Pharmacology and the NuStruvsia
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Edition Lilley Collins Snyder Test Bank
Chapter 01: The Nursing Process and
... [Show More] Drug
TherapyTest BankMULTIPLE CHOICE
1. The nurse is writing a nursing diagnosis for a plan of care for a patient who has
been newly diagnosed withtype 2 diabetes. Which statement reflects the correct
format for a nursing diagnosis?
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as “I’m
upset about having tmy blood sugars.”
d. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset about
having to test my blood su
ANS: D
Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing
the “related to” and “asevidenced by” portions of defining characteristics. “Anxiety
related to new drug therapy” is missing the “as evidenced by” portion of defining
characteristics. The statement beginning “Anxiety related to anxious feelings” is
incorrect because the “related to” section is simply a restatement of the problem
“anxiety,” not a separate factor related to the response.
DIF: COGNITIVE LEVEL: Understanding (Comprehension)
REF: p.9TOP: NURSING PROCESS: Nursing Diagnosis
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse
was busy and gave themedication 2 hours after the scheduled dose was due. What
type of problem does this represent?
a. “Right time” problem
b. “Right dose” problem
c. “Right route” problem
d. “Right medication” problem
ANS: A
“Right time” is correct because the medication was given more than 30 minutes after the scheduled
dose was due. “Dose” is incorrect because the dose is not related to the time the medication
administration is scheduled.“Route” is incorrect because the route is not affected. “Medication” is
incorrect because the medication ordered will not change.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 13
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
3. The nurse has been monitoring the patient’s progress on a new drug regimen since the first
dose and documenting the patient’s therapeutic response to the medication. Which phase of the
nursing process do theseactions illustrate?
a. Nursing diagnosis
b. Planning
c. Implementation
d. Evaluation
ANS: D
Monitoring the patient’s progress, including the patient’s response to the medication, is part of the
evaluationphase. Planning, implementation, and nursing diagnosis are not illustrated by this example.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p.
15TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus. Which
statementbest illustrates an outcome criterion for this patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient will adhere to the new insulin treatment regimen.
d. The patient will demonstrate correct blood glucose testing technique.
ANS: D
“Demonstrating correct blood glucose testing technique” is a specific and measurable outcome
criterion. “Following instructions” and “not experiencing complications” are not specific criteria.
“Adhering to newregimen” would be difficult to measure.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 11
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
5. Which activity best reflects the implementation phase of the nursing process for the patientwho
is newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
b. Setting goals and outcome criteria with the patient’s input
c. Recording a drug history regarding over-the-counter medications used at home
d. Formulating nursing diagnoses regarding deficient knowledge related to the new treatment regimen
ANS: A
Education is an intervention that occurs during the implementation phase. Setting goals and outcomes
reflects the planning phase. Recording a drug history reflects the assessment phase. Formulating nursing
diagnoses reflects analysis of data as part of planning.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 11
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6. The medication order reads, “Give ondansetron (Zofran) 4 mg, 30 minutes before beginning
chemotherapyto prevent nausea.” The nurse notes that the route is missing from the order. What is
the nurse’s best action?
a. Give the medication intravenously because the patient might vomit.
b. Give the medication orally because the tablets are available in 4-mg doses.
c. Contact the prescriber to clarify the route of the medication ordered.
d. Hold the medication until the prescriber returns to make rounds.
ANS: C
A complete medication order includes the route of administration. If a medication order does not
include theroute, the nurse must ask the prescriber to clarify it. The intravenous and oral routes are not
interchangeable.Holding the medication until the prescriber returns would mean that the patient would
not receive a needed medication.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 14
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
7. When the nurse considers the timing of a drug dose, which factor is appropriate to consider
when decidingwhen to give a drug?
a. The patient’s ability to swallow
b. The patient’s height
c. The patient’s last meal
d. The patient’s allergies
ANS: C
The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that may be
affected by the timing of the last meal. The patient’s ability to swallow, height, and allergies are not
factors to consider regarding the timing of the drug’s administration.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p.
13TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
8. The nurse is performing an assessment of a newly admitted patient. Which is an example of subjective data?
a. Blood pressure 158/96 mm Hg
b. Weight 255 pounds
c. The patient reports that he uses the herbal product ginkgo.
d. The patient’s laboratory work includes a complete blood count and urinalysis.
ANS: C
Subjective data include information shared through the spoken word by any reliable source, such as
the patient. Objective data may be defined as any information gathered through the senses or that
which is seen, heard, felt, or smelled. A patient’s blood pressure, weight, and laboratory tests are all
examples of objective data.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p.
7TOP: NURSING PROCESS: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
MULTIPLE RESPONSE
1. When giving medications, the nurse will follow the rights of medication administration, which
include whatrights? (Select all that apply.)
a. Right drug
b. Right route
c. Right dose
d. Right diagnosis
e. Right time
f. Right patient
g. Right documentation
ANS: A, B, C, E, F, G
The Six Rights of medication administration must always include the right drug, right dose, right time,
right route, right patient, and right documentation. The right diagnosis is incorrect.
DIF: COGNITIVE LEVEL: Remembering (Knowledge) REF: p. 11TOP:
NURSING PROCESS: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
OTHER
1. Place the phases of the nursing process in the correct order, with 1 as the first phase and 5 as the last phase.
1. Planning
2. Evaluation
3. Assessment
4. Implementation
5. Nursing
DiagnosesANS:
3, 5, 1, 4, 2
Chapter 02: Pharmacologic Principles
Test Bank
MULTIPLE CHOICE
1. The patient is receiving two different drugs. At current dosages and dosage forms, both drugs
are absorbedinto the circulation in identical amounts. Thus, because they have the same absorption
rates, they are
a. bioequivalent.
b. synergistic.
c. prodrugs.
d. in a steady state.
ANS: A
Two drugs absorbed into the circulation in the same amount (in specific dosage forms) have the
same bioavailability; thus, they are bioequivalent. A drug’s steady state is the physiologic state in which
the amountof drug removed via elimination is equal to the amount of drug absorbed from each
dose. The term synergisticrefers to two drugs, given together, with a resulting effect that is greater
than the sum of the effects of each drug given alone. A prodrug is an inactive drug dosageform that is
converted to an active metabolite by various biochemical reactions once it is inside the body.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p.
22TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. When given an intravenous medication, the patient says to the nurse, “I usually take pills.
Why does thismedication have to be given in the arm?” What is the nurse’s best answer?
a. “The medication will cause fewer adverse effects when given intravenously.”
b. “The intravenous medication will have delayed absorption into the body’s tissues.”
c. “The action of the medication will begin sooner when given intravenously.”
d. “There is a lower chance of allergic reactions when drugs are given intravenously.”
ANS: C
An intravenous (IV) injection provides the fastest route of absorption. The IV route does not affect the
numberof adverse effects, nor does it cause delayed tissue absorption (it results in faster absorption). The
IV route does not affect the number of allergic reactions.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p.
23TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. The nurse is administering parenteral drugs. Which statement is true regarding parenteral drugs?
a. Parenteral drugs bypass the first-pass effect.
b. Absorption of parenteral drugs is affected by reduced blood flow to the stomach.
c. Absorption of parenteral drugs is faster when the stomach is empty.
d. Parenteral drugs exert their effects while circulating in the bloodstream.
ANS: A
Drugs given by the parenteral route bypass the first-pass effect. Reduced blood flow to the stomach
and the presence of food in the stomach apply to enteral drugs (taken orally), not toparenteral drugs.
Parenteral drugsmust be absorbed into cells and tissues from the circulation before they can exert
their effects; they do not exert their effects while circulating in the bloodstream.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p.
23TOP: NURSING PROCESS: General
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
4. When monitoring the patient receiving an intravenous infusion to reduce blood pressure, thenurse
notes thatthe patient’s blood pressure is extremely low, and the patient is lethargic and difficult to
awaken. This would be classified as which type of adverse drug reaction?
a. An adverse effect
b. An allergic reaction [Show Less]