PRIMEXAM.COM
,Chapter i01: iThe iNursing iProcess iand iDrug iTherapy
Lilley: iPharmacology iand ithe iNursing iProcess, i10th iEdition
MULTIPLE iCHOICE
1. The inurse iis ideveloping ia ihuman ineeds istatement ifor ia ipatient iwho ihas ia inew
idiagnosis iof iheart ifailure. iIdentification iof ihuman ineeds istatements ioccur iwith iwhich iof
ithese iactivities?
a. Collection iof ipatient idata
b. Administering iinterventions
c. Deciding ion ipatient ioutcomes
d. Documenting ithe ipatient‘s ibehavior
ANS: i A
Identification iof ihuman ineeds ioccurs iwith ithe icollection iof ipatient idata.
DIF: Cognitive iLevel: iUnderstanding
i(Comprehension)iTOP: i Nursing iProcess: iHuman
iNeeds iStatement
MSC: i NCLEX: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
2. The ipatient iis ito ireceive ioral iguaifenesin itwice ia iday. iToday, ithe inurse iwas ibusy iand igave
itheimedication i2 ihours iafter ithe ischeduled idose iwas idue. iWhat itype iof iproblem idoes ithis
irepresent?
a. ―Right itime‖
b. ―Right idose‖
c. ―Right iroute‖
d. ―Right imedication‖
ANS: i A
―Right itime‖ iis icorrect ibecause ithe imedication iwas igiven imore ithan i30 iminutes iafter ithe
ischeduled idose iwas idue. i―Dose‖ iis iincorrect ibecause ithe idose iis inot irelated ito ithe itime ithe
imedication iadministration iis ischeduled. i―Route‖ iis iincorrect ibecause ithe iroute iis inot
iaffected.
―Medication‖ iis iincorrect ibecause ithe imedication iordered iwill inot ichange.
DIF: Cognitive iLevel: iApplying
i(Application)iTOP: i Nursing iProcess:
iImplementation
MSC: i NCLEX: iSafe iand iEffective iCare iEnvironment: iSafety iand iInfection iControl
3. The inurse ihas ibeen imonitoring ithe ipatient‘s iprogress ion ia inew idrug iregimen isince ithe
ifirst idose iand idocumenting ithe ipatient‘s itherapeutic iresponse ito ithe imedication. iWhich
iphase iofithe inursing iprocess ido ithese iactions iillustrate?
a. Human ineeds istatement
b. Planning
c. Implementation
d. Evaluation
ANS: i D
Monitoring ithe ipatient‘s iprogress, iincluding ithe ipatient‘s iresponse ito ithe imedication, iis
ipart iof ithe ievaluation iphase. iPlanning, iimplementation, iand ihuman ineeds istatement iare inot
PRIMEXAM.COM
,iillustratediby ithis iexample.
DIF: i i i Cognitive iLevel: iUnderstanding i(Comprehension) TOP: i Nursing iProcess: iEvaluation
PRIMEXAM.COM
, MSC: i NCLEX: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
4. The inurse iis iassigned ito ia ipatient iwho iis inewly idiagnosed iwith itype i1 idiabetes
imellitus.iWhich istatement ibest iillustrates ian ioutcome icriterion ifor ithis ipatient?
a. The ipatient iwill ifollow iinstructions.
b. The ipatient iwill inot iexperience icomplications.
c. The ipatient iwill iadhere ito ithe inew iinsulin itreatment iregimen.
d. The ipatient iwill idemonstrate icorrect iblood iglucose itesting itechnique.
ANS: i D
―Demonstrating icorrect iblood iglucose itesting itechnique‖ iis ia ispecific iand imeasurable
ioutcome icriterion. i―Following iinstructions‖ iand i―not iexperiencing icomplications‖ iare inot
ispecific icriteria. i―Adhering ito inew iregimen‖ iwould ibe idifficult ito imeasure.
DIF: Cognitive iLevel: iApplying i(Application) TOP: i Nursing iProcess:
iPlanningiMSC: i NCLEX: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
5. Which iactivity ibest ireflects ithe iimplementation iphase iof ithe inursing iprocess ifor ithe
ipatientiwho iis inewly idiagnosed iwith ihypertension?
a. Providing ieducation ion ikeeping ia ijournal iof iblood ipressure ireadings
b. Setting igoals iand ioutcome icriteria iwith ithe ipatient‘s iinput
c. Recording ia idrug ihistory iregarding iover-the-counter imedications iused iat ihome
d. Formulating ihuman ineeds istatements iregarding ideficient iknowledge irelated ito
itheinew itreatment iregimen
ANS: i A
Education iis ian iintervention ithat ioccurs iduring ithe iimplementation iphase. iSetting igoals
iand ioutcomes ireflects ithe iplanning iphase. iRecording ia idrug ihistory ireflects ithe
iassessment iphase.iFormulating ihuman ineeds istatements ireflects ianalysis iof idata ias ipart iof
iplanning.
DIF: Cognitive iLevel: iApplying
i(Application)iTOP: i Nursing iProcess:
iImplementation
MSC: i NCLEX: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
6. The imedication iorder ireads, i―Give iondansetron i4 img, i30 iminutes ibefore ibeginning
ichemotherapy ito iprevent i nausea.‖ iThe inurse inotes i that ithe iroute iis imissing ifrom ithe
iorder.iWhat iis ithe inurse‘s ibest iaction?
a. Give ithe imedication iintravenously ibecause ithe ipatient imight ivomit.
b. Give ithe imedication iorally ibecause ithe itablets iare iavailable iin i4-mg idoses.
c. Contact ithe iprescriber ito iclarify ithe iroute iof ithe imedication iordered.
d. Hold ithe imedication iuntil ithe iprescriber ireturns ito imake irounds.
ANS: i C
A icomplete imedication iorder iincludes ithe iroute iof iadministration. iIf ia imedication iorder
idoesinot iinclude ithe iroute, ithe inurse imust iask ithe iprescriber ito iclarify iit. iThe iintravenous
iand ioraliroutes iare inot iinterchangeable. iHolding ithe imedication iuntil ithe iprescriber
ireturns iwould imean ithat ithe ipatient iwould inot ireceive ia ineeded i medication.
DIF: Cognitive iLevel: iApplying
i(Application)iTOP: i Nursing iProcess:
iImplementation
PRIMEXAM.COM
,Chapter i01: iThe iNursing iProcess iand iDrug iTherapy
Lilley: iPharmacology iand ithe iNursing iProcess, i10th iEdition
MULTIPLE iCHOICE
1. The inurse iis ideveloping ia ihuman ineeds istatement ifor ia ipatient iwho ihas ia inew
idiagnosis iof iheart ifailure. iIdentification iof ihuman ineeds istatements ioccur iwith iwhich iof
ithese iactivities?
a. Collection iof ipatient idata
b. Administering iinterventions
c. Deciding ion ipatient ioutcomes
d. Documenting ithe ipatient‘s ibehavior
ANS: i A
Identification iof ihuman ineeds ioccurs iwith ithe icollection iof ipatient idata.
DIF: Cognitive iLevel: iUnderstanding
i(Comprehension)iTOP: i Nursing iProcess: iHuman
iNeeds iStatement
MSC: i NCLEX: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
2. The ipatient iis ito ireceive ioral iguaifenesin itwice ia iday. iToday, ithe inurse iwas ibusy iand igave
itheimedication i2 ihours iafter ithe ischeduled idose iwas idue. iWhat itype iof iproblem idoes ithis
irepresent?
a. ―Right itime‖
b. ―Right idose‖
c. ―Right iroute‖
d. ―Right imedication‖
ANS: i A
―Right itime‖ iis icorrect ibecause ithe imedication iwas igiven imore ithan i30 iminutes iafter ithe
ischeduled idose iwas idue. i―Dose‖ iis iincorrect ibecause ithe idose iis inot irelated ito ithe itime ithe
imedication iadministration iis ischeduled. i―Route‖ iis iincorrect ibecause ithe iroute iis inot
iaffected.
―Medication‖ iis iincorrect ibecause ithe imedication iordered iwill inot ichange.
DIF: Cognitive iLevel: iApplying
i(Application)iTOP: i Nursing iProcess:
iImplementation
MSC: i NCLEX: iSafe iand iEffective iCare iEnvironment: iSafety iand iInfection iControl
3. The inurse ihas ibeen imonitoring ithe ipatient‘s iprogress ion ia inew idrug iregimen isince ithe
ifirst idose iand idocumenting ithe ipatient‘s itherapeutic iresponse ito ithe imedication. iWhich
iphase iofithe inursing iprocess ido ithese iactions iillustrate?
a. Human ineeds istatement
b. Planning
c. Implementation
d. Evaluation
ANS: i D
Monitoring ithe ipatient‘s iprogress, iincluding ithe ipatient‘s iresponse ito ithe imedication, iis
ipart iof ithe ievaluation iphase. iPlanning, iimplementation, iand ihuman ineeds istatement iare inot
PRIMEXAM.COM
,iillustratediby ithis iexample.
DIF: i i i Cognitive iLevel: iUnderstanding i(Comprehension) TOP: i Nursing iProcess: iEvaluation
PRIMEXAM.COM
, MSC: i NCLEX: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
4. The inurse iis iassigned ito ia ipatient iwho iis inewly idiagnosed iwith itype i1 idiabetes
imellitus.iWhich istatement ibest iillustrates ian ioutcome icriterion ifor ithis ipatient?
a. The ipatient iwill ifollow iinstructions.
b. The ipatient iwill inot iexperience icomplications.
c. The ipatient iwill iadhere ito ithe inew iinsulin itreatment iregimen.
d. The ipatient iwill idemonstrate icorrect iblood iglucose itesting itechnique.
ANS: i D
―Demonstrating icorrect iblood iglucose itesting itechnique‖ iis ia ispecific iand imeasurable
ioutcome icriterion. i―Following iinstructions‖ iand i―not iexperiencing icomplications‖ iare inot
ispecific icriteria. i―Adhering ito inew iregimen‖ iwould ibe idifficult ito imeasure.
DIF: Cognitive iLevel: iApplying i(Application) TOP: i Nursing iProcess:
iPlanningiMSC: i NCLEX: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
5. Which iactivity ibest ireflects ithe iimplementation iphase iof ithe inursing iprocess ifor ithe
ipatientiwho iis inewly idiagnosed iwith ihypertension?
a. Providing ieducation ion ikeeping ia ijournal iof iblood ipressure ireadings
b. Setting igoals iand ioutcome icriteria iwith ithe ipatient‘s iinput
c. Recording ia idrug ihistory iregarding iover-the-counter imedications iused iat ihome
d. Formulating ihuman ineeds istatements iregarding ideficient iknowledge irelated ito
itheinew itreatment iregimen
ANS: i A
Education iis ian iintervention ithat ioccurs iduring ithe iimplementation iphase. iSetting igoals
iand ioutcomes ireflects ithe iplanning iphase. iRecording ia idrug ihistory ireflects ithe
iassessment iphase.iFormulating ihuman ineeds istatements ireflects ianalysis iof idata ias ipart iof
iplanning.
DIF: Cognitive iLevel: iApplying
i(Application)iTOP: i Nursing iProcess:
iImplementation
MSC: i NCLEX: iSafe iand iEffective iCare iEnvironment: iManagement iof iCare
6. The imedication iorder ireads, i―Give iondansetron i4 img, i30 iminutes ibefore ibeginning
ichemotherapy ito iprevent i nausea.‖ iThe inurse inotes i that ithe iroute iis imissing ifrom ithe
iorder.iWhat iis ithe inurse‘s ibest iaction?
a. Give ithe imedication iintravenously ibecause ithe ipatient imight ivomit.
b. Give ithe imedication iorally ibecause ithe itablets iare iavailable iin i4-mg idoses.
c. Contact ithe iprescriber ito iclarify ithe iroute iof ithe imedication iordered.
d. Hold ithe imedication iuntil ithe iprescriber ireturns ito imake irounds.
ANS: i C
A icomplete imedication iorder iincludes ithe iroute iof iadministration. iIf ia imedication iorder
idoesinot iinclude ithe iroute, ithe inurse imust iask ithe iprescriber ito iclarify iit. iThe iintravenous
iand ioraliroutes iare inot iinterchangeable. iHolding ithe imedication iuntil ithe iprescriber
ireturns iwould imean ithat ithe ipatient iwould inot ireceive ia ineeded i medication.
DIF: Cognitive iLevel: iApplying
i(Application)iTOP: i Nursing iProcess:
iImplementation
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