, j 4
Chapter j01: jThe jNursing jProcess jand jDrug jTherapy
MULTIPLE jCHOICE
1. The jnurse jis jwriting ja jnursing jdiagnosis jfor ja jplan jof jcare jfor ja jpatient jwho jhas jbeen
jnewly jdiagnosed jwith jtype j2 jdiabetes. jWhich jstatement jreflects jthe jcorrect jformat jfor
ja jnursing jdiagnosis?
a. Anxiety
b. Anxiety jrelated jto jnew jdrug jtherapy
c. Anxiety jrelated jto janxious jfeelings jabout jdrug jtherapy, jas jevidenced jby
jstatements jsuch jas j―I‘m jupset jabout jhaving jto jtest jmy jblood jsugars.‖
d. Anxiety jrelated jto jnew jdrug jtherapy, jas jevidenced jby jstatements jsuch jas
j―I‘m jupset jabout jhaving jto jtest jmy jblood jsugars.‖
ANS: j D
Formulation jof jnursing jdiagnoses jis jusually ja jthree-step jprocess. j―Anxiety‖ jis jmissing jthe
j―related jto‖ jand j―as jevidenced jby‖ jportions jof jdefining jcharacteristics. j―Anxiety jrelated jto
jnew jdrug jtherapy‖ jis jmissing jthe j―as jevidenced jby‖ jportion jof jdefining jcharacteristics. jThe
jstatement jbeginning j―Anxiety jrelated jto janxious jfeelings‖ jis jincorrect jbecause jthe j―related
jto‖ jsection jis jsimply ja jrestatement jof jthe jproblem j―anxiety,‖ jnot ja jseparate jfactor jrelated jto
jthe jresponse.
DIF: COGNITIVE jLEVEL: jUnderstanding
j(Comprehension) jTOP: j NURSING jPROCESS: jNursing
jDiagNnU
oRsiSs I NGTB. CO M
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jManagement jof jCare
2. The jpatient jis jto jreceive joral jguaifenesin j(Mucinex) jtwice ja jday. jToday, jthe jnurse jwas jbusy
jand jgave jthe jmedication j2 jhours jafter jthe jscheduled jdose jwas jdue. jWhat jtype jof jproblem
jdoes jthis jrepresent?
a. ―Right jtime‖
b. ―Right jdose‖
c. ―Right jroute‖
d. ―Right jmedication‖
ANS: j A
―Right jtime‖ jis jcorrect jbecause jthe jmedication jwas jgiven jmore jthan j30 jminutes jafter jthe
jscheduled jdose jwas jdue. j―Dose‖ jis jincorrect jbecause jthe jdose jis jnot jrelated jto jthe jtime jthe
jmedication jadministration jis jscheduled. j―Route‖ jis jincorrect jbecause jthe jroute jis jnot jaffected.
j―Medication‖ jis jincorrect jbecause jthe jmedication jordered jwill jnot jchange.
DIF: COGNITIVE jLEVEL: jApplying
j(Application) jTOP: j NURSING jPROCESS:
jImplementation
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jSafety jand jInfection jControl
3. The jnurse jhas jbeen jmonitoring jthe jpatient‘s jprogress jon ja jnew jdrug jregimen jsince jthe jfirst
jdose jand jdocumenting jthe jpatient‘s jtherapeutic jresponse jto jthe jmedication. jWhich jphase jof
jthe jnursing jprocess jdo jthese jactions jillustrate?
a. Nursing jdiagnosis
NURSINGTB.COM
, LEHNES PHARMACOLOGY FOR NURSING CARE 10TH EDITION BURCHUM TEST BANK
Chapter 01: The Nursing Process and Drug Therapy 5
b. Planning
c. Implementation
d. Evaluation
ANS: j D
Monitoring jthe jpatient‘s jprogress, jincluding jthe jpatient‘s jresponse jto jthe jmedication, jis jpart
jof jthe jevaluation jphase. jPlanning, jimplementation, jand jnursing jdiagnosis jare jnot jillustrated
jby jthis jexample.
DIF: COGNITIVE jLEVEL: jUnderstanding
j(Comprehension) jTOP: j NURSING jPROCESS: jEvaluation
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jManagement jof jCare
4. The jnurse jis jassigned jto ja jpatient jwho jis jnewly jdiagnosed jwith jtype j1 jdiabetes jmellitus.
jWhich jstatement jbest jillustrates jan joutcome jcriterion jfor jthis jpatient?
a. The jpatient jwill jfollow jinstructions.
b. The jpatient jwill jnot jexperience jcomplications.
c. The jpatient jwill jadhere jto jthe jnew jinsulin jtreatment jregimen.
d. The jpatient jwill jdemonstrate jcorrect jblood jglucose jtesting jtechnique.
ANS: j D
―Demonstrating jcorrect jblood jglucose jtesting jtechnique‖ jis ja jspecific jand jmeasurable
joutcome jcriterion. j―Following jinstructions‖ jand j―not jexperiencing jcomplications‖ jare jnot
jspecific jcriteria. j―Adhering jto jnew jregimen‖ jwould jbe jdifficult jto jmeasure.
NURSINGTB.COM
DIF: COGNITIVE jLEVEL: jApplying j(Application)
TOP: j NURSING jPROCESS: jPlanning
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jManagement jof jCare
5. Which jactivity jbest jreflects jthe jimplementation jphase jof jthe jnursing jprocess jfor jthe jpatient
jwho jis jnewly jdiagnosed jwith jhypertension?
a. Providing jeducation jon jkeeping ja jjournal jof jblood jpressure jreadings
b. Setting jgoals jand joutcome jcriteria jwith jthe jpatient‘s jinput
c. Recording ja jdrug jhistory jregarding jover-the-counter jmedications jused jat jhome
d. Formulating jnursing jdiagnoses jregarding jdeficient jknowledge jrelated jto jthe
jnew jtreatment jregimen
ANS: j A
Education jis jan jintervention jthat joccurs jduring jthe jimplementation jphase. jSetting jgoals jand
joutcomes jreflects jthe jplanning jphase. jRecording ja jdrug jhistory jreflects jthe jassessment jphase.
jFormulating jnursing jdiagnoses jreflects janalysis jof jdata jas jpart jof jplanning.
DIF: COGNITIVE jLEVEL: jApplying
j(Application) jTOP: j NURSING jPROCESS:
jImplementation
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jManagement jof jCare
6. The jmedication jorder jreads, j―Give jondansetron j(Zofran) j4 jmg, j30 jminutes jbefore jbeginning
jchemotherapy jto jprevent jnausea.‖ jThe jnurse jnotes jthat jthe jroute jis jmissing jfrom jthe jorder.
jWhat jis jthe jnurse‘s jbest jaction?
NURSINGTB.COM
, LEHNES PHARMACOLOGY FOR NURSING CARE 10TH EDITION BURCHUM TEST BANK
Chapter 01: The Nursing Process and Drug Therapy 6
a. Give jthe jmedication jintravenously jbecause jthe jpatient jmight jvomit.
b. Give jthe jmedication jorally jbecause jthe jtablets jare javailable jin j4-mg jdoses.
c. Contact jthe jprescriber jto jclarify jthe jroute jof jthe jmedication jordered.
d. Hold jthe jmedication juntil jthe jprescriber jreturns jto jmake jrounds.
ANS: j C
A jcomplete jmedication jorder jincludes jthe jroute jof jadministration. jIf ja jmedication jorder jdoes
jnot jinclude jthe jroute, jthe jnurse jmust jask jthe jprescriber jto jclarify jit. jThe jintravenous jand joral
jroutes jare jnot jinterchangeable. jHolding jthe jmedication juntil jthe jprescriber jreturns jwould
jmean jthat jthe jpatient jwould jnot jreceive ja jneeded jmedication.
DIF: COGNITIVE jLEVEL: jApplying
j(Application) jTOP: j NURSING jPROCESS:
jImplementation
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jManagement jof jCare
7. When jthe jnurse jconsiders jthe jtiming jof ja jdrug jdose, jwhich jfactor jis jappropriate jto jconsider
jwhen jdeciding jwhen jto jgive ja jdrug?
a. The jpatient‘s jability jto jswallow
b. The jpatient‘s jheight
c. The jpatient‘s jlast jmeal
d. The jpatient‘s jallergies
ANS: j C
The jnurse jmust jconsider jspecific jpharmacokinetic/pharmacodynamic jdrug jproperties jthat jmay
jbe jaffected jby j the jtiming jof jthe jlast jmeal. jTN
hUejRp Sa It Ni eGn Tt ‘Bs . Ca bOiMl i t y jto jswallow, jheight, jand
jallergies jare jnot jfactors jto jconsider jregarding jthe jtiming jof jthe jdrug‘s jadministration.
DIF: COGNITIVE jLEVEL: jUnderstanding
j(Comprehension) jTOP: j NURSING jPROCESS: jAssessment
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jManagement jof jCare
8. The jnurse jis jperforming jan jassessment jof ja jnewly jadmitted jpatient. jWhich jis jan jexample
jof jsubjective jdata?
a. Blood jpressure j158/96 jmm jHg
b. Weight j255 jpounds
c. The jpatient jreports jthat jhe juses jthe jherbal jproduct jginkgo.
d. The jpatient‘s jlaboratory jwork jincludes ja jcomplete jblood jcount jand jurinalysis.
ANS: j C
Subjective jdata jinclude jinformation jshared jthrough jthe jspoken jword jby jany jreliable jsource,
jsuch jas jthe jpatient. jObjective jdata jmay jbe jdefined jas jany jinformation jgathered jthrough jthe
jsenses jor jthat jwhich jis jseen, jheard, jfelt, jor jsmelled. jA jpatient‘s jblood jpressure, jweight, jand
jlaboratory jtests jare jall jexamples jof jobjective jdata.
DIF: COGNITIVE jLEVEL: jUnderstanding
j(Comprehension) jTOP: j NURSING jPROCESS: jAssessment
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jManagement jof jCare
MULTIPLE jRESPONSE
NURSINGTB.COM
Chapter j01: jThe jNursing jProcess jand jDrug jTherapy
MULTIPLE jCHOICE
1. The jnurse jis jwriting ja jnursing jdiagnosis jfor ja jplan jof jcare jfor ja jpatient jwho jhas jbeen
jnewly jdiagnosed jwith jtype j2 jdiabetes. jWhich jstatement jreflects jthe jcorrect jformat jfor
ja jnursing jdiagnosis?
a. Anxiety
b. Anxiety jrelated jto jnew jdrug jtherapy
c. Anxiety jrelated jto janxious jfeelings jabout jdrug jtherapy, jas jevidenced jby
jstatements jsuch jas j―I‘m jupset jabout jhaving jto jtest jmy jblood jsugars.‖
d. Anxiety jrelated jto jnew jdrug jtherapy, jas jevidenced jby jstatements jsuch jas
j―I‘m jupset jabout jhaving jto jtest jmy jblood jsugars.‖
ANS: j D
Formulation jof jnursing jdiagnoses jis jusually ja jthree-step jprocess. j―Anxiety‖ jis jmissing jthe
j―related jto‖ jand j―as jevidenced jby‖ jportions jof jdefining jcharacteristics. j―Anxiety jrelated jto
jnew jdrug jtherapy‖ jis jmissing jthe j―as jevidenced jby‖ jportion jof jdefining jcharacteristics. jThe
jstatement jbeginning j―Anxiety jrelated jto janxious jfeelings‖ jis jincorrect jbecause jthe j―related
jto‖ jsection jis jsimply ja jrestatement jof jthe jproblem j―anxiety,‖ jnot ja jseparate jfactor jrelated jto
jthe jresponse.
DIF: COGNITIVE jLEVEL: jUnderstanding
j(Comprehension) jTOP: j NURSING jPROCESS: jNursing
jDiagNnU
oRsiSs I NGTB. CO M
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jManagement jof jCare
2. The jpatient jis jto jreceive joral jguaifenesin j(Mucinex) jtwice ja jday. jToday, jthe jnurse jwas jbusy
jand jgave jthe jmedication j2 jhours jafter jthe jscheduled jdose jwas jdue. jWhat jtype jof jproblem
jdoes jthis jrepresent?
a. ―Right jtime‖
b. ―Right jdose‖
c. ―Right jroute‖
d. ―Right jmedication‖
ANS: j A
―Right jtime‖ jis jcorrect jbecause jthe jmedication jwas jgiven jmore jthan j30 jminutes jafter jthe
jscheduled jdose jwas jdue. j―Dose‖ jis jincorrect jbecause jthe jdose jis jnot jrelated jto jthe jtime jthe
jmedication jadministration jis jscheduled. j―Route‖ jis jincorrect jbecause jthe jroute jis jnot jaffected.
j―Medication‖ jis jincorrect jbecause jthe jmedication jordered jwill jnot jchange.
DIF: COGNITIVE jLEVEL: jApplying
j(Application) jTOP: j NURSING jPROCESS:
jImplementation
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jSafety jand jInfection jControl
3. The jnurse jhas jbeen jmonitoring jthe jpatient‘s jprogress jon ja jnew jdrug jregimen jsince jthe jfirst
jdose jand jdocumenting jthe jpatient‘s jtherapeutic jresponse jto jthe jmedication. jWhich jphase jof
jthe jnursing jprocess jdo jthese jactions jillustrate?
a. Nursing jdiagnosis
NURSINGTB.COM
, LEHNES PHARMACOLOGY FOR NURSING CARE 10TH EDITION BURCHUM TEST BANK
Chapter 01: The Nursing Process and Drug Therapy 5
b. Planning
c. Implementation
d. Evaluation
ANS: j D
Monitoring jthe jpatient‘s jprogress, jincluding jthe jpatient‘s jresponse jto jthe jmedication, jis jpart
jof jthe jevaluation jphase. jPlanning, jimplementation, jand jnursing jdiagnosis jare jnot jillustrated
jby jthis jexample.
DIF: COGNITIVE jLEVEL: jUnderstanding
j(Comprehension) jTOP: j NURSING jPROCESS: jEvaluation
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jManagement jof jCare
4. The jnurse jis jassigned jto ja jpatient jwho jis jnewly jdiagnosed jwith jtype j1 jdiabetes jmellitus.
jWhich jstatement jbest jillustrates jan joutcome jcriterion jfor jthis jpatient?
a. The jpatient jwill jfollow jinstructions.
b. The jpatient jwill jnot jexperience jcomplications.
c. The jpatient jwill jadhere jto jthe jnew jinsulin jtreatment jregimen.
d. The jpatient jwill jdemonstrate jcorrect jblood jglucose jtesting jtechnique.
ANS: j D
―Demonstrating jcorrect jblood jglucose jtesting jtechnique‖ jis ja jspecific jand jmeasurable
joutcome jcriterion. j―Following jinstructions‖ jand j―not jexperiencing jcomplications‖ jare jnot
jspecific jcriteria. j―Adhering jto jnew jregimen‖ jwould jbe jdifficult jto jmeasure.
NURSINGTB.COM
DIF: COGNITIVE jLEVEL: jApplying j(Application)
TOP: j NURSING jPROCESS: jPlanning
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jManagement jof jCare
5. Which jactivity jbest jreflects jthe jimplementation jphase jof jthe jnursing jprocess jfor jthe jpatient
jwho jis jnewly jdiagnosed jwith jhypertension?
a. Providing jeducation jon jkeeping ja jjournal jof jblood jpressure jreadings
b. Setting jgoals jand joutcome jcriteria jwith jthe jpatient‘s jinput
c. Recording ja jdrug jhistory jregarding jover-the-counter jmedications jused jat jhome
d. Formulating jnursing jdiagnoses jregarding jdeficient jknowledge jrelated jto jthe
jnew jtreatment jregimen
ANS: j A
Education jis jan jintervention jthat joccurs jduring jthe jimplementation jphase. jSetting jgoals jand
joutcomes jreflects jthe jplanning jphase. jRecording ja jdrug jhistory jreflects jthe jassessment jphase.
jFormulating jnursing jdiagnoses jreflects janalysis jof jdata jas jpart jof jplanning.
DIF: COGNITIVE jLEVEL: jApplying
j(Application) jTOP: j NURSING jPROCESS:
jImplementation
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jManagement jof jCare
6. The jmedication jorder jreads, j―Give jondansetron j(Zofran) j4 jmg, j30 jminutes jbefore jbeginning
jchemotherapy jto jprevent jnausea.‖ jThe jnurse jnotes jthat jthe jroute jis jmissing jfrom jthe jorder.
jWhat jis jthe jnurse‘s jbest jaction?
NURSINGTB.COM
, LEHNES PHARMACOLOGY FOR NURSING CARE 10TH EDITION BURCHUM TEST BANK
Chapter 01: The Nursing Process and Drug Therapy 6
a. Give jthe jmedication jintravenously jbecause jthe jpatient jmight jvomit.
b. Give jthe jmedication jorally jbecause jthe jtablets jare javailable jin j4-mg jdoses.
c. Contact jthe jprescriber jto jclarify jthe jroute jof jthe jmedication jordered.
d. Hold jthe jmedication juntil jthe jprescriber jreturns jto jmake jrounds.
ANS: j C
A jcomplete jmedication jorder jincludes jthe jroute jof jadministration. jIf ja jmedication jorder jdoes
jnot jinclude jthe jroute, jthe jnurse jmust jask jthe jprescriber jto jclarify jit. jThe jintravenous jand joral
jroutes jare jnot jinterchangeable. jHolding jthe jmedication juntil jthe jprescriber jreturns jwould
jmean jthat jthe jpatient jwould jnot jreceive ja jneeded jmedication.
DIF: COGNITIVE jLEVEL: jApplying
j(Application) jTOP: j NURSING jPROCESS:
jImplementation
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jManagement jof jCare
7. When jthe jnurse jconsiders jthe jtiming jof ja jdrug jdose, jwhich jfactor jis jappropriate jto jconsider
jwhen jdeciding jwhen jto jgive ja jdrug?
a. The jpatient‘s jability jto jswallow
b. The jpatient‘s jheight
c. The jpatient‘s jlast jmeal
d. The jpatient‘s jallergies
ANS: j C
The jnurse jmust jconsider jspecific jpharmacokinetic/pharmacodynamic jdrug jproperties jthat jmay
jbe jaffected jby j the jtiming jof jthe jlast jmeal. jTN
hUejRp Sa It Ni eGn Tt ‘Bs . Ca bOiMl i t y jto jswallow, jheight, jand
jallergies jare jnot jfactors jto jconsider jregarding jthe jtiming jof jthe jdrug‘s jadministration.
DIF: COGNITIVE jLEVEL: jUnderstanding
j(Comprehension) jTOP: j NURSING jPROCESS: jAssessment
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jManagement jof jCare
8. The jnurse jis jperforming jan jassessment jof ja jnewly jadmitted jpatient. jWhich jis jan jexample
jof jsubjective jdata?
a. Blood jpressure j158/96 jmm jHg
b. Weight j255 jpounds
c. The jpatient jreports jthat jhe juses jthe jherbal jproduct jginkgo.
d. The jpatient‘s jlaboratory jwork jincludes ja jcomplete jblood jcount jand jurinalysis.
ANS: j C
Subjective jdata jinclude jinformation jshared jthrough jthe jspoken jword jby jany jreliable jsource,
jsuch jas jthe jpatient. jObjective jdata jmay jbe jdefined jas jany jinformation jgathered jthrough jthe
jsenses jor jthat jwhich jis jseen, jheard, jfelt, jor jsmelled. jA jpatient‘s jblood jpressure, jweight, jand
jlaboratory jtests jare jall jexamples jof jobjective jdata.
DIF: COGNITIVE jLEVEL: jUnderstanding
j(Comprehension) jTOP: j NURSING jPROCESS: jAssessment
MSC: j NCLEX: jSafe jand jEffective jCare jEnvironment: jManagement jof jCare
MULTIPLE jRESPONSE
NURSINGTB.COM
