,Item Bank: Lilley Pharmacology and the Nursing Process 9th Ed
x x x x x x x x x
Objective: Ch 01: The Nursing Process and Drug Therapy
x x x x x x x x
1. Question Name: 0001
x x Type: MC x Objective: Ch 01: The Nursing Process and Drug Therapy
x x x x x x x x
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newlydia
x x x x x x x x x x x x x x x x x x x
gnosed with type 2 diabetes. Which statement reflects the correct format for a nursing diagnos
x x x x x x x x x x x x x x
is?
A. Anxiety
B. Anxiety related to new drug therapy x x x x x
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as“I’
x x x x x x x x x x x x x x
m upset about having to test my blood sugars.”
x x x x x x x x
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset abouthav
x x x x x x x x x x x x x x x x
ing to test my blood sugars.”
x x x x x
Correct Answer: D Explanation/Rati
x x x
onale:
ANS: D x
Formulation of nursing diagnoses is usually a three- x x x x x x x
step process. “Anxiety” is missing the “related to” and “as evidenced by” portions of defining chara
x x x x x x x x x x x x x x x
cteristics. “Anxiety related to new drug therapy” is missing the “as evidenced by” portion of definin
x x x x x x x x x x x x x x x
g characteristics. The statementbeginning “Anxiety related to anxious feelings” is incorrect becaus
x x x x x x x x x x x x
e the “related to” section is simply a restatement of the problem “anxiety,” not a separate factor relat
x x x x x x x x x x x x x x x x x
ed to the response.
x x x
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: x x x
p. 9TOP: x x
NURSING PROCESS: Nursing Diagnosis x x x
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: x x x x x x
01/31/13 14:18:01 Date Used: Difficulty: Easy x x x
Discrimination: Low
Item Analysis: Last
x Item Analysis: Cumulative
x x x
No. of Students Responded:
x x 0 No. of Students Responded:
x 0 x x x
Correct Responses (%): x Correct Responses (%): x x x
Total Group: 0.00
x Total Group: 0.00 x
Upper 27% of Group: 0.00 x Upper 27% of Group:
x 0.00
x x x x
Lower 27% of Group: 0.00 x Lower 27% of Group:
x 0.00
x x x x
Point Biserial: x 0.00 Point Biserial: 0.00 x
Response Frequencies (%) x x
, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
2. Question Name: 0002
x x Type: MC x Objective: Ch 01: The Nursing Process and Drug Therapy
x x x x x x x x
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy andgave th
x x x x x x x x x x x x x x x x x x
e medication 2 hours after the scheduled dose was due. What type of problem does this represent?
x x x x x x x x x x x x x x x x
* A. “Right time” problem
x x x
B. “Right dose” problem x x
C. “Right route” problem x x
D. “Right medication” problem x x
Correct Answer: A Explanation/Rati
x x x
onale:
ANS: A x
“Right time” is correct because the medication was given more than 30 minutes after the scheduled
x x x x x x x x x x x x x x x x
dose was due. “Dose” is incorrect because the dose is not related to the time the medication administ
x x x x x x x x x x x x x x x x x
ration is scheduled. “Route” is incorrect because the route is not affected.“Medication” is incorrect
x x x x x x x x x x x x x x x
because the medication ordered will not change.
x x x x x x
DIF: COGNITIVE LEVEL: Applying (Application) REF: x x x
p. 13TOP: x x
NURSING PROCESS: Implementation x x
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
x x x x x x x x x x
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: x x x x x x
01/31/13 14:18:01 Date Used: Difficulty: Easy x x x
Discrimination: Low
Item Analysis: Last
x x Item Analysis: Cumulative x x
No. of Students Responded:
x x 0 No. of Students Responded:
x 0 x x x
Correct Responses (%): x Correct Responses (%): x x x
Total Group: x 0.00 Total Group: 0.00 x
Upper 27% of Group: x 0.00 Upper 27% of Group:
x x 0.00 x x x
Lower 27% of Group: x 0.00 Lower 27% of Group:
x x 0.00 x x x
Point Biserial:
x 0.00 Point Biserial: 0.00 x
Response Frequencies (%) x x
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
, 3. Question Name: 0003
x x Type: MC x Objective: Ch 01: The Nursing Process and Drug Therapy
x x x x x x x x
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose and d
x x x x x x x x x x x x x x x x x x
ocumenting the patient’s therapeutic response to the medication. Which phase of the nursingprocess d
x x x x x x x x x x x x x x
o these actions illustrate?
x x x
A. Nursing diagnosis x
B. Planning
C. Implementation
* D. Evaluation
x
Correct Answer: D Explanation/Rati
x x x
onale:
ANS: D x
Monitoring the patient’s progress, including the patient’s response to the medication, is part of the e
x x x x x x x x x x x x x x x
valuation phase. Planning, implementation, and nursing diagnosis are not illustrated by thisexampl
x x x x x x x x x x x x
e.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: x x x
p. 15TOP: x x
NURSING PROCESS: Evaluation x x
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified:
x x x x x x
01/31/13 14:18:01 Date Used: Difficulty: Easy x x x
Discrimination: Low
Item Analysis: Last
x x Item Analysis: Cumulative x x
No. of Students Responded:
x x 0 x No. of Students Responded: 0 x x x
Correct Responses (%): x Correct Responses (%):
x x x
Total Group: x 0.00 Total Group: 0.00 x
Upper 27% of Group: x 0.00 x Upper 27% of Group:
x 0.00 x x x
Lower 27% of Group: x 0.00 x Lower 27% of Group:
x 0.00 x x x
Point Biserial:
x 0.00 Point Biserial: 0.00 x
Response Frequencies (%) x x
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
4. Question Name: 0004
x x Type: MC x Objective: Ch 01: The Nursing Process and Drug Therapy
x x x x x x x x Item Bank: Lilley
x x
x x x x x x x x x
Objective: Ch 01: The Nursing Process and Drug Therapy
x x x x x x x x
1. Question Name: 0001
x x Type: MC x Objective: Ch 01: The Nursing Process and Drug Therapy
x x x x x x x x
The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newlydia
x x x x x x x x x x x x x x x x x x x
gnosed with type 2 diabetes. Which statement reflects the correct format for a nursing diagnos
x x x x x x x x x x x x x x
is?
A. Anxiety
B. Anxiety related to new drug therapy x x x x x
C. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as“I’
x x x x x x x x x x x x x x
m upset about having to test my blood sugars.”
x x x x x x x x
* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset abouthav
x x x x x x x x x x x x x x x x
ing to test my blood sugars.”
x x x x x
Correct Answer: D Explanation/Rati
x x x
onale:
ANS: D x
Formulation of nursing diagnoses is usually a three- x x x x x x x
step process. “Anxiety” is missing the “related to” and “as evidenced by” portions of defining chara
x x x x x x x x x x x x x x x
cteristics. “Anxiety related to new drug therapy” is missing the “as evidenced by” portion of definin
x x x x x x x x x x x x x x x
g characteristics. The statementbeginning “Anxiety related to anxious feelings” is incorrect becaus
x x x x x x x x x x x x
e the “related to” section is simply a restatement of the problem “anxiety,” not a separate factor relat
x x x x x x x x x x x x x x x x x
ed to the response.
x x x
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: x x x
p. 9TOP: x x
NURSING PROCESS: Nursing Diagnosis x x x
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: x x x x x x
01/31/13 14:18:01 Date Used: Difficulty: Easy x x x
Discrimination: Low
Item Analysis: Last
x Item Analysis: Cumulative
x x x
No. of Students Responded:
x x 0 No. of Students Responded:
x 0 x x x
Correct Responses (%): x Correct Responses (%): x x x
Total Group: 0.00
x Total Group: 0.00 x
Upper 27% of Group: 0.00 x Upper 27% of Group:
x 0.00
x x x x
Lower 27% of Group: 0.00 x Lower 27% of Group:
x 0.00
x x x x
Point Biserial: x 0.00 Point Biserial: 0.00 x
Response Frequencies (%) x x
, A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
2. Question Name: 0002
x x Type: MC x Objective: Ch 01: The Nursing Process and Drug Therapy
x x x x x x x x
The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy andgave th
x x x x x x x x x x x x x x x x x x
e medication 2 hours after the scheduled dose was due. What type of problem does this represent?
x x x x x x x x x x x x x x x x
* A. “Right time” problem
x x x
B. “Right dose” problem x x
C. “Right route” problem x x
D. “Right medication” problem x x
Correct Answer: A Explanation/Rati
x x x
onale:
ANS: A x
“Right time” is correct because the medication was given more than 30 minutes after the scheduled
x x x x x x x x x x x x x x x x
dose was due. “Dose” is incorrect because the dose is not related to the time the medication administ
x x x x x x x x x x x x x x x x x
ration is scheduled. “Route” is incorrect because the route is not affected.“Medication” is incorrect
x x x x x x x x x x x x x x x
because the medication ordered will not change.
x x x x x x
DIF: COGNITIVE LEVEL: Applying (Application) REF: x x x
p. 13TOP: x x
NURSING PROCESS: Implementation x x
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
x x x x x x x x x x
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified: x x x x x x
01/31/13 14:18:01 Date Used: Difficulty: Easy x x x
Discrimination: Low
Item Analysis: Last
x x Item Analysis: Cumulative x x
No. of Students Responded:
x x 0 No. of Students Responded:
x 0 x x x
Correct Responses (%): x Correct Responses (%): x x x
Total Group: x 0.00 Total Group: 0.00 x
Upper 27% of Group: x 0.00 Upper 27% of Group:
x x 0.00 x x x
Lower 27% of Group: x 0.00 Lower 27% of Group:
x x 0.00 x x x
Point Biserial:
x 0.00 Point Biserial: 0.00 x
Response Frequencies (%) x x
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
, 3. Question Name: 0003
x x Type: MC x Objective: Ch 01: The Nursing Process and Drug Therapy
x x x x x x x x
The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose and d
x x x x x x x x x x x x x x x x x x
ocumenting the patient’s therapeutic response to the medication. Which phase of the nursingprocess d
x x x x x x x x x x x x x x
o these actions illustrate?
x x x
A. Nursing diagnosis x
B. Planning
C. Implementation
* D. Evaluation
x
Correct Answer: D Explanation/Rati
x x x
onale:
ANS: D x
Monitoring the patient’s progress, including the patient’s response to the medication, is part of the e
x x x x x x x x x x x x x x x
valuation phase. Planning, implementation, and nursing diagnosis are not illustrated by thisexampl
x x x x x x x x x x x x
e.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: x x x
p. 15TOP: x x
NURSING PROCESS: Evaluation x x
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
x x x x x x x x x
Reference/Notes:
Keywords:
Points: 1.00 Penalty: 0.00
Score Mode: ActiveDate Created: 01/31/13 14:18:01 Date Modified:
x x x x x x
01/31/13 14:18:01 Date Used: Difficulty: Easy x x x
Discrimination: Low
Item Analysis: Last
x x Item Analysis: Cumulative x x
No. of Students Responded:
x x 0 x No. of Students Responded: 0 x x x
Correct Responses (%): x Correct Responses (%):
x x x
Total Group: x 0.00 Total Group: 0.00 x
Upper 27% of Group: x 0.00 x Upper 27% of Group:
x 0.00 x x x
Lower 27% of Group: x 0.00 x Lower 27% of Group:
x 0.00 x x x
Point Biserial:
x 0.00 Point Biserial: 0.00 x
Response Frequencies (%) x x
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
4. Question Name: 0004
x x Type: MC x Objective: Ch 01: The Nursing Process and Drug Therapy
x x x x x x x x Item Bank: Lilley
x x
