Pharmacology and the nursing process 8th n n n n n n
edition
Chaptern01:nThenNursing nProcessnandnDrug
n TherapyTestnBank
MULTIPLE n CHOICE
1 . Then nursen isn writingn a n nursingn diagnosisn forn an plan n ofn caren forn an patient n who n hasn been n newly n diagnosed
n withtype n 2 n diabetes.n Which n statement n reflectsn the n correct n format n forn a n nursingn diagnosis?
a. Anxiety
b. Anxiety n related n to n newn drugn therapy
c. Anxiety n related n to n anxiousn feelingsn about n drugn therapy,n asn evidencedn by n statementsn such n asn “I’m n upset n aboutn having
n tmy n blood n sugars.”
d. Anxiety nirelated nito ninewnidrugnitherapy,niasnievidenced nibyistatementsnisuch niasni“I’m niupset niabout nihavingnito nitest nimy iblood nisu
ANS: n D
Formulation n of n nursingn diagnosesn isn usually n a n three-
step n process.n “Anxiety”n isn missingn then “related n to”n andn “asevidenced n by”n portionsn of n definingn characteristics.
n “Anxiety n related n ton newn drugn therapy”n isn missingn the n “asn evidencedn by” n portion n ofn definingn characteristics.
n The n statement n beginningn “Anxiety n relatedn to n anxiousn feelings” n isn incorrect n because n the n “related n to” n section n is
n simply n a n restatement n of n the n problem n “anxiety,” n not n a n separate n factorn related n to n the n response.
DIF: n COGNITIVEn LEVEL: n Understandingn (Comprehension)n REF: n p.n
9TOP: n NURSINGn PROCESS: n Nursingn Diagnosis
MSC: n NCLEX: n Safen and n Effectiven Caren Environment: n Management n of n Care
2 . Then patient n isn to n receiven oraln guaifenesin n (Mucinex)n twicen an day.n Today,n then nursen wasn busy n andn gave
n themedication n 2n hoursn aftern the n scheduled n dose n wasn due.n What n type n of n problem n doesn thisn represent?
a. “Right nitime”niproblem
b. “Right n dose”n problem
, c. “Right n route”n problem
d. “Right n medication” n problem
ANS: n A
“Right n time”n isn correct n becausen then medication n wasn given n moren thann 30 n minutesn aftern then scheduled n dosen wasn
due.n “Dose”n isn incorrect n becausen then dosen isn not n related n to n then timen then medication n administration n isn schedule
d.“Route”n isn incorrect n becausen then routen isn not n affected.n “Medication”n isn incorrect n becausen then medication n or
dered n willn notn change.
DIF: n COGNITIVEn LEVEL: n Applyingn (Application)n REF: n p.n 13TO
P:n NURSINGn PROCESS: n Implementation
MSC: n NCLEX: n Safen and n Effectiven Caren Environment: n Safety n and n Infection n Control
3 . Then nursen hasn beenn monitoringn then patient’sn progressn on n an newn drugn regimen n sincen then first n dosen and n
documentingn then patient’sn therapeuticn responsen to n then medication.n Which n phasen ofn then nursingn processn do
n theseactionsn illustrate?
a. Nursingn diagnosis
b. Planning
c. Implementation
d. Evaluation
ANS: n D
Monitoringn then patient’sn progress,n includingn then patient’sn responsen to n then medication,n isn part n ofn then evaluatio
nphase.n Planning,n implementation,n and n nursingn diagnosisn aren not n illustrated n by n thisn example.
DIF: n COGNITIVEn LEVEL: n Understandingn (Comprehension)n REF: n p.n
15TOP: n NURSINGn PROCESS: n Evaluation
MSC: n NCLEX: n Safen and n Effectiven Caren Environment: n Management n of n Care
4 . Then nursen isn assigned n to n an patient n who n isn newly n diagnosed n with n typen 1 n diabetesn mellitus.n Which
n statement ibest n illustratesn an n outcome n criterion n forn thisn patient?
a. Then patient n willn follown instructions.
b. Then patient n willn not n experiencen complications.
, c. Then patient n willn adheren to n then newn insulin n treatment n regimen.
d. Thenipatient niwillnidemonstrate nicorrect niblood niglucosenitestingnitechnique.
ANS: n D
“Demonstratingn correct n blood n glucosen testingn technique” n isn an specificn and n measurablen outcomen criterion.n “Foll
owingn instructions” n and n “not n experiencingn complications” n aren not n specificn criteria.n “Adheringn to n newregimen”n
would n ben difficult n to n measure.
DIF: n COGNITIVEn LEVEL: n Applyingn (Application)n REF: n p.n 11TO
P:n NURSINGn PROCESS: n Planning
MSC: n NCLEX: n Safen and n Effectiven Caren Environment: n Management n of n Care
5 . Which n activity n best n reflectsn then implementation n phasen ofn then nursingn processn forn then patient n who n isn newly n
diagnosed n with n hypertension?
a. Providingnieducation ion ikeepingia nijournalniof niblood nipressurenireadings
b. Settingn goalsn and n outcomen criteria n with n then patient’sn input
c. Recordingn a n drugn history n regardingn over-the-countern medicationsn used n at n home
d. Formulatingn nursingn diagnosesn regardingn deficient n knowledge n related n to n then newn treatment n regimen
ANS: n A
Education n isn an nintervention n thatn occursn duringn then implementation n phase.n Settingn goalsn and n outcomesn reflectsnth
en planningn phase.n Recordingn an drugn history n reflectsn then assessment n phase.n Formulatingn nursingn diagnosesnrefl
ectsn analysisn of n data n asn part n of n planning.
DIF: n COGNITIVEn LEVEL: n Applyingn (Application)n REF: n p.n 11TO
P:n NURSINGn PROCESS: n Implementation
MSC: n NCLEX: n Safen and n Effectiven Caren Environment: n Management n of n Care
6 . Then medication n ordern reads,n “Given ondansetron n (Zofran)n 4 n mg,n 30n minutesn beforen beginningn chem
otherapyto n prevent n nausea.”n Then nursen notesnthatn then routen isn missingn from n then order.n Whatn isn thennurse
’sn best n action?
a. Given then medication n intravenously n becausen then patient n might n vomit.
b. Given then medication n orally n becausen then tabletsn aren availablen in n 4-mgn doses.
c. Contact nitheniprescribernito iclarify nithenirouteniof nithenimedication iordered.
, d. Hold n then medication n untiln then prescribern returnsn to n maken rounds.
ANS: n C
An completen medication n ordern includesn then routen ofn administration.n Ifn an medication n ordern doesn not n includenthe
route,n then nursen must n ask n then prescribern to n clarify n it.n Then intravenousn and n oraln routesn aren not ninterchangeable.
Holdingn then medication n untiln then prescribern returnsn would n meann that n then patient n would n not nreceiven anneeded nm
edication.
DIF: n COGNITIVEn LEVEL: n Applyingn (Application)n REF: n p.n 14TO
P:n NURSINGn PROCESS: n Implementation
MSC: n NCLEX: n Safen and n Effectiven Caren Environment: n Management n of n Care
7 . When n then nursen considersn then timingn ofn an drugn dose,n which n factorn isn appropriate n to n considern when
n decidingiwhen n to n give n a n drug?
a. Then patient’sn ability n to n swallow
b. Then patient’sn height
c. Thenipatient’snilast nimeal
d. Then patient’sn allergies
ANS: n C
Then nursen mustn considern specificn pharmacokinetic/pharmacodynamic n drugn propertiesn thatn mayn ben affectedn by
n then timingn of nthen lastnmeal.n The npatient’snability n ton swallow,n height,n andnallergiesn are n notn factorsn to n considern regar
dingn then timingn of n then drug’sn administration.
DIF: n COGNITIVEn LEVEL: n Understandingn (Comprehension)n REF: n p.n
13TOP: n NURSINGn PROCESS: n Assessment
MSC: n NCLEX: n Safen and n Effectiven Caren Environment: n Management n of n Care
8 . Then nursen isn performingn an n assessment n of n a n newly n admitted n patient.n Which n isn an n examplen of n subjectiven data?
a. Blood n pressuren 158/96 n mm n Hg
b. Weight n 255 n pounds
c. Thenipatient nireportsnithat niheniusesnitheniherbalniproduct niginkgo.
d. Then patient’sn laboratory n work n includesn a n completen blood n count n and n urinalysis.
edition
Chaptern01:nThenNursing nProcessnandnDrug
n TherapyTestnBank
MULTIPLE n CHOICE
1 . Then nursen isn writingn a n nursingn diagnosisn forn an plan n ofn caren forn an patient n who n hasn been n newly n diagnosed
n withtype n 2 n diabetes.n Which n statement n reflectsn the n correct n format n forn a n nursingn diagnosis?
a. Anxiety
b. Anxiety n related n to n newn drugn therapy
c. Anxiety n related n to n anxiousn feelingsn about n drugn therapy,n asn evidencedn by n statementsn such n asn “I’m n upset n aboutn having
n tmy n blood n sugars.”
d. Anxiety nirelated nito ninewnidrugnitherapy,niasnievidenced nibyistatementsnisuch niasni“I’m niupset niabout nihavingnito nitest nimy iblood nisu
ANS: n D
Formulation n of n nursingn diagnosesn isn usually n a n three-
step n process.n “Anxiety”n isn missingn then “related n to”n andn “asevidenced n by”n portionsn of n definingn characteristics.
n “Anxiety n related n ton newn drugn therapy”n isn missingn the n “asn evidencedn by” n portion n ofn definingn characteristics.
n The n statement n beginningn “Anxiety n relatedn to n anxiousn feelings” n isn incorrect n because n the n “related n to” n section n is
n simply n a n restatement n of n the n problem n “anxiety,” n not n a n separate n factorn related n to n the n response.
DIF: n COGNITIVEn LEVEL: n Understandingn (Comprehension)n REF: n p.n
9TOP: n NURSINGn PROCESS: n Nursingn Diagnosis
MSC: n NCLEX: n Safen and n Effectiven Caren Environment: n Management n of n Care
2 . Then patient n isn to n receiven oraln guaifenesin n (Mucinex)n twicen an day.n Today,n then nursen wasn busy n andn gave
n themedication n 2n hoursn aftern the n scheduled n dose n wasn due.n What n type n of n problem n doesn thisn represent?
a. “Right nitime”niproblem
b. “Right n dose”n problem
, c. “Right n route”n problem
d. “Right n medication” n problem
ANS: n A
“Right n time”n isn correct n becausen then medication n wasn given n moren thann 30 n minutesn aftern then scheduled n dosen wasn
due.n “Dose”n isn incorrect n becausen then dosen isn not n related n to n then timen then medication n administration n isn schedule
d.“Route”n isn incorrect n becausen then routen isn not n affected.n “Medication”n isn incorrect n becausen then medication n or
dered n willn notn change.
DIF: n COGNITIVEn LEVEL: n Applyingn (Application)n REF: n p.n 13TO
P:n NURSINGn PROCESS: n Implementation
MSC: n NCLEX: n Safen and n Effectiven Caren Environment: n Safety n and n Infection n Control
3 . Then nursen hasn beenn monitoringn then patient’sn progressn on n an newn drugn regimen n sincen then first n dosen and n
documentingn then patient’sn therapeuticn responsen to n then medication.n Which n phasen ofn then nursingn processn do
n theseactionsn illustrate?
a. Nursingn diagnosis
b. Planning
c. Implementation
d. Evaluation
ANS: n D
Monitoringn then patient’sn progress,n includingn then patient’sn responsen to n then medication,n isn part n ofn then evaluatio
nphase.n Planning,n implementation,n and n nursingn diagnosisn aren not n illustrated n by n thisn example.
DIF: n COGNITIVEn LEVEL: n Understandingn (Comprehension)n REF: n p.n
15TOP: n NURSINGn PROCESS: n Evaluation
MSC: n NCLEX: n Safen and n Effectiven Caren Environment: n Management n of n Care
4 . Then nursen isn assigned n to n an patient n who n isn newly n diagnosed n with n typen 1 n diabetesn mellitus.n Which
n statement ibest n illustratesn an n outcome n criterion n forn thisn patient?
a. Then patient n willn follown instructions.
b. Then patient n willn not n experiencen complications.
, c. Then patient n willn adheren to n then newn insulin n treatment n regimen.
d. Thenipatient niwillnidemonstrate nicorrect niblood niglucosenitestingnitechnique.
ANS: n D
“Demonstratingn correct n blood n glucosen testingn technique” n isn an specificn and n measurablen outcomen criterion.n “Foll
owingn instructions” n and n “not n experiencingn complications” n aren not n specificn criteria.n “Adheringn to n newregimen”n
would n ben difficult n to n measure.
DIF: n COGNITIVEn LEVEL: n Applyingn (Application)n REF: n p.n 11TO
P:n NURSINGn PROCESS: n Planning
MSC: n NCLEX: n Safen and n Effectiven Caren Environment: n Management n of n Care
5 . Which n activity n best n reflectsn then implementation n phasen ofn then nursingn processn forn then patient n who n isn newly n
diagnosed n with n hypertension?
a. Providingnieducation ion ikeepingia nijournalniof niblood nipressurenireadings
b. Settingn goalsn and n outcomen criteria n with n then patient’sn input
c. Recordingn a n drugn history n regardingn over-the-countern medicationsn used n at n home
d. Formulatingn nursingn diagnosesn regardingn deficient n knowledge n related n to n then newn treatment n regimen
ANS: n A
Education n isn an nintervention n thatn occursn duringn then implementation n phase.n Settingn goalsn and n outcomesn reflectsnth
en planningn phase.n Recordingn an drugn history n reflectsn then assessment n phase.n Formulatingn nursingn diagnosesnrefl
ectsn analysisn of n data n asn part n of n planning.
DIF: n COGNITIVEn LEVEL: n Applyingn (Application)n REF: n p.n 11TO
P:n NURSINGn PROCESS: n Implementation
MSC: n NCLEX: n Safen and n Effectiven Caren Environment: n Management n of n Care
6 . Then medication n ordern reads,n “Given ondansetron n (Zofran)n 4 n mg,n 30n minutesn beforen beginningn chem
otherapyto n prevent n nausea.”n Then nursen notesnthatn then routen isn missingn from n then order.n Whatn isn thennurse
’sn best n action?
a. Given then medication n intravenously n becausen then patient n might n vomit.
b. Given then medication n orally n becausen then tabletsn aren availablen in n 4-mgn doses.
c. Contact nitheniprescribernito iclarify nithenirouteniof nithenimedication iordered.
, d. Hold n then medication n untiln then prescribern returnsn to n maken rounds.
ANS: n C
An completen medication n ordern includesn then routen ofn administration.n Ifn an medication n ordern doesn not n includenthe
route,n then nursen must n ask n then prescribern to n clarify n it.n Then intravenousn and n oraln routesn aren not ninterchangeable.
Holdingn then medication n untiln then prescribern returnsn would n meann that n then patient n would n not nreceiven anneeded nm
edication.
DIF: n COGNITIVEn LEVEL: n Applyingn (Application)n REF: n p.n 14TO
P:n NURSINGn PROCESS: n Implementation
MSC: n NCLEX: n Safen and n Effectiven Caren Environment: n Management n of n Care
7 . When n then nursen considersn then timingn ofn an drugn dose,n which n factorn isn appropriate n to n considern when
n decidingiwhen n to n give n a n drug?
a. Then patient’sn ability n to n swallow
b. Then patient’sn height
c. Thenipatient’snilast nimeal
d. Then patient’sn allergies
ANS: n C
Then nursen mustn considern specificn pharmacokinetic/pharmacodynamic n drugn propertiesn thatn mayn ben affectedn by
n then timingn of nthen lastnmeal.n The npatient’snability n ton swallow,n height,n andnallergiesn are n notn factorsn to n considern regar
dingn then timingn of n then drug’sn administration.
DIF: n COGNITIVEn LEVEL: n Understandingn (Comprehension)n REF: n p.n
13TOP: n NURSINGn PROCESS: n Assessment
MSC: n NCLEX: n Safen and n Effectiven Caren Environment: n Management n of n Care
8 . Then nursen isn performingn an n assessment n of n a n newly n admitted n patient.n Which n isn an n examplen of n subjectiven data?
a. Blood n pressuren 158/96 n mm n Hg
b. Weight n 255 n pounds
c. Thenipatient nireportsnithat niheniusesnitheniherbalniproduct niginkgo.
d. Then patient’sn laboratory n work n includesn a n completen blood n count n and n urinalysis.
