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: Planning MSC: NCLEX: Management of Client Care
2. The nurse is using data collected to define a set of interventions to achieve the most
desirable outcomes. 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 of hyperglycemia. 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 with the parents and draws up a daily checklist for the family
to use. These activities are completed in which 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 are
reflective 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 the patient 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: Assessment MSC: 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. The other examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
, Process: Assessment MSC: 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 enlists a 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 the patient 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 go home 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 activities without dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: Planning MSC: 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-dose
inhaler.
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-dose
inhaler at the end of the session.
, ANS: D
Expected outcomes must be patient-centered and clearly state the outcome with a
reasonable deadline and should identify components for evaluation.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Planning MSC: 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.
b. It is not measurable.
c. It is not patient-centered.
d. It is not realistic.
ANS: D
The expected outcome is not realistic because the patient is not usually on room air
and should not be expected to attain that expected outcome by discharge from this
hospitalization.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Planning MSC: NCLEX: Management of Client Care
10. The nurse is developing a teaching plan for an elderly patient who will begin taking an
antihypertensive drug that causes dizziness and orthostatic hypotension. Which
hypothesis (problem) documented by the nurse is appropriate for this patient?
a. Deficient knowledge related to drug side effects.
b. Ineffective health maintenance related to age.
c. Readiness for enhanced knowledge related to medication side effects.
d. Risk for injury related to side effects of the medication.
ANS: D
This patient has an increased risk for injury because of drug side effects, so this is an
appropriate hypothesis (problem) to direct the type of care and follow-up the patient
will receive.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Nursing Diagnosis MSC: NCLEX: Management of Client Care
11. An older patient must learn to administer a medication using a device that requires
manual dexterity. The patient becomes frustrated and expresses lack of selfconfidence in
performing this task. Which action will the nurse perform next?
a. Ask the patient to keep trying until the skill is learned.
b. Provide written instructions with illustrations showing each step of the skill.
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: Planning MSC: NCLEX: Management of Client Care
2. The nurse is using data collected to define a set of interventions to achieve the most
desirable outcomes. 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 of hyperglycemia. 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 with the parents and draws up a daily checklist for the family
to use. These activities are completed in which 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 are
reflective 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 the patient 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: Assessment MSC: 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. The other examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
, Process: Assessment MSC: 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 enlists a 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 the patient 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 go home 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 activities without dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing
Process: Planning MSC: 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-dose
inhaler.
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-dose
inhaler at the end of the session.
, ANS: D
Expected outcomes must be patient-centered and clearly state the outcome with a
reasonable deadline and should identify components for evaluation.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Planning MSC: 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.
b. It is not measurable.
c. It is not patient-centered.
d. It is not realistic.
ANS: D
The expected outcome is not realistic because the patient is not usually on room air
and should not be expected to attain that expected outcome by discharge from this
hospitalization.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Planning MSC: NCLEX: Management of Client Care
10. The nurse is developing a teaching plan for an elderly patient who will begin taking an
antihypertensive drug that causes dizziness and orthostatic hypotension. Which
hypothesis (problem) documented by the nurse is appropriate for this patient?
a. Deficient knowledge related to drug side effects.
b. Ineffective health maintenance related to age.
c. Readiness for enhanced knowledge related to medication side effects.
d. Risk for injury related to side effects of the medication.
ANS: D
This patient has an increased risk for injury because of drug side effects, so this is an
appropriate hypothesis (problem) to direct the type of care and follow-up the patient
will receive.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process:
Nursing Diagnosis MSC: NCLEX: Management of Client Care
11. An older patient must learn to administer a medication using a device that requires
manual dexterity. The patient becomes frustrated and expresses lack of selfconfidence in
performing this task. Which action will the nurse perform next?
a. Ask the patient to keep trying until the skill is learned.
b. Provide written instructions with illustrations showing each step of the skill.
