Chapterg01
ThegNursinggProcessgandgDruggTherapy
MULTIPLEgCHOICE
1. Thegnursegisgwritinggagnursinggdiagnosisgforgagplangofgcaregforgagpatientgwhoghasgbeengne
wlygdiagnosedgwithgtypeg2gdiabetes.gWhichgstatementgreflectsgthegcorrectgformatgforgagnurs
inggdiagnosis?
A. Anxiety
B. Anxietygrelatedgtognewgdruggtherapy
C. Anxietygrelatedgtogfeelingsgaboutgdruggtherapygasgevidencedgbygstatementsgsuchga
s
―I’mgupsetgaboutghavinggtoggivegmyselfgshots‖
D. Anxietygrelatedgtognewgdruggtherapygasgevidencedgbygstatementsgsuchgasg―I’mgups
etgaboutghavinggtoggivegmyselfgshots‖
ANS: D
2. Agpatientgisgtogreceivegoralgdigoxing(Lanoxin)gdaily;ghowever,gbecauseghegisgunablegtogswallo
w,ghegcannotgtakegitgorally,gasgordered.gWhatgtypegofgproblemgdoesgthisgrepresent?
A. ―Rightgtime‖gproblem
B. ―Rightgdose‖gproblem
C. ―Rightgroute‖gproblem
D. ―Rightgmedication‖gproblem
ANS: C
3. Thegnurseghasgbeengmonitoringgagpatient’sgprogressgongagnewgdruggregimengsincegthegfirst
gdosegandgdocumentinggsignsgofgpossiblegadversegeffects.gThisgexamplegillustratesgwhichgp
hasegofgthegnursinggprocess?
A. Planning
B. Evaluation
C. Implementation
D. Nursinggdiagnosis
ANS: B
4. Thegnursegisgassignedgtogagpatientgwhogisgnewlygdiagnosedgwithgtypeg1gdiabetesgmellitus.g
Whichgstatementgbestgillustratesgangoutcomegcriteriongforgthisgpatient?
A. Thegpatientgwillgfollowginstructions.
B. Thegpatientgwillgnotgexperiencegcomplications.
C. Thegpatientgwillgadheregtogthegnewginsulingtreatmentgregimen.
D. Thegpatientgwillgdemonstrategsafeginsulingself-administrationgtechnique.
ANS: D
5. Whichgactivitygbestgreflectsgthegimplementationgphasegofgthegnursinggprocessgforgagpatientgw
hogisgnewlygdiagnosedgwithgtypeg1gdiabetesgmellitus?
A. Providinggeducationgregardinggself-injectiongtechnique
B. Settingggoalsgandgoutcomegcriteriagwithgthegpatient’sginput
C. Recordinggagdrugghistorygregardinggover-the-
D. countergmedicationsgusedgatghome
Formulatingg nursingg diagnosesg regardingg knowledgeg deficitg relatedg tog newgt
reatmentgregimen
ANS: A
, 3
6. Thegmedicationgordergreads,g―Givegondansetrong24gmg,g30gminutesgbeforegbeginninggche
motherapygtogpreventgnausea.‖gThegnursegnotesgthatgthegroutegisgmissinggfromgthegorder.g
Whatgisgthegnurse’sgbestgaction?
A. Givinggthegmedicationgintravenouslygbecausegitgisgforgnauseagprevention
B. Givinggthegmedicationgorallygbecausegthegtabletsgaregavailableging24gmggdose
s
C. Contactinggthegprescribergtogclarifygthegroutegofgthegmedicationgordered
D. Holdinggthegmedicationguntilgthegprescribergreturnsgtogclarifygthegorder
ANS: C
7. Wheng theg nurseg considersg theg timingg ofg ag drugg dose,g whichg ofg theg factorsg listedg below
g isgappropriategtogconsidergwhengdecidinggwhengtoggivegagdrug?
A. Thegpatient’sgabilitygtogswallow
B. Thegpatient’sgweight
C. Thegpatient’sglastgmeal
D. Thegpatient’sgallergies
ANS: C
MULTIPLEgRESPONSE
1.gWhenggivinggmedications,gthegnursegwillgfollowgthegrightsgofgmedicationgadministration,gwhic
hgincludegwhatgrights?gSelectgallgthatgapply.
A. Rightgdrug
B. Rightgroute
C. Rightgdose
D. Rightgtime
E. Rightgpatient
F. Rightgdocumentation
ANS: A,gB,gC,gD,gE,gF
OTHER
1.g Placegthegphasesgofgthegnursinggprocessgingthegcorrectgorder,gwithg1gasgthegfirstgphasegand
g5gasgtheglastgphase.
1. Evaluation
2. NursinggDiagnoses
3. Assessment
4. Implementation
5. Planning
ANS: 3,g2,g5,g4,g1
, 4
Chapterg02gPharmacolog
icgPrinciples
MULTIPLEgCHOICE
1. Agpatientgisgreceivinggtwogdifferentgdrugs.gAtgcurrentgdosagesgandgdosagegforms,gbothgdrug
sgaregabsorbedgintogthegcirculationgingidenticalgamounts.gThus,gbecausegtheyghavegthegsam
egabsorptiongrates,gtheygare
A. ingagsteadygstate.
B. synergistic.
C. compatible.
D. bioequivalent.
ANS: D
2. Whenggivengangintravenousg(IV)gmedication,gthegpatientgsaysgtogthegnurse,g―Igusuallygtakegpil
ls.gWhygdoesgthisgmedicationghavegtogbeggivengingthegarm?‖gWhatgisgthegnurse’sgbestgansw
er?
A. ―Thegmedicationgwillgcausegfewergadversegeffectsgwhenggivengintravenously.
‖
B. ―ThegIVgmedicationgwillgbegabsorbedgslowlygintogthegtissuesgovergtime.‖
C. ―Thegactiongofgthegmedicationgwillgbegingsoonergwhenggivengintravenously.‖
D. ―TheregisgaglowergchancegofgallergicgreactionsgwhengdrugsgareggivengIV.‖
ANS: C
3. Thegnursegisgadministeringgparenteralgdrugs.gWhichgstatementgisgtruegregardinggparenteralg
drugs?
A. Parenteralgdrugsgbypassgthegfirst-passgeffect.
B. Absorptiongofgparenteralgdrugsgisgaffectedgbygreducedgbloodgflowgtogthegstomach
.
C. Absorptiongofgparenteralgdrugsgisgalteredgbygthegpresencegofgfoodgingthegstomac
h.
D. Parenteralgdrugsgexertgtheirgeffectsgwhilegcirculatinggingthegbloodstream.
ANS: A
4. Whengmonitoringgagpatientgonganginsulingdripgtogreducegbloodgglucoseglevels,gthegnursegnot
esgthatgthegpatient’sgglucoseglevelgisgextremelyglow,gandgthegpatientgisglethargicgandgdifficult
gtogawaken.gThisgwouldgbegclassifiedgasgwhichgtypegofgadversegdruggreaction?
A. Angadversegeffect
B. Angallergicgreaction
C. Angidiosyncraticgreaction
D. Agpharmacologicgreaction
ANS: D
5. Wheng reviewingg pharmacologyg termsg forg ag groupg ofg newlyg graduatedg nurses,g theg nurse
explainsgthatgagdrug’sghalf-lifegisgthegtimegitgtakesgfor
A. thegdruggtogelicitghalfgofgitsgtherapeuticgresponse.
B. oneghalfgofgthegoriginalgamountgofgagdruggtogreachgthegtargetgcells.
C. oneghalfgofgthegoriginalgamountgofgagdruggtogbegremovedgfromgthegbody.
D. oneghalfgofgthegoriginalgamountgofgagdruggtogbegabsorbedgintogthegcirculatio
n.
ANS: C