NUR 3145 Pharmacotherapeutics Pharmacology Final Exam
COMPLETE TEST BANK 1. 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 rel...
NUR 3145
NUR 3145 Pharmacotherapeutics Pharmacology Final Exam
COMPLETE TEST BANK 2021/2022
MULTIPLE CHOICE
1.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.”
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. 7 TOP: 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 the medication 2 hours after the scheduled dose was due. What type of problem does this represent?
a.“Right time”
b.“Right dose”
c.“Right route”
d.“Right medication”
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. 11 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 these actions 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 evaluation phase. Planning, implementation, and nursing diagnosis are not illustrated by this example.
DIF:COGNITIVE LEVEL: Understanding (Comprehension) REF: pp. 13-14 TOP: 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 statement best 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 new regimen” would be difficult to measure.
DIF:COGNITIVE LEVEL: Applying (Application) REF: p. 8 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 patient
who 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: pp. 8-9
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
chemotherapy to 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 the route, 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. 12 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 deciding when 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. 12 TOP: 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. 6 TOP: 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.
The rights include the right documentation, the right reason, the right response, and the
patient’s right to refuse. Which of these are additional rights? (Select all that apply.)
a.Right drug
b.Right route
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller QuincyAdams. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $25.49. You're not tied to anything after your purchase.
