Rationale: Nursing diagnosis is the phase of the nursing process
during which a judgment about a potential need or problem of a
particular patient is made.
Nursing Process: Nursing Diagnosis
Cognitive Level: Knowledge
NCLEX Category: Safe, Effective Care Environment (Management
of Care)
1-2. Your patient is supposed to receive oral furosemide every day; however, because he is
unable to swallow, he cannot take it orally, as ordered. You need to contact the physician. What
kind of problem is this?
A ―right time‖ problem
A ―right dose‖ problem
A ―right route‖ problem
A “right medication” problem
(C) Rationale: The prescriber must clarify the route; never assume medication route.
Nursing Process: Implementation
Cognitive Level: Application
NCLEX Category: Safe, Effective Care Environment (Safety and Infection Control)
1-3. You have been monitoring your patient’s progress on his new drug regimen since the first
dose and documenting signs of possible side effects. What nursing process phase are you
practicing?
, 2
A. Planning
B. Evaluation
C. Implementation
D. Nursing diagnosis
(B) Rationale: Monitoring the patient’s progress is part of the evaluation phase.
Nursing Process: Evaluation
Cognitive Level: Application
NCLEX Category: Safe, Effective Care Environment (Management of Care)
1-4. You have a patient who is newly diagnosed with Type 1 (insulin-dependent) diabetes
mellitus. Which of the following best illustrates an outcome criteria for this patient?
A. The patient will follow instructions.
B. The patient will not experience complications.
C. The patient adheres to the new insulin treatment regimen.
D. The patient demonstrates a safe insulin self-administration technique.
(D) Rationale: This is a specific and measurable outcome criteria.
Nursing Process: Planning (outcome criteria)
Cognitive Level: Application
NCLEX Category: Safe, Effective Care Environment (Management of Care)
1-5. Which activity best reflects the implementation phase of the nursing process for the patient
who is newly diagnosed with Type 1 (insulin-dependent) diabetes mellitus?
A. Providing education regarding self-injection technique
B. Recording a drug history regarding over-the-counter medications used at home
C. Formulating nursing diagnoses regarding knowledge deficit related to new treatment regimen
D. Formulating nursing diagnoses regarding deficient knowledge related to new treatment
regimen
(A) Rationale: Education is an intervention that occurs during the implementation phase.
Nursing Process: Implementation
Cognitive Level: Analysis
NCLEX Category: Safe, Effective Care Environment (Management of Care)
1-6. You are working during a very busy evening shift, and the physician has just hurriedly given
you a list of orders over the telephone. What would be the best way to avoid medication errors?
A. Recopy the orders neatly on the order sheet.
B. Consult with the pharmacist for clarification.
C. Abbreviate dosages and products to save time.
D. Repeat the verbal orders and spell the drug names aloud.
(D) Rationale: This will allow for immediate clarification of orders with the prescriber.
, 3
Nursing Process: Implementation
Cognitive Level: Application and analysis
NCLEX Category: Safe, Effective Care Environment (Management of Care)
1-7. The five rights of medication administration include:
A. The right drug, the right route, the right dose, the right time, and the right patient
B. The right drug, the right effect, the right route, the right time, and the right patient
C. The right patient, the right strength, the right diagnosis, the right drug, and the right route
D. The right patient, the right diagnosis, the right drug, the right route, and the right time
(A) Rationale: The five rights of medication administration must always include the right drug,
the right route, the right dose, the right time, the right patient.
Nursing Process: Implementation
Cognitive Level: Comprehension
NCLEX Category: Safe, Effective Care Environment (Safety and Infection Control)
1-8. The phases of the nursing process are described as:
A. First, assessing, then diagnosing, implementing, and evaluating
B. Diagnosing, planning, assessing, implementing, and, finally, evaluating
C. A linear direction that begins with assessing, continues through diagnosing and planning, and
ends with implementing
D. An ongoing, often circular process that beings with assessing, continues with diagnosing,
planning, implementation, and evaluating
(D) Rationale: Even though the nursing process is often presented as a linear process, it is
ongoing and essentially a circular process that begins with assessing, then continues through
diagnosing, planning, implementing, and, finally, evaluating, which may then lead back to any of
the other phases.
Nursing Process: General
Cognitive Level: Application
NCLEX Category: Safe, Effective Care Environment (Management of Care)
, Chapter 2: Pharmacologic Principles
Lilley & Aucker: Pharmacology and the Nursing Process, 3rd edition
2-1. Mr. Fargo is receiving two different drugs; however, at their current dose forms and
dosages, both drugs are absorbed into the circulation at identical amounts. Thus, since they have
the same absorption rates, they are:
A. Equivalent
B. Synergistic
C. Compatible
D. Bioequivalent
(D) Rationale: Two drugs absorbed into the circulation at the same amount (in specific dosage
forms) have the same bioavailability; thus, they are bioequivalent.
Nursing Process: General
Cognitive Level: Comprehension
NCLEX Category: Physiologic Integrity (Pharmacologic and Parenteral Therapies)
2-2. Mrs. Camarrata is receiving her medication via intravenous injection. You tell her this
means that:
A. She is taking advantage of the fastest enteral route available.
B. The medication will be absorbed slowly into the tissues over time.
C. She is receiving her drug via the fastest route by which it can be absorbed.
D. Most of the drug is inactivated by the liver before it reaches the target area.
(C) Rationale: Intravenous injections are the fastest route of absorption.
Nursing Process: Implementation
Cognitive Level: Comprehension
NCLEX Category: Physiologic Integrity (Pharmacologic and Parenteral Therapies)
2-3. Drugs given via the parenteral route:
A. Bypass the first-pass effect
B. Decrease blood flow to the stomach
C. Are altered by the presence of food in the stomach
D. Exert their effects while circulating in the bloodstream
(A) Rationale: Drugs given via the parenteral route bypass the first-pass effect, but they still
must be absorbed into cells and tissues before they can exert their effects.
Nursing Process: General
Cognitive Level: Analysis
NCLEX Category: Physiologic Integrity (Pharmacologic and Parenteral Therapies)
2-4. Which of the following would be classified as an ―adverse drug event?‖
Copyright © 2002, Mosby, Inc., An Affiliate of Elsevier Science (USA). All rights reserved.
Pharmacology and the Nursing Process
3rd Edition
Authors: Linda Lilley, Shelly Collins, Julie Snyder
Chapter 1-55 With Rational Answers
Chapter 1: The Nursing Process and Drug Therapy
Lilley & Aucker: Pharmacology and the Nursing Process, 3rd edition
1-1. A judgment about a potential need or problem of a particular
patient is:
A. A goal
B. An assessment
C. Subjective data
D. A nursing diagnosis
(D) Rationale: Nursing diagnosis is the phase of the nursing process
during which a judgment about a potential need or problem of a
particular patient is made.
Nursing Process: Nursing Diagnosis
Cognitive Level: Knowledge
NCLEX Category: Safe, Effective Care Environment (Management
of Care)
1-2. Your patient is supposed to receive oral furosemide every day; however, because he is
unable to swallow, he cannot take it orally, as ordered. You need to contact the physician. What
kind of problem is this?
A ―right time‖ problem
A ―right dose‖ problem
A ―right route‖ problem
A “right medication” problem
(C) Rationale: The prescriber must clarify the route; never assume medication route.
Nursing Process: Implementation
Cognitive Level: Application
NCLEX Category: Safe, Effective Care Environment (Safety and Infection Control)
1-3. You have been monitoring your patient’s progress on his new drug regimen since the first
dose and documenting signs of possible side effects. What nursing process phase are you
practicing?
, 2
A. Planning
B. Evaluation
C. Implementation
D. Nursing diagnosis
(B) Rationale: Monitoring the patient’s progress is part of the evaluation phase.
Nursing Process: Evaluation
Cognitive Level: Application
NCLEX Category: Safe, Effective Care Environment (Management of Care)
1-4. You have a patient who is newly diagnosed with Type 1 (insulin-dependent) diabetes
mellitus. Which of the following best illustrates an outcome criteria for this patient?
A. The patient will follow instructions.
B. The patient will not experience complications.
C. The patient adheres to the new insulin treatment regimen.
D. The patient demonstrates a safe insulin self-administration technique.
(D) Rationale: This is a specific and measurable outcome criteria.
Nursing Process: Planning (outcome criteria)
Cognitive Level: Application
NCLEX Category: Safe, Effective Care Environment (Management of Care)
1-5. Which activity best reflects the implementation phase of the nursing process for the patient
who is newly diagnosed with Type 1 (insulin-dependent) diabetes mellitus?
A. Providing education regarding self-injection technique
B. Recording a drug history regarding over-the-counter medications used at home
C. Formulating nursing diagnoses regarding knowledge deficit related to new treatment regimen
D. Formulating nursing diagnoses regarding deficient knowledge related to new treatment
regimen
(A) Rationale: Education is an intervention that occurs during the implementation phase.
Nursing Process: Implementation
Cognitive Level: Analysis
NCLEX Category: Safe, Effective Care Environment (Management of Care)
1-6. You are working during a very busy evening shift, and the physician has just hurriedly given
you a list of orders over the telephone. What would be the best way to avoid medication errors?
A. Recopy the orders neatly on the order sheet.
B. Consult with the pharmacist for clarification.
C. Abbreviate dosages and products to save time.
D. Repeat the verbal orders and spell the drug names aloud.
(D) Rationale: This will allow for immediate clarification of orders with the prescriber.
, 3
Nursing Process: Implementation
Cognitive Level: Application and analysis
NCLEX Category: Safe, Effective Care Environment (Management of Care)
1-7. The five rights of medication administration include:
A. The right drug, the right route, the right dose, the right time, and the right patient
B. The right drug, the right effect, the right route, the right time, and the right patient
C. The right patient, the right strength, the right diagnosis, the right drug, and the right route
D. The right patient, the right diagnosis, the right drug, the right route, and the right time
(A) Rationale: The five rights of medication administration must always include the right drug,
the right route, the right dose, the right time, the right patient.
Nursing Process: Implementation
Cognitive Level: Comprehension
NCLEX Category: Safe, Effective Care Environment (Safety and Infection Control)
1-8. The phases of the nursing process are described as:
A. First, assessing, then diagnosing, implementing, and evaluating
B. Diagnosing, planning, assessing, implementing, and, finally, evaluating
C. A linear direction that begins with assessing, continues through diagnosing and planning, and
ends with implementing
D. An ongoing, often circular process that beings with assessing, continues with diagnosing,
planning, implementation, and evaluating
(D) Rationale: Even though the nursing process is often presented as a linear process, it is
ongoing and essentially a circular process that begins with assessing, then continues through
diagnosing, planning, implementing, and, finally, evaluating, which may then lead back to any of
the other phases.
Nursing Process: General
Cognitive Level: Application
NCLEX Category: Safe, Effective Care Environment (Management of Care)
, Chapter 2: Pharmacologic Principles
Lilley & Aucker: Pharmacology and the Nursing Process, 3rd edition
2-1. Mr. Fargo is receiving two different drugs; however, at their current dose forms and
dosages, both drugs are absorbed into the circulation at identical amounts. Thus, since they have
the same absorption rates, they are:
A. Equivalent
B. Synergistic
C. Compatible
D. Bioequivalent
(D) Rationale: Two drugs absorbed into the circulation at the same amount (in specific dosage
forms) have the same bioavailability; thus, they are bioequivalent.
Nursing Process: General
Cognitive Level: Comprehension
NCLEX Category: Physiologic Integrity (Pharmacologic and Parenteral Therapies)
2-2. Mrs. Camarrata is receiving her medication via intravenous injection. You tell her this
means that:
A. She is taking advantage of the fastest enteral route available.
B. The medication will be absorbed slowly into the tissues over time.
C. She is receiving her drug via the fastest route by which it can be absorbed.
D. Most of the drug is inactivated by the liver before it reaches the target area.
(C) Rationale: Intravenous injections are the fastest route of absorption.
Nursing Process: Implementation
Cognitive Level: Comprehension
NCLEX Category: Physiologic Integrity (Pharmacologic and Parenteral Therapies)
2-3. Drugs given via the parenteral route:
A. Bypass the first-pass effect
B. Decrease blood flow to the stomach
C. Are altered by the presence of food in the stomach
D. Exert their effects while circulating in the bloodstream
(A) Rationale: Drugs given via the parenteral route bypass the first-pass effect, but they still
must be absorbed into cells and tissues before they can exert their effects.
Nursing Process: General
Cognitive Level: Analysis
NCLEX Category: Physiologic Integrity (Pharmacologic and Parenteral Therapies)
2-4. Which of the following would be classified as an ―adverse drug event?‖
Copyright © 2002, Mosby, Inc., An Affiliate of Elsevier Science (USA). All rights reserved.
