TEST BANK COMPLETE PHARMACOLOGY A CLIENT-
CENTERED NURSING PROCESS APPROACH. COMPLETE
TEST BANK. 11TH EDITION 1-58 CHAPTERS
,Chapter 01: The Nursing Process and Client-Centered Care
McCuistion: Pharmacology: A Client-Centered Nursing Process Approach, 11th Edition
MULTIPLE CHOICE
1. All of the following would be considered subjective data, EXCEPT:
a. Client-reported health history
b. Client-reported signs and symptoms of their illness
c. Financial barriers reported by the client’s caregiver
d. Vital signs obtained from the medical record
RIGHT CHOICE:>> D
Rationale :->>> Subjective data is based on what clients or family members communicate to the
nurse practitioner. Client- reported health history, signs and symptoms, and caregiver reported
financial barriers would be considered subjective data. Vital signs obtained from the medical
record would be considered objective data.
DIFFICULTY: Cognitive Level: Understanding
(Comprehension) TOPIC: Nursing Process:
Planning MSC: NCLEX: Management of Client Care
2. The nurse practitioner is using data collected to define a set of interventions to achieve the
most desirable outcomes. Which of the following steps is the nurse practitioner applying?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Generate solutions (planning)
d. Take action (nursing interventions)
RIGHT CHOICE:>> C
Rationale :->>> When generating solutions (planning), the nurse practitioner identifies
expected outcomes and uses the client’s problem(s) to define a set of interventions to achieve
the most desirable outcomes. Recognizing cues (assessment) involves the gathering of cues
(information) from the client about their health and lifestyle practices, which are important facts
that aid the nurse practitioner in making clinical care decisions. Prioritizing hypothesis is used to
organize and rank the client problem(s) identified. Finally, taking action involves
implementation of nursing interventions to accomplish the expected outcomes.
DIFFICULTY: Cognitive Level: Understanding
(Comprehension) TOPIC: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Client Care
3. A 5-year-old infant with type 1 diabetes mellitus has had repeated hospitalizations for episodes
of hyperglycemia. The parents tell the nurse practitioner that they can’t keep track of everything
that has to be done to care for their infant. The nurse practitioner 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. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
, c. Generate solutions (planning)
d. Take action (nursing interventions)
RIGHT CHOICE:>> D
Rationale :->>> Taking action through nursing interventions is where the nurse practitioner
provides client health teaching, medicine administration, client care, and other interventions
necessary to assist the client in accomplishing expected outcomes.
DIFFICULTY: Cognitive Level: Understanding
(Comprehension) TOPIC: Nursing Process: Nursing
Intervention
MSC: NCLEX: Management of Client Care
4. The nurse practitioner is preparing to administer a medication and reviews the client’s
chart for medicine allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The
nurse practitioner’s actions are reflective of which of the following?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
RIGHT CHOICE:>> A
Rationale :->>> Recognizing cues (assessment) involves gathering subjective and objective
information about the client and the medication. Laboratory values from the client’s chart would
be considered collection of objective data.
DIFFICULTY: Cognitive Level: Understanding (Comprehension)
TOPIC: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
5. Which of the following would be correctly categorized as objective data?
a. A list of herbal supplements regularly used provided by the client.
b. Lab values associated with the medicines the client is taking.
c. The ages and relationship of all household members to the client.
d. Usual dietary patterns and food intake.
RIGHT CHOICE:>> B
Rationale :->>> Objective data are measured and detected by another person and would include
lab values. The other examples are subjective data.
DIFFICULTY: Cognitive Level: Understanding (Comprehension)
TOPIC: Nursing Process: Assessment MSC: NCLEX: Management of Client Care
6. The nurse practitioner reviews a client’s database and learns that the client lives alone, is
forgetful, and does not have an established routine. The client will be sent home with three new
medications to be taken at different times of the day. The nurse practitioner develops a daily
medication chart and enlists a family member to put the client’s pills in a pill organizer. This is
an example of which element of the nursing process?
a. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
, d. Generate solutions (planning)
RIGHT CHOICE:>> C
Rationale :->>> Taking action (nursing interventions) involves education and client care in
order to assist the client to accomplish the goals of treatment.
DIFFICULTY: Cognitive Level:
Applying (Application) TOPIC: Nursing
Process: Nursing Intervention MSC: NCLEX:
Management of Client Care
7. A client who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
home. The nurse practitioner and the client discuss the client’s situation and decide that the client
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. Recognizing cues (assessment)
b. Analyze cues & prioritize hypothesis (analysis)
c. Take action (nursing interventions)
d. Generate solutions (planning)
RIGHT CHOICE:>> D
Rationale :->>> Generating solutions (planning) involves defining a set of interventions to
achieve the most desirable outcomes, which, for this client, means being able to perform
self-care activities without dyspnea and hypoxia.
DIFFICULTY: Cognitive Level: Understanding (Comprehension) TOPIC: Nursing Process:
Planning MSC: NCLEX: Management of Client Care
8. A client will be sent home with a metered-dose inhaler, and the nurse practitioner is
providing teaching. Which is a correctly written expected outcome for this process?
a. The nurse practitioner will demonstrate the correct use of a metered-dose inhaler to the client.
b. The nurse practitioner will teach the client how to administer medication with a
metered-dose inhaler.
c. The client will know how to self-administer the medication using the metered-
dose inhaler.
d. The client will independently administer the medication using the metered-dose
inhaler at the end of the session.
RIGHT CHOICE:>> D
Rationale :->>> Expected outcomes must be client-centered and clearly state the outcome
with a reasonable deadline and should identify components for evaluation.
DIFFICULTY: Cognitive Level: Applying (Application) TOPIC: Nursing Process:
Planning MSC: NCLEX: Management of Client Care
9. The nurse practitioner is generating solutions (planning) for a client who has chronic lung
disease and hypoxia. The client has been admitted for increased oxygen needs above a baseline
of 2 L/min. The nurse practitioner generates an expected outcomes stating, “The client 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.
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