Pharmacology and the nursing process 8th m m m m m m
edition
Chapterm01:mThemNursing mProcessmandmDr
ug mTherapyTestmBank
MULTIPLE m CHOICE
1 . Them nursem ism writingm a m nursingm diagnosism form a m plan m of m carem form a m patient m who m hasm been m newly m dia
gnosed mwithtypem 2 m diabetes.m Which m statement m reflectsm them correct m format m form a m nursingm diagnosis?
a. Anxiety
b. Anxiety m related m to m newm drugm therapy
c. Anxiety m related m to m anxiousm feelingsm about m drugm therapy,m asm evidenced m bym statementsm such m asm “I’m m upsetm about m h
avingmtmy mblood msugars.”
d. Anxiety mirelated mito minewmidrugmitherapy,miasmievidenced miby istatementsmisuchmiasmi“I’m miupset miabout mihavingmito mitest mimy ibloo
d misu
ANS: m D
Formulation m of m nursingm diagnosesm ism usually m a m three-
step m process.m “Anxiety”m ism missingm them “related m to”m and m“asevidencedm by”m portionsm ofm definingm characteri
stics.m “Anxiety m related m to m newm drugm therapy”m ism missingm them“asm evidenced m by”m portion m of m definingm char
acteristics.m Them statement m beginningm “Anxiety m related m to m anxiousmfeelings”m ism incorrect m becausem them “relate
d m to”m section m ism simply m a m restatement m of m them problem m “anxiety,”m notm amseparatemfactormrelated mto mthemrespons
e.
DIF: mCOGNITIVEmLEVEL: mUnderstandingm(Comprehension)mREF: mp.
m 9TOP: mNURSINGmPROCESS: mNursing mDiagnosis
MSC: m NCLEX: m Safem and m Effectivem Carem Environment: m Management m of m Care
2 . Them patient m ism to m receivem oralm guaifenesin m (Mucinex)m twicem a m day.m Today,m them nursem wasm busy m and
m gave mthemedication m 2 m hoursm afterm the m scheduled m dose m wasm due.m What m type m of m problem m doesm thism r
epresent?
a. “Right mitime”miproblem
b. “Right m dose”m problem
, c. “Right m route”m problem
d. “Right m medication” m problem
ANS: m A
“Right m time”m ism correct m becausem them medication m wasm given m morem than m 30 m minutesm afterm them scheduled m dose
m wasmdue.m “Dose” m ism incorrect m because m the m dose m ism not m related m to m the m time m the m medication m administration
m ismscheduled.“Route” m ism incorrect m because m the m route m ism not m affected.m “Medication” m ism incorrect m because m t
hemmedication mordered mwillmnot mchange.
DIF: mCOGNITIVEmLEVEL: mApplyingm(Application)mREF: mp.m 13T
OP: mNURSINGmPROCESS: mImplementation
MSC: m NCLEX: m Safem and m Effectivem Carem Environment: m Safety m and m Infection m Control
3 . Them nursem hasm been m monitoringm them patient’sm progressm on m a m newm drugm regimen m sincem them first m dose
m and mdocumentingm the m patient’sm therapeutic m response m to m the m medication.m Which m phase m of m the m nursingm
processm do mtheseactionsmillustrate?
a. Nursingm diagnosis
b. Planning
c. Implementation
d. Evaluation
ANS: m D
Monitoringm them patient’sm progress,m includingm them patient’sm responsem to m them medication,m ism part m of m themeval
uationphase.m Planning,m implementation,m and m nursingm diagnosism arem notm illustrated m by m thism example.
DIF: mCOGNITIVEmLEVEL: mUnderstandingm(Comprehension)mREF: mp.
m 15TOP: mNURSINGmPROCESS: mEvaluation
MSC: m NCLEX: m Safem and m Effectivem Carem Environment: m Management m of m Care
4 . Them nursem ism assigned m to m a m patient m who m ism newly m diagnosed m with m typem 1 m diabetesm mellitus.m
Which mstatement ibest m illustratesm an m outcome m criterion m form thismpatient?
a. Them patient m willm followm instructions.
b. Them patient m willm not m experiencem complications.
, c. Them patient m willm adherem to m them newm insulin m treatment m regimen.
d. Themipatient miwillmidemonstrate micorrect miblood miglucosemitestingmitechnique.
ANS: m D
“Demonstratingm correct m blood m glucosem testingm technique” m ism a m specificm and m measurablem outcomem criterion.m“
Followingm instructions”m and m“not m experiencingm complications” m arem notm specificmcriteria.m“Adheringm to mnewre
gimen”mwould mbemdifficult mto mmeasure.
DIF: mCOGNITIVEmLEVEL: mApplyingm(Application)mREF: mp.m 11T
OP: mNURSINGmPROCESS: m Planning
MSC: m NCLEX: m Safem and m Effectivem Carem Environment: m Management m of m Care
5 . Which m activity m best m reflectsmthem implementation m phasem ofmthem nursingm processmformthem patient m who mismne
wly mdiagnosed mwith mhypertension?
a. Providingmieducation ion ikeepingia mijournalmiof miblood mipressure mireadings
b. Settingm goalsm and m outcomem criteria m with m them patient’sm input
c. Recordingm a m drugm history m regardingm over-the-counterm medicationsm used m atm home
d. Formulatingm nursingm diagnosesm regardingm deficient m knowledgem related m to m them newm treatment m regimen
ANS: m A
Education m isman mintervention m that m occursm duringm them implementation m phase.m Settingm goalsmand m outcomesm refle
ctsmthem planningm phase.m Recordingm a m drugm history m reflectsm them assessment m phase.m Formulatingm nursingm dia
gnosesmreflectsmanalysismof mdata masmpart mof mplanning.
DIF: mCOGNITIVEmLEVEL: mApplyingm(Application)mREF: mp.m 11T
OP: mNURSINGmPROCESS: mImplementation
MSC: m NCLEX: m Safem and m Effectivem Carem Environment: m Management m of m Care
6 . Them medication m orderm reads,m “Givem ondansetron m (Zofran)m 4 m mg,m 30 m minutesm beforem beginningmc
hemotherapyto m prevent m nausea.”m Them nursem notesmthat m them routem ism missingm from m them order.m What m is
mthe mnurse’smbest maction?
a. Givem them medication m intravenously m becausem them patient m might m vomit.
b. Givem them medication m orally m becausem them tabletsm arem availablem in m 4-mgm doses.
c. Contact mithemiprescribermito iclarify mithemiroutemiof mithemimedication iordered.
, d. Hold m them medication m untilm them prescriberm returnsm to m makem rounds.
ANS: m C
Am completem medication m orderm includesm them routem of m administration.m If m am medication m orderm doesm not m includ
emtheroute,m them nursem must m ask m them prescriberm to m clarify m it.m Them intravenousm andm oralm routesm arem not minterc
hangeable.Holdingm them medication m untilm them prescriberm returnsm would m mean m that m them patient m would m notmrece
ivema mneeded mmedication.
DIF: mCOGNITIVEmLEVEL: mApplyingm(Application)mREF: mp.m 14T
OP: mNURSINGmPROCESS: mImplementation
MSC: m NCLEX: m Safem and m Effectivem Carem Environment: m Management m of m Care
7 . When m them nursem considersm them timingm of m a m drugm dose,m which m factorm ism appropriate m to m considerm
when mdecidingiwhen mto mgivema mdrug?
a. Them patient’sm ability m to m swallow
b. Them patient’sm height
c. Themipatient’smilast mimeal
d. Them patient’sm allergies
ANS: m C
Them nursem must m considerm specificm pharmacokinetic/pharmacodynamic m drugm propertiesm that m may m bem affected
m by mthe mtimingmof mthe mlast mmeal.mThe mpatient’smability mto mswallow,mheight,mand mallergiesmare mnot mfactorsmto mcon
sidermregardingmthem timingm of mthem drug’smadministration.
DIF: mCOGNITIVEmLEVEL: mUnderstandingm(Comprehension)mREF: mp.
m 13TOP: mNURSINGmPROCESS: m Assessment
MSC: m NCLEX: m Safem and m Effectivem Carem Environment: m Management m of m Care
8 . Them nursem ism performingm an m assessment m of m a m newly m admitted m patient.m Which m ism an m examplem of m subjectivem data?
a. Blood m pressurem 158/96 m mm m Hg
b. Weight m 255 m pounds
c. Themipatient mireportsmithat mihemiusesmithemiherbalmiproduct miginkgo.
d. Them patient’sm laboratory m work m includesm a m completem blood m count m and m urinalysis.
edition
Chapterm01:mThemNursing mProcessmandmDr
ug mTherapyTestmBank
MULTIPLE m CHOICE
1 . Them nursem ism writingm a m nursingm diagnosism form a m plan m of m carem form a m patient m who m hasm been m newly m dia
gnosed mwithtypem 2 m diabetes.m Which m statement m reflectsm them correct m format m form a m nursingm diagnosis?
a. Anxiety
b. Anxiety m related m to m newm drugm therapy
c. Anxiety m related m to m anxiousm feelingsm about m drugm therapy,m asm evidenced m bym statementsm such m asm “I’m m upsetm about m h
avingmtmy mblood msugars.”
d. Anxiety mirelated mito minewmidrugmitherapy,miasmievidenced miby istatementsmisuchmiasmi“I’m miupset miabout mihavingmito mitest mimy ibloo
d misu
ANS: m D
Formulation m of m nursingm diagnosesm ism usually m a m three-
step m process.m “Anxiety”m ism missingm them “related m to”m and m“asevidencedm by”m portionsm ofm definingm characteri
stics.m “Anxiety m related m to m newm drugm therapy”m ism missingm them“asm evidenced m by”m portion m of m definingm char
acteristics.m Them statement m beginningm “Anxiety m related m to m anxiousmfeelings”m ism incorrect m becausem them “relate
d m to”m section m ism simply m a m restatement m of m them problem m “anxiety,”m notm amseparatemfactormrelated mto mthemrespons
e.
DIF: mCOGNITIVEmLEVEL: mUnderstandingm(Comprehension)mREF: mp.
m 9TOP: mNURSINGmPROCESS: mNursing mDiagnosis
MSC: m NCLEX: m Safem and m Effectivem Carem Environment: m Management m of m Care
2 . Them patient m ism to m receivem oralm guaifenesin m (Mucinex)m twicem a m day.m Today,m them nursem wasm busy m and
m gave mthemedication m 2 m hoursm afterm the m scheduled m dose m wasm due.m What m type m of m problem m doesm thism r
epresent?
a. “Right mitime”miproblem
b. “Right m dose”m problem
, c. “Right m route”m problem
d. “Right m medication” m problem
ANS: m A
“Right m time”m ism correct m becausem them medication m wasm given m morem than m 30 m minutesm afterm them scheduled m dose
m wasmdue.m “Dose” m ism incorrect m because m the m dose m ism not m related m to m the m time m the m medication m administration
m ismscheduled.“Route” m ism incorrect m because m the m route m ism not m affected.m “Medication” m ism incorrect m because m t
hemmedication mordered mwillmnot mchange.
DIF: mCOGNITIVEmLEVEL: mApplyingm(Application)mREF: mp.m 13T
OP: mNURSINGmPROCESS: mImplementation
MSC: m NCLEX: m Safem and m Effectivem Carem Environment: m Safety m and m Infection m Control
3 . Them nursem hasm been m monitoringm them patient’sm progressm on m a m newm drugm regimen m sincem them first m dose
m and mdocumentingm the m patient’sm therapeutic m response m to m the m medication.m Which m phase m of m the m nursingm
processm do mtheseactionsmillustrate?
a. Nursingm diagnosis
b. Planning
c. Implementation
d. Evaluation
ANS: m D
Monitoringm them patient’sm progress,m includingm them patient’sm responsem to m them medication,m ism part m of m themeval
uationphase.m Planning,m implementation,m and m nursingm diagnosism arem notm illustrated m by m thism example.
DIF: mCOGNITIVEmLEVEL: mUnderstandingm(Comprehension)mREF: mp.
m 15TOP: mNURSINGmPROCESS: mEvaluation
MSC: m NCLEX: m Safem and m Effectivem Carem Environment: m Management m of m Care
4 . Them nursem ism assigned m to m a m patient m who m ism newly m diagnosed m with m typem 1 m diabetesm mellitus.m
Which mstatement ibest m illustratesm an m outcome m criterion m form thismpatient?
a. Them patient m willm followm instructions.
b. Them patient m willm not m experiencem complications.
, c. Them patient m willm adherem to m them newm insulin m treatment m regimen.
d. Themipatient miwillmidemonstrate micorrect miblood miglucosemitestingmitechnique.
ANS: m D
“Demonstratingm correct m blood m glucosem testingm technique” m ism a m specificm and m measurablem outcomem criterion.m“
Followingm instructions”m and m“not m experiencingm complications” m arem notm specificmcriteria.m“Adheringm to mnewre
gimen”mwould mbemdifficult mto mmeasure.
DIF: mCOGNITIVEmLEVEL: mApplyingm(Application)mREF: mp.m 11T
OP: mNURSINGmPROCESS: m Planning
MSC: m NCLEX: m Safem and m Effectivem Carem Environment: m Management m of m Care
5 . Which m activity m best m reflectsmthem implementation m phasem ofmthem nursingm processmformthem patient m who mismne
wly mdiagnosed mwith mhypertension?
a. Providingmieducation ion ikeepingia mijournalmiof miblood mipressure mireadings
b. Settingm goalsm and m outcomem criteria m with m them patient’sm input
c. Recordingm a m drugm history m regardingm over-the-counterm medicationsm used m atm home
d. Formulatingm nursingm diagnosesm regardingm deficient m knowledgem related m to m them newm treatment m regimen
ANS: m A
Education m isman mintervention m that m occursm duringm them implementation m phase.m Settingm goalsmand m outcomesm refle
ctsmthem planningm phase.m Recordingm a m drugm history m reflectsm them assessment m phase.m Formulatingm nursingm dia
gnosesmreflectsmanalysismof mdata masmpart mof mplanning.
DIF: mCOGNITIVEmLEVEL: mApplyingm(Application)mREF: mp.m 11T
OP: mNURSINGmPROCESS: mImplementation
MSC: m NCLEX: m Safem and m Effectivem Carem Environment: m Management m of m Care
6 . Them medication m orderm reads,m “Givem ondansetron m (Zofran)m 4 m mg,m 30 m minutesm beforem beginningmc
hemotherapyto m prevent m nausea.”m Them nursem notesmthat m them routem ism missingm from m them order.m What m is
mthe mnurse’smbest maction?
a. Givem them medication m intravenously m becausem them patient m might m vomit.
b. Givem them medication m orally m becausem them tabletsm arem availablem in m 4-mgm doses.
c. Contact mithemiprescribermito iclarify mithemiroutemiof mithemimedication iordered.
, d. Hold m them medication m untilm them prescriberm returnsm to m makem rounds.
ANS: m C
Am completem medication m orderm includesm them routem of m administration.m If m am medication m orderm doesm not m includ
emtheroute,m them nursem must m ask m them prescriberm to m clarify m it.m Them intravenousm andm oralm routesm arem not minterc
hangeable.Holdingm them medication m untilm them prescriberm returnsm would m mean m that m them patient m would m notmrece
ivema mneeded mmedication.
DIF: mCOGNITIVEmLEVEL: mApplyingm(Application)mREF: mp.m 14T
OP: mNURSINGmPROCESS: mImplementation
MSC: m NCLEX: m Safem and m Effectivem Carem Environment: m Management m of m Care
7 . When m them nursem considersm them timingm of m a m drugm dose,m which m factorm ism appropriate m to m considerm
when mdecidingiwhen mto mgivema mdrug?
a. Them patient’sm ability m to m swallow
b. Them patient’sm height
c. Themipatient’smilast mimeal
d. Them patient’sm allergies
ANS: m C
Them nursem must m considerm specificm pharmacokinetic/pharmacodynamic m drugm propertiesm that m may m bem affected
m by mthe mtimingmof mthe mlast mmeal.mThe mpatient’smability mto mswallow,mheight,mand mallergiesmare mnot mfactorsmto mcon
sidermregardingmthem timingm of mthem drug’smadministration.
DIF: mCOGNITIVEmLEVEL: mUnderstandingm(Comprehension)mREF: mp.
m 13TOP: mNURSINGmPROCESS: m Assessment
MSC: m NCLEX: m Safem and m Effectivem Carem Environment: m Management m of m Care
8 . Them nursem ism performingm an m assessment m of m a m newly m admitted m patient.m Which m ism an m examplem of m subjectivem data?
a. Blood m pressurem 158/96 m mm m Hg
b. Weight m 255 m pounds
c. Themipatient mireportsmithat mihemiusesmithemiherbalmiproduct miginkgo.
d. Them patient’sm laboratory m work m includesm a m completem blood m count m and m urinalysis.
