,Lilley: Pharmacology and the Nursing Process, 10th Edition
kr kr kr kr kr kr kr
MULTIPLE CHOICE kr
1. The nurse is developing a human needs statement for a patient who has a new diagnosis of
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heart failure. Identification of human needs statements occur with which of these
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activities?
kr
a. Collection of patient data kr kr kr
b. Administering interventions kr
c. Deciding on patient outcomes kr kr kr
d. Documenting the patient‘s behavior kr kr kr
ANS: A kr
Identification of human needs occurs with the collection of patient data.
kr kr kr kr kr kr kr kr kr kr
DIF: Cognitive Level: Understanding kr kr
(Comprehension)TOP: Nursing Process: Human Needs
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Statement
kr
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
k r kr kr kr kr kr kr kr kr
2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and gave
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themedication 2 hours after the scheduled dose was due. What type of problem does this
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
represent?
kr
a. ―Right time‖ kr
b. ―Right dose‖ kr
c. ―Right route‖ kr
d. ―Right medication‖ kr
ANS: A kr
―Right time‖ is correct because the medication was given more than 30 minutes after the
kr kr kr kr kr kr kr kr kr kr kr kr kr kr
scheduled dose was due. ―Dose‖ is incorrect because the dose is not related to the time the
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
medication administration is scheduled. ―Route‖ is incorrect because the route is not affected.
kr kr kr kr kr kr kr kr kr kr kr kr kr
―Medication‖ is incorrect because the medication ordered will not change.
kr kr kr kr kr kr kr kr kr
DIF: Cognitive Level: Applying kr kr
(Application)TOP: Nursing Process:
kr kr k r kr
Implementation
kr
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
k r kr kr kr kr kr kr kr kr kr
3. The nurse has been monitoring the patient‘s progress on a new drug regimen since the
kr kr kr kr kr kr kr kr kr kr kr kr kr kr
first dose and documenting the patient‘s therapeutic response to the medication. Which
kr kr kr kr kr kr kr kr kr kr kr kr
phase ofthe nursing process do these actions illustrate?
kr kr kr kr kr kr kr kr kr
a. Human needs statement kr kr
b. Planning
c. Implementation
d. Evaluation
ANS: D kr
Monitoring the patient‘s progress, including the patient‘s response to the medication, is part
kr kr kr kr kr kr kr kr kr kr kr kr
of the evaluation phase. Planning, implementation, and human needs statement are not
kr kr kr kr kr kr kr kr kr kr kr kr
illustratedby this example.
kr kr kr kr
,DIF: kr kr k r Cognitive Level: Understanding (Comprehension)
kr kr kr TOP: Nursing Process: Evaluation
k r kr kr
, MSC: NCLEX: Safe and Effective Care Environment: Management of Care
k r kr kr kr kr kr kr kr kr
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes
kr kr kr kr kr kr kr kr kr kr kr kr kr kr
kr mellitus.Which statement best illustrates an outcome criterion for this patient?
kr kr kr kr kr kr kr kr kr kr
a. The patient will follow instructions. kr kr kr kr
b. The patient will not experience complications.
kr kr kr kr kr
c. The patient will adhere to the new insulin treatment regimen.
kr kr kr kr kr kr kr kr kr
d. The patient will demonstrate correct blood glucose testing technique.
kr kr kr kr kr kr kr kr
ANS: D kr
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable kr kr kr kr kr kr kr kr kr kr
outcome criterion. ―Following instructions‖ and ―not experiencing complications‖ are not
kr kr kr kr kr kr kr kr kr kr
specific criteria. ―Adhering to new regimen‖ would be difficult to measure.
kr kr kr kr kr kr kr kr kr kr kr
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: kr kr kr k r kr
PlanningMSC: NCLEX: Safe and Effective Care Environment: Management of Care
kr kr k r kr kr kr kr kr kr kr kr
5. Which activity best reflects the implementation phase of the nursing process for the
kr kr kr kr kr kr kr kr kr kr kr kr
kr patientwho is newly diagnosed with hypertension?
kr kr kr kr kr kr
a. Providing education on keeping a journal of blood pressure readings kr kr kr kr kr kr kr kr kr
b. Setting goals and outcome criteria with the patient‘s input kr kr kr kr kr kr kr kr
c. Recording a drug history regarding over-the-counter medications used at home kr kr kr kr kr kr kr kr kr
d. Formulating human needs statements regarding deficient knowledge related to kr kr kr kr kr kr kr kr
thenew treatment regimen
kr kr kr kr
ANS: A kr
Education is an intervention that occurs during the implementation phase. Setting goals and
kr kr kr kr kr kr kr kr kr kr kr kr
outcomes reflects the planning phase. Recording a drug history reflects the assessment
kr kr kr kr kr kr kr kr kr kr kr kr
phase.Formulating human needs statements reflects analysis of data as part of planning.
kr kr kr kr kr kr kr kr kr kr kr kr kr
DIF: Cognitive Level: Applying kr kr
(Application)TOP: Nursing Process:
kr kr k r kr
Implementation
kr
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
k r kr kr kr kr kr kr kr kr
6. The medication order reads, ―Give ondansetron 4 mg, 30 minutes before beginning
kr kr kr kr kr kr kr kr kr kr kr
chemotherapy to prevent nausea.‖ The nurse notes that the route is missing from the
kr kr kr kr kr kr kr kr kr kr kr kr kr kr
order.What is the nurse‘s best action?
kr kr kr kr kr kr kr
a. Give the medication intravenously because the patient might vomit.
kr kr kr kr kr kr kr kr
b. Give the medication orally because the tablets are available in 4-mg doses.
kr kr kr kr kr kr kr kr kr kr kr
c. Contact the prescriber to clarify the route of the medication ordered.kr kr kr kr kr kr kr kr kr kr
d. Hold the medication until the prescriber returns to make rounds.
kr kr kr kr kr kr kr kr kr
ANS: C kr
A complete medication order includes the route of administration. If a medication order
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doesnot include the route, the nurse must ask the prescriber to clarify it. The intravenous
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
and oralroutes are not interchangeable. Holding the medication until the prescriber returns
kr kr kr kr kr kr kr kr kr kr kr kr kr
would mean that the patient would not receive a needed medication.
kr kr kr kr kr kr kr kr kr kr kr
DIF: Cognitive Level: Applying kr kr
(Application)TOP: Nursing Process:
kr kr k r kr
Implementation
kr
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
k r kr kr kr kr kr kr kr kr
kr kr kr kr kr kr kr
MULTIPLE CHOICE kr
1. The nurse is developing a human needs statement for a patient who has a new diagnosis of
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
heart failure. Identification of human needs statements occur with which of these
kr kr kr kr kr kr kr kr kr kr kr kr
activities?
kr
a. Collection of patient data kr kr kr
b. Administering interventions kr
c. Deciding on patient outcomes kr kr kr
d. Documenting the patient‘s behavior kr kr kr
ANS: A kr
Identification of human needs occurs with the collection of patient data.
kr kr kr kr kr kr kr kr kr kr
DIF: Cognitive Level: Understanding kr kr
(Comprehension)TOP: Nursing Process: Human Needs
kr kr k r kr kr kr
Statement
kr
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
k r kr kr kr kr kr kr kr kr
2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and gave
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
themedication 2 hours after the scheduled dose was due. What type of problem does this
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
represent?
kr
a. ―Right time‖ kr
b. ―Right dose‖ kr
c. ―Right route‖ kr
d. ―Right medication‖ kr
ANS: A kr
―Right time‖ is correct because the medication was given more than 30 minutes after the
kr kr kr kr kr kr kr kr kr kr kr kr kr kr
scheduled dose was due. ―Dose‖ is incorrect because the dose is not related to the time the
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
medication administration is scheduled. ―Route‖ is incorrect because the route is not affected.
kr kr kr kr kr kr kr kr kr kr kr kr kr
―Medication‖ is incorrect because the medication ordered will not change.
kr kr kr kr kr kr kr kr kr
DIF: Cognitive Level: Applying kr kr
(Application)TOP: Nursing Process:
kr kr k r kr
Implementation
kr
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
k r kr kr kr kr kr kr kr kr kr
3. The nurse has been monitoring the patient‘s progress on a new drug regimen since the
kr kr kr kr kr kr kr kr kr kr kr kr kr kr
first dose and documenting the patient‘s therapeutic response to the medication. Which
kr kr kr kr kr kr kr kr kr kr kr kr
phase ofthe nursing process do these actions illustrate?
kr kr kr kr kr kr kr kr kr
a. Human needs statement kr kr
b. Planning
c. Implementation
d. Evaluation
ANS: D kr
Monitoring the patient‘s progress, including the patient‘s response to the medication, is part
kr kr kr kr kr kr kr kr kr kr kr kr
of the evaluation phase. Planning, implementation, and human needs statement are not
kr kr kr kr kr kr kr kr kr kr kr kr
illustratedby this example.
kr kr kr kr
,DIF: kr kr k r Cognitive Level: Understanding (Comprehension)
kr kr kr TOP: Nursing Process: Evaluation
k r kr kr
, MSC: NCLEX: Safe and Effective Care Environment: Management of Care
k r kr kr kr kr kr kr kr kr
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes
kr kr kr kr kr kr kr kr kr kr kr kr kr kr
kr mellitus.Which statement best illustrates an outcome criterion for this patient?
kr kr kr kr kr kr kr kr kr kr
a. The patient will follow instructions. kr kr kr kr
b. The patient will not experience complications.
kr kr kr kr kr
c. The patient will adhere to the new insulin treatment regimen.
kr kr kr kr kr kr kr kr kr
d. The patient will demonstrate correct blood glucose testing technique.
kr kr kr kr kr kr kr kr
ANS: D kr
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable kr kr kr kr kr kr kr kr kr kr
outcome criterion. ―Following instructions‖ and ―not experiencing complications‖ are not
kr kr kr kr kr kr kr kr kr kr
specific criteria. ―Adhering to new regimen‖ would be difficult to measure.
kr kr kr kr kr kr kr kr kr kr kr
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: kr kr kr k r kr
PlanningMSC: NCLEX: Safe and Effective Care Environment: Management of Care
kr kr k r kr kr kr kr kr kr kr kr
5. Which activity best reflects the implementation phase of the nursing process for the
kr kr kr kr kr kr kr kr kr kr kr kr
kr patientwho is newly diagnosed with hypertension?
kr kr kr kr kr kr
a. Providing education on keeping a journal of blood pressure readings kr kr kr kr kr kr kr kr kr
b. Setting goals and outcome criteria with the patient‘s input kr kr kr kr kr kr kr kr
c. Recording a drug history regarding over-the-counter medications used at home kr kr kr kr kr kr kr kr kr
d. Formulating human needs statements regarding deficient knowledge related to kr kr kr kr kr kr kr kr
thenew treatment regimen
kr kr kr kr
ANS: A kr
Education is an intervention that occurs during the implementation phase. Setting goals and
kr kr kr kr kr kr kr kr kr kr kr kr
outcomes reflects the planning phase. Recording a drug history reflects the assessment
kr kr kr kr kr kr kr kr kr kr kr kr
phase.Formulating human needs statements reflects analysis of data as part of planning.
kr kr kr kr kr kr kr kr kr kr kr kr kr
DIF: Cognitive Level: Applying kr kr
(Application)TOP: Nursing Process:
kr kr k r kr
Implementation
kr
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
k r kr kr kr kr kr kr kr kr
6. The medication order reads, ―Give ondansetron 4 mg, 30 minutes before beginning
kr kr kr kr kr kr kr kr kr kr kr
chemotherapy to prevent nausea.‖ The nurse notes that the route is missing from the
kr kr kr kr kr kr kr kr kr kr kr kr kr kr
order.What is the nurse‘s best action?
kr kr kr kr kr kr kr
a. Give the medication intravenously because the patient might vomit.
kr kr kr kr kr kr kr kr
b. Give the medication orally because the tablets are available in 4-mg doses.
kr kr kr kr kr kr kr kr kr kr kr
c. Contact the prescriber to clarify the route of the medication ordered.kr kr kr kr kr kr kr kr kr kr
d. Hold the medication until the prescriber returns to make rounds.
kr kr kr kr kr kr kr kr kr
ANS: C kr
A complete medication order includes the route of administration. If a medication order
kr kr kr kr kr kr kr kr kr kr kr kr
doesnot include the route, the nurse must ask the prescriber to clarify it. The intravenous
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
and oralroutes are not interchangeable. Holding the medication until the prescriber returns
kr kr kr kr kr kr kr kr kr kr kr kr kr
would mean that the patient would not receive a needed medication.
kr kr kr kr kr kr kr kr kr kr kr
DIF: Cognitive Level: Applying kr kr
(Application)TOP: Nursing Process:
kr kr k r kr
Implementation
kr
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
k r kr kr kr kr kr kr kr kr
