Test Bank for
Pharmacology and the Nursing Process
5th Edition
Authors: Linda Lilley, Shelly Collins, Julie Snyder
Chapter 1-58 With Rational Answers
Chapter 1: The Nursing Process and Drug Therapy
Mosby items and derived items © 2007, 2005, 2002 by Mosby, Inc., an affiliate of
Elsevier Inc.
MULTIPLE CHOICE
1. The nurse is writing nursing diagnoses for a plan of care. 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 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
Formulation of nursing diagnoses is usually a three step process. Option A is missing the
―related to‖ and ―as evidenced by‖ portions. Option B is missing the ―as evidenced by‖
portion of defining characteristics. Option C’s ―related to‖ section is simply a restatement of
the problem ―anxiety,‖ not a separate factor related to the response.
DIF: COGNITIVE LEVEL: Analysis REF: Text Page: 9
TOP: NURSING PROCESS: Nursing Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
2. Your patient is supposed to receive oral digoxin daily; however, because he is unable to
swallow, he cannot take it orally, as ordered. What kind of problem is this?
a. A ―right time‖ problem
b. A ―right dose‖ problem
c. A ―right route‖ problem
d. A ―right medication‖ problem
ANS: C
Because the patient cannot swallow, the prescriber must adjust the ordered route. Option A
is not correct because the ordered frequency has not change. Option B is not correct because
, the dose is not related to inability to swallow. Option D is incorrect because the medication
ordered will not change, just the route.
DIF: COGNITIVE LEVEL: Application REF: Text Page: 12
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
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
Monitoring the patient’s progress is part of the evaluation phase. Options A, C, and D are
not illustrated by this example.
DIF: COGNITIVE LEVEL: Application REF: Text Page: 12
TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus.
Which of the following best illustrates an outcome criterion 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 safe insulin self-administration technique.
ANS: D
This is a specific and measurable outcome criterion. Options A and B are not specific.
Option C would be difficult to measure.
DIF: COGNITIVE LEVEL: Application REF: Text Page: 10
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
5. Which activity best reflects the implementation phase of the nursing process for the 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 OTC medications used at home
d. Formulating nursing diagnoses regarding knowledge deficit related to new
treatment regimen
ANS: A
Education is an intervention that occurs during the implementation phase. Option B reflects
the Planning phase. Option C reflects the Assessment phase. Option D reflects analysis of
data as part of Planning.
, DIF: COGNITIVE LEVEL: Analysis REF: Text Page: 10
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
6. 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.
ANS: A
The five rights of medication administration must always include the right drug, the right
route, the right dose, the right time, and the right patient. Options B, C, and D do not include
the correct ―Five Rights.‖
DIF: COGNITIVE LEVEL: Comprehension REF: Text Page: 10
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
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 identification
b. The patient’s weight
c. The patient’s last meal
d. Any drug or food allergies
ANS: C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that
may be affected by the timing of the last meal. Options A, B, and D are not affected by the
drug’s timing.
DIF: COGNITIVE LEVEL: Application REF: Text Page: 11
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
MULTIPLE RESPONSE
1. Place the phases of the nursing process in the correct order, with 1 as the first phase and 5 as
the last phase.
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS: A, B, C, D, E
The nursing process is an ongoing process that begins with assessing and continues with
diagnosing, planning, implementation, and evaluating.
, DIF: COGNITIVE LEVEL: Analysis REF: Text Page: 6
TOP: NURSING PROCESS: General
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
Chapter 2: Pharmacologic Principles
Mosby items and derived items © 2007, 2005, 2002 by Mosby, Inc., an affiliate of
Elsevier Inc.
MULTIPLE CHOICE
1. A patient is receiving two different drugs; however, at their current dose forms and dosages,
both drugs are absorbed into the circulation at identical amounts. Thus, because they have
the same absorption rates, they are:
a. Bioavailable.
b. Synergistic.
c. Compatible.
d. Bioequivalent.
ANS: D
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have
the same bioavailability; thus, they are bioequivalent. Option A is incorrect because
―bioavailability‖ is the term used to express the extent of drug absorption. Option B is
incorrect because the term ―synergistic‖ refers to two drugs, given together, with the
resulting effect that is greater than the sum of the effects of each drug given alone. Option C
is incorrect because the term ―compatible‖ is a general term that indicates that two
substances do not have a chemical reaction when mixed (or given, in the case of drugs)
together.
DIF: COGNITIVE LEVEL: Comprehension REF: Text Page: 18
TOP: NURSING PROCESS: General
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
2. When giving an intravenous medication, the patient asks the nurse why the medication has
to be given ―through my arm. I usually take pills.‖ The nurse’s best answer would be:
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 medication’s action will begin faster when given intravenously.‖
d. ―There is a lower chance of allergic reactions when drugs are given IV.‖
ANS: C
The intravenous injection is the fastest route of absorption. Option A is incorrect because
the route does not affect the number of adverse effects. Option B is incorrect because the
intravenous route is the fastest route of absorption. Option D is incorrect because the route
does not affect the number of allergic reactions.
DIF: COGNITIVE LEVEL: Comprehension REF: Text Page: 21
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
Pharmacology and the Nursing Process
5th Edition
Authors: Linda Lilley, Shelly Collins, Julie Snyder
Chapter 1-58 With Rational Answers
Chapter 1: The Nursing Process and Drug Therapy
Mosby items and derived items © 2007, 2005, 2002 by Mosby, Inc., an affiliate of
Elsevier Inc.
MULTIPLE CHOICE
1. The nurse is writing nursing diagnoses for a plan of care. 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 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
Formulation of nursing diagnoses is usually a three step process. Option A is missing the
―related to‖ and ―as evidenced by‖ portions. Option B is missing the ―as evidenced by‖
portion of defining characteristics. Option C’s ―related to‖ section is simply a restatement of
the problem ―anxiety,‖ not a separate factor related to the response.
DIF: COGNITIVE LEVEL: Analysis REF: Text Page: 9
TOP: NURSING PROCESS: Nursing Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
2. Your patient is supposed to receive oral digoxin daily; however, because he is unable to
swallow, he cannot take it orally, as ordered. What kind of problem is this?
a. A ―right time‖ problem
b. A ―right dose‖ problem
c. A ―right route‖ problem
d. A ―right medication‖ problem
ANS: C
Because the patient cannot swallow, the prescriber must adjust the ordered route. Option A
is not correct because the ordered frequency has not change. Option B is not correct because
, the dose is not related to inability to swallow. Option D is incorrect because the medication
ordered will not change, just the route.
DIF: COGNITIVE LEVEL: Application REF: Text Page: 12
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
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
Monitoring the patient’s progress is part of the evaluation phase. Options A, C, and D are
not illustrated by this example.
DIF: COGNITIVE LEVEL: Application REF: Text Page: 12
TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus.
Which of the following best illustrates an outcome criterion 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 safe insulin self-administration technique.
ANS: D
This is a specific and measurable outcome criterion. Options A and B are not specific.
Option C would be difficult to measure.
DIF: COGNITIVE LEVEL: Application REF: Text Page: 10
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
5. Which activity best reflects the implementation phase of the nursing process for the 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 OTC medications used at home
d. Formulating nursing diagnoses regarding knowledge deficit related to new
treatment regimen
ANS: A
Education is an intervention that occurs during the implementation phase. Option B reflects
the Planning phase. Option C reflects the Assessment phase. Option D reflects analysis of
data as part of Planning.
, DIF: COGNITIVE LEVEL: Analysis REF: Text Page: 10
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
6. 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.
ANS: A
The five rights of medication administration must always include the right drug, the right
route, the right dose, the right time, and the right patient. Options B, C, and D do not include
the correct ―Five Rights.‖
DIF: COGNITIVE LEVEL: Comprehension REF: Text Page: 10
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
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 identification
b. The patient’s weight
c. The patient’s last meal
d. Any drug or food allergies
ANS: C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that
may be affected by the timing of the last meal. Options A, B, and D are not affected by the
drug’s timing.
DIF: COGNITIVE LEVEL: Application REF: Text Page: 11
TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
MULTIPLE RESPONSE
1. Place the phases of the nursing process in the correct order, with 1 as the first phase and 5 as
the last phase.
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS: A, B, C, D, E
The nursing process is an ongoing process that begins with assessing and continues with
diagnosing, planning, implementation, and evaluating.
, DIF: COGNITIVE LEVEL: Analysis REF: Text Page: 6
TOP: NURSING PROCESS: General
MSC: NCLEX: Safe and Effective Care Environment: Coordinated Care
Chapter 2: Pharmacologic Principles
Mosby items and derived items © 2007, 2005, 2002 by Mosby, Inc., an affiliate of
Elsevier Inc.
MULTIPLE CHOICE
1. A patient is receiving two different drugs; however, at their current dose forms and dosages,
both drugs are absorbed into the circulation at identical amounts. Thus, because they have
the same absorption rates, they are:
a. Bioavailable.
b. Synergistic.
c. Compatible.
d. Bioequivalent.
ANS: D
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have
the same bioavailability; thus, they are bioequivalent. Option A is incorrect because
―bioavailability‖ is the term used to express the extent of drug absorption. Option B is
incorrect because the term ―synergistic‖ refers to two drugs, given together, with the
resulting effect that is greater than the sum of the effects of each drug given alone. Option C
is incorrect because the term ―compatible‖ is a general term that indicates that two
substances do not have a chemical reaction when mixed (or given, in the case of drugs)
together.
DIF: COGNITIVE LEVEL: Comprehension REF: Text Page: 18
TOP: NURSING PROCESS: General
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
2. When giving an intravenous medication, the patient asks the nurse why the medication has
to be given ―through my arm. I usually take pills.‖ The nurse’s best answer would be:
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 medication’s action will begin faster when given intravenously.‖
d. ―There is a lower chance of allergic reactions when drugs are given IV.‖
ANS: C
The intravenous injection is the fastest route of absorption. Option A is incorrect because
the route does not affect the number of adverse effects. Option B is incorrect because the
intravenous route is the fastest route of absorption. Option D is incorrect because the route
does not affect the number of allergic reactions.
DIF: COGNITIVE LEVEL: Comprehension REF: Text Page: 21
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
