Lilley’s Pharmacology for Canadian Health Care Practice 4th Edition | Chapters 1–58 | Study Guide 2026

PHARMACOLOGY FOR CANADIAN HEALTH CARE
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j PRACTICE 4TH EDITION LILLEY’S TEST BANK/ALL CHS1-
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58

,CH01:NursingPractice inCanadaandDrug Therapy
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Lilley:Pharmacology forCanadianPrimary care Practice,4TH CanadianEdition
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MULTIPLECHOICE j




1. Whichisa judgment about a particular hospital client‘s potential need or problem?
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a. A goal j




b. Anassessment j




c. Subjectivedata j




d. Anursing diagnosis j j




ACCURATE ANS:- D j j




Reasoning:->>> Nursing diagnosisisthe phase ofthe nursing process during whicha clinical j j j j j j j j j j j j j




judgement is made about how a hospital client responds to heath conditions and life processes or
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vulnerability for that response.
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DIFFICULT: CognitiveLevel:Knowledge j j j REF: p. 11 j j




2. The hospital client is to receive oral furosemide (Lasix) every day; however, because the
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hospital client is unable to swallow, he cannot take medication orally, as ordered. The nursing
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attendant needs to contact the physician. What type of problem isthis?
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a. A―right time‖ problem j j j




b. A―right dose‖problem j j j




c. A―right route‖ problem j j j




d. A―right medication‖ problem
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ACCURATE ANS:- C j j




Reasoning:->>>This is a ―right route‖ problem: the nursing attendant cannot assume the route and must j j j j j j j j j j j j j j




clarifytheroute
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with the prescriber. This is not a ―right time‖ problem because the ordered frequency has not
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changed. Thisisnot a ―right dose‖ problem becausethe doseis not related to aninability to
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swallow. This is not a ―right medication‖ problem because the medication ordered will not
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change, just the route.
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DIFFICULT: CognitiveLevel: Application j j j REF: p. 14 j j




3. The nursing attendant has been monitoring the hospital client‘s progress on his new drug regimen
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since the first dose and has been documenting signs of possible adverse effects. What nursingprocess
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phase is the nursing attendant practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursingdiagnosis j




ACCURATE ANS:- B j j




Reasoning:->>>Monitoring the hospital client‘s progress is part of the evaluation phase. Planning, j j j j j j j j j j j




implementation, and nursing diagnosis are not illustrated by this example.
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DIFFICULT: CognitiveLevel: Application j j j REF: p. 19 j j

,4. Thenursing attendantiscaring fora hospital client who has been newlydiagnosed with type
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1diabetes mellitus. Which statement best illustrates an outcome criterion for this
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hospital client?
j j




a. The hospital client will follow instructions.j j j j j




b. Thehospital client will not experience complications.
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c. Thehospital client adheres to the newinsulin treatment regimen.
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d. The hospital client demonstrates safe insulin self-administration technique.
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ACCURATE ANS:- D j j




Reasoning:->>>Having the hospital client demonstrate safe insulin self-administration j j j j j j j




technique is a specific and measurable outcome criterion. Following instructions and avoiding
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complications are not specific criteria. Adherence to the new insulin treatment regimen is not
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objective and would be Difficult to measure.
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DIFFICULT: CognitiveLevel: Application j j j REF: p. 13 j j




5. Which activity best reflects the implementation phase of the nursing process for the hospital
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clientwho is newly diagnosed with type 1 diabetes mellitus?
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a. Providing education regarding self-injection technique j j j j




b. Setting goalsand outcome criteria with the hospital client‘sinput j j j j j j j j j




c. Recording a history of over-the-counter medications used at home j j j j j j j j




d. Formulating nursing diagnoses regarding knowledge deficits related to the new j j j j j j j j j




treatment regimen
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ACCURATE ANS:- A j j




Reasoning:->>>Education is an intervention that occurs during the implementation phase. Setting j j j j j j j j j j




goals and outcome criteria reflects the planning phase. Recording a drug history reflects the
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assessment phase. Formulating nursing diagnoses regarding a knowledge deficitreflectsanalysis of
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data
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aspart of the planning phase.
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DIFFICULT: CognitiveLevel: Analysis REF: p. 8 |p. 13 j j j j j j j j




6. The nursing attendant is working during a very busy night shift, and the primary care provider
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hasjust giventhenursing attendant a medication order overthe telephone, but thenursing
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attendant does not recall the route. What is the best way for the nursing attendantto avoid
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medication errors?
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a. Recopy the order neatly on the order sheet, with the most common route indicated
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b. Consult withthe pharmacist for clarificationabout the most commonroute j j j j j j j j j j




c. Calltheprimary care provider to clarifytherouteofadministration
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d. Withholdthe druguntil the primary care provider visits the hospital client j j j j j j j j j j j




ACCURATE ANS:- C j j




Reasoning:->>>If a medication order does not include the route, the nursing attendant must ask j j j j j j j j j j j j j




the primary care provider to clarify it. Never assume the route of administration.
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DIFFICULT: Cognitive Level: Application |Cognitive Level: Analysis REF: j j j j j j j j j p. 17 j




7. Which constitutes the traditional Five Rights of medication administration?
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a. Right drug, right route, right dose, right time, andright hospital client
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b. Right drug, theright effect,theright route, theright time, andtheright hospital client
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c. Right hospital client, right strength,right diagnosis,right drug,and rightroute
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d. Right hospital client, right diagnosis, right drug,right route, andright time
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ACCURATE ANS:- A j j

, The traditional Five Rights of medication administration were considered to be Right drug,
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Right route, Right dose, Right time, and Right hospital client. Right effect, right strength, and
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right diagnosisare not part of the traditional Five Rights.
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DIFFICULT: Cognitive Level: Comprehension REF: p.13 j j j jjj j




8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating j j j j j j




b. Assessing,then diagnosing, implementing,and ending with evaluating j j j j j j j




c. A linear direction that begins with assessing and continues through diagnosing,
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planning, and finally implementing
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d. An ongoing process that begins with assessing and continues with diagnosing,
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planning, implementing, and evaluating
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ACCURATE ANS:- D j j




Reasoning:->>>The nursing process is an ongoing, flexible, adaptable, and adjustable five- j j j j j j j j j j




step process that begins with assessing and continues through diagnosing, planning, implementing,
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and finally evaluating, which may then lead back to any of the other phases.
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DIFFICULT: CognitiveLevel: Application j j j REF: p. 8 j j




9. Whenthe nursing attendant is considering the timing ofa drug dose, which is most important toassess?
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a. The hospital client‘s identification j j j




b. Thehospital client‘s weight j j j




c. Thehospital client‘slast meal j j j j




d. Any drug or food allergies j j j j




ACCURATE ANS:- C j j




Reasoning:->>>The pharmacokinetic and pharmacodynamic properties of the drug need to be j j j j j j j j j j




assessed with
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regard to any drug–food interactions or compatibility issues. The hospital client‘s identification,
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weight, and drug or food allergies are not affected by the drug‘s timing.
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DIFFICULT: CognitiveLevel: Application j j j REF: p. 17 j j




10. The nursing attendant is writing nursing diagnoses for a plan of care. Which reflects thecorrect
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format for her nursing diagnosis?
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a. Anxiety
b. Anxietyrelated to new drugtherapy j j j j j




c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements j j j j j j j j j j j




such as ―I‘m upset about having to give myself shots‖
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d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m j j j j j j j j j j j j




upset about having to give myself shots‖
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ACCURATE ANS:- D j j