PRIMEXAM.COM
,Chapter 01: The Nursing Process and Drug Therapy
ss ss ss ss ss ss ss
Lilley: Pharmacology and the Nursing Process, 10th Edition
ss ss ss ss ss ss ss
MULTIPLE s s CHOICE
1. The ssnurse ssis ssdeveloping ssa sshuman ssneeds ssstatement ssfor ssa sspatient sswho sshas ssa ssnew
diagnosis s s of ssheart ssfailure. ssIdentification ssof sshuman ssneeds ssstatements ssoccur sswith
ss
sswhich ssof ssthese ssactivities?
a. Collection ssof sspatient s s data
b. Administering ss interventions
c. Deciding sson s s patient s s outcomes
d. Documenting ssthe sspatient‘s ssbehavior
ANS: s s A
Identification ssof sshuman ss needs ssoccurs sswith s s the sscollection s s of sspatient ss data.
DIF: Cognitive ssLevel: ssUnderstanding
ss(Comprehension) TOP: Nursing ssProcess:
qq
ssHuman ssNeeds ssStatement
MSC: NCLEX: s s Safe ssand ssEffective ssCare ssEnvironment: ssManagement s s of s s Care
2. The sspatient ssis ssto ssreceive ssoral ssguaifenesin sstwice ssa ssday. ssToday, ssthe ssnurse sswas ssbusy ssand
gave ssthe medication ss2 sshours ssafter ssthe ssscheduled ssdose sswas ssdue. ssWhat sstype ssof
ss q
problem ssdoes ssthis ssrepresent?
ss
a. ―Right s s time‖
b. ―Right s s dose‖
c. ―Right s s route‖
d. ―Right s s medication‖
ANS: s s A
―Right sstime‖ ssis sscorrect ssbecause ssthe ssmedication sswas ssgiven ssmore ssthan ss30 ssminutes ssafter ssthe
ssscheduled ssdose sswas ssdue. ss―Dose‖ ssis ssincorrect ssbecause ssthe ssdose ssis ssnot ssrelated ssto ssthe sstime
ssthe ssmedication ssadministration ssis ssscheduled. ss―Route‖ ssis ssincorrect ssbecause ssthe ssroute ssis ssnot
ssaffected.
―Medication‖ ssis ssincorrect ssbecause ssthe ssmedication ssordered sswill ssnot sschange.
DIF: Cognitive ssLevel: ssApplying
ss(Application) TOP: Nursing
qq
ssProcess:
Implementation
MSC: NCLEX: s s Safe ssand ssEffective ssCare ssEnvironment: ssSafety ssand s s Infection ssControl
3. The ssnurse sshas ssbeen ssmonitoring ssthe sspatient‘s ssprogress sson ssa ssnew ssdrug ssregimen sssince
the ssfirst ssdose ssand ssdocumenting ssthe sspatient‘s sstherapeutic ssresponse ssto ssthe
ss
medication. ssWhich ssphase ssof the ssnursing ssprocess ssdo ssthese ssactions ssillustrate?
ss qq
a. Human ssneeds s s statement
b. Planning
c. Implementation
d. Evaluation
ANS: s s D
Monitoring ssthe sspatient‘s ssprogress, ssincluding ssthe sspatient‘s ssresponse ssto ssthe ssmedication, ssis
PRIMEXAM.COM
, part s s of ssthe ssevaluation ssphase. ssPlanning, ssimplementation, ssand sshuman ssneeds ssstatement
ss
are ssnot ssillustrated b y ssthis ssexample.
ss q
PRIMEXAM.COM
, DIF: Cognitive ssLevel: s s Understanding ss(Comprehension) TOP: Nursing ssProcess: ssEvaluation
PRIMEXAM.COM
,Chapter 01: The Nursing Process and Drug Therapy
ss ss ss ss ss ss ss
Lilley: Pharmacology and the Nursing Process, 10th Edition
ss ss ss ss ss ss ss
MULTIPLE s s CHOICE
1. The ssnurse ssis ssdeveloping ssa sshuman ssneeds ssstatement ssfor ssa sspatient sswho sshas ssa ssnew
diagnosis s s of ssheart ssfailure. ssIdentification ssof sshuman ssneeds ssstatements ssoccur sswith
ss
sswhich ssof ssthese ssactivities?
a. Collection ssof sspatient s s data
b. Administering ss interventions
c. Deciding sson s s patient s s outcomes
d. Documenting ssthe sspatient‘s ssbehavior
ANS: s s A
Identification ssof sshuman ss needs ssoccurs sswith s s the sscollection s s of sspatient ss data.
DIF: Cognitive ssLevel: ssUnderstanding
ss(Comprehension) TOP: Nursing ssProcess:
ssHuman ssNeeds ssStatement
MSC: NCLEX: s s Safe ssand ssEffective ssCare ssEnvironment: ssManagement s s of s s Care
2. The sspatient ssis ssto ssreceive ssoral ssguaifenesin sstwice ssa ssday. ssToday, ssthe ssnurse sswas ssbusy ssand
gave ssthe medication ss2 sshours ssafter ssthe ssscheduled ssdose sswas ssdue. ssWhat sstype ssof
ss q
problem ssdoes ssthis ssrepresent?
ss
a. ―Right s s time‖
b. ―Right s s dose‖
c. ―Right s s route‖
d. ―Right s s medication‖
ANS: s s A
―Right sstime‖ ssis sscorrect ssbecause ssthe ssmedication sswas ssgiven ssmore ssthan ss30 ssminutes ssafter ssthe
ssscheduled ssdose sswas ssdue. ss―Dose‖ ssis ssincorrect ssbecause ssthe ssdose ssis ssnot ssrelated ssto ssthe sstime
ssthe ssmedication ssadministration ssis ssscheduled. ss―Route‖ ssis ssincorrect ssbecause ssthe ssroute ssis ssnot
ssaffected.
―Medication‖ ssis ssincorrect ssbecause ssthe ssmedication ssordered sswill ssnot sschange.
DIF: Cognitive ssLevel: ssApplying
ss(Application) TOP: Nursing
ssProcess:
Implementation
MSC: NCLEX: s s Safe ssand ssEffective ssCare ssEnvironment: ssSafety ssand s s Infection ssControl
3. The ssnurse sshas ssbeen ssmonitoring ssthe sspatient‘s ssprogress sson ssa ssnew ssdrug ssregimen sssince
the ssfirst ssdose ssand ssdocumenting ssthe sspatient‘s sstherapeutic ssresponse ssto ssthe
ss
medication. ssWhich ssphase ssof the ssnursing ssprocess ssdo ssthese ssactions ssillustrate?
ss qq
a. Human ssneeds s s statement
b. Planning
c. Implementation
d. Evaluation
ANS: s s D
Monitoring ssthe sspatient‘s ssprogress, ssincluding ssthe sspatient‘s ssresponse ssto ssthe ssmedication, ssis
PRIMEXAM.COM
, part s s of ssthe ssevaluation ssphase. ssPlanning, ssimplementation, ssand sshuman ssneeds ssstatement
ss
are ssnot ssillustrated b y ssthis ssexample.
ss q
PRIMEXAM.COM
, DIF: Cognitive ssLevel: s s Understanding ss(Comprehension) TOP: Nursing ssProcess: ssEvaluation
PRIMEXAM.COM
