Chapter 01: The Nursing Process and Drug Therapy
ve ve ve ve ve ve ve
Lilley: Pharmacology and the Nursing Process, 10th Edition
ve ve ve ve ve ve ve
MULTIPLE veCHOICE
1. The venurse veis vedeveloping vea vehuman veneeds vestatement vefor vea vepatient vewho vehas vea venew
diagnosis veof veheart vefailure. veIdentification veof vehuman veneeds vestatements veoccur vewith
ve
which veof vethese veactivities?
ve
a. Collection veof vepatient vedata
b. Administering veinterventions
c. Deciding veon vepatient veoutcomes
d. Documenting vethe vepatient‘s vebehavior
ANS: v e A
Identification veof vehuman veneeds veoccurs vewith vethe vecollection veof vepatient vedata.
DIF: Cognitive veLevel: veUnderstanding
ve(Comprehension) veTOP: v e Nursing veProcess: veHuman
veNeeds veStatement
MSC: v e NCLEX: veSafe veand veEffective veCare veEnvironment: veManagement veof veCare
2. The vepatient veis veto vereceive veoral veguaifenesin vetwice vea veday. veToday, vethe venurse vewas vebusy veand
gave vethe vemedication ve2 vehours veafter vethe vescheduled vedose vewas vedue. veWhat vetype veof
ve
problem vedoes vethis verepresent?
ve
a. ―Right ve time‖
b. ―Right ve dose‖
c. ―Right ve route‖
d. ―Right ve medication‖
ANS: v e A
―Right vetime‖ veis vecorrect vebecause vethe vemedication vewas vegiven vemore vethan ve30 veminutes veafter vethe
vescheduled vedose vewas vedue. ve―Dose‖ veis veincorrect vebecause vethe vedose veis venot verelated veto vethe vetime
vethe vemedication veadministration veis vescheduled. ve―Route‖ veis veincorrect vebecause vethe veroute veis venot
veaffected.
―Medication‖ veis veincorrect vebecause vethe vemedication veordered vewill venot vechange.
DIF: Cognitive veLevel: veApplying
ve(Application) veTOP: v e Nursing veProcess:
veImplementation
MSC: v e NCLEX: veSafe veand veEffective veCare veEnvironment: veSafety veand veInfection veControl
3. The venurse vehas vebeen vemonitoring vethe vepatient‘s veprogress veon vea venew vedrug veregimen vesince
vethe vefirst vedose veand vedocumenting vethe vepatient‘s vetherapeutic veresponse veto vethe vemedication.
veWhich vephase veof vethe venursing veprocess vedo vethese veactions veillustrate?
a. Human veneeds vestatement
b. Planning
c. Implementation
d. Evaluation
ANS: v e D
Monitoring vethe vepatient‘s veprogress, veincluding vethe vepatient‘s veresponse veto vethe vemedication, veis
vepart veof vethe veevaluation vephase. vePlanning, veimplementation, veand vehuman veneeds vestatement veare
PRIMEXAM.COM
, not veillustrated veby vethis veexample.
ve
DIF: v e v e Cognitive veLevel: veUnderstanding ve(Comprehension) TOP: v e Nursing veProcess: veEvaluation
PRIMEXAM.COM
, MSC: v e NCLEX: veSafe veand veEffective veCare veEnvironment: veManagement veof veCare
4. The venurse veis veassigned veto vea vepatient vewho veis venewly vediagnosed vewith vetype ve1 vediabetes
mellitus. veWhich vestatement vebest veillustrates vean veoutcome vecriterion vefor vethis vepatient?
ve
a. The vepatient vewill vefollow veinstructions.
b. The vepatient vewill venot veexperience vecomplications.
c. The vepatient vewill veadhere veto vethe venew veinsulin vetreatment veregimen.
d. The vepatient vewill vedemonstrate vecorrect veblood veglucose vetesting vetechnique.
ANS: v e D
―Demonstrating vecorrect veblood veglucose vetesting vetechnique‖ veis vea vespecific veand
vemeasurable veoutcome vecriterion. ve―Following veinstructions‖ veand ve―not veexperiencing
vecomplications‖ veare venot vespecific vecriteria. ve―Adhering veto venew veregimen‖ vewould vebe
vedifficult veto vemeasure.
DIF: Cognitive veLevel: veApplying ve(Application) TOP: v e Nursing veProcess:
vePlanning veMSC: v e NCLEX: veSafe veand veEffective veCare veEnvironment: veManagement veof veCare
5. Which veactivity vebest vereflects vethe veimplementation vephase veof vethe venursing veprocess vefor vethe
patient vewho veis venewly vediagnosed vewith vehypertension?
ve
a. Providing veeducation veon vekeeping vea vejournal veof veblood vepressure vereadings
b. Setting vegoals veand veoutcome vecriteria vewith vethe vepatient‘s veinput
c. Recording vea vedrug vehistory veregarding veover-the-counter vemedications veused veat vehome
d. Formulating vehuman veneeds vestatements veregarding vedeficient veknowledge verelated veto
vethe venew vetreatment veregimen
ANS: v e A
Education veis vean veintervention vethat veoccurs veduring vethe veimplementation vephase. veSetting vegoals
veand veoutcomes vereflects vethe veplanning vephase. veRecording vea vedrug vehistory vereflects vethe veassessment
vephase. veFormulating vehuman veneeds vestatements vereflects veanalysis veof vedata veas vepart veof veplanning.
DIF: Cognitive veLevel: veApplying
ve(Application) veTOP: v e Nursing veProcess:
veImplementation
MSC: v e NCLEX: veSafe veand veEffective veCare veEnvironment: veManagement veof veCare
6. The vemedication veorder vereads, ve―Give veondansetron ve4 vemg, ve30 veminutes vebefore
beginning vechemotherapy veto veprevent venausea.‖ veThe venurse venotes vethat vethe veroute veis
ve
missing vefrom vethe veorder. veWhat veis vethe venurse‘s vebest veaction?
ve
a. Give vethe vemedication veintravenously vebecause vethe vepatient vemight vevomit.
b. Give vethe vemedication veorally vebecause vethe vetablets veare veavailable vein ve4-mg vedoses.
c. Contact vethe veprescriber veto veclarify vethe veroute veof vethe vemedication veordered.
d. Hold vethe vemedication veuntil vethe veprescriber vereturns veto vemake verounds.
ANS: v e C
A vecomplete vemedication veorder veincludes vethe veroute veof veadministration. veIf vea vemedication veorder
vedoes venot veinclude vethe veroute, vethe venurse vemust veask vethe veprescriber veto veclarify veit. veThe
veintravenous veand veoral veroutes veare venot veinterchangeable. veHolding vethe vemedication veuntil vethe
veprescriber vereturns vewould vemean vethat vethe vepatient vewould venot vereceive vea veneeded
vemedication.
DIF: Cognitive veLevel: veApplying
ve(Application) veTOP: v e Nursing veProcess:
PRIMEXAM.COM
, Implementation
ve
MSC: v e NCLEX: veSafe veand veEffective veCare veEnvironment: veManagement veof veCare
PRIMEXAM.COM
ve ve ve ve ve ve ve
Lilley: Pharmacology and the Nursing Process, 10th Edition
ve ve ve ve ve ve ve
MULTIPLE veCHOICE
1. The venurse veis vedeveloping vea vehuman veneeds vestatement vefor vea vepatient vewho vehas vea venew
diagnosis veof veheart vefailure. veIdentification veof vehuman veneeds vestatements veoccur vewith
ve
which veof vethese veactivities?
ve
a. Collection veof vepatient vedata
b. Administering veinterventions
c. Deciding veon vepatient veoutcomes
d. Documenting vethe vepatient‘s vebehavior
ANS: v e A
Identification veof vehuman veneeds veoccurs vewith vethe vecollection veof vepatient vedata.
DIF: Cognitive veLevel: veUnderstanding
ve(Comprehension) veTOP: v e Nursing veProcess: veHuman
veNeeds veStatement
MSC: v e NCLEX: veSafe veand veEffective veCare veEnvironment: veManagement veof veCare
2. The vepatient veis veto vereceive veoral veguaifenesin vetwice vea veday. veToday, vethe venurse vewas vebusy veand
gave vethe vemedication ve2 vehours veafter vethe vescheduled vedose vewas vedue. veWhat vetype veof
ve
problem vedoes vethis verepresent?
ve
a. ―Right ve time‖
b. ―Right ve dose‖
c. ―Right ve route‖
d. ―Right ve medication‖
ANS: v e A
―Right vetime‖ veis vecorrect vebecause vethe vemedication vewas vegiven vemore vethan ve30 veminutes veafter vethe
vescheduled vedose vewas vedue. ve―Dose‖ veis veincorrect vebecause vethe vedose veis venot verelated veto vethe vetime
vethe vemedication veadministration veis vescheduled. ve―Route‖ veis veincorrect vebecause vethe veroute veis venot
veaffected.
―Medication‖ veis veincorrect vebecause vethe vemedication veordered vewill venot vechange.
DIF: Cognitive veLevel: veApplying
ve(Application) veTOP: v e Nursing veProcess:
veImplementation
MSC: v e NCLEX: veSafe veand veEffective veCare veEnvironment: veSafety veand veInfection veControl
3. The venurse vehas vebeen vemonitoring vethe vepatient‘s veprogress veon vea venew vedrug veregimen vesince
vethe vefirst vedose veand vedocumenting vethe vepatient‘s vetherapeutic veresponse veto vethe vemedication.
veWhich vephase veof vethe venursing veprocess vedo vethese veactions veillustrate?
a. Human veneeds vestatement
b. Planning
c. Implementation
d. Evaluation
ANS: v e D
Monitoring vethe vepatient‘s veprogress, veincluding vethe vepatient‘s veresponse veto vethe vemedication, veis
vepart veof vethe veevaluation vephase. vePlanning, veimplementation, veand vehuman veneeds vestatement veare
PRIMEXAM.COM
, not veillustrated veby vethis veexample.
ve
DIF: v e v e Cognitive veLevel: veUnderstanding ve(Comprehension) TOP: v e Nursing veProcess: veEvaluation
PRIMEXAM.COM
, MSC: v e NCLEX: veSafe veand veEffective veCare veEnvironment: veManagement veof veCare
4. The venurse veis veassigned veto vea vepatient vewho veis venewly vediagnosed vewith vetype ve1 vediabetes
mellitus. veWhich vestatement vebest veillustrates vean veoutcome vecriterion vefor vethis vepatient?
ve
a. The vepatient vewill vefollow veinstructions.
b. The vepatient vewill venot veexperience vecomplications.
c. The vepatient vewill veadhere veto vethe venew veinsulin vetreatment veregimen.
d. The vepatient vewill vedemonstrate vecorrect veblood veglucose vetesting vetechnique.
ANS: v e D
―Demonstrating vecorrect veblood veglucose vetesting vetechnique‖ veis vea vespecific veand
vemeasurable veoutcome vecriterion. ve―Following veinstructions‖ veand ve―not veexperiencing
vecomplications‖ veare venot vespecific vecriteria. ve―Adhering veto venew veregimen‖ vewould vebe
vedifficult veto vemeasure.
DIF: Cognitive veLevel: veApplying ve(Application) TOP: v e Nursing veProcess:
vePlanning veMSC: v e NCLEX: veSafe veand veEffective veCare veEnvironment: veManagement veof veCare
5. Which veactivity vebest vereflects vethe veimplementation vephase veof vethe venursing veprocess vefor vethe
patient vewho veis venewly vediagnosed vewith vehypertension?
ve
a. Providing veeducation veon vekeeping vea vejournal veof veblood vepressure vereadings
b. Setting vegoals veand veoutcome vecriteria vewith vethe vepatient‘s veinput
c. Recording vea vedrug vehistory veregarding veover-the-counter vemedications veused veat vehome
d. Formulating vehuman veneeds vestatements veregarding vedeficient veknowledge verelated veto
vethe venew vetreatment veregimen
ANS: v e A
Education veis vean veintervention vethat veoccurs veduring vethe veimplementation vephase. veSetting vegoals
veand veoutcomes vereflects vethe veplanning vephase. veRecording vea vedrug vehistory vereflects vethe veassessment
vephase. veFormulating vehuman veneeds vestatements vereflects veanalysis veof vedata veas vepart veof veplanning.
DIF: Cognitive veLevel: veApplying
ve(Application) veTOP: v e Nursing veProcess:
veImplementation
MSC: v e NCLEX: veSafe veand veEffective veCare veEnvironment: veManagement veof veCare
6. The vemedication veorder vereads, ve―Give veondansetron ve4 vemg, ve30 veminutes vebefore
beginning vechemotherapy veto veprevent venausea.‖ veThe venurse venotes vethat vethe veroute veis
ve
missing vefrom vethe veorder. veWhat veis vethe venurse‘s vebest veaction?
ve
a. Give vethe vemedication veintravenously vebecause vethe vepatient vemight vevomit.
b. Give vethe vemedication veorally vebecause vethe vetablets veare veavailable vein ve4-mg vedoses.
c. Contact vethe veprescriber veto veclarify vethe veroute veof vethe vemedication veordered.
d. Hold vethe vemedication veuntil vethe veprescriber vereturns veto vemake verounds.
ANS: v e C
A vecomplete vemedication veorder veincludes vethe veroute veof veadministration. veIf vea vemedication veorder
vedoes venot veinclude vethe veroute, vethe venurse vemust veask vethe veprescriber veto veclarify veit. veThe
veintravenous veand veoral veroutes veare venot veinterchangeable. veHolding vethe vemedication veuntil vethe
veprescriber vereturns vewould vemean vethat vethe vepatient vewould venot vereceive vea veneeded
vemedication.
DIF: Cognitive veLevel: veApplying
ve(Application) veTOP: v e Nursing veProcess:
PRIMEXAM.COM
, Implementation
ve
MSC: v e NCLEX: veSafe veand veEffective veCare veEnvironment: veManagement veof veCare
PRIMEXAM.COM
