Holland/Adams/Brice, Core Concepts in Pharmacology 5th Edition Test Bank
Chapter 5

Question 1

Type: MCSA

What phase of the nursing process is the systematic collection, organization, validation, and documentation of patient data?

1. Implementation
2. Assessment
3. Evaluation
4. Planning

Cognitive Level: Remembering

Client Need: Safe Effective Care Environment

Page Number: 56

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 5-1 Identify how the assessment phase of the nursing process can be used to gather data pertinent to medication administration.

Question 2

Type: MCMA

The nurse is educating a group of students about why it is necessary to collect baseline data. Which actions by the students indicate application of this knowledge in the clinical environment? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Evaluating adverse drug effects
2. Helping the client to the bedside commode
3. Reviewing current laboratory data
4. Evaluating therapeutic drug effects
5. Discussing client status with the family

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 56

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 5-1 Identify how the assessment phase of the nursing process can be used to gather data pertinent to medication administration.

Question 3

Type: MCMA

Which nursing assessments are related to pharmacology? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Herbal products and dietary supplements
2. Allergies to medications
3. Heart and lung assessment
4. All current medications, including OTC medications
5. Integumentary assessment

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 57

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 5-1 Identify how the assessment phase of the nursing process can be used to gather data pertinent to medication administration.

Question 4

Type: MCMA

The nurse is caring for a client who complains of pain and nausea. The patient has vomited twice on day shift and reports one loose stool. A review of labs shows an elevated serum potassium level. Which of these signs and symptoms are examples of subjective data? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Nausea
2. Elevated serum potassium level
3. Pain
4. Vomiting
5. Loose stool

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 57

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 5-1 Identify how the assessment phase of the nursing process can be used to gather data pertinent to medication administration.

Question 5

Type: MCSA

Which assessment data would not be objective data?

1. Palpable pulses in all extremities
2. Current vital signs
3. Chest x-ray
4. Nausea

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 57

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 5-1 Identify how the assessment phase of the nursing process can be used to gather data pertinent to medication administration.

Question 6

Type: MCSA

The nurse is caring for a client who verbalized severe pain in the right arm. The nurse reports this as what type of data?

1. Subjective data
2. Critical data
3. Irrelevant data
4. Objective data

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Page Number: 57

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 5-1 Identify how the assessment phase of the nursing process can be used to gather data pertinent to medication administration.

Question 7

Type: MCMA

Which items are considered sources of data collection for nurses? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. The client is the only source for data collection
2. The medical record
3. The client
4. Other healthcare providers
5. The client’s family

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Page Number: 57

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 5-1 Identify how the assessment phase of the nursing process can be used to gather data pertinent to medication administration.

Question 8

Type: MCSA

What is the primary role of the LPN/LVN in the nursing process?

1. Developing a plan of care
2. Incorporating medical diagnoses into the care plan
3. Identifying appropriate nursing diagnoses
4. Collecting data

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Page Number: 57

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 5-2 Explain how nursing diagnoses can be used to improve medication administration.

Question 9

Type: MCSA

A nursing diagnosis is identified and developed by the RN. Which statement is an accurate example of a nursing diagnosis?

1. Activity intolerance related to acute knee pain
2. Left leg fracture related to fall
3. Activity intolerance
4. Nonradiating left knee pain

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Page Number: 57

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 5-2 Explain how nursing diagnoses can be used to improve medication administration.

Question 10

Type: MCMA

The diagnosis phase of the nursing process addresses which areas of concern? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Minimizing drug effects and toxicity
2. Promoting therapeutic drug effects
3. Maximizing the ability of the client for self-care
4. Ensuring that the client takes all prescribed medications
5. Ensuring that the client can afford all prescribed medications

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 58

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 5-2 Explain how nursing diagnoses can be used to improve medication administration.

Question 11

Type: MCMA

The RN has developed nursing diagnoses for a client. Which nursing diagnoses are related to pharmacology? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Noncompliance with drug therapy related to lack of knowledge
2. Activity intolerance related to acute knee pain
3. Altered nutrition: less than body requirements related to drug-induced nausea
4. Risk for injury related to drug effects
5. Pain related to episiotomy

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Page Number: 58

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 5-2 Explain how nursing diagnoses can be used to improve medication administration.

Question 12

Type: MCSA

Which phase of the nursing process begins after the establishment of a nursing diagnosis?

1. Implementation
2. Assessment
3. Planning
4. Evaluation

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Page Number: 58

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 5-3 Describe the steps in the planning phase of the nursing process.

Question 13

Type: MCSA

What phase of the nursing process includes prioritizing diagnoses, formulating goals, and selecting nursing interventions?

1. Planning
2. Implementation
3. Evaluation
4. Assessment

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Page Number: 58

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 5-3 Describe the steps in the planning phase of the nursing process.

Question 14

Type: MCSA

Which items should not be considered when planning interventions?

1. Acceptability to the client
2. Current practice guidelines
3. The personal beliefs of the nurse
4. Available resources

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Page Number: 59

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 5-3 Describe the steps in the planning phase of the nursing process.

Question 15

Type: MCSA

When administering PO medications, the nurse must plan how and when to administer the drug. What is not a factor when planning to administer a PO medication?

1. How long should the infusion last?
2. Can the medication be crushed?
3. Should the medication be given on an empty stomach?
4. Can the medication be split?

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 59

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 5-3 Describe the steps in the planning phase of the nursing process.

Question 16

Type: MCSA

A client has been prescribed a medication that will be given only while the client is in the hospital. What can the nurse omit from the teaching regarding this medication?

1. Reason for administration
2. Potential side effects
3. Name of the drug
4. Drug classification

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 59

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 5-3 Describe the steps in the planning phase of the nursing process.

Question 17

Type: MCSA

The first step of the planning phase is identifying a goal with specific evaluation criteria. What is the second step of the planning phase?

1. Formulation of a list of nursing interventions
2. Assessment of current vital signs
3. There is only one step in the planning phase.
4. Formulation of a list of health conditions

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Page Number: 59

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 5-3 Describe the steps in the planning phase of the nursing process.

Question 18

Type: MCSA

What is the phase of the nursing process when the nurse applies knowledge, skills, and principles of nursing care to move the client toward the desired goal?

1. Implementation
2. Planning
3. Assessment
4. Evaluation

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Page Number: 60

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5-4 Identify pharmacology applications included in the implementation phase of the nursing process.

Question 19

Type: MCSA

A hospitalized client has several medications scheduled for 0900. The nurse prepares to administer the medications to the client. Which statement is true regarding the administration of medications?

1. A hospitalized client cannot refuse medications.
2. The nurse must always give all scheduled medications.
3. The nurse needs to assess vital signs, laboratory tests, and physical findings to determine whether administration of medication is appropriate at this time.
4. Physical assessment does not need to be done prior to medication administration.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 60

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5-4 Identify pharmacology applications included in the implementation phase of the nursing process.

Question 20

Type: MCMA

When applied to pharmacology, what does the implementation phase involve? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Documentation
2. Administration of the drug
3. Evaluation of goals
4. Providing client teaching
5. Formulating a nursing diagnosis

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 60

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5-4 Identify pharmacology applications included in the implementation phase of the nursing process.

Question 21

Type: MCSA

What phase of the nursing process compares the client’s current health status with desired outcomes to determine whether the plan of care is appropriate or needs revision?

1. Implementation
2. Evaluation
3. Planning
4. Assessment

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Page Number: 61

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 5-5 Explain the importance of the evaluation phase in the nursing process as applied to pharmacotherapy.

Question 22

Type: MCSA

Following the evaluation phase of the nursing process, what could cause a lack of medication response?

1. All medications produce an appropriate response
2. Nonadherence to the drug regimen
3. Lack of change in client’s health condition
4. Adherence to the drug regimen

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Page Number: 61

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 5-5 Explain the importance of the evaluation phase in the nursing process as applied to pharmacotherapy.

Question 23

Type: MCSA

Which nursing action is the best way to prevent adverse drug effects?

1. A thorough assessment
2. A thorough assessment and medication history
3. A thorough medication history
4. Checking vital signs prior to administering medication

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 61

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 5-5 Explain the importance of the evaluation phase in the nursing process as applied to pharmacotherapy.