Test Bank Pharmacology A
Patient-Centered Nursing
Process Approach, 11th
Edition by Linda E.
McCuistion Chapter 1-58 NEW
UPDATE
,Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th
Edition
MULTIPLE CHOICE
1. All of the following would be considered subjective data, EXCEPT:
a.
Patient-reported health history
b.
Patient-reported signs and symptoms of their illness
c.
Financial barriers reported by the patient’s caregiver
d.
Vital signs obtained from the medical record
ANS: D
Subjective data is based on what patients or family members
communicate to the nurse. Patient-reported health history, signs and
symptoms, and caregiver reported financial barriers would be considered
subjective data. Vital signs obtained from the medical record would be
considered objective data.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: PlanningMSC: NCLEX: Management of Client Care
2. The nurse is using data collected to define a set of interventions to
achieve the most desirableoutcomes. Which of the following steps is the
nurse applying?
a.
Recognizing cues (assessment)
b.
Analyze cues & prioritize hypothesis (analysis)
c.
Generate solutions (planning)
d.
Take action (nursing interventions)
ANS: C
When generating solutions (planning), the nurse identifies expected
outcomes and uses the patient’s problem(s) to define a set of interventions
to achieve the most desirable outcomes. Recognizing cues (assessment)
involves the gathering of cues (information) from the patient about their
health and lifestyle practices, which are important facts that aid the nurse in
making clinical care decisions. Prioritizing hypothesis is used to organize and
rank the patient problem(s)identified. Finally, taking action involves
implementation of nursing interventions to accomplish the expected
outcomes.
DIF: Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Management of Client Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated
hospitalizations for episodes ofhyperglycemia. 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 withthe parents and draws up a daily checklist for the family
to use. These activities are completed inwhich step of the nursing process?
a.
Recognizing cues (assessment)
b.
Analyze cues & prioritize hypothesis (analysis)
, c.
Generate solutions (planning)
d.
Take action (nursing interventions)
ANS: D
Taking action through nursing interventions is where the nurse provides
patient health teaching,drug administration, patient care, and other
interventions necessary to assist the patient in accomplishing expected
outcomes.
DIF: Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Management of Client Care
4. 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 arereflective of which of the
following?
a.
Recognizing cues (assessment)
b.
Analyze cues & prioritize hypothesis (analysis)
c.
Take action (nursing interventions)
d.
Generate solutions (planning)
ANS: A
Recognizing cues (assessment) involves gathering subjective and objective
information about thepatient and the medication. Laboratory values from
the patient’s chart would be considered collection of objective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: AssessmentMSC: NCLEX: Management of Client Care
5. Which of the following would be correctly categorized as objective data?
a.
A list of herbal supplements regularly used provided by the patient.
b.
Lab values associated with the drugs the patient is taking.
c.
The ages and relationship of all household members to the patient.
d.
Usual dietary patterns and food intake.
ANS: B
Objective data are measured and detected by another person and would
include lab values. Theother examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: AssessmentMSC: NCLEX: Management of Client Care
6. 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 enlistsa
family member to put the patient’s pills in a pill organizer. This is an
example of which element of the nursing process?
a.
Recognizing cues (assessment)
b.
Analyze cues & prioritize hypothesis (analysis)
c.
Take action (nursing interventions)
, d.
Generate solutions (planning)
ANS: C
Taking action (nursing interventions) involves education and patient care
in order to assist thepatient to accomplish the goals of treatment.
DIF: Cognitive Level: Applying
(Application)TOP: Nursing
Process:
Nursing Intervention MSC: NCLEX:
Management of Client Care
7. 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 gohome when able to perform
self-care without dyspnea and hypoxia. This is an example of which phase
of the nursing process?
a.
Recognizing cues (assessment)
b.
Analyze cues & prioritize hypothesis (analysis)
c.
Take action (nursing interventions)
d.
Generate solutions (planning)
ANS: D
Generating solutions (planning) involves defining a set of interventions
to achieve the most desirable outcomes, which, for this patient, means
being able to perform self-care activitieswithout dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Client Care
8. A patient will be sent home with a metered-dose inhaler, and the nurse
is providing teaching.Which is a correctly written expected outcome 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-doseinhaler.
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-doseinhaler at the end of the session.
ANS: D
Expected outcomes must be patient-centered and clearly state the
outcome with a reasonabledeadline and should identify components for
evaluation.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Client Care
9. The nurse is generating solutions (planning) 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 generates an expected
outcomes 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.
Patient-Centered Nursing
Process Approach, 11th
Edition by Linda E.
McCuistion Chapter 1-58 NEW
UPDATE
,Chapter 01: The Nursing Process and Patient-Centered Care
McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th
Edition
MULTIPLE CHOICE
1. All of the following would be considered subjective data, EXCEPT:
a.
Patient-reported health history
b.
Patient-reported signs and symptoms of their illness
c.
Financial barriers reported by the patient’s caregiver
d.
Vital signs obtained from the medical record
ANS: D
Subjective data is based on what patients or family members
communicate to the nurse. Patient-reported health history, signs and
symptoms, and caregiver reported financial barriers would be considered
subjective data. Vital signs obtained from the medical record would be
considered objective data.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: PlanningMSC: NCLEX: Management of Client Care
2. The nurse is using data collected to define a set of interventions to
achieve the most desirableoutcomes. Which of the following steps is the
nurse applying?
a.
Recognizing cues (assessment)
b.
Analyze cues & prioritize hypothesis (analysis)
c.
Generate solutions (planning)
d.
Take action (nursing interventions)
ANS: C
When generating solutions (planning), the nurse identifies expected
outcomes and uses the patient’s problem(s) to define a set of interventions
to achieve the most desirable outcomes. Recognizing cues (assessment)
involves the gathering of cues (information) from the patient about their
health and lifestyle practices, which are important facts that aid the nurse in
making clinical care decisions. Prioritizing hypothesis is used to organize and
rank the patient problem(s)identified. Finally, taking action involves
implementation of nursing interventions to accomplish the expected
outcomes.
DIF: Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Management of Client Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated
hospitalizations for episodes ofhyperglycemia. 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 withthe parents and draws up a daily checklist for the family
to use. These activities are completed inwhich step of the nursing process?
a.
Recognizing cues (assessment)
b.
Analyze cues & prioritize hypothesis (analysis)
, c.
Generate solutions (planning)
d.
Take action (nursing interventions)
ANS: D
Taking action through nursing interventions is where the nurse provides
patient health teaching,drug administration, patient care, and other
interventions necessary to assist the patient in accomplishing expected
outcomes.
DIF: Cognitive Level: Understanding
(Comprehension)TOP: Nursing Process:
Nursing Intervention
MSC: NCLEX: Management of Client Care
4. 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 arereflective of which of the
following?
a.
Recognizing cues (assessment)
b.
Analyze cues & prioritize hypothesis (analysis)
c.
Take action (nursing interventions)
d.
Generate solutions (planning)
ANS: A
Recognizing cues (assessment) involves gathering subjective and objective
information about thepatient and the medication. Laboratory values from
the patient’s chart would be considered collection of objective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: AssessmentMSC: NCLEX: Management of Client Care
5. Which of the following would be correctly categorized as objective data?
a.
A list of herbal supplements regularly used provided by the patient.
b.
Lab values associated with the drugs the patient is taking.
c.
The ages and relationship of all household members to the patient.
d.
Usual dietary patterns and food intake.
ANS: B
Objective data are measured and detected by another person and would
include lab values. Theother examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: AssessmentMSC: NCLEX: Management of Client Care
6. 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 enlistsa
family member to put the patient’s pills in a pill organizer. This is an
example of which element of the nursing process?
a.
Recognizing cues (assessment)
b.
Analyze cues & prioritize hypothesis (analysis)
c.
Take action (nursing interventions)
, d.
Generate solutions (planning)
ANS: C
Taking action (nursing interventions) involves education and patient care
in order to assist thepatient to accomplish the goals of treatment.
DIF: Cognitive Level: Applying
(Application)TOP: Nursing
Process:
Nursing Intervention MSC: NCLEX:
Management of Client Care
7. 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 gohome when able to perform
self-care without dyspnea and hypoxia. This is an example of which phase
of the nursing process?
a.
Recognizing cues (assessment)
b.
Analyze cues & prioritize hypothesis (analysis)
c.
Take action (nursing interventions)
d.
Generate solutions (planning)
ANS: D
Generating solutions (planning) involves defining a set of interventions
to achieve the most desirable outcomes, which, for this patient, means
being able to perform self-care activitieswithout dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Client Care
8. A patient will be sent home with a metered-dose inhaler, and the nurse
is providing teaching.Which is a correctly written expected outcome 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-doseinhaler.
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-doseinhaler at the end of the session.
ANS: D
Expected outcomes must be patient-centered and clearly state the
outcome with a reasonabledeadline and should identify components for
evaluation.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
PlanningMSC: NCLEX: Management of Client Care
9. The nurse is generating solutions (planning) 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 generates an expected
outcomes 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.
