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NR 293Lilley Pharmacology and the Nursing Process 7th Edition

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Item Bank: Lilley Pharmacology and the Nursing Process 7th Ed Objective:...

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Item Bank: Lilley Pharmacology and the Nursing Process 7th Ed

Objective: Ch 01: The Nursing Process and Drug Therapy

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1. Question Name: 0001 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley

Pharmacology and the Nursing Process 7th Ed

The nurse is writing a nursing diagnosis for a plan of care for a patient who has been newly

diagnosed with type 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 to test my blood sugars.”

* D. Anxiety related to new drug therapy, as evidenced by statements such as “I’m upset about

having to test my blood sugars.”

Correct Answer: D

Explanation/Rationale:

ANS: D

Formulation of nursing diagnoses is usually a three-step process. “Anxiety” is missing the

“related to” and “as evidenced 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. 9

TOP: NURSING PROCESS: Nursing Diagnosis

MSC: NCLEX: Safe and Effective Care Environment: Management of Care

Reference/Notes:

Keywords:

Points: 1.00 Penalty: 0.00 Score Mode: Active

Date Created: 01/31/13 14:18:01 Date Modified: 01/31/13 14:18:01 Date Used:

Difficulty: Easy Discrimination: Low

Item Analysis: Last Item Analysis: Cumulative

No. of Students Responded: 0 No. of Students Responded: 0

Correct Responses (%): Correct Responses (%):

Total Group: 0.00 Total Group: 0.00

Upper 27% of Group: 0.00 Upper 27% of Group: 0.00

Lower 27% of Group: 0.00 Lower 27% of Group: 0.00

Point Biserial: 0.00 Point Biserial: 0.00

Response Frequencies (%)

A B C D

Last: 0.00 0.00 0.00 0.00

Cumulative: 0.00 0.00 0.00 0.00

___________________________________________________________________________________________________

2. Question Name: 0002 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley

Pharmacology and the Nursing Process 7th Ed

The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and

gave the medication 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

Correct Answer: A

Explanation/Rationale:

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

Reference/Notes:

Keywords:

Points: 1.00 Penalty: 0.00 Score Mode: Active

Date Created: 01/31/13 14:18:01 Date Modified: 01/31/13 14:18:01 Date Used:

Difficulty: Easy Discrimination: Low

Item Analysis: Last Item Analysis: Cumulative

No. of Students Responded: 0 No. of Students Responded: 0

Correct Responses (%): Correct Responses (%):

Total Group: 0.00 Total Group: 0.00

Upper 27% of Group: 0.00 Upper 27% of Group: 0.00

Lower 27% of Group: 0.00 Lower 27% of Group: 0.00

Point Biserial: 0.00 Point Biserial: 0.00

Response Frequencies (%)

A B C D

Last: 0.00 0.00 0.00 0.00

Cumulative: 0.00 0.00 0.00 0.00

___________________________________________________________________________________________________

3. Question Name: 0003 Type: MC Objective: Ch 01: The Nursing Process and Drug Therapy Item Bank: Lilley

Pharmacology and the Nursing Process 7th Ed

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 these actions illustrate?

A. Nursing diagnosis

B. Planning

C. Implementation

* D. Evaluation

Correct Answer: D

Explanation/Rationale:

ANS: D

Monitoring the patient’s progress, including the patient’s response to the medication, is part of

the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by this

example.

DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 15

TOP: NURSING PROCESS: Evaluation

MSC: NCLEX: Safe and Effective Care Environment: Management of Care

Reference/Notes:

Keywords:

Points: 1.00 Penalty: 0.00 Score Mode: Active

Date Created: 01/31/13 14:18:01 Date Modified: 01/31/13 14:18:01 Date Used:

Difficulty: Easy Discrimination: Low

Item Analysis: Last Item Analysis: Cumulative

No. of Students Responded: 0 No. of Students Responded: 0

Correct Responses (%): Correct Responses (%):

Total Group: 0.00 Total Group: 0.00

Upper 27% of Group: 0.00 Upper 27% of Group: 0.00

Lower 27% of Group: 0.00 Lower 27% of Group: 0.00

Point Biserial: 0.00 Point Biserial: 0.00

Response Frequencies (%)

A B C D

Last: 0.00 0.00 0.00 0.00

Cumulative: 0.00 0.00 0.00 0.00

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