https://www.stuvia.com/user/lectkeshi
Chapter 01: Nursing Practice in Canada and Drug Therapy
Lilley: Pharmacology for Canadian Health Care Practice,
3rd Canadian Edition
MULTIPLE CHOICE
1. Which is a judgement about a particular
patient‘s potential need or problem?
a. A goal
b. An assessment
c. Subjective data
d. A nursing diagnosis
ANS: D
Nursing diagnosis is the phase of the nursing process during
which
a clinical judgement is made about how a patient
responds to heath conditions and life processes or
vulnerability forthat response.
DIF: Cognitive Level: Knowledge REF:
p. 11
2. The patient is to receive oral furosemide (Lasix) every
day; however, because the patient is unable to
swallow, he cannot take medication orally, as ordered.
The nurse needs to contact the physician. What type of
problem is this?
a. A ―right time‖ problem
b. A ―right dose‖ problem
c. A ―right route‖ problem
d. A ―right medication‖ problem
ANS: C
This is a ―right route‖ problem: the nurse cannot assume the
route and must clarify the route
with the prescriber. This is not a ―right time‖ problem
because the ordered frequency has not changed. This is
not a ―right dose‖ problem because the dose is not
, related to an inability to swallow. This is not a ―right
medication‖ problem because the medication ordered
will not change, just the route.
DIF: Cognitive Level: Application
REF: p. 14
3. The nurse has been monitoring the patient‘s progress on
his new drug regimen since the first dose and has been
documenting signs of possible adverse effects. What
nursing process phase is the nurse practising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis
ANS: B
Monitoring the patient‘s progress is part of the
evaluation phase. Planning, implementation, and
nursing diagnosis are not illustrated by this example.
DIF: Cognitive Level: Application
REF: p. 19
,4. The nurse is caring for a patient who has been 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 adheres to the new insulin treatment regimen.
d. The patient demonstrates safe insulin self-administration
technique.
ANS: D
Having the patient demonstrate safe insulin self-
administration technique is a specific and measurable
outcome criterion. Following instructions and avoiding
complications are not specific criteria. Adherence to the
new insulin treatment regimen is not objective and
would be difficult to measure.
DIF: Cognitive Level: Application
REF: p. 13
5. Which activity best reflects the implementation phase
of the nursing process for the patient who is newly
diagnosed with type 1 diabetes mellitus?
a. Providing education regarding self-injection technique
b. Setting goals and outcome criteria with the patient‘s input
c. Recording a history of over-the-counter medications used
at home
d. Formulating nursing diagnoses regarding
knowledge deficits related to the new treatment
regimen
ANS: A
Education is an intervention that occurs during the
implementation phase. Setting goals and outcome
criteria reflects the planning phase. Recording a drug
history reflects the assessment phase. Formulating
nursing diagnoses regarding a knowledge deficit
reflects analysis of data as part of the planning phase.N
DIF: Cognitive Level: Analysis REF:
, p. 8 | p. 13
6. The nurse is working during a very busy night shift,
and the health care provider has just given the nurse a
medication order over the telephone, but the nurse does
not recall the route. What is the best way for the nurse
to avoid medication errors?
a. Recopy the order neatly on the order sheet, with the most
common route indicated
b. Consult with the pharmacist for clarification about the
most common route
c. Call the health care provider to clarify the route of
administration
d. Withhold the drug until the health care provider visits the
patient
ANS: C
If a medication order does not include the route, the
nurse must ask the health care provider to clarify it.
Never assume the route of administration.
DIF: Cognitive Level: Application | Cognitive Level:
Analysis REF: p. 17
7. Which constitutes the traditional Five Rights of medication
administration?
a. Right drug, right route, right dose, right time, and right
patient
b. Right drug, the right effect, the right route, the right time,
and the right patient
c. Right patient, right strength, right diagnosis, right drug,
and right route
d. Right patient, right diagnosis, right drug, right route, and
right time
ANS: A
Chapter 01: Nursing Practice in Canada and Drug Therapy
Lilley: Pharmacology for Canadian Health Care Practice,
3rd Canadian Edition
MULTIPLE CHOICE
1. Which is a judgement about a particular
patient‘s potential need or problem?
a. A goal
b. An assessment
c. Subjective data
d. A nursing diagnosis
ANS: D
Nursing diagnosis is the phase of the nursing process during
which
a clinical judgement is made about how a patient
responds to heath conditions and life processes or
vulnerability forthat response.
DIF: Cognitive Level: Knowledge REF:
p. 11
2. The patient is to receive oral furosemide (Lasix) every
day; however, because the patient is unable to
swallow, he cannot take medication orally, as ordered.
The nurse needs to contact the physician. What type of
problem is this?
a. A ―right time‖ problem
b. A ―right dose‖ problem
c. A ―right route‖ problem
d. A ―right medication‖ problem
ANS: C
This is a ―right route‖ problem: the nurse cannot assume the
route and must clarify the route
with the prescriber. This is not a ―right time‖ problem
because the ordered frequency has not changed. This is
not a ―right dose‖ problem because the dose is not
, related to an inability to swallow. This is not a ―right
medication‖ problem because the medication ordered
will not change, just the route.
DIF: Cognitive Level: Application
REF: p. 14
3. The nurse has been monitoring the patient‘s progress on
his new drug regimen since the first dose and has been
documenting signs of possible adverse effects. What
nursing process phase is the nurse practising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis
ANS: B
Monitoring the patient‘s progress is part of the
evaluation phase. Planning, implementation, and
nursing diagnosis are not illustrated by this example.
DIF: Cognitive Level: Application
REF: p. 19
,4. The nurse is caring for a patient who has been 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 adheres to the new insulin treatment regimen.
d. The patient demonstrates safe insulin self-administration
technique.
ANS: D
Having the patient demonstrate safe insulin self-
administration technique is a specific and measurable
outcome criterion. Following instructions and avoiding
complications are not specific criteria. Adherence to the
new insulin treatment regimen is not objective and
would be difficult to measure.
DIF: Cognitive Level: Application
REF: p. 13
5. Which activity best reflects the implementation phase
of the nursing process for the patient who is newly
diagnosed with type 1 diabetes mellitus?
a. Providing education regarding self-injection technique
b. Setting goals and outcome criteria with the patient‘s input
c. Recording a history of over-the-counter medications used
at home
d. Formulating nursing diagnoses regarding
knowledge deficits related to the new treatment
regimen
ANS: A
Education is an intervention that occurs during the
implementation phase. Setting goals and outcome
criteria reflects the planning phase. Recording a drug
history reflects the assessment phase. Formulating
nursing diagnoses regarding a knowledge deficit
reflects analysis of data as part of the planning phase.N
DIF: Cognitive Level: Analysis REF:
, p. 8 | p. 13
6. The nurse is working during a very busy night shift,
and the health care provider has just given the nurse a
medication order over the telephone, but the nurse does
not recall the route. What is the best way for the nurse
to avoid medication errors?
a. Recopy the order neatly on the order sheet, with the most
common route indicated
b. Consult with the pharmacist for clarification about the
most common route
c. Call the health care provider to clarify the route of
administration
d. Withhold the drug until the health care provider visits the
patient
ANS: C
If a medication order does not include the route, the
nurse must ask the health care provider to clarify it.
Never assume the route of administration.
DIF: Cognitive Level: Application | Cognitive Level:
Analysis REF: p. 17
7. Which constitutes the traditional Five Rights of medication
administration?
a. Right drug, right route, right dose, right time, and right
patient
b. Right drug, the right effect, the right route, the right time,
and the right patient
c. Right patient, right strength, right diagnosis, right drug,
and right route
d. Right patient, right diagnosis, right drug, right route, and
right time
ANS: A
