Test Bank - Pharmacology and the Nursing Process, 10th Edition ( Lilley, 2022) ,Latest Edition|| All Chapters
Test Bank for Pharmacology and the Nursing Process, 10th edition by Lilley, Collins & Snyder All 1-58 Chapters Covered ,Latest Edition, ISBN:9780323827973
Test Bank for Pharmacology and the Nursing Process 10th Edition By Linda Lilley, Shelly Collins, Julie Snyder | 9780323827973 |Chapter 1-58 ISBN: 9780323827973 All Chapters Fully Covered with Answers ...
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Pharmacology And The Nursing Process
Pharmacology And The Nursing Process
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Chapter 01: The Nursing Process and Drug Therapy
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Lilley: Pharmacology and the Nursing Process, 10th Edition
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MULTIPLE CHOICE b
1. The nurse is developing a human needs statement for a patient who has a new diagnosis of
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heart failure. Identification of human needs statements occur with which of these activities?
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a. Collection of patient data b b b
b. Administering interventions b
c. Deciding on patient outcomes b b b
d. Documenting the patient‘s behavior b b b
ANS: A b
Identification of human needs occurs with the collection of patient data.
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DIF: Cognitive Level: Understanding (Comprehension) b b b
TOP: Nursing Process: Human Needs Statement
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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2. The patient is to receive oral guaifenesin twice a day. Today, the nurse was busy and gave the
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medication 2 hours after the scheduled dose was due. What type of problem does this
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represent?
b
a. ―Right time‖ b
b. ―Right dose‖ b
c. ―Right route‖ b
d. ―Right medication‖ b
ANS: A b
―Right time‖ is correct because the medication was given more than 30 minutes after the
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scheduled dose was due. ―Dose‖ is incorrect because the dose is not related to the time the
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medication administration is scheduled. ―Route‖ is incorrect because the route is not affected.
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―Medication‖ is incorrect because the medication ordered will not change.
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DIF: Cognitive Level: Applying (Application) b b b
TOP: Nursing Process: Implementation
b b b b
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
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3. The nurse has been monitoring the patient‘s progress on a new drug regimen since the first
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dose and documenting the patient‘s therapeutic response to the medication. Which phase of
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the nursing process do these actions illustrate?
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a. Human needs statement b b
b. Planning
c. Implementation
d. Evaluation
ANS: D b
Monitoring the patient‘s progress, including the patient‘s response to the medication, is part of
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the evaluation phase. Planning, implementation, and human needs statement are not illustrated
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by this example.
b b b
DIF: bb b Cognitive Level: Understanding (Comprehension) b b b TOP: Nursing Process: Evaluationb b b
PRIMEXAM.COM
, MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus.
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Which statement best illustrates an outcome criterion for this patient?
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a. The patient will follow instructions.
b b b b
b. The patient will not experience complications.
b b b b b
c. The patient will adhere to the new insulin treatment regimen.
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d. The patient will demonstrate correct blood glucose testing technique.
b b b b b b b b
ANS: D b
―Demonstrating correct blood glucose testing technique‖ is a specific and measurable outcome b b b b b b b b b b b
criterion. ―Following instructions‖ and ―not experiencing complications‖ are not specific
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criteria. ―Adhering to new regimen‖ would be difficult to measure.
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DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning b b b b b b
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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5. Which activity best reflects the implementation phase of the nursing process for the patient
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who is newly diagnosed with hypertension?
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a. Providing education on keeping a journal of blood pressure readings b b b b b b b b b
b. Setting goals and outcome criteria with the patient‘s input
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c. Recording a drug history regarding over-the-counter medications used at home b b b b b b b b b
d. Formulating human needs statements regarding deficient knowledge related to the b b b b b b b b b
new treatment regimen
b b b
ANS: A b
Education is an intervention that occurs during the implementation phase. Setting goals and
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outcomes reflects the planning phase. Recording a drug history reflects the assessment phase.
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Formulating human needs statements reflects analysis of data as part of planning.
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DIF: Cognitive Level: Applying (Application) b b b
TOP: Nursing Process: Implementation
b b b b
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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6. The medication order reads, ―Give ondansetron 4 mg, 30 minutes before beginning
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chemotherapy to prevent nausea.‖ The nurse notes that the route is missing from the order.
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What is the nurse‘s best action?
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a. Give the medication intravenously because the patient might vomit.
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b. Give the medication orally because the tablets are available in 4-mg doses.
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c. Contact the prescriber to clarify the route of the medication ordered.
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d. Hold the medication until the prescriber returns to make rounds.
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ANS: C b
A complete medication order includes the route of administration. If a medication order does
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not include the route, the nurse must ask the prescriber to clarify it. The intravenous and oral
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routes are not interchangeable. Holding the medication until the prescriber returns would
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mean that the patient would not receive a needed medication.
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DIF: Cognitive Level: Applying (Application) b b b
TOP: Nursing Process: Implementation
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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PRIMEXAM.COM
, 7. When the nurse considers the timing of a drug dose, which factor is appropriate to consider
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when deciding when to give a drug?
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a. The patient‘s ability to swallow b b b b
b. The patient‘s height b b
c. The patient‘s last meal b b b
d. The patient‘s allergies b b
ANS: C b
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that may
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be affected by the timing of the last meal. The patient‘s ability to swallow, height, and allergies
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are not factors to consider regarding the timing of the drug‘s administration.
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DIF: Cognitive Level: Understanding (Comprehension) b b b
TOP: Nursing Process: Assessment
b b b b
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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8. The nurse is performing an assessment of a newly admitted patient. Which is an example of
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subjective data?
b b
a. Weight 155 pounds b b
b. Pulse 72 beats/minute b b
c. The patient reports that he uses the herbal product ginkgo
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d. The patient‘s complete blood count results
b b b b b
ANS: C b
Subjective data include information shared through the spoken word by any reliable source,
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such as the patient. Objective data may be defined as any information gathered through the
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senses or that which is seen, heard, felt, or smelled. A patient‘s pulse, weight, and laboratory
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tests are all examples of objective data.
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DIF: Cognitive Level: Understanding (Comprehension) b b b
TOP: Nursing Process: Assessment
b b b b
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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MULTIPLE RESPONSE b
1. When giving medications, the nurse will follow the rights of medication administration. The
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rights include the right documentation, the right reason, the right response, and the patient‘s
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right to refuse. Which of these are additional rights? (Select all that apply.)
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a. Right drug b
b. Right route b
c. Right dose b
d. Right diagnosis b
e. Right time b
f. Right patient b
ANS: A, B, C, E, F b b b b b
Additional rights of medication administration must always include the right drug, right dose,
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right time, right route, and right patient. The right diagnosis is incorrect.
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DIF: Cognitive Level: Remembering (Knowledge) b b b
TOP: Nursing Process: Implementation
b b b b
PRIMEXAM.COM
, MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
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OTHER
1. Place the phases of the nursing process in the correct order, with 1 as the first phase and 5 asthe
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blast phase.
b
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Human needs statement b b
ANS:
C, E, A, D, B
b b b b
The nursing process is an ongoing process that begins with assessing and continues with
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human needs statement, planning, implementing, and evaluating.
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DIF: Cognitive Level: Applying (Application) bTOP: Nursing Process: General
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MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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PRIMEXAM.COM
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