PHARMACOLOGY FOR CANADIAN HEALTH CARE
bb bb bb bb
PRACTICE 4TH EDITION LILLEY’S TEST BANK/ALL
bb bb bb bb bb bb
CHS1-58
bb b
,CH 01: Nursing Practice in Canada and Drug Therapy
bb bb bb bb bb bb bb bb
Lilley: Pharmacology for Canadian Primary care Practice, 4TH Canadian Edition
bb bb bb bb bb bb bb bb bb
MULTIPLE bbCHOICE
1. Which bbis bba bbjudgment bbabout bba bbparticular bbhospital bbclient‘s bbpotential bbneed bbor bbproblem?
a. A bbgoal
b. An bbassessment
c. Subjective bbdata
d. A bbnursing bbdiagnosis
ACCURATE bbANS:- b b D
Reasoning:->>> bbNursing bbdiagnosis bbis bbthe bbphase bbof bbthe bbnursing bbprocess bbduring bbwhich bba
bbclinical bjudgement bbis bbmade bbabout bbhow bba bbhospital bbclient bbresponds bbto bbheath bbconditions
bband bblife bbprocesses bbor bbvulnerability bbfor bbthat bbresponse.
DIFFICULT: bbCognitive bbLevel: bbKnowledge REF: bbp. bb11
2. The bbhospital bbclient bbis bbto bbreceive bboral bbfurosemide bb(Lasix) bbevery bbday; bbhowever,
bbbecause bbthe bbhospital bbclient bbis bbunable bbto bbswallow, bbhe bbcannot bbtake bbmedication
bborally, bbas bbordered. bbThe bbnursing bbattendant bb needs bbto bbcontact bbthe bbphysician. bb What
bbtype bbof bbproblem bbis bbthis?
a. A bb―right bbtime‖ bbproblem
b. A bb―right bbdose‖ bbproblem
c. A bb―right bbroute‖ bbproblem
d. A bb―right bbmedication‖ bbproblem
ACCURATE bbANS:- b b C
Reasoning:->>>This b b is bb a b b ―right b b route‖ b b problem: b b the b b nursing bbattendant b b cannot b b assume bb the
bb route bb and bbmust bbclarify bbthe bbroute
with b b the b b prescriber. bb This b b is bb not bba b b ―right b b time‖ b b problem b b because b b the b b ordered
b b frequency bb has bb notbchanged. bbThis bbis bbnot bba bb―right bbdose‖ bbproblem bbbecause bbthe bbdose bbis
bbnot bbrelated bbto bban bbinability bbtobs wallow. bbThis bbis bbnot bba bb―right bbmedication‖ bbproblem
bbbecause bbthe bbmedication bbordered bbwill bbnotbchange, bbjust bbthe bbroute.
DIFFICULT: bbCognitive bbLevel: bbApplication REF: bbp. bb14
3. The bbnursing bbattendant bbhas bbbeen bbmonitoring bbthe bbhospital bbclient‘s bbprogress bbon bbhis bbnew
bbdrug bbregimen bbsince bbthe bbfirst bbdose bband bbhas bbbeen bbdocumenting bbsigns bbof bbpossible bbadverse
bbeffects. bbWhat bbnursingbprocess bbphase bbis bbthe bbnursing bbattendant bbpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing bbdiagnosis
ACCURATE bbANS:- bb B
Reasoning:->>>Monitoring bbthe bbhospital bbclient‘s bbprogress bbis bbpart bbof bbthe bbevaluation bbphase.
bbPlanning,b
implementation, bband bbnursing bbdiagnosis bbare bbnot bbillustrated bbby bbthis bbexample.
DIFFICULT: bbCognitive bbLevel: bbApplication REF: bbp. bb19
,4. The bbnursing bbattendant bbis bbcaring bbfor bba bbhospital bbclient bbwho bbhas bbbeen bbnewly
bbdiagnosed bbwith bbtype bb1b diabetes b b mellitus. b b Which b b statement b b best b b illustrates bb an
b b outcome b b criterion b b for b b this b b hospital bbclient?
a. The bb hospital bbclient b b will b b follow bb instructions.
b. The bbhospital bbclient bbwill bbnot bbexperience bbcomplications.
c. The bbhospital bbclient bbadheres bbto bbthe bbnew bbinsulin bbtreatment bbregimen.
d. The b b hospital bbclient b b demonstrates b b safe b b insulin b b self-administration b b technique.
ACCURATE bbANS:- b b D
Reasoning:->>>Having b b the b b hospital bbclient b b demonstrate b b safe b b insulin b b self-
administration b b technique b b is b b a bbspecific bband bbmeasurable bboutcome bbcriterion. bbFollowing
bbinstructions bband bbavoiding bbcomplications b b are b b not b b specific b b criteria. b b Adherence b b to b b the
b b new b b insulin b b treatment b b regimen b b is b b not bbobjective bband bbwould bbbe bbDifficult bbto bbmeasure.
DIFFICULT: bbCognitive bbLevel: bbApplication REF: bbp. bb13
5. Which bbactivity bbbest bbreflects bbthe bbimplementation bbphase bbof bbthe bbnursing bbprocess bbfor bbthe
bbhospital bbclientbwho bbis bbnewly bbdiagnosed bb with bbtype bb1 bbdiabetes bbmellitus?
a. Providing b b education b b regarding b b self-injection b b technique
b. Setting bbgoals bband bboutcome bbcriteria bbwith bbthe bbhospital bbclient‘s bbinput
c. Recording bba b b history b b of b b over-the-counter b b medications b b used b b at b b home
d. Formulating b b nursing b b diagnoses b b regarding b b knowledge b b deficits b b related b b to
b b the b b new bbtreatment bbregimen
ACCURATE bbANS:- b b A
Reasoning:->>>Education bbis bban bbintervention bbthat bboccurs bbduring bbthe bbimplementation bbphase.
bbSetting bbgoals bband bboutcome bbcriteria bbreflects bbthe bbplanning bbphase. bbRecording bba bbdrug
bbhistory bbreflects bbthe bbassessment bbphase. bbFormulating bbnursing bbdiagnoses bbregarding bba
bbknowledge bbdeficitbreflects bbanalysis bbof bbdata
as bbpart bbof bbthe bbplanning bbphase.
DIFFICULT: bbCognitive bbLevel: bbAnalysis REF: bbp. bb8 bb| bbp. bb13
6. The bbnursing bbattendant bbis bbworking bbduring bba bbvery bbbusy bbnight bbshift, bband bbthe bbprimary
bbcare bbprovider bbhas bbjust bbgiven bbthe bbnursing bbattendant bba bbmedication bborder bbover bbthe
bbtelephone, bbbut bbthebnursing bbattendant bbdoes bbnot bbrecall bbthe bbroute. bbWhat bbis bbthe bbbest
bbway bbfor bbthe bbnursing bbattendantbto bbavoid bb medication bberrors?
a. Recopy bbthe b b order b b neatly b b on b b the b b order b b sheet, b b with b b the b b most b b common b b route bb indicated
b. Consult bbwith bbthe bbpharmacist bbfor bbclarification bbabout bbthe bbmost bbcommon bbroute
c. Call bbthe bbprimary bbcare bbprovider bbto bbclarify bbthe bbroute bbof bbadministration
d. Withhold bbthe bbdrug bbuntil bbthe bbprimary bbcare bbprovider bbvisits bbthe bbhospital bbclient
ACCURATE bbANS:- bb C
Reasoning:->>>If bb a b b medication b b order b b does b b not b b include b b the b b route, b b the b b nursing
bbattendant b b must bbask bbthe bbprimary bbcare bbprovider bbto bbclarify bbit. bbNever bbassume bbthe bbroute
bbof bbadministration.
DIFFICULT: bbCognitive bbLevel: bbApplication bb|bbCognitive bbLevel: bbAnalysis b b REF: b b p. bb17
7. Which b b constitutes b b the b b traditional b b Five b b Rights b b of b b medication b b administration?
a. Right bbdrug, bbright bbroute, bbright bbdose, bbright bbtime, bband bbright bbhospital bbclient
b. Right bbdrug, bbthe bbright bbeffect, bbthe bbright bbroute, bbthe bbright bbtime, bband bbthe bbright bbhospital bbclient
c. Right bbhospital bbclient, bbright bbstrength, bbright bbdiagnosis, bbright bbdrug, bband bbright bbroute
d. Right bbhospital bbclient, bbright bbdiagnosis, bbright bbdrug, bbright bbroute, bband bbright bbtime
ACCURATE bbANS:- b b A
, The bbtraditional bbFive bbRights bbof bbmedication bbadministration bbwere bbconsidered bbto bbbe
bbRight bbdrug, bRight bbroute, bbRight bbdose, bbRight bbtime, bband bbRight bbhospital bbclient. bbRight
bbeffect, bbright bbstrength, bband bbright bbdiagnosis bbare bbnot bbpart bbof bbthe bbtraditional bbFive
bbRights.
DIFFICULT: bbCognitive bbLevel: bbComprehension REF: bb bb bbp. bb13
8. What b b correctly b b describes b b the b b nursing b b process?
a. Diagnosing, b b planning, b b assessing, b b implementing, b b and b b finally b b evaluating
b. Assessing, bbthen bbdiagnosing, bbimplementing, bband bbending bbwith bbevaluating
c. A bblinear bbdirection bbthat bbbegins bbwith bbassessing bband bbcontinues bbthrough
bbdiagnosing,bplanning, bband bb finally bbimplementing
d. An b b ongoing b b process b b that b b begins b b with b b assessing bb and b b continues b b with
b b diagnosing,bplanning, bbimplementing, bband bbevaluating
ACCURATE bbANS:- b b D
Reasoning:->>>The b b nursing b b process b b is b b an b b ongoing, b b flexible, b b adaptable, b b and
b b adjustable b b five- bbstep b b process bb that b b begins bb with bbassessing bb and b b continues bbthrough
b b diagnosing, b b planning, bbimplementing, b b and b b finally b b evaluating, b b which b b may b b then bb lead
b b back b b to bb any b b of bb the b b other b b phases.
DIFFICULT: bbCognitive bbLevel: bbApplication REF: bbp. bb8
9. When bbthe bbnursing bbattendant bbis bbconsidering bbthe bbtiming bbof bba bbdrug bbdose, bbwhich bbis bbmost
bbimportant bbtobassess?
a. The bb hospital bbclient‘s bb identification
b. The bbhospital bbclient‘s bbweight
c. The bbhospital bbclient‘s bblast bb meal
d. Any bbdrug bbor bbfood bballergies
ACCURATE bbANS:- b b C
Reasoning:->>>The bbpharmacokinetic bband bbpharmacodynamic bbproperties bbof bbthe bbdrug bbneed
bbto bbbebassessed bbwith
regard b b to b b any b b drug–food b b interactions b b or b b compatibility b b issues. b b The b b hospital bbclient‘s
b b identification, bbweight, bband bbdrug bbor bb food bballergies bbare bbnot bbaffected bbby bbthe bbdrug‘s
bbtiming.
DIFFICULT: bbCognitive bbLevel: bbApplication REF: bbp. bb17
10. The bbnursing bbattendant bbis bbwriting bbnursing bbdiagnoses bbfor bba bbplan bbof bbcare. bbWhich
bbreflects bbtheb
correct bb format bb for bbher bbnursing bbdiagnosis?
a. Anxiety
b. Anxiety bbrelated bbto bbnew bbdrug bbtherapy
c. Anxiety b b related b b to b b anxious b b feelings bbabout b b drug bb therapy, b b as b b evidenced b b by
such bbas bb―I‘m bbupset bbabout bbhaving bbto bbgive bbmyself bbshots‖
b b statementsb
d. Anxiety bb related bb to bb new bbdrug bbtherapy, bbas b b evidenced bb by bb statements bb such
bb as bb―I‘mbupset bbabout bbhaving bbto bbgive bbmyself bbshots‖
ACCURATE bbANS:- b b D
bb bb bb bb
PRACTICE 4TH EDITION LILLEY’S TEST BANK/ALL
bb bb bb bb bb bb
CHS1-58
bb b
,CH 01: Nursing Practice in Canada and Drug Therapy
bb bb bb bb bb bb bb bb
Lilley: Pharmacology for Canadian Primary care Practice, 4TH Canadian Edition
bb bb bb bb bb bb bb bb bb
MULTIPLE bbCHOICE
1. Which bbis bba bbjudgment bbabout bba bbparticular bbhospital bbclient‘s bbpotential bbneed bbor bbproblem?
a. A bbgoal
b. An bbassessment
c. Subjective bbdata
d. A bbnursing bbdiagnosis
ACCURATE bbANS:- b b D
Reasoning:->>> bbNursing bbdiagnosis bbis bbthe bbphase bbof bbthe bbnursing bbprocess bbduring bbwhich bba
bbclinical bjudgement bbis bbmade bbabout bbhow bba bbhospital bbclient bbresponds bbto bbheath bbconditions
bband bblife bbprocesses bbor bbvulnerability bbfor bbthat bbresponse.
DIFFICULT: bbCognitive bbLevel: bbKnowledge REF: bbp. bb11
2. The bbhospital bbclient bbis bbto bbreceive bboral bbfurosemide bb(Lasix) bbevery bbday; bbhowever,
bbbecause bbthe bbhospital bbclient bbis bbunable bbto bbswallow, bbhe bbcannot bbtake bbmedication
bborally, bbas bbordered. bbThe bbnursing bbattendant bb needs bbto bbcontact bbthe bbphysician. bb What
bbtype bbof bbproblem bbis bbthis?
a. A bb―right bbtime‖ bbproblem
b. A bb―right bbdose‖ bbproblem
c. A bb―right bbroute‖ bbproblem
d. A bb―right bbmedication‖ bbproblem
ACCURATE bbANS:- b b C
Reasoning:->>>This b b is bb a b b ―right b b route‖ b b problem: b b the b b nursing bbattendant b b cannot b b assume bb the
bb route bb and bbmust bbclarify bbthe bbroute
with b b the b b prescriber. bb This b b is bb not bba b b ―right b b time‖ b b problem b b because b b the b b ordered
b b frequency bb has bb notbchanged. bbThis bbis bbnot bba bb―right bbdose‖ bbproblem bbbecause bbthe bbdose bbis
bbnot bbrelated bbto bban bbinability bbtobs wallow. bbThis bbis bbnot bba bb―right bbmedication‖ bbproblem
bbbecause bbthe bbmedication bbordered bbwill bbnotbchange, bbjust bbthe bbroute.
DIFFICULT: bbCognitive bbLevel: bbApplication REF: bbp. bb14
3. The bbnursing bbattendant bbhas bbbeen bbmonitoring bbthe bbhospital bbclient‘s bbprogress bbon bbhis bbnew
bbdrug bbregimen bbsince bbthe bbfirst bbdose bband bbhas bbbeen bbdocumenting bbsigns bbof bbpossible bbadverse
bbeffects. bbWhat bbnursingbprocess bbphase bbis bbthe bbnursing bbattendant bbpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing bbdiagnosis
ACCURATE bbANS:- bb B
Reasoning:->>>Monitoring bbthe bbhospital bbclient‘s bbprogress bbis bbpart bbof bbthe bbevaluation bbphase.
bbPlanning,b
implementation, bband bbnursing bbdiagnosis bbare bbnot bbillustrated bbby bbthis bbexample.
DIFFICULT: bbCognitive bbLevel: bbApplication REF: bbp. bb19
,4. The bbnursing bbattendant bbis bbcaring bbfor bba bbhospital bbclient bbwho bbhas bbbeen bbnewly
bbdiagnosed bbwith bbtype bb1b diabetes b b mellitus. b b Which b b statement b b best b b illustrates bb an
b b outcome b b criterion b b for b b this b b hospital bbclient?
a. The bb hospital bbclient b b will b b follow bb instructions.
b. The bbhospital bbclient bbwill bbnot bbexperience bbcomplications.
c. The bbhospital bbclient bbadheres bbto bbthe bbnew bbinsulin bbtreatment bbregimen.
d. The b b hospital bbclient b b demonstrates b b safe b b insulin b b self-administration b b technique.
ACCURATE bbANS:- b b D
Reasoning:->>>Having b b the b b hospital bbclient b b demonstrate b b safe b b insulin b b self-
administration b b technique b b is b b a bbspecific bband bbmeasurable bboutcome bbcriterion. bbFollowing
bbinstructions bband bbavoiding bbcomplications b b are b b not b b specific b b criteria. b b Adherence b b to b b the
b b new b b insulin b b treatment b b regimen b b is b b not bbobjective bband bbwould bbbe bbDifficult bbto bbmeasure.
DIFFICULT: bbCognitive bbLevel: bbApplication REF: bbp. bb13
5. Which bbactivity bbbest bbreflects bbthe bbimplementation bbphase bbof bbthe bbnursing bbprocess bbfor bbthe
bbhospital bbclientbwho bbis bbnewly bbdiagnosed bb with bbtype bb1 bbdiabetes bbmellitus?
a. Providing b b education b b regarding b b self-injection b b technique
b. Setting bbgoals bband bboutcome bbcriteria bbwith bbthe bbhospital bbclient‘s bbinput
c. Recording bba b b history b b of b b over-the-counter b b medications b b used b b at b b home
d. Formulating b b nursing b b diagnoses b b regarding b b knowledge b b deficits b b related b b to
b b the b b new bbtreatment bbregimen
ACCURATE bbANS:- b b A
Reasoning:->>>Education bbis bban bbintervention bbthat bboccurs bbduring bbthe bbimplementation bbphase.
bbSetting bbgoals bband bboutcome bbcriteria bbreflects bbthe bbplanning bbphase. bbRecording bba bbdrug
bbhistory bbreflects bbthe bbassessment bbphase. bbFormulating bbnursing bbdiagnoses bbregarding bba
bbknowledge bbdeficitbreflects bbanalysis bbof bbdata
as bbpart bbof bbthe bbplanning bbphase.
DIFFICULT: bbCognitive bbLevel: bbAnalysis REF: bbp. bb8 bb| bbp. bb13
6. The bbnursing bbattendant bbis bbworking bbduring bba bbvery bbbusy bbnight bbshift, bband bbthe bbprimary
bbcare bbprovider bbhas bbjust bbgiven bbthe bbnursing bbattendant bba bbmedication bborder bbover bbthe
bbtelephone, bbbut bbthebnursing bbattendant bbdoes bbnot bbrecall bbthe bbroute. bbWhat bbis bbthe bbbest
bbway bbfor bbthe bbnursing bbattendantbto bbavoid bb medication bberrors?
a. Recopy bbthe b b order b b neatly b b on b b the b b order b b sheet, b b with b b the b b most b b common b b route bb indicated
b. Consult bbwith bbthe bbpharmacist bbfor bbclarification bbabout bbthe bbmost bbcommon bbroute
c. Call bbthe bbprimary bbcare bbprovider bbto bbclarify bbthe bbroute bbof bbadministration
d. Withhold bbthe bbdrug bbuntil bbthe bbprimary bbcare bbprovider bbvisits bbthe bbhospital bbclient
ACCURATE bbANS:- bb C
Reasoning:->>>If bb a b b medication b b order b b does b b not b b include b b the b b route, b b the b b nursing
bbattendant b b must bbask bbthe bbprimary bbcare bbprovider bbto bbclarify bbit. bbNever bbassume bbthe bbroute
bbof bbadministration.
DIFFICULT: bbCognitive bbLevel: bbApplication bb|bbCognitive bbLevel: bbAnalysis b b REF: b b p. bb17
7. Which b b constitutes b b the b b traditional b b Five b b Rights b b of b b medication b b administration?
a. Right bbdrug, bbright bbroute, bbright bbdose, bbright bbtime, bband bbright bbhospital bbclient
b. Right bbdrug, bbthe bbright bbeffect, bbthe bbright bbroute, bbthe bbright bbtime, bband bbthe bbright bbhospital bbclient
c. Right bbhospital bbclient, bbright bbstrength, bbright bbdiagnosis, bbright bbdrug, bband bbright bbroute
d. Right bbhospital bbclient, bbright bbdiagnosis, bbright bbdrug, bbright bbroute, bband bbright bbtime
ACCURATE bbANS:- b b A
, The bbtraditional bbFive bbRights bbof bbmedication bbadministration bbwere bbconsidered bbto bbbe
bbRight bbdrug, bRight bbroute, bbRight bbdose, bbRight bbtime, bband bbRight bbhospital bbclient. bbRight
bbeffect, bbright bbstrength, bband bbright bbdiagnosis bbare bbnot bbpart bbof bbthe bbtraditional bbFive
bbRights.
DIFFICULT: bbCognitive bbLevel: bbComprehension REF: bb bb bbp. bb13
8. What b b correctly b b describes b b the b b nursing b b process?
a. Diagnosing, b b planning, b b assessing, b b implementing, b b and b b finally b b evaluating
b. Assessing, bbthen bbdiagnosing, bbimplementing, bband bbending bbwith bbevaluating
c. A bblinear bbdirection bbthat bbbegins bbwith bbassessing bband bbcontinues bbthrough
bbdiagnosing,bplanning, bband bb finally bbimplementing
d. An b b ongoing b b process b b that b b begins b b with b b assessing bb and b b continues b b with
b b diagnosing,bplanning, bbimplementing, bband bbevaluating
ACCURATE bbANS:- b b D
Reasoning:->>>The b b nursing b b process b b is b b an b b ongoing, b b flexible, b b adaptable, b b and
b b adjustable b b five- bbstep b b process bb that b b begins bb with bbassessing bb and b b continues bbthrough
b b diagnosing, b b planning, bbimplementing, b b and b b finally b b evaluating, b b which b b may b b then bb lead
b b back b b to bb any b b of bb the b b other b b phases.
DIFFICULT: bbCognitive bbLevel: bbApplication REF: bbp. bb8
9. When bbthe bbnursing bbattendant bbis bbconsidering bbthe bbtiming bbof bba bbdrug bbdose, bbwhich bbis bbmost
bbimportant bbtobassess?
a. The bb hospital bbclient‘s bb identification
b. The bbhospital bbclient‘s bbweight
c. The bbhospital bbclient‘s bblast bb meal
d. Any bbdrug bbor bbfood bballergies
ACCURATE bbANS:- b b C
Reasoning:->>>The bbpharmacokinetic bband bbpharmacodynamic bbproperties bbof bbthe bbdrug bbneed
bbto bbbebassessed bbwith
regard b b to b b any b b drug–food b b interactions b b or b b compatibility b b issues. b b The b b hospital bbclient‘s
b b identification, bbweight, bband bbdrug bbor bb food bballergies bbare bbnot bbaffected bbby bbthe bbdrug‘s
bbtiming.
DIFFICULT: bbCognitive bbLevel: bbApplication REF: bbp. bb17
10. The bbnursing bbattendant bbis bbwriting bbnursing bbdiagnoses bbfor bba bbplan bbof bbcare. bbWhich
bbreflects bbtheb
correct bb format bb for bbher bbnursing bbdiagnosis?
a. Anxiety
b. Anxiety bbrelated bbto bbnew bbdrug bbtherapy
c. Anxiety b b related b b to b b anxious b b feelings bbabout b b drug bb therapy, b b as b b evidenced b b by
such bbas bb―I‘m bbupset bbabout bbhaving bbto bbgive bbmyself bbshots‖
b b statementsb
d. Anxiety bb related bb to bb new bbdrug bbtherapy, bbas b b evidenced bb by bb statements bb such
bb as bb―I‘mbupset bbabout bbhaving bbto bbgive bbmyself bbshots‖
ACCURATE bbANS:- b b D
