Lilleys Pharmacology for Canadian Health Care Practice 4th Ed
d d d d d d d d
ition Sealock Test Bank
d d d
Professionhood and the Knowledge of Nursing I (Seneca College)
d d d d d d d d
Studocudisdnotdsponsoreddordendorseddbydanydcollegedorduniversity
DownloadeddbydAliahdHerrerad()
,Chapter 01: Nursing Practice in Canada and Drug Therapy
d d d d d d d d
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
d d d d d d d d d
MULTIPLEdCHOICE
1. Whichdisdadjudgementdaboutdadparticulardpatient’sdpotentialdneeddordproblem?
a. Adgoal
b. Andassessment
c. Subjectiveddata
d. Adnursingddiagnosis
ANS:d D
Nursingddiagnosisdisdthedphasedofdthednursingdprocessdduringdwhichdadclinicaldjudgementdisdmadedaboutdho
hdconditionsdanddlifedprocessesdordvulnerabilitydfordthatdresponse.
DIF: CognitivedLevel:dKnowledge
2. Thedpatientdisdtodreceivedoraldfurosemided(Lasix)deverydday;dhowever,dbecausedthedpatientdisdunabledtodsw
edicationdorally,dasdordered.dThednursedneedsdtodcontactdthedphysician.dWhatdtypedofdproblemdisdthis?
a. Ad“rightdtime”dproblem
b. Ad“rightddose”dproblem
c. Ad“rightdroute”dproblem
d. Ad“rightdmedication”dproblem
ANS:d C
Thisdisdad“rightdroute”dproblem:dthednursedcannotdassumedthedroutedanddmustdclarifydthedroutedwithdthedpres
me”dproblemdbecausedthedordereddfrequencydhasdnotdchanged.dThisdisdnotdad“rightddose”dproblemdbecause
nabilitydtodswallow.dThisdisdnotdad“rightdmedication”dproblemdbecausedthedmedicationdordereddwilldnotdch
DIF: CognitivedLevel:dApplication
3. Thednursedhasdbeendmonitoringdthedpatient’sdprogressdondhisdnewddrugdregimendsincedthedfirstddosedanddha
dpossibledadversedeffects.dWhatdnursingdprocessdphasedisdthednursedpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingddiagnosis
ANS:d B
Monitoringdthedpatient’sdprogressdisdpartdofdthedevaluationdphase.dPlanning,dimplementation,danddnursingd
bydthisdexample.
DIF: CognitivedLevel:dApplication
4. Thednursedisdcaringdfordadpatientdwhodhasdbeendnewlyddiagnoseddwithdtyped1ddiabetesdmellitus.dWhichdstat
utcomedcriteriondfordthisdpatient?
a. Thedpatientdwilldfollowdinstructions.
b. Thedpatientdwilldnotdexperiencedcomplications.
c. Thedpatientdadheresdtodthednewdinsulindtreatmentdregimen.
d. Thedpatientddemonstratesdsafedinsulindself-administrationdtechnique.
ANS:d D
Havingdthedpatientddemonstratedsafedinsulindself-
administrationdtechniquedisdadspecificdanddmeasurabledoutcomedcriterion.dFollowingdinstructionsdanddavo
pecificdcriteria.dAdherencedtodthednewdinsulindtreatmentdregimendisdnotd objectivedanddwoulddbeddifficultdt
DIF: CognitivedLevel:dApplication
5. Whichdactivitydbestdreflectsdthedimplementationdphasedofdthednursingdprocessdfordthedpatientdwhodisdnewly
, 6. Thednursedisdworkingdduringdadverydbusydnightdshift,danddthedhealthdcaredproviderdhasdjustdgivendthednursed
edtelephone,dbutdthednurseddoesdnotdrecalldthedroute.dWhatdisdthedbestdwaydfordthednursedtodavoiddmedicatio
a. Recopydthedorderdneatlydondthedorderdsheet,dwithdthedmostdcommondroutedindicated
b. Consultdwithdthedpharmacistdfordclarificationdaboutdthedmostdcommondroute
c. Calldthedhealthdcaredproviderdtodclarifydthedroutedofdadministration
d. Withholddtheddrugduntildthedhealthdcaredproviderdvisitsdthedpatient
ANS:d C
Ifdadmedicationdorderddoesdnotdincludedthedroute,dthednursedmustdaskdthedhealthdcaredproviderdtodclarifydit.dN
nistration.
DIF: CognitivedLevel:dApplicationd|dCognitivedLevel:dAnalysis
7. WhichdconstitutesdthedtraditionaldFivedRightsdofdmedicationdadministration?
a. Rightddrug,drightdroute,drightddose,drightdtime,danddrightdpatient
b. Rightddrug,dthedrightdeffect,dthedrightdroute,dthedrightdtime,danddthedrightdpatient
c. Rightdpatient,drightdstrength,drightddiagnosis,drightddrug,danddrightdroute
d. Rightdpatient,drightddiagnosis,drightddrug,drightdroute,danddrightdtime
ANS:d A
ThedtraditionaldFivedRightsdofdmedicationdadministrationdweredconsidereddtodbedRightddrug,dRightdroute,dR
htdpatient.dRightdeffect,drightdstrength,danddrightddiagnosisdarednotdpartdofdthedtraditionaldFivedRights.
DIF: CognitivedLevel:dComprehension
8. Whatdcorrectlyddescribesdthednursingdprocess?
a. Diagnosing,dplanning,dassessing,dimplementing,danddfinallydevaluating
b. Assessing,dthenddiagnosing,dimplementing,danddendingdwithdevaluating
c. Adlinearddirectiondthatdbeginsdwithdassessingdanddcontinuesdthroughddiagnosing,d
planning,danddfinallydimplementing
d. Andongoingdprocessdthatdbeginsdwithdassessingdanddcontinuesdwithddiagnosing,d
planning,dimplementing,danddevaluating
ANS:d D
Thednursingdprocessdisdandongoing,dflexible,dadaptable,danddadjustabledfive-
stepdprocessdthatdbeginsdwithdassessingdanddcontinuesdthroughddiagnosing,dplanning,dimplementing,danddf
endleaddbackdtodanydofdthedotherdphases.
DIF: CognitivedLevel:dApplication
9. Whendthednursedisdconsideringdthedtimingdofdaddrugddose,dwhichdisdmostdimportantdtodassess?
a. Thedpatient’sdidentification
b. Thedpatient’sdweight
c. Thedpatient’sdlastdmeal
d. Anyddrugdordfooddallergies
ANS:d C
Thedpharmacokineticdanddpharmacodynamicdpropertiesdofdtheddrugdneeddtodbedassesseddwithdregarddtodan
fooddinteractionsdordcompatibilitydissues.dThedpatient’sdidentification,dweight,dandddrugdordfooddallergiesd
ming.
DIF: CognitivedLevel:dApplication
10. Thednursedisdwritingdnursingddiagnosesdfordadplandofdcare.dWhichdreflectsdthedcorrectdformatdfordherdnursin
a. Anxiety
b. Anxietydrelateddtodnewddrugdtherapy
c. Anxietydrelateddtodanxiousdfeelingsdaboutddrugdtherapy,dasdevidenceddbyds
tatementsdsuchdasd“I’mdupsetdaboutdhavingdtodgivedmyselfdshots”
d. Anxietydrelateddtodnewddrugdtherapy,dasdevidenceddbydstatementsdsuchdasd“I’md
upsetdaboutdhavingdtodgivedmyselfdshots”
, Chapter 02: Pharmacological Principles
d d d
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
d d d d d d d d d
MULTIPLEdCHOICE
1. Adpatientdisdreceivingdtwoddifferentddrugs,dwhich,datdtheirdcurrentddosedformsdandddosages,daredbothdabsor
enticaldamounts.dWhichdtermdbestddenotesdthatdtheddrugsdhavedthedsamedabsorptiondrates?
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS:d D
Twoddrugsdabsorbeddintodthedcirculationdatdthedsamedamountd(indspecificddosagedforms)dhavedthedsamedbio
oequivalent.d“Equivalent”disdincorrectdbecausedthedtermd“bioavailability”disduseddtodexpressdthedextentdofd
”disdincorrectdbecausedthisdtermdrefersdtodtwoddrugsdgivendtogetherdwhosedresultingdeffectdisdgreaterdthandth
drugdgivendalone.d“Compatible”disdincorrectdbecausedthisdtermdisdadgeneraldtermduseddtodindicatedthatdtwod
micaldreactiondwhendmixedd(ordgiven,dindthedcasedofddrugs)dtogether.
DIF: CognitivedLevel:dComprehension
2. Adpatientdisdreceivingdmedicationdviadintravenousdinjection.dWhichdinformationdshoulddthednursedprovide
a. Thedmedicationdwilldcausedfewerdadversedeffectsdwhendgivendintravenously.
b. Thedmedicationdwilldbedabsorbeddslowlydintodthedtissuesdoverdtime.
c. Thedmedication’sdactiondwilldbegindfasterdwhendgivendintravenously.
d. Mostdofdtheddrugdisdinactivateddbydthedliverdbeforeditdreachesdthedtargetdarea.
ANS:d C
Intravenousdinjectionsdaredthedfastestdroutedofdabsorption.dThedintravenousdrouteddoesdnotdaffectdthednumb
avenousdroutedisdnotdadslowdroutedofdabsorption,danddthedintravenousdrouteddoesdnotdcausedinactivationdofd
tdreachesdthedtargetdarea.
DIF: CognitivedLevel:dComprehension
3. Whichdisdtruedregardingdparenteralddrugs?
a. Theydbypassdthedfirst-passdeffect.
b. Theyddecreasedblooddflowdtodthedstomach.
c. Theydaredaltereddbydthedpresencedofdfooddindthedstomach.
d. Theydexertdtheirdeffectsdwhiledcirculatingdindthedbloodstream.
ANS:d A
Drugsdgivendbydthedparenteraldroutedbypassdthedfirst-
passdeffect,dbutdtheydstilldmustdbedabsorbeddintodcellsdanddtissuesdbeforedtheydcandexertdtheirdeffects.dEntera
notdparenteralddrugs,ddecreasedblooddflowdtodthedstomachdanddaredaltereddbyd thedpresencedofdfooddindthedst
tdbedabsorbeddintodcellsdanddtissuesdfromdthedcirculationdbeforedtheydcandexertdtheirdeffects;dtheyddodnotdex
ingdindthedbloodstream.
DIF: CognitivedLevel:dAnalysis
4. Addrug’sdhalf-lifedisdbestddefineddas
a. Thedtimeditdtakesdfordtheddrugdtodelicitdhalfditsdtherapeuticdresponse.
b. Thedtimeditdtakesdone-
halfdofdthedoriginaldamountdofdaddrugdtodreachdthedtargetdcells.
c. Thedtimeditdtakesdone-
halfdofdthedoriginaldamountdofdaddrugdtodbedremoveddfromdthedbody.
d. Thedtimeditdtakesdone-
halfdofdthedoriginaldamountdofdaddrugdtodbedabsorbeddintodthedcirculation.
ANS:d C
d d d d d d d d
ition Sealock Test Bank
d d d
Professionhood and the Knowledge of Nursing I (Seneca College)
d d d d d d d d
Studocudisdnotdsponsoreddordendorseddbydanydcollegedorduniversity
DownloadeddbydAliahdHerrerad()
,Chapter 01: Nursing Practice in Canada and Drug Therapy
d d d d d d d d
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
d d d d d d d d d
MULTIPLEdCHOICE
1. Whichdisdadjudgementdaboutdadparticulardpatient’sdpotentialdneeddordproblem?
a. Adgoal
b. Andassessment
c. Subjectiveddata
d. Adnursingddiagnosis
ANS:d D
Nursingddiagnosisdisdthedphasedofdthednursingdprocessdduringdwhichdadclinicaldjudgementdisdmadedaboutdho
hdconditionsdanddlifedprocessesdordvulnerabilitydfordthatdresponse.
DIF: CognitivedLevel:dKnowledge
2. Thedpatientdisdtodreceivedoraldfurosemided(Lasix)deverydday;dhowever,dbecausedthedpatientdisdunabledtodsw
edicationdorally,dasdordered.dThednursedneedsdtodcontactdthedphysician.dWhatdtypedofdproblemdisdthis?
a. Ad“rightdtime”dproblem
b. Ad“rightddose”dproblem
c. Ad“rightdroute”dproblem
d. Ad“rightdmedication”dproblem
ANS:d C
Thisdisdad“rightdroute”dproblem:dthednursedcannotdassumedthedroutedanddmustdclarifydthedroutedwithdthedpres
me”dproblemdbecausedthedordereddfrequencydhasdnotdchanged.dThisdisdnotdad“rightddose”dproblemdbecause
nabilitydtodswallow.dThisdisdnotdad“rightdmedication”dproblemdbecausedthedmedicationdordereddwilldnotdch
DIF: CognitivedLevel:dApplication
3. Thednursedhasdbeendmonitoringdthedpatient’sdprogressdondhisdnewddrugdregimendsincedthedfirstddosedanddha
dpossibledadversedeffects.dWhatdnursingdprocessdphasedisdthednursedpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingddiagnosis
ANS:d B
Monitoringdthedpatient’sdprogressdisdpartdofdthedevaluationdphase.dPlanning,dimplementation,danddnursingd
bydthisdexample.
DIF: CognitivedLevel:dApplication
4. Thednursedisdcaringdfordadpatientdwhodhasdbeendnewlyddiagnoseddwithdtyped1ddiabetesdmellitus.dWhichdstat
utcomedcriteriondfordthisdpatient?
a. Thedpatientdwilldfollowdinstructions.
b. Thedpatientdwilldnotdexperiencedcomplications.
c. Thedpatientdadheresdtodthednewdinsulindtreatmentdregimen.
d. Thedpatientddemonstratesdsafedinsulindself-administrationdtechnique.
ANS:d D
Havingdthedpatientddemonstratedsafedinsulindself-
administrationdtechniquedisdadspecificdanddmeasurabledoutcomedcriterion.dFollowingdinstructionsdanddavo
pecificdcriteria.dAdherencedtodthednewdinsulindtreatmentdregimendisdnotd objectivedanddwoulddbeddifficultdt
DIF: CognitivedLevel:dApplication
5. Whichdactivitydbestdreflectsdthedimplementationdphasedofdthednursingdprocessdfordthedpatientdwhodisdnewly
, 6. Thednursedisdworkingdduringdadverydbusydnightdshift,danddthedhealthdcaredproviderdhasdjustdgivendthednursed
edtelephone,dbutdthednurseddoesdnotdrecalldthedroute.dWhatdisdthedbestdwaydfordthednursedtodavoiddmedicatio
a. Recopydthedorderdneatlydondthedorderdsheet,dwithdthedmostdcommondroutedindicated
b. Consultdwithdthedpharmacistdfordclarificationdaboutdthedmostdcommondroute
c. Calldthedhealthdcaredproviderdtodclarifydthedroutedofdadministration
d. Withholddtheddrugduntildthedhealthdcaredproviderdvisitsdthedpatient
ANS:d C
Ifdadmedicationdorderddoesdnotdincludedthedroute,dthednursedmustdaskdthedhealthdcaredproviderdtodclarifydit.dN
nistration.
DIF: CognitivedLevel:dApplicationd|dCognitivedLevel:dAnalysis
7. WhichdconstitutesdthedtraditionaldFivedRightsdofdmedicationdadministration?
a. Rightddrug,drightdroute,drightddose,drightdtime,danddrightdpatient
b. Rightddrug,dthedrightdeffect,dthedrightdroute,dthedrightdtime,danddthedrightdpatient
c. Rightdpatient,drightdstrength,drightddiagnosis,drightddrug,danddrightdroute
d. Rightdpatient,drightddiagnosis,drightddrug,drightdroute,danddrightdtime
ANS:d A
ThedtraditionaldFivedRightsdofdmedicationdadministrationdweredconsidereddtodbedRightddrug,dRightdroute,dR
htdpatient.dRightdeffect,drightdstrength,danddrightddiagnosisdarednotdpartdofdthedtraditionaldFivedRights.
DIF: CognitivedLevel:dComprehension
8. Whatdcorrectlyddescribesdthednursingdprocess?
a. Diagnosing,dplanning,dassessing,dimplementing,danddfinallydevaluating
b. Assessing,dthenddiagnosing,dimplementing,danddendingdwithdevaluating
c. Adlinearddirectiondthatdbeginsdwithdassessingdanddcontinuesdthroughddiagnosing,d
planning,danddfinallydimplementing
d. Andongoingdprocessdthatdbeginsdwithdassessingdanddcontinuesdwithddiagnosing,d
planning,dimplementing,danddevaluating
ANS:d D
Thednursingdprocessdisdandongoing,dflexible,dadaptable,danddadjustabledfive-
stepdprocessdthatdbeginsdwithdassessingdanddcontinuesdthroughddiagnosing,dplanning,dimplementing,danddf
endleaddbackdtodanydofdthedotherdphases.
DIF: CognitivedLevel:dApplication
9. Whendthednursedisdconsideringdthedtimingdofdaddrugddose,dwhichdisdmostdimportantdtodassess?
a. Thedpatient’sdidentification
b. Thedpatient’sdweight
c. Thedpatient’sdlastdmeal
d. Anyddrugdordfooddallergies
ANS:d C
Thedpharmacokineticdanddpharmacodynamicdpropertiesdofdtheddrugdneeddtodbedassesseddwithdregarddtodan
fooddinteractionsdordcompatibilitydissues.dThedpatient’sdidentification,dweight,dandddrugdordfooddallergiesd
ming.
DIF: CognitivedLevel:dApplication
10. Thednursedisdwritingdnursingddiagnosesdfordadplandofdcare.dWhichdreflectsdthedcorrectdformatdfordherdnursin
a. Anxiety
b. Anxietydrelateddtodnewddrugdtherapy
c. Anxietydrelateddtodanxiousdfeelingsdaboutddrugdtherapy,dasdevidenceddbyds
tatementsdsuchdasd“I’mdupsetdaboutdhavingdtodgivedmyselfdshots”
d. Anxietydrelateddtodnewddrugdtherapy,dasdevidenceddbydstatementsdsuchdasd“I’md
upsetdaboutdhavingdtodgivedmyselfdshots”
, Chapter 02: Pharmacological Principles
d d d
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
d d d d d d d d d
MULTIPLEdCHOICE
1. Adpatientdisdreceivingdtwoddifferentddrugs,dwhich,datdtheirdcurrentddosedformsdandddosages,daredbothdabsor
enticaldamounts.dWhichdtermdbestddenotesdthatdtheddrugsdhavedthedsamedabsorptiondrates?
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS:d D
Twoddrugsdabsorbeddintodthedcirculationdatdthedsamedamountd(indspecificddosagedforms)dhavedthedsamedbio
oequivalent.d“Equivalent”disdincorrectdbecausedthedtermd“bioavailability”disduseddtodexpressdthedextentdofd
”disdincorrectdbecausedthisdtermdrefersdtodtwoddrugsdgivendtogetherdwhosedresultingdeffectdisdgreaterdthandth
drugdgivendalone.d“Compatible”disdincorrectdbecausedthisdtermdisdadgeneraldtermduseddtodindicatedthatdtwod
micaldreactiondwhendmixedd(ordgiven,dindthedcasedofddrugs)dtogether.
DIF: CognitivedLevel:dComprehension
2. Adpatientdisdreceivingdmedicationdviadintravenousdinjection.dWhichdinformationdshoulddthednursedprovide
a. Thedmedicationdwilldcausedfewerdadversedeffectsdwhendgivendintravenously.
b. Thedmedicationdwilldbedabsorbeddslowlydintodthedtissuesdoverdtime.
c. Thedmedication’sdactiondwilldbegindfasterdwhendgivendintravenously.
d. Mostdofdtheddrugdisdinactivateddbydthedliverdbeforeditdreachesdthedtargetdarea.
ANS:d C
Intravenousdinjectionsdaredthedfastestdroutedofdabsorption.dThedintravenousdrouteddoesdnotdaffectdthednumb
avenousdroutedisdnotdadslowdroutedofdabsorption,danddthedintravenousdrouteddoesdnotdcausedinactivationdofd
tdreachesdthedtargetdarea.
DIF: CognitivedLevel:dComprehension
3. Whichdisdtruedregardingdparenteralddrugs?
a. Theydbypassdthedfirst-passdeffect.
b. Theyddecreasedblooddflowdtodthedstomach.
c. Theydaredaltereddbydthedpresencedofdfooddindthedstomach.
d. Theydexertdtheirdeffectsdwhiledcirculatingdindthedbloodstream.
ANS:d A
Drugsdgivendbydthedparenteraldroutedbypassdthedfirst-
passdeffect,dbutdtheydstilldmustdbedabsorbeddintodcellsdanddtissuesdbeforedtheydcandexertdtheirdeffects.dEntera
notdparenteralddrugs,ddecreasedblooddflowdtodthedstomachdanddaredaltereddbyd thedpresencedofdfooddindthedst
tdbedabsorbeddintodcellsdanddtissuesdfromdthedcirculationdbeforedtheydcandexertdtheirdeffects;dtheyddodnotdex
ingdindthedbloodstream.
DIF: CognitivedLevel:dAnalysis
4. Addrug’sdhalf-lifedisdbestddefineddas
a. Thedtimeditdtakesdfordtheddrugdtodelicitdhalfditsdtherapeuticdresponse.
b. Thedtimeditdtakesdone-
halfdofdthedoriginaldamountdofdaddrugdtodreachdthedtargetdcells.
c. Thedtimeditdtakesdone-
halfdofdthedoriginaldamountdofdaddrugdtodbedremoveddfromdthedbody.
d. Thedtimeditdtakesdone-
halfdofdthedoriginaldamountdofdaddrugdtodbedabsorbeddintodthedcirculation.
ANS:d C
