TEST BANK FOR PHARMACOLOGY AND
THE NURSING PROCESS 10TH EDITION BY
LINDA LILLEY, SHELLY COLLINS, JULIE
SNYDER CHAPTER 1-58 COMPLETE GUIDE
ISBN 10; 0323827977 / ISBN 13; 978-0323827973
,Chapter 01: The Nursing Process and Drug Therapy
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Lilley: Pharmacology and the Nursing Process, 10th Edition
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MULTIPLEqCHOICE
1. Theqnurseqisqdevelopingqaqhumanqneedsqstatementqforqaqpatientqwhoqhasqaqnewqdiagnosisqofqh
eartqfailure.qIdentificationqofqhumanqneedsqstatementsqoccurqwithqwhichqofqtheseqactivities?
a. Collectionqofqpatientqdata
b. Administeringqinterventions
c. Decidingqonqpatientqoutcomes
d. Documentingqtheqpatient‘sqbehavior
ANS:q A
Identificationqofqhumanqneedsqoccursqwithqtheqcollectionqofqpatientq data.
DIF:
CognitiveqLevel:qUnderstandingq(Comprehension)q
TOP:q NursingqProcess:qHumanqNeedsqStatement
MSC:q NCLEX:qSafeqandqEffectiveqCareqEnvironment:qManagementqofqCare
2. Theqpatientqisqtoqreceiveqoralqguaifenesinqtwiceqaqday.qToday,qtheqnurseqwasqbusyqandqgaveqtheq
medicationq2qhoursqafterqtheqscheduledqdoseqwasqdue.qWhatqtypeqofqproblemqdoesqthisqrepresen
t?
a. ―Rightq time‖
b. ―Rightq dose‖
c. ―Rightq route‖
d. ―Rightq medication‖
ANS:q A
―Rightqtime‖qisqcorrectqbecauseqtheqmedicationqwasqgivenqmoreqthanq30qminutesqafterqtheqsche
duledqdoseqwasqdue.q―Dose‖qisqincorrectqbecauseqtheqdoseqisqnotqrelatedqtoqtheqtimeqtheqmedicati
onqadministrationqisqscheduled.q―Route‖qisqincorrectqbecauseqtheqrouteqisqnotqaffected.
―Medication‖qisqincorrectqbecauseqtheqmedicationqorderedqwillqnotqchange.
DIF:
CognitiveqLevel:qApplyingq(Application)
TOP:q NursingqProcess:qImplementation
q
MSC:q NCLEX:qSafeqandqEffectiveqCareqEnvironment:qSafetyqandqInfectionqControl
3. Theqnurseqhasqbeenqmonitoringqtheqpatient‘sqprogressqonqaqnewqdrugqregimenqsinceqtheqfirstqd
oseqandqdocumentingqtheqpatient‘sqtherapeuticqresponseqtoqtheqmedication.qWhichqphaseqofqth
eqnursingqprocessqdoqtheseqactionsqillustrate?
a. Humanqneedsqstatement
b. Planning
c. Implementation
d. Evaluation
ANS:q D
Monitoringqtheqpatient‘sqprogress,qincludingqtheqpatient‘sqresponseqtoqtheqmedication,qisqpartqofqt
heqevaluationqphase.qPlanning,qimplementation,qandqhumanqneedsqstatementqareqnotqillustratedqb
yqthisqexample.
DIF: CognitiveqLevel:qUnderstandingq(Comprehension) TOP:q NursingqProcess:qEvaluation
, MSC:q NCLEX:qSafeqandqEffectiveqCareqEnvironment:qManagementqofqCare
4. Theqnurseqisqassignedqtoqaqpatientqwhoqisqnewlyqdiagnosedqwithqtypeq1qdiabetesqmellitus.q
Whichqstatementqbestqillustratesqanqoutcomeqcriterionqforqthisqpatient?
a.Theqpatientqwillqfollowqinstructions.
b.Theqpatientqwillqnotqexperienceqcomplications.
c.Theqpatientqwillqadhereqtoqtheqnewqinsulinqtreatmentqregimen.
d.Theqpatientqwillqdemonstrateqcorrectqbloodqglucoseqtestingqtechnique.
ANS:q D
―Demonstratingqcorrectqbloodqglucoseqtestingqtechnique‖qisqaqspecificqandqmeasurableqoutcome
qcriterion.q―Followingqinstructions‖qandq―notqexperiencingqcomplications‖qareqnotqspecificqcriteri
a.q―Adheringqtoqnewqregimen‖qwouldqbeqdifficultqtoqmeasure.
DIF: CognitiveqLevel:qApplyingq(Application)
TOP:q NursingqProcess:qPlanningqMSC:q NCLEX:qSafeqandqEffectiveqCareqEnvironment:qMa
nagementqofqCare
5. Whichqactivityqbestqreflectsqtheqimplementationqphaseqofqtheqnursingqprocessqforqtheqpatientq
whoqisqnewlyqdiagnosedqwithqhypertension?
a. Providingqeducationqonqkeepingqaqjournalqofqbloodqpressureqreadings
b. Settingqgoalsqandqoutcomeqcriteriaqwithqtheqpatient‘sqinput
c. Recordingqaqdrugqhistoryqregardingqover-the-counterqmedicationsqusedqatqhome
d. Formulatingqhumanqneedsqstatementsqregardingqdeficientqknowledgeqrelatedqtoqtheq
newqtreatmentqregimen
ANS:q A
Educationqisqanqinterventionqthatqoccursqduringqtheqimplementationqphase.qSettingqgoalsqandqoutcome
sqreflectsqtheqplanningqphase.qRecordingqaqdrugqhistoryqreflectsqtheqassessmentqphase.qFormulatingqhu
manqneedsqstatementsqreflectsqanalysisqofqdataqasqpartqofqplanning.
DIF:
CognitiveqLevel:qApplyingq(Application)
TOP:q NursingqProcess:qImplementation
q
MSC:q NCLEX:qSafeqandqEffectiveqCareqEnvironment:qManagementqofqCare
6. Theqmedicationqorderqreads,q―Giveqondansetronq4qmg,q30qminutesqbeforeqbeginningqchem
otherapyqtoqpreventqnausea.‖qTheqnurseqnotesqthatqtheqrouteqisqmissingqfromqtheqorder.qWhatqi
sqtheqnurse‘sqbestqaction?
a. Giveqtheqmedicationqintravenouslyqbecauseqtheqpatientqmightqvomit.
b. Giveqtheqmedicationqorallyqbecauseqtheqtabletsqareqavailableqinq4-mgqdoses.
c. Contactqtheqprescriberqtoqclarifyqtheqrouteqofqtheqmedicationqordered.
d. Holdqtheqmedicationquntilqtheqprescriberqreturnsqtoqmakeqrounds.
ANS:q C
Aqcompleteqmedicationqorderqincludesqtheqrouteqofqadministration.qIfqaqmedicationqorderqdoesqn
otqincludeqtheqroute,qtheqnurseqmustqaskqtheqprescriberqtoqclarifyqit.qTheqintravenousqandqoralqrou
tesqareqnotqinterchangeable.qHoldingqtheqmedicationquntilqtheqprescriberqreturnsqwouldqmeanqth
atqtheqpatientqwouldqnotqreceiveqaqneededqmedication.
DIF:
CognitiveqLevel:qApplyingq(Application)
TOP:q NursingqProcess:qImplementation
q
MSC:q NCLEX:qSafeqandqEffectiveqCareqEnvironment:qManagementqofqCare
, 7. Whenqtheqnurseqconsidersqtheqtimingqofqaqdrugqdose,qwhichqfactorqisqappropriateqtoqconsiderq
whenqdecidingqwhenqtoqgiveqaqdrug?
a. Theqpatient‘sqabilityqtoqswallow
b. Theqpatient‘sqheight
c. Theqpatient‘sqlastqmeal
d. Theqpatient‘sqallergies
ANS:q C
Theqnurseqmustqconsiderqspecificqpharmacokinetic/pharmacodynamicqdrugqpropertiesqthatqmayq
beqaffectedqbyqtheqtimingqofqtheqlastqmeal.qTheqpatient‘sqabilityqtoqswallow,qheight,qandqallergies
qareqnotqfactorsqtoqconsiderqregardingqtheqtimingqofqtheqdrug‘sqadministration.
DIF:
CognitiveqLevel:qUnderstandingq(Comprehension)q
TOP:q NursingqProcess:qAssessment
MSC:q NCLEX:qSafeqandqEffectiveqCareqEnvironment:qManagementqofqCare
8. Theqnurseqisqperformingqanqassessmentqofqaqnewlyqadmittedqpatient.qWhichqisqanqexampleqofqs
ubjectiveqdata?
a. Weightq155qpounds
b. Pulseq72qbeats/minute
c. Theqpatientqreportsqthatqhequsesqtheqherbalqproductqginkgo
d. Theqpatient‘sqcompleteqbloodqcountqresults
ANS:q C
Subjectiveqdataqincludeqinformationqsharedqthroughqtheqspokenqwordqbyqanyqreliableqsource,qsu
chqasqtheqpatient.qObjectiveqdataqmayqbeqdefinedqasqanyqinformationqgatheredqthroughqtheqsense
sqorqthatqwhichqisqseen,qheard,qfelt,qorqsmelled.qAqpatient‘sqpulse,qweight,qandqlaboratoryqtestsqare
qallqexamplesqofqobjectiveqdata.
DIF:
CognitiveqLevel:qUnderstandingq(Comprehension)q
TOP:q NursingqProcess:qAssessment
MSC:q NCLEX:qSafeqandqEffectiveqCareqEnvironment:qManagementqofqCare
MULTIPLEqRESPONSE
1. Whenqgivingqmedications,qtheqnurseqwillqfollowqtheqrightsqofqmedicationqadministration.qTheqr
ightsqincludeqtheqrightqdocumentation,qtheqrightqreason,qtheqrightqresponse,qandqtheqpatient‘sqri
ghtqtoqrefuse.qWhichqofqtheseqareqadditionalqrights?q(Selectqallqthatqapply.)
a. Rightqdrug
b. Rightqroute
c. Rightqdose
d. Rightqdiagnosis
e. Rightqtime
f. Rightqpatient
ANS:q A,qB,qC,qE,qF
Additionalqrightsqofqmedicationqadministrationqmustqalwaysqincludeqtheqrightqdrug,qrightqdose,qri
ghtqtime,qrightqroute,qandqrightqpatient.qTheqrightqdiagnosisqisqincorrect.
DIF:
CognitiveqLevel:qRememberingq(Knowledge)
qTOP:q NursingqProcess:qImplementation
