TEST BANK PHARMACOLOGY AND THE NURSING PROCESS 10TH
EDITION LINDA LILLEY, SHELLY COLLINS,JULIE SNYDER
CHAPTER 1-58|COMPLETE GUIDE|NEWEST VERSION 2024.
Chapter 01: The Nursing Process and Drug Therapy
MULTIPLE CHOICE
• 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?
• Anxiety
• Anxiety related to new drug therapy
• Anxiety related to anxious feelings about drug therapy, as
evidenced by statements such as “I’m upset about having to
test my blood sugars.”
• Anxiety related to new drug therapy, as evidenced by
statements such as “I’m upset about having to test my
blood sugars.”
ANS: D
Formulation of nursing diagnoses is usually a three-step process. “Anxiety”
is missing the “related to” and “as evidenced by” portions of defining
characteristics. “Anxiety related to new drug therapy” is missing the “as
evidenced by” portion of defining characteristics. The statement beginning
“Anxiety related to anxious feelings” is incorrect because the “related to”
section is simply a restatement of the problem “anxiety,” not a separate
factor related to the response.
DIF: COGNITIVE LEVEL:
Understanding (Comprehension) TOP:
NURSING PROCESS: Nursing
DiagNnUo R
s iSs INGT B.COM
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
• The patient is to receive oral guaifenesin (Mucinex) twice a day. Today,
the nurse was busy and gave the medication 2 hours after the scheduled
dose was due. What type of problem does this represent?
• “Right time”
• “Right dose”
• “Right route”
• “Right medication”
ANS: A
, “Right time” is correct because the medication was given more than 30
minutes after the scheduled dose was due. “Dose” is incorrect because the
dose is not related to the time the medication administration is scheduled.
“Route” is incorrect because the route is not affected. “Medication” is
incorrect because the medication ordered will not change.
DIF: COGNITIVE LEVEL:
Applying (Application) TOP:
NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
• The nurse has been monitoring the patient’s progress on a new drug
regimen since the first dose and documenting the patient’s therapeutic
response to the medication. Which phase of the nursing process do these
actions illustrate?
• Nursing diagnosis
• Planning
• Implementation
• Evaluation
ANS: D
Monitoring the patient’s progress, including the patient’s response to the
medication, is part of the evaluation phase. Planning, implementation, and
nursing diagnosis are not illustrated by this example.
DIF: COGNITIVE LEVEL:
Understanding (Comprehension) TOP:
NURSING PROCESS: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
• 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?
• The patient will follow instructions.
• The patient will not experience complications.
• The patient will adhere to the new insulin treatment regimen.
• The patient will demonstrate correct blood glucose testing technique.
ANS: D
“Demonstrating correct blood glucose testing technique” is a specific and
measurable outcome criterion. “Following instructions” and “not
experiencing complications” are not specific criteria. “Adhering to new
regimen” would be difficult to measure.
NURSINGTB.COM
DIF: COGNITIVE LEVEL: Applying (Application)
TOP: NURSING PROCESS: Planning
, MSC: NCLEX: Safe and Effective Care Environment: Management of Care
• Which activity best reflects the implementation phase of the nursing
process for the patient who is newly diagnosed with hypertension?
• Providing education on keeping a journal of blood pressure readings
• Setting goals and outcome criteria with the patient’s input
• Recording a drug history regarding over-the-counter medications used at home
• Formulating nursing diagnoses regarding deficient
knowledge related to the new treatment regimen
ANS: A
Education is an intervention that occurs during the implementation phase.
Setting goals and outcomes reflects the planning phase. Recording a drug
history reflects the assessment phase. Formulating nursing diagnoses reflects
analysis of data as part of planning.
DIF: COGNITIVE LEVEL:
Applying (Application) TOP:
NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
• The medication order reads, “Give ondansetron (Zofran) 4 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?
• Give the medication intravenously because the patient might vomit.
• Give the medication orally because the tablets are available in 4-mg doses.
• Contact the prescriber to clarify the route of the medication ordered.
• Hold the medication until the prescriber returns to make rounds.
ANS: C
A complete medication order includes the route of administration. If a
medication order does not include the route, the nurse must ask the
prescriber to clarify it. The intravenous and oral routes are not
interchangeable. Holding the medication until the prescriber returns would
mean that the patient would not receive a needed medication.
DIF: COGNITIVE LEVEL:
Applying (Application) TOP:
NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
, • When the nurse considers the timing of a drug dose, which factor is
appropriate to consider when deciding when to give a drug?
• The patient’s ability to swallow
• The patient’s height
• The patient’s last meal
• The patient’s allergies
ANS: C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug
properties that may be affected by the timing of the last meal. TNhU e
Rp Sa It Ni eGnTt ’Bs . Ca bO iM
l i t y to swallow, height, and allergies are not factors to
consider regarding the timing of the drug’s administration.
DIF: COGNITIVE LEVEL:
Understanding (Comprehension) TOP:
NURSING PROCESS: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
• The nurse is performing an assessment of a newly admitted patient.
Which is an example of subjective data?
• Blood pressure 158/96 mm Hg
• Weight 255 pounds
• The patient reports that he uses the herbal product ginkgo.
• The patient’s laboratory work includes a complete blood count and urinalysis.
ANS: C
Subjective data include information shared through the spoken word by any
reliable source, such as the patient. Objective data may be defined as any
information gathered through the senses or that which is seen, heard, felt, or
smelled. A patient’s blood pressure, weight, and laboratory tests are all
examples of objective data.
DIF: COGNITIVE LEVEL:
Understanding (Comprehension) TOP:
NURSING PROCESS: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
MULTIPLE RESPONSE
• When giving medications, the nurse will follow the rights of medication
administration. The rights include the right documentation, the right reason,
the right response, and the patient’s right to refuse. Which of these are
additional rights? (Select all that apply.)
• Right drug
• Right route
EDITION LINDA LILLEY, SHELLY COLLINS,JULIE SNYDER
CHAPTER 1-58|COMPLETE GUIDE|NEWEST VERSION 2024.
Chapter 01: The Nursing Process and Drug Therapy
MULTIPLE CHOICE
• 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?
• Anxiety
• Anxiety related to new drug therapy
• Anxiety related to anxious feelings about drug therapy, as
evidenced by statements such as “I’m upset about having to
test my blood sugars.”
• Anxiety related to new drug therapy, as evidenced by
statements such as “I’m upset about having to test my
blood sugars.”
ANS: D
Formulation of nursing diagnoses is usually a three-step process. “Anxiety”
is missing the “related to” and “as evidenced by” portions of defining
characteristics. “Anxiety related to new drug therapy” is missing the “as
evidenced by” portion of defining characteristics. The statement beginning
“Anxiety related to anxious feelings” is incorrect because the “related to”
section is simply a restatement of the problem “anxiety,” not a separate
factor related to the response.
DIF: COGNITIVE LEVEL:
Understanding (Comprehension) TOP:
NURSING PROCESS: Nursing
DiagNnUo R
s iSs INGT B.COM
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
• The patient is to receive oral guaifenesin (Mucinex) twice a day. Today,
the nurse was busy and gave the medication 2 hours after the scheduled
dose was due. What type of problem does this represent?
• “Right time”
• “Right dose”
• “Right route”
• “Right medication”
ANS: A
, “Right time” is correct because the medication was given more than 30
minutes after the scheduled dose was due. “Dose” is incorrect because the
dose is not related to the time the medication administration is scheduled.
“Route” is incorrect because the route is not affected. “Medication” is
incorrect because the medication ordered will not change.
DIF: COGNITIVE LEVEL:
Applying (Application) TOP:
NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
• The nurse has been monitoring the patient’s progress on a new drug
regimen since the first dose and documenting the patient’s therapeutic
response to the medication. Which phase of the nursing process do these
actions illustrate?
• Nursing diagnosis
• Planning
• Implementation
• Evaluation
ANS: D
Monitoring the patient’s progress, including the patient’s response to the
medication, is part of the evaluation phase. Planning, implementation, and
nursing diagnosis are not illustrated by this example.
DIF: COGNITIVE LEVEL:
Understanding (Comprehension) TOP:
NURSING PROCESS: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
• 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?
• The patient will follow instructions.
• The patient will not experience complications.
• The patient will adhere to the new insulin treatment regimen.
• The patient will demonstrate correct blood glucose testing technique.
ANS: D
“Demonstrating correct blood glucose testing technique” is a specific and
measurable outcome criterion. “Following instructions” and “not
experiencing complications” are not specific criteria. “Adhering to new
regimen” would be difficult to measure.
NURSINGTB.COM
DIF: COGNITIVE LEVEL: Applying (Application)
TOP: NURSING PROCESS: Planning
, MSC: NCLEX: Safe and Effective Care Environment: Management of Care
• Which activity best reflects the implementation phase of the nursing
process for the patient who is newly diagnosed with hypertension?
• Providing education on keeping a journal of blood pressure readings
• Setting goals and outcome criteria with the patient’s input
• Recording a drug history regarding over-the-counter medications used at home
• Formulating nursing diagnoses regarding deficient
knowledge related to the new treatment regimen
ANS: A
Education is an intervention that occurs during the implementation phase.
Setting goals and outcomes reflects the planning phase. Recording a drug
history reflects the assessment phase. Formulating nursing diagnoses reflects
analysis of data as part of planning.
DIF: COGNITIVE LEVEL:
Applying (Application) TOP:
NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
• The medication order reads, “Give ondansetron (Zofran) 4 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?
• Give the medication intravenously because the patient might vomit.
• Give the medication orally because the tablets are available in 4-mg doses.
• Contact the prescriber to clarify the route of the medication ordered.
• Hold the medication until the prescriber returns to make rounds.
ANS: C
A complete medication order includes the route of administration. If a
medication order does not include the route, the nurse must ask the
prescriber to clarify it. The intravenous and oral routes are not
interchangeable. Holding the medication until the prescriber returns would
mean that the patient would not receive a needed medication.
DIF: COGNITIVE LEVEL:
Applying (Application) TOP:
NURSING PROCESS:
Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
, • When the nurse considers the timing of a drug dose, which factor is
appropriate to consider when deciding when to give a drug?
• The patient’s ability to swallow
• The patient’s height
• The patient’s last meal
• The patient’s allergies
ANS: C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug
properties that may be affected by the timing of the last meal. TNhU e
Rp Sa It Ni eGnTt ’Bs . Ca bO iM
l i t y to swallow, height, and allergies are not factors to
consider regarding the timing of the drug’s administration.
DIF: COGNITIVE LEVEL:
Understanding (Comprehension) TOP:
NURSING PROCESS: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
• The nurse is performing an assessment of a newly admitted patient.
Which is an example of subjective data?
• Blood pressure 158/96 mm Hg
• Weight 255 pounds
• The patient reports that he uses the herbal product ginkgo.
• The patient’s laboratory work includes a complete blood count and urinalysis.
ANS: C
Subjective data include information shared through the spoken word by any
reliable source, such as the patient. Objective data may be defined as any
information gathered through the senses or that which is seen, heard, felt, or
smelled. A patient’s blood pressure, weight, and laboratory tests are all
examples of objective data.
DIF: COGNITIVE LEVEL:
Understanding (Comprehension) TOP:
NURSING PROCESS: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
MULTIPLE RESPONSE
• When giving medications, the nurse will follow the rights of medication
administration. The rights include the right documentation, the right reason,
the right response, and the patient’s right to refuse. Which of these are
additional rights? (Select all that apply.)
• Right drug
• Right route
