[DOCUMENT TITLE]
“Chapter 01 The Nursing Process and Patient-Centered Care
McCuistion Pharmacology A Patient-Centered Nursing Process Approach 10th
Edition
MULTIPLE CHOICE
1. The nursing process is a five-step decision-making approach that includes all of the following
steps EXCEPT
a. Assessment
b. Patient problem
c. Planning
d. Right Drug
ANS D
The nursing process is a five-step decision-making approach that includes 1) assessment 2) patient problem 3)
planning 4) implementation and 5) evaluation “Right drug” is one of the“Six Rights” of medication
administration
DIF Cognitive Level Understanding (Comprehension) TOP Nursing Process Planning
MSC NCLEX Management of Care
2. The nurse is using data collected to set goals or expected outcomes and interventions that
address the patient’s problems Which step of the nursing process is the nurse applying?
a. Assessment
b. Patient problem
c. Planning
d. Evaluation
ANS C
During the planning phase the nurse uses the data collected to set goals or expected outcomes
and interventions which address the patient’s problems The data was collected during the
“Assessment” and “Patient problem” steps During the “Evaluation” phase the nurse would
determine whether the goals and objectives set during the planning phase were met
DIF Cognitive Level Understanding (Comprehension)
TOP Nursing Process Nursing Intervention
MSC NCLEX Management of Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes
of hyperglycemia The parents tell the nurse that they can’t keep track of everything that has
to be done to care for their child The nurse reviews medications diet and symptom
management with the parents and draws up a daily checklist for the family to use These
activities are completed in which step of the nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS C
[Type here]
, [DOCUMENT TITLE]
The implementation phase is the part of the nursing process in which the nurse provides
education drug administration patient care and other interventions necessary to assist the
patient in accomplishing established medication goals
DIF Cognitive Level Understanding (Comprehension)
TOP Nursing Process Nursing Intervention
MSC NCLEX Management of Care
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
allergies serum creatinine and blood urea nitrogen (BUN) levels The nurse’s actions are
reflective of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS A
Assessment involves gathering information about the patient and the drug including any
previous use of the drug
DIF Cognitive Level Understanding (Comprehension)
TOP Nursing Process Assessment MSC NCLEX Management of Care
5. Which assessment is categorized as objective data?
a. A list of herbal supplements regularly used
b. Lab values associated with the drugs the patient is taking
c. The ages and relationship to the patient of all household members
d. Usual dietary patterns and fNood intake
ANS B
Objective data are measured and detected by another person and would include lab values
The other examples are subjective data
DIF Cognitive Level Understanding (Comprehension)
TOP Nursing Process Assessment MSC NCLEX Management of Care
6. The nurse reviews a patient’s database and learns that the patient lives alone is forgetful and
does not have an established routine The patient will be sent home with three new
medications to be taken at different times of the day The nurse develops a daily medication
chart and enlists a family member to put the patient’s pills in a pill organizer This is an
example of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS C
The implementation phase involves education and patient care in order to assist the patient to
accomplish the goals of treatment
DIF Cognitive Level Applying (Application)
TOP Nursing Process Nursing Intervention
[Type here]
, [DOCUMENT TITLE]
MSC NCLEX Management of Care
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
home The nurse and the patient discuss the patient’s situation and decide that the patient may
go home when able to perform self-care without dyspnea and hypoxia This is an example of
which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS D
Planning involves goal setting which for this patient means being able to perform self-care
activities without dyspnea and hypoxia
DIF Cognitive Level Understanding (Comprehension) TOP Nursing Process Planning
MSC NCLEX Management of Care
8. A patient will be sent home with a metered-dose inhaler and the nurse is providing teaching
Which is a correctly written goal for this process?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient
b. The nurse will teach the patient how to administer medication with a metered-dose
inhaler
c. The patient will know how to self-administer the medication using the
metered-dose inhaler
d. The patient will independently administer the medication using the metered-dose
inhaler at the end of the session
N
ANS D
Goals must be patient-centered and clearly state the outcome with a reasonable deadline and
should identify components for evaluation
DIF Cognitive Level Applying (Application) TOP Nursing Process Planning
MSC NCLEX Management of Care
9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia
The patient has been admitted for increased oxygen needs above a baseline of 2 L/min The
nurse develops a goal stating “The patient will have oxygen saturations of >95% on room air
at the time of discharge from the hospital ” What is wrong with this goal?
a. It cannot be evaluated
b. It is not measurable
c. It is not patient-centered
d. It is not realistic
ANS D
This goal is not realistic because the patient is not usually on room air and should not be
expected to attain that goal by discharge from this hospitalization
DIF Cognitive Level Applying (Application) TOP Nursing Process Planning
MSC NCLEX Management of Care
[Type here]
, [DOCUMENT TITLE]
10. The nurse is developing a teaching plan for an elderly patient who will begin taking an
antihypertensive drug that causes dizziness and orthostatic hypotension Which patient
problem documented by the nurse is appropriate for this patient?
a. Deficient knowledge related to drug side effects
b. Ineffective health maintenance related to age
c. Readiness for enhanced knowledge related to medication side effects
d. Risk for injury related to side effects of the medication
ANS D
This patient has an increased risk for injury because of drug side effects so this is an
appropriate patient problem to direct the type of care and follow-up the patient will receive
DIF Cognitive Level Applying (Application)
TOP Nursing Process Nursing Diagnosis MSC
NCLEX Management of Care
11. An older patient must learn to administer a medication using a device that requires manual
dexterity The patient becomes frustrated and expresses lack of self-confidence in performing
this task Which action will the nurse perform next?
a. Ask the patient to keep trying until the skill is learned
b. Provide written instructions with illustrations showing each step of the skill
c. Schedule multiple sessions and practice each step separately
d. Teach the procedure to family members who can administer the medication for the
patient
ANS C
Nurses should be sensitive to patient’s level of frustration when teaching skills In this case
breaking the steps down into inNdividual parts will help with this patient’s frustration level
DIF Cognitive Level Applying (Application) TOP Nursing Process Planning
MSC NCLEX Management of Care
12. A school-age child will begin taking a medication to be administered at 5 mL three times
daily The child’s parent tells the nurse that with a previous use of the drug the child
repeatedly forgot to bring the medication home from school resulting in missed evening
doses What will the nurse recommend?
a. Asking the provider if the medication may be taken before school after school
and at bedtime
b. Putting a note on the child’s locker to encourage the child to take responsibility for
medication administration
c. Asking the provider if 7 5 mL may be taken in the morning and 7 5 mL may be
taken in the evening so that the correct amount is given daily
d. Taking the noon dose to school every day and giving it to the school nurse to
administer
ANS C
For busy families with school-age children it may be necessary to adjust the medication
schedule to one that fits their schedule The nurse should ask the provider if a revised schedule
is possible In this case the most effective revised schedule would involve not taking the
medication while at school Putting a note on the locker is not likely to be effective It is not
correct to adjust the dose
[Type here]
“Chapter 01 The Nursing Process and Patient-Centered Care
McCuistion Pharmacology A Patient-Centered Nursing Process Approach 10th
Edition
MULTIPLE CHOICE
1. The nursing process is a five-step decision-making approach that includes all of the following
steps EXCEPT
a. Assessment
b. Patient problem
c. Planning
d. Right Drug
ANS D
The nursing process is a five-step decision-making approach that includes 1) assessment 2) patient problem 3)
planning 4) implementation and 5) evaluation “Right drug” is one of the“Six Rights” of medication
administration
DIF Cognitive Level Understanding (Comprehension) TOP Nursing Process Planning
MSC NCLEX Management of Care
2. The nurse is using data collected to set goals or expected outcomes and interventions that
address the patient’s problems Which step of the nursing process is the nurse applying?
a. Assessment
b. Patient problem
c. Planning
d. Evaluation
ANS C
During the planning phase the nurse uses the data collected to set goals or expected outcomes
and interventions which address the patient’s problems The data was collected during the
“Assessment” and “Patient problem” steps During the “Evaluation” phase the nurse would
determine whether the goals and objectives set during the planning phase were met
DIF Cognitive Level Understanding (Comprehension)
TOP Nursing Process Nursing Intervention
MSC NCLEX Management of Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes
of hyperglycemia The parents tell the nurse that they can’t keep track of everything that has
to be done to care for their child The nurse reviews medications diet and symptom
management with the parents and draws up a daily checklist for the family to use These
activities are completed in which step of the nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS C
[Type here]
, [DOCUMENT TITLE]
The implementation phase is the part of the nursing process in which the nurse provides
education drug administration patient care and other interventions necessary to assist the
patient in accomplishing established medication goals
DIF Cognitive Level Understanding (Comprehension)
TOP Nursing Process Nursing Intervention
MSC NCLEX Management of Care
4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug
allergies serum creatinine and blood urea nitrogen (BUN) levels The nurse’s actions are
reflective of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS A
Assessment involves gathering information about the patient and the drug including any
previous use of the drug
DIF Cognitive Level Understanding (Comprehension)
TOP Nursing Process Assessment MSC NCLEX Management of Care
5. Which assessment is categorized as objective data?
a. A list of herbal supplements regularly used
b. Lab values associated with the drugs the patient is taking
c. The ages and relationship to the patient of all household members
d. Usual dietary patterns and fNood intake
ANS B
Objective data are measured and detected by another person and would include lab values
The other examples are subjective data
DIF Cognitive Level Understanding (Comprehension)
TOP Nursing Process Assessment MSC NCLEX Management of Care
6. The nurse reviews a patient’s database and learns that the patient lives alone is forgetful and
does not have an established routine The patient will be sent home with three new
medications to be taken at different times of the day The nurse develops a daily medication
chart and enlists a family member to put the patient’s pills in a pill organizer This is an
example of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS C
The implementation phase involves education and patient care in order to assist the patient to
accomplish the goals of treatment
DIF Cognitive Level Applying (Application)
TOP Nursing Process Nursing Intervention
[Type here]
, [DOCUMENT TITLE]
MSC NCLEX Management of Care
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
home The nurse and the patient discuss the patient’s situation and decide that the patient may
go home when able to perform self-care without dyspnea and hypoxia This is an example of
which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS D
Planning involves goal setting which for this patient means being able to perform self-care
activities without dyspnea and hypoxia
DIF Cognitive Level Understanding (Comprehension) TOP Nursing Process Planning
MSC NCLEX Management of Care
8. A patient will be sent home with a metered-dose inhaler and the nurse is providing teaching
Which is a correctly written goal for this process?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient
b. The nurse will teach the patient how to administer medication with a metered-dose
inhaler
c. The patient will know how to self-administer the medication using the
metered-dose inhaler
d. The patient will independently administer the medication using the metered-dose
inhaler at the end of the session
N
ANS D
Goals must be patient-centered and clearly state the outcome with a reasonable deadline and
should identify components for evaluation
DIF Cognitive Level Applying (Application) TOP Nursing Process Planning
MSC NCLEX Management of Care
9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia
The patient has been admitted for increased oxygen needs above a baseline of 2 L/min The
nurse develops a goal stating “The patient will have oxygen saturations of >95% on room air
at the time of discharge from the hospital ” What is wrong with this goal?
a. It cannot be evaluated
b. It is not measurable
c. It is not patient-centered
d. It is not realistic
ANS D
This goal is not realistic because the patient is not usually on room air and should not be
expected to attain that goal by discharge from this hospitalization
DIF Cognitive Level Applying (Application) TOP Nursing Process Planning
MSC NCLEX Management of Care
[Type here]
, [DOCUMENT TITLE]
10. The nurse is developing a teaching plan for an elderly patient who will begin taking an
antihypertensive drug that causes dizziness and orthostatic hypotension Which patient
problem documented by the nurse is appropriate for this patient?
a. Deficient knowledge related to drug side effects
b. Ineffective health maintenance related to age
c. Readiness for enhanced knowledge related to medication side effects
d. Risk for injury related to side effects of the medication
ANS D
This patient has an increased risk for injury because of drug side effects so this is an
appropriate patient problem to direct the type of care and follow-up the patient will receive
DIF Cognitive Level Applying (Application)
TOP Nursing Process Nursing Diagnosis MSC
NCLEX Management of Care
11. An older patient must learn to administer a medication using a device that requires manual
dexterity The patient becomes frustrated and expresses lack of self-confidence in performing
this task Which action will the nurse perform next?
a. Ask the patient to keep trying until the skill is learned
b. Provide written instructions with illustrations showing each step of the skill
c. Schedule multiple sessions and practice each step separately
d. Teach the procedure to family members who can administer the medication for the
patient
ANS C
Nurses should be sensitive to patient’s level of frustration when teaching skills In this case
breaking the steps down into inNdividual parts will help with this patient’s frustration level
DIF Cognitive Level Applying (Application) TOP Nursing Process Planning
MSC NCLEX Management of Care
12. A school-age child will begin taking a medication to be administered at 5 mL three times
daily The child’s parent tells the nurse that with a previous use of the drug the child
repeatedly forgot to bring the medication home from school resulting in missed evening
doses What will the nurse recommend?
a. Asking the provider if the medication may be taken before school after school
and at bedtime
b. Putting a note on the child’s locker to encourage the child to take responsibility for
medication administration
c. Asking the provider if 7 5 mL may be taken in the morning and 7 5 mL may be
taken in the evening so that the correct amount is given daily
d. Taking the noon dose to school every day and giving it to the school nurse to
administer
ANS C
For busy families with school-age children it may be necessary to adjust the medication
schedule to one that fits their schedule The nurse should ask the provider if a revised schedule
is possible In this case the most effective revised schedule would involve not taking the
medication while at school Putting a note on the locker is not likely to be effective It is not
correct to adjust the dose
[Type here]
