PHARMACOLOGY FOR CANADIAN HEALTH CARE
vv vv vv vv
vv PRACTICE 4TH EDITION LILLEY’S TEST BANK/ALL
vv vv vv vv vv
CHS1-58
vv v
,CH 01: Nursing Practice in Canada and Drug Therapy
vv vv vv vv vv vv vv vv
Lilley: Pharmacology for Canadian Primary care Practice, 4TH Canadian Edition
vv vv vv vv vv vv vv vv vv
MULTIPLE CHOICE vv
1. Which is a judgment about a particular hospital client‘s potential need or problem?
vv vv vv vv vv vv vv vv vv vv vv vv
a. A goal vv
b. An assessment vv
c. Subjective data vv
d. A nursing diagnosis vv vv
ACCURATE ANS:- D vv vv
Reasoning:->>> Nursing diagnosis is the phase of the nursing process during which a vv vv vv vv vv vv vv vv vv vv vv vv
clinicaljudgement is made about how a hospital client responds to heath conditions
vv v vv vv vv vv vv vv vv vv vv vv vv
and life processes or vulnerability for that response.
vv vv vv vv vv vv vv vv
DIFFICULT: Cognitive Level: Knowledge REF: p. 11 vv vv vv vv vv
2. The hospital client is to receive oral furosemide (Lasix) every day; however, because
vv vv vv vv vv vv vv vv vv vv vv vv
the hospital client is unable to swallow, he cannot take medication orally, as
vv vv vv vv vv vv vv vv vv vv vv vv vv
ordered. The nursing attendant needs to contact the physician. What type of problem
vv vv vv vv vv vv vv vv vv vv vv vv vv
is this?
vv vv
a. A ―right time‖ problem vv vv vv
b. A ―right dose‖ problem vv vv vv
c. A ―right route‖ problem vv vv vv
d. A ―right medication‖ problem
vv vv vv
ACCURATE ANS:- C vv vv
Reasoning:->>>This is a ―right route‖ problem: the nursing attendant cannot assume the vv vv vv vv vv vv vv vv vv vv vv
route and must clarify the route
vv vv vv vv vv vv
with the prescriber. This is not a ―right time‖ problem because the ordered
vv vv vv vv vv vv vv vv vv vv vv vv
frequency has notchanged. This is not a ―right dose‖ problem because the dose is not
vv vv vv v vv vv vv vv vv vv vv vv vv vv vv vv
related to an inability toswallow. This is not a ―right medication‖ problem because
vv vv vv vv vv v vv vv vv vv vv vv vv vv
the medication ordered will notchange, just the route.
vv vv vv vv vv v vv vv vv
DIFFICULT: Cognitive Level: Application REF: p. 14 vv vv vv vv vv
3. The nursing attendant has been monitoring the hospital client‘s progress on his new
vv vv vv vv vv vv vv vv vv vv vv vv
drug regimen since the first dose and has been documenting signs of possible adverse
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
effects. What nursingprocess phase is the nursing attendant practising?
vv vv vv v vv vv vv vv vv vv
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis vv
ACCURATE ANS:- B vv vv
Reasoning:->>>Monitoring the hospital client‘s progress is part of the evaluation phase. vv vv vv vv vv vv vv vv vv vv
Planning,implementation, and nursing diagnosis are not illustrated by this example.
vv v vv vv vv vv vv vv vv vv vv
DIFFICULT: Cognitive Level: Application REF: p. 19 vv vv vv vv vv
,4. The nursing attendant is caring for a hospital client who has been newly diagnosed
vv vv vv vv vv vv vv vv vv vv vv vv vv
with type 1diabetes mellitus. Which statement best illustrates an outcome
vv vv vv v vv vv vv v v vv vv vv
criterion for this hospital client?
vv v v v v vv vv
a. The hospital client will follow instructions.
vv vv vv vv vv
b. The hospital client will not experience complications.
vv vv vv vv vv vv
c. The hospital client adheres to the new insulin treatment regimen.
vv vv vv vv vv vv vv vv vv
d. The hospital client demonstrates safe insulin self-administration technique.
vv vv v v vv vv v v vv
ACCURATE ANS:- D vv vv
Reasoning:->>>Having the hospital client demonstrate safe insulin self-administration v v vv vv v v vv vv vv
vvtechnique is a specific and measurable outcome criterion. Following instructions and
vv vv vv vv vv vv vv vv vv vv
avoiding complications are not specific criteria. Adherence to the new insulin
vv vv vv vv vv vv vv vv vv vv vv
treatment regimen is not objective and would be Difficult to measure.
vv vv vv vv vv vv vv vv vv vv vv
DIFFICULT: Cognitive Level: Application REF: p. 13 vv vv vv vv vv
5. Which activity best reflects the implementation phase of the nursing process for the
vv vv vv vv vv vv vv vv vv vv vv vv
hospital clientwho is newly diagnosed with type 1 diabetes mellitus?
vv vv v vv vv vv vv vv vv vv vv
a. Providing education regarding self-injection technique
vv vv v v vv
b. Setting goals and outcome criteria with the hospital client‘s input
vv vv vv vv vv vv vv vv vv
c. Recording a history of over-the-counter medications used at home
vv v v vv vv vv vv vv vv
d. Formulating nursing diagnoses regarding knowledge deficits related to
vv v v vv vv vv vv vv
the new treatment regimen
vv vv vv vv
ACCURATE ANS:- A vv vv
Reasoning:->>>Education is an intervention that occurs during the implementation phase. vv vv vv vv vv vv vv vv vv
Setting goals and outcome criteria reflects the planning phase. Recording a drug
vv vv vv vv vv vv vv vv vv vv vv vv
history reflects the assessment phase. Formulating nursing diagnoses regarding a
vv vv vv vv vv vv vv vv vv vv
knowledge deficitreflects analysis of data
vv vv v vv vv vv
as part of the planning phase.
vv vv vv vv vv
DIFFICULT: Cognitive Level: Analysis REF: p. 8 | p. 13
vv vv vv vv vv vv vv vv
6. The nursing attendant is working during a very busy night shift, and the primary
vv vv vv vv vv vv vv vv vv vv vv vv vv
care provider has just given the nursing attendant a medication order over the
vv vv vv vv vv vv vv vv vv vv vv vv vv
telephone, but thenursing attendant does not recall the route. What is the best way
vv vv vv v vv vv vv vv vv vv vv vv vv vv vv
for the nursing attendantto avoid medication errors?
vv vv vv vv v vv vv vv
a. Recopy the order neatly on the order sheet, with the most common route indicated
vv vv vv vv vv vv vv vv vv vv vv vv vv
b. Consult with the pharmacist for clarification about the most common route
vv vv vv vv vv vv vv vv vv vv
c. Call the primary care provider to clarify the route of administration
vv vv vv vv vv vv vv vv vv vv
d. Withhold the drug until the primary care provider visits the hospital client
vv vv vv vv vv vv vv vv vv vv vv
ACCURATE ANS:- C vv vv
Reasoning:->>>If a medication order does not include the route, the nursing vv v v vv vv vv vv vv vv vv vv
attendant must ask the primary care provider to clarify it. Never assume the route of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
administration.
vv
DIFFICULT: Cognitive Level: Application | Cognitive Level: Analysis REF:
vv vv vv vv vv vv vv vv v v p. 17 vv
7. Which constitutes the traditional Five Rights of medication administration?
vv vv vv vv vv vv vv vv
a. Right drug, right route, right dose, right time, and right hospital client
vv vv vv vv vv vv vv vv vv vv vv
b. Right drug, the right effect, the right route, the right time, and the right hospital client
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
c. Right hospital client, right strength, right diagnosis, right drug, and right route
vv vv vv vv vv vv vv vv vv vv vv
d. Right hospital client, right diagnosis, right drug, right route, and right time
vv vv vv vv vv vv vv vv vv vv vv
ACCURATE ANS:- A vv vv
, The traditional Five Rights of medication administration were considered to be Right
vv vv vv vv vv vv vv vv vv vv vv
drug, Right route, Right dose, Right time, and Right hospital client. Right effect,
vv v vv vv vv vv vv vv vv vv vv vv vv
right strength, and right diagnosis are not part of the traditional Five Rights.
vv vv vv vv vv vv vv vv vv vv vv vv vv
DIFFICULT: Cognitive Level: Comprehension vv vv vv REF: vv vv vv p. 13 vv
8. What correctly describes the nursing process?
vv vv vv vv vv
a. Diagnosing, planning, assessing, implementing, and finally evaluating
v v vv v v v v v v vv
b. Assessing, then diagnosing, implementing, and ending with evaluating
vv vv vv vv vv vv vv
c. A linear direction that begins with assessing and continues through
vv vv vv vv vv vv vv vv vv
diagnosing,planning, and finally implementing
vv v vv vv vv
d. An ongoing process that begins with assessing and continues with
vv vv vv v v vv vv vv vv vv
diagnosing,planning, implementing, and evaluating
vv v vv vv vv
ACCURATE ANS:- D vv vv
Reasoning:->>>The nursing process is an ongoing, flexible, adaptable, and vv vv vv vv vv v v vv v v
adjustable five- step process that begins with assessing and continues through
vv vv vv vv vv vv vv vv vv vv vv
diagnosing, planning, implementing, and finally evaluating, which may then lead
vv vv vv vv vv vv vv vv vv vv
back to any of the other phases.
vv vv vv vv vv vv vv
DIFFICULT: Cognitive Level: Application REF: p. 8
vv vv vv vv vv
9. When the nursing attendant is considering the timing of a drug dose, which is most
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
important toassess?
vv vv v
a. The hospital client‘s identification
vv vv vv
b. The hospital client‘s weight
vv vv vv
c. The hospital client‘s last meal
vv vv vv vv
d. Any drug or food allergies vv vv vv vv
ACCURATE ANS:- C vv vv
Reasoning:->>>The pharmacokinetic and pharmacodynamic properties of the drug need to vv vv vv vv vv vv vv vv vv
beassessed with
vv v vv
regard to any drug–food interactions or compatibility issues. The hospital client‘s
vv vv vv vv v v v v vv vv vv vv
vvidentification, weight, and drug or food allergies are not affected by the drug‘s timing.
vv vv vv vv vv vv vv vv vv vv vv vv vv
DIFFICULT: Cognitive Level: Application REF: p. 17
vv vv vv vv vv
10. The nursing attendant is writing nursing diagnoses for a plan of care. Which reflects
vv vv vv vv vv vv vv vv vv vv vv vv vv
thecorrect format for her nursing diagnosis?
vv v vv vv vv vv vv
a. Anxiety
b. Anxiety related to new drug therapy vv vv vv vv vv
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
vv vv vv vv vv vv vv vv vv v v
statementssuch as ―I‘m upset about having to give myself shots‖
vv v vv vv vv vv vv vv vv vv vv
d. Anxiety related to new drug therapy, as evidenced by statements such
vv vv vv vv vv vv vv vv vv vv
as ―I‘mupset about having to give myself shots‖
vv vv v vv vv vv vv vv vv
ACCURATE ANS:- D vv vv
vv vv vv vv
vv PRACTICE 4TH EDITION LILLEY’S TEST BANK/ALL
vv vv vv vv vv
CHS1-58
vv v
,CH 01: Nursing Practice in Canada and Drug Therapy
vv vv vv vv vv vv vv vv
Lilley: Pharmacology for Canadian Primary care Practice, 4TH Canadian Edition
vv vv vv vv vv vv vv vv vv
MULTIPLE CHOICE vv
1. Which is a judgment about a particular hospital client‘s potential need or problem?
vv vv vv vv vv vv vv vv vv vv vv vv
a. A goal vv
b. An assessment vv
c. Subjective data vv
d. A nursing diagnosis vv vv
ACCURATE ANS:- D vv vv
Reasoning:->>> Nursing diagnosis is the phase of the nursing process during which a vv vv vv vv vv vv vv vv vv vv vv vv
clinicaljudgement is made about how a hospital client responds to heath conditions
vv v vv vv vv vv vv vv vv vv vv vv vv
and life processes or vulnerability for that response.
vv vv vv vv vv vv vv vv
DIFFICULT: Cognitive Level: Knowledge REF: p. 11 vv vv vv vv vv
2. The hospital client is to receive oral furosemide (Lasix) every day; however, because
vv vv vv vv vv vv vv vv vv vv vv vv
the hospital client is unable to swallow, he cannot take medication orally, as
vv vv vv vv vv vv vv vv vv vv vv vv vv
ordered. The nursing attendant needs to contact the physician. What type of problem
vv vv vv vv vv vv vv vv vv vv vv vv vv
is this?
vv vv
a. A ―right time‖ problem vv vv vv
b. A ―right dose‖ problem vv vv vv
c. A ―right route‖ problem vv vv vv
d. A ―right medication‖ problem
vv vv vv
ACCURATE ANS:- C vv vv
Reasoning:->>>This is a ―right route‖ problem: the nursing attendant cannot assume the vv vv vv vv vv vv vv vv vv vv vv
route and must clarify the route
vv vv vv vv vv vv
with the prescriber. This is not a ―right time‖ problem because the ordered
vv vv vv vv vv vv vv vv vv vv vv vv
frequency has notchanged. This is not a ―right dose‖ problem because the dose is not
vv vv vv v vv vv vv vv vv vv vv vv vv vv vv vv
related to an inability toswallow. This is not a ―right medication‖ problem because
vv vv vv vv vv v vv vv vv vv vv vv vv vv
the medication ordered will notchange, just the route.
vv vv vv vv vv v vv vv vv
DIFFICULT: Cognitive Level: Application REF: p. 14 vv vv vv vv vv
3. The nursing attendant has been monitoring the hospital client‘s progress on his new
vv vv vv vv vv vv vv vv vv vv vv vv
drug regimen since the first dose and has been documenting signs of possible adverse
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
effects. What nursingprocess phase is the nursing attendant practising?
vv vv vv v vv vv vv vv vv vv
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis vv
ACCURATE ANS:- B vv vv
Reasoning:->>>Monitoring the hospital client‘s progress is part of the evaluation phase. vv vv vv vv vv vv vv vv vv vv
Planning,implementation, and nursing diagnosis are not illustrated by this example.
vv v vv vv vv vv vv vv vv vv vv
DIFFICULT: Cognitive Level: Application REF: p. 19 vv vv vv vv vv
,4. The nursing attendant is caring for a hospital client who has been newly diagnosed
vv vv vv vv vv vv vv vv vv vv vv vv vv
with type 1diabetes mellitus. Which statement best illustrates an outcome
vv vv vv v vv vv vv v v vv vv vv
criterion for this hospital client?
vv v v v v vv vv
a. The hospital client will follow instructions.
vv vv vv vv vv
b. The hospital client will not experience complications.
vv vv vv vv vv vv
c. The hospital client adheres to the new insulin treatment regimen.
vv vv vv vv vv vv vv vv vv
d. The hospital client demonstrates safe insulin self-administration technique.
vv vv v v vv vv v v vv
ACCURATE ANS:- D vv vv
Reasoning:->>>Having the hospital client demonstrate safe insulin self-administration v v vv vv v v vv vv vv
vvtechnique is a specific and measurable outcome criterion. Following instructions and
vv vv vv vv vv vv vv vv vv vv
avoiding complications are not specific criteria. Adherence to the new insulin
vv vv vv vv vv vv vv vv vv vv vv
treatment regimen is not objective and would be Difficult to measure.
vv vv vv vv vv vv vv vv vv vv vv
DIFFICULT: Cognitive Level: Application REF: p. 13 vv vv vv vv vv
5. Which activity best reflects the implementation phase of the nursing process for the
vv vv vv vv vv vv vv vv vv vv vv vv
hospital clientwho is newly diagnosed with type 1 diabetes mellitus?
vv vv v vv vv vv vv vv vv vv vv
a. Providing education regarding self-injection technique
vv vv v v vv
b. Setting goals and outcome criteria with the hospital client‘s input
vv vv vv vv vv vv vv vv vv
c. Recording a history of over-the-counter medications used at home
vv v v vv vv vv vv vv vv
d. Formulating nursing diagnoses regarding knowledge deficits related to
vv v v vv vv vv vv vv
the new treatment regimen
vv vv vv vv
ACCURATE ANS:- A vv vv
Reasoning:->>>Education is an intervention that occurs during the implementation phase. vv vv vv vv vv vv vv vv vv
Setting goals and outcome criteria reflects the planning phase. Recording a drug
vv vv vv vv vv vv vv vv vv vv vv vv
history reflects the assessment phase. Formulating nursing diagnoses regarding a
vv vv vv vv vv vv vv vv vv vv
knowledge deficitreflects analysis of data
vv vv v vv vv vv
as part of the planning phase.
vv vv vv vv vv
DIFFICULT: Cognitive Level: Analysis REF: p. 8 | p. 13
vv vv vv vv vv vv vv vv
6. The nursing attendant is working during a very busy night shift, and the primary
vv vv vv vv vv vv vv vv vv vv vv vv vv
care provider has just given the nursing attendant a medication order over the
vv vv vv vv vv vv vv vv vv vv vv vv vv
telephone, but thenursing attendant does not recall the route. What is the best way
vv vv vv v vv vv vv vv vv vv vv vv vv vv vv
for the nursing attendantto avoid medication errors?
vv vv vv vv v vv vv vv
a. Recopy the order neatly on the order sheet, with the most common route indicated
vv vv vv vv vv vv vv vv vv vv vv vv vv
b. Consult with the pharmacist for clarification about the most common route
vv vv vv vv vv vv vv vv vv vv
c. Call the primary care provider to clarify the route of administration
vv vv vv vv vv vv vv vv vv vv
d. Withhold the drug until the primary care provider visits the hospital client
vv vv vv vv vv vv vv vv vv vv vv
ACCURATE ANS:- C vv vv
Reasoning:->>>If a medication order does not include the route, the nursing vv v v vv vv vv vv vv vv vv vv
attendant must ask the primary care provider to clarify it. Never assume the route of
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
administration.
vv
DIFFICULT: Cognitive Level: Application | Cognitive Level: Analysis REF:
vv vv vv vv vv vv vv vv v v p. 17 vv
7. Which constitutes the traditional Five Rights of medication administration?
vv vv vv vv vv vv vv vv
a. Right drug, right route, right dose, right time, and right hospital client
vv vv vv vv vv vv vv vv vv vv vv
b. Right drug, the right effect, the right route, the right time, and the right hospital client
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
c. Right hospital client, right strength, right diagnosis, right drug, and right route
vv vv vv vv vv vv vv vv vv vv vv
d. Right hospital client, right diagnosis, right drug, right route, and right time
vv vv vv vv vv vv vv vv vv vv vv
ACCURATE ANS:- A vv vv
, The traditional Five Rights of medication administration were considered to be Right
vv vv vv vv vv vv vv vv vv vv vv
drug, Right route, Right dose, Right time, and Right hospital client. Right effect,
vv v vv vv vv vv vv vv vv vv vv vv vv
right strength, and right diagnosis are not part of the traditional Five Rights.
vv vv vv vv vv vv vv vv vv vv vv vv vv
DIFFICULT: Cognitive Level: Comprehension vv vv vv REF: vv vv vv p. 13 vv
8. What correctly describes the nursing process?
vv vv vv vv vv
a. Diagnosing, planning, assessing, implementing, and finally evaluating
v v vv v v v v v v vv
b. Assessing, then diagnosing, implementing, and ending with evaluating
vv vv vv vv vv vv vv
c. A linear direction that begins with assessing and continues through
vv vv vv vv vv vv vv vv vv
diagnosing,planning, and finally implementing
vv v vv vv vv
d. An ongoing process that begins with assessing and continues with
vv vv vv v v vv vv vv vv vv
diagnosing,planning, implementing, and evaluating
vv v vv vv vv
ACCURATE ANS:- D vv vv
Reasoning:->>>The nursing process is an ongoing, flexible, adaptable, and vv vv vv vv vv v v vv v v
adjustable five- step process that begins with assessing and continues through
vv vv vv vv vv vv vv vv vv vv vv
diagnosing, planning, implementing, and finally evaluating, which may then lead
vv vv vv vv vv vv vv vv vv vv
back to any of the other phases.
vv vv vv vv vv vv vv
DIFFICULT: Cognitive Level: Application REF: p. 8
vv vv vv vv vv
9. When the nursing attendant is considering the timing of a drug dose, which is most
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
important toassess?
vv vv v
a. The hospital client‘s identification
vv vv vv
b. The hospital client‘s weight
vv vv vv
c. The hospital client‘s last meal
vv vv vv vv
d. Any drug or food allergies vv vv vv vv
ACCURATE ANS:- C vv vv
Reasoning:->>>The pharmacokinetic and pharmacodynamic properties of the drug need to vv vv vv vv vv vv vv vv vv
beassessed with
vv v vv
regard to any drug–food interactions or compatibility issues. The hospital client‘s
vv vv vv vv v v v v vv vv vv vv
vvidentification, weight, and drug or food allergies are not affected by the drug‘s timing.
vv vv vv vv vv vv vv vv vv vv vv vv vv
DIFFICULT: Cognitive Level: Application REF: p. 17
vv vv vv vv vv
10. The nursing attendant is writing nursing diagnoses for a plan of care. Which reflects
vv vv vv vv vv vv vv vv vv vv vv vv vv
thecorrect format for her nursing diagnosis?
vv v vv vv vv vv vv
a. Anxiety
b. Anxiety related to new drug therapy vv vv vv vv vv
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
vv vv vv vv vv vv vv vv vv v v
statementssuch as ―I‘m upset about having to give myself shots‖
vv v vv vv vv vv vv vv vv vv vv
d. Anxiety related to new drug therapy, as evidenced by statements such
vv vv vv vv vv vv vv vv vv vv
as ―I‘mupset about having to give myself shots‖
vv vv v vv vv vv vv vv vv
ACCURATE ANS:- D vv vv
