Chapter 1: Pharmacology and the Nursing Process in LPN Practice

Chapter 1: Pharmacology and the Nursing Process in LPN Practice

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient states that he occasionally takes an over-the-counter laxative for constipation. What is this information an example of?

a.	Objective data
b.	Inspection
c.	Subjective data
d.	Alternative therapy

 

 

ANS:  C

Subjective data describes the information given by the patient or family and includes the concerns or symptoms felt by the patient.

 

DIF:    Cognitive Level: Apply                   REF:   p. 3                 OBJ:   2

TOP:   The Nursing Process                        KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

2. Which represents the correct order of the steps of the nursing process?

a.	Assessment, diagnosis, planning, implementation, evaluation
b.	Planning, assessment, diagnosis, implementation, evaluation
c.	Assessment, planning, implementation, diagnosis, evaluation
d.	Diagnosis, planning, implementation, evaluation, assessment

 

 

ANS:  A

The nursing process consists of five major steps in this order: assessment, diagnosis, planning, implementation, evaluation.

 

DIF:    Cognitive Level: Remember            REF:   pp. 1-2 | Fig. 1-1

OBJ:   1                    TOP:   The Nursing Process                        KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

 

3. The statement, “The patient will be able to self-administer an aerosol nebulizer treatment by the date of discharge,” is an example of which step of the nursing process?

a.	Implementation
b.	Diagnosis
c.	Evaluation
d.	Planning

 

 

ANS:  D

The patient-focused care plan should include any medications that will be given on either a short-term or a long-term basis. For example, goals may be written to apply ointments or patches or to show the patient how he can give himself an aerosol nebulizer treatment.

 

DIF:    Cognitive Level: Apply                   REF:   pp. 4-5           OBJ:   4

TOP:   The Nursing Process                        KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity

 

4. A medication should be withheld when which is true?

a.	The physician omits the trade name in the order.
b.	There has been a change in the patient’s condition.
c.	The medication improves the patient’s symptoms.
d.	The patient is asleep.

 

 

ANS:  B

You must use good judgment in carrying out a medication order. If, in your judgment, there has been a change in the patient’s condition that raises concerns about whether a medication should be given, it should be withheld (not given) until your concerns can be answered by the patient’s physician.

 

DIF:    Cognitive Level: Remember            REF:   p. 5                 OBJ:   3

TOP:   Medication Administration              KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity

 

5. How would a nurse ensure that the medication order is accurate?

a.	By checking the medication record with the Kardex file
b.	By comparing the physician’s order with the medication history
c.	By comparing the physician’s order to the chief complaint
d.	By checking the medication record with the original physician’s order

 

 

ANS:  D

Once the health care provider orders the medication, the nurse must verify that the order is accurate. Checking the medication chart or medication record with the physician’s original order usually does this.

 

DIF:    Cognitive Level: Remember            REF:   p. 5                 OBJ:   3

TOP:   Medication Administration              KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity