TEST BANK
t
Lilley’s Pharmacology for Canadian Health C
t t t t t
Practice 4th Edition Sealock | All Chapters 1
t t t t t t t t
, lOMoARcPSD|13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
t t t t t t t t
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
t t t t t t t t t
MULTIPLEtCHOICE
1. Whichtistatjudgementtabouttatparticulartpatient’stpotentialtneedtortproblem?
a. Atgoal
b. Antassessment
c. Subjectivetdata
d. Atnursingtdiagnosis
ANS:t D
Nursingtdiagnosististthetphasetoftthetnursingtprocesstduringtwhichtatclinicaltjudgementtistmadetaboutthowtatpat
onstandtlifetprocessestortvulnerabilitytfortthattresponse.
DIF: CognitivetLevel:tKnowledge
2. Thetpatienttisttotreceivetoraltfurosemidet(Lasix)teverytday;thowever,tbecausetthetpatienttistunablettotswallow,
ontorally,tastordered.tThetnursetneedsttotcontacttthetphysician.tWhatttypetoftproblemtistthis?
a. At“rightttime”tproblem
b. At“righttdose”tproblem
c. At“righttroute”tproblem
d. At“righttmedication”tproblem
ANS:t C
Thististat“righttroute”tproblem:tthetnursetcannottassumetthetroutetandtmusttclarifytthetroutetwithtthetprescriber.tT
mtbecausetthetorderedtfrequencythastnottchanged.tThististnottat“righttdose”tproblemtbecausetthetdosetistnottre
w.tThististnottat“righttmedication”tproblemtbecausetthetmedicationtorderedtwilltnottchange,tjusttthetroute.
DIF: CognitivetLevel:tApplication
3. Thetnursethastbeentmonitoringtthetpatient’stprogresstonthistnewtdrugtregimentsincetthetfirsttdosetandthastbeentd
adverseteffects.tWhattnursingtprocesstphasetistthetnursetpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingtdiagnosis
ANS:t B
Monitoringtthetpatient’stprogresstistparttoftthetevaluationtphase.tPlanning,timplementation,tandtnursingtdiagn
example.
DIF: CognitivetLevel:tApplication
4. Thetnursetistcaringtfortatpatienttwhothastbeentnewlytdiagnosedtwithttypet1tdiabetestmellitus.tWhichtstatement
riteriontfortthistpatient?
a. Thetpatienttwilltfollowtinstructions.
b. Thetpatienttwilltnottexperiencetcomplications.
c. Thetpatienttadheresttotthetnewtinsulinttreatmenttregimen.
d. Thetpatienttdemonstratestsafetinsulintself-administrationttechnique.
ANS:t D
Havingtthetpatienttdemonstratetsafetinsulintself-
administrationttechniquetistatspecifictandtmeasurabletoutcometcriterion.tFollowingtinstructionstandtavoidingtco
teria.tAdherencettotthetnewtinsulinttreatmenttregimentistnottobjectivetandtwouldtbetdifficultttotmeasure.
DIF: CognitivetLevel:tApplication
5. Whichtactivitytbesttreflectstthetimplementationtphasetoftthetnursingtprocesstfortthetpatienttwhotistnewlytdiagno
mellitus?
a. Providingteducationtregardingtself-injectionttechnique
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6. Thetnursetistworkingtduringtatverytbusytnighttshift,tandtthethealthtcaretproviderthastjusttgiventthetnursetatmedica
ne,tbuttthetnursetdoestnottrecalltthetroute.tWhattistthetbesttwaytfortthetnursettotavoidtmedicationterrors?
a. Recopytthetordertneatlytontthetordertsheet,twithtthetmosttcommontroutetindicated
b. Consulttwithtthetpharmacisttfortclarificationtabouttthetmosttcommontroute
c. Calltthethealthtcaretproviderttotclarifytthetroutetoftadministration
d. Withholdtthetdrugtuntiltthethealthtcaretprovidertvisitstthetpatient
ANS:t C
Iftatmedicationtordertdoestnottincludetthetroute,tthetnursetmusttasktthethealthtcaretproviderttotclarifytit.tNeverta
DIF: CognitivetLevel:tApplicationt|tCognitivetLevel:tAnalysis
7. WhichtconstitutestthettraditionaltFivetRightstoftmedicationtadministration?
a. Righttdrug,trighttroute,trighttdose,trightttime,tandtrighttpatient
b. Righttdrug,tthetrightteffect,tthetrighttroute,tthetrightttime,tandtthetrighttpatient
c. Righttpatient,trighttstrength,trighttdiagnosis,trighttdrug,tandtrighttroute
d. Righttpatient,trighttdiagnosis,trighttdrug,trighttroute,tandtrightttime
ANS:t A
ThettraditionaltFivetRightstoftmedicationtadministrationtweretconsideredttotbetRighttdrug,tRighttroute,tRighttdo
ghtteffect,trighttstrength,tandtrighttdiagnosistaretnottparttoftthettraditionaltFivetRights.
DIF: CognitivetLevel:tComprehension
8. Whattcorrectlytdescribestthetnursingtprocess?
a. Diagnosing,tplanning,tassessing,timplementing,tandtfinallytevaluating
b. Assessing,tthentdiagnosing,timplementing,tandtendingtwithtevaluating
c. Atlineartdirectiontthattbeginstwithtassessingtandtcontinuestthroughtdiagnosing,tplanni
ng,tandtfinallytimplementing
d. Antongoingtprocesstthattbeginstwithtassessingtandtcontinuestwithtdiagnosing,tplanni
ng,timplementing,tandtevaluating
ANS:t D
Thetnursingtprocesstistantongoing,tflexible,tadaptable,tandtadjustabletfive-
steptprocesstthattbeginstwithtassessingtandtcontinuestthroughtdiagnosing,tplanning,timplementing,tandtfinally
adtbackttotanytoftthetothertphases.
DIF: CognitivetLevel:tApplication
9. Whentthetnursetistconsideringtthettimingtoftatdrugtdose,twhichtistmosttimportantttotassess?
a. Thetpatient’stidentification
b. Thetpatient’stweight
c. Thetpatient’stlasttmeal
d. Anytdrugtortfoodtallergies
ANS:t C
Thetpharmacokinetictandtpharmacodynamictpropertiestoftthetdrugtneedttotbetassessedtwithtregardttotanytdr
foodtinteractionstortcompatibilitytissues.tThetpatient’stidentification,tweight,tandtdrugtortfoodtallergiestaretno
DIF: CognitivetLevel:tApplication
10. Thetnursetistwritingtnursingtdiagnosestfortatplantoftcare.tWhichtreflectstthetcorrecttformattforthertnursingtdiagn
a. Anxiety
b. Anxietytrelatedttotnewtdrugttherapy
c. Anxietytrelatedttotanxioustfeelingstabouttdrugttherapy,tastevidencedtbytsta
tementstsuchtast“I’mtupsettaboutthavingttotgivetmyselftshots”
d. Anxietytrelatedttotnewtdrugttherapy,tastevidencedtbytstatementstsuchtast“I’mtupset
taboutthavingttotgivetmyselftshots”
ANS:t D
Formulationtoftnursingtdiagnosestistusuallytatthree-
steptprocess.tThetonlytcompletetanswertist“Anxietytrelatedttotnewtdrugttherapy,tastevidencedtbytstatementsts
otgivetmyselftshots.’”tThetanswert“Anxiety”tistmissingtthet“relatedtto”tandt“astevidencedtby”tportions.tThetansw
ugttherapy”tistmissingtthet“astevidencedtby”tportiontoftdefiningtcharacteristics.tThet“relatedtto”tsectiontint“Anx
, lOMoARcPSD|13728229
Chapter 02: Pharmacological Principles
t t t
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
t t t t t t t t t
MULTIPLEtCHOICE
1. Atpatienttistreceivingttwotdifferenttdrugs,twhich,tatttheirtcurrenttdosetformstandtdosages,taretbothtabsorbedtin
amounts.tWhichttermtbesttdenotestthattthetdrugsthavetthetsametabsorptiontrates?
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS:t D
Twotdrugstabsorbedtintotthetcirculationtattthetsametamountt(intspecifictdosagetforms)thavetthetsametbioavaila
lent.t“Equivalent”tistincorrecttbecausetthettermt“bioavailability”tistusedttotexpresstthetextenttoftdrugtabsorptio
causetthisttermtrefersttottwotdrugstgiventtogethertwhosetresultingteffecttistgreatertthantthetsumtofttheteffectstof
patible”tistincorrecttbecausetthisttermtistatgeneralttermtusedttotindicatetthatttwotsubstancestdotnotthavetatchem
ven,tintthetcasetoftdrugs)ttogether.
DIF: CognitivetLevel:tComprehension
2. Atpatienttistreceivingtmedicationtviatintravenoustinjection.tWhichtinformationtshouldtthetnursetprovidetfortpati
a. Thetmedicationtwilltcausetfewertadverseteffectstwhentgiventintravenously.
b. Thetmedicationtwilltbetabsorbedtslowlytintotthettissuestoverttime.
c. Thetmedication’stactiontwilltbegintfastertwhentgiventintravenously.
d. Mosttoftthetdrugtistinactivatedtbytthetlivertbeforetittreachestthettargettarea.
ANS:t C
Intravenoustinjectionstaretthetfastesttroutetoftabsorption.tThetintravenoustroutetdoestnottaffecttthetnumbertofta
stroutetistnottatslowtroutetoftabsorption,tandtthetintravenoustroutetdoestnottcausetinactivationtoftthetdrugtbytthe
rgettarea.
DIF: CognitivetLevel:tComprehension
3. Whichtisttruetregardingtparenteraltdrugs?
a. Theytbypasstthetfirst-passteffect.
b. Theytdecreasetbloodtflowttotthetstomach.
c. Theytaretalteredtbytthetpresencetoftfoodtintthetstomach.
d. Theytexertttheirteffectstwhiletcirculatingtintthetbloodstream.
ANS:t A
Drugstgiventbytthetparenteraltroutetbypasstthetfirst-
passteffect,tbutttheytstilltmusttbetabsorbedtintotcellstandttissuestbeforettheytcantexertttheirteffects.tEnteraltdrug
enteraltdrugs,tdecreasetbloodtflowttotthetstomachtandtaretalteredtbytthetpresencetoftfoodtintthetstomach.tPar
edtintotcellstandttissuestfromtthetcirculationtbeforettheytcantexertttheirteffects;ttheytdotnottexertttheirteffectstw
am.
DIF: CognitivetLevel:tAnalysis
4. Atdrug’sthalf-lifetistbesttdefinedtas
a. Thettimetitttakestfortthetdrugttotelicitthalftitsttherapeutictresponse.
b. Thettimetitttakestone-halftoftthetoriginaltamounttoftatdrugttotreachtthettargettcells.
c. Thettimetitttakestone-halftoftthetoriginaltamounttoftatdrugttotbetremovedtfromtthetbody.
d. Thettimetitttakestone-
halftoftthetoriginaltamounttoftatdrugttotbetabsorbedtintotthetcirculation.
ANS:t C
Atdrug’sthalf-lifetistthettimetitttakestfortone-
halftoftthetoriginaltamounttoftatdrugttotbetremovedtfromtthetbody.tIttistatmeasuretoftthetratetattwhichtdrugstare
werstA,tB,tandtDtaretnottcorrecttdefinitionstoftatdrug’sthalf-life.
DIF: CognitivetLevel:tComprehension
t
Lilley’s Pharmacology for Canadian Health C
t t t t t
Practice 4th Edition Sealock | All Chapters 1
t t t t t t t t
, lOMoARcPSD|13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
t t t t t t t t
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
t t t t t t t t t
MULTIPLEtCHOICE
1. Whichtistatjudgementtabouttatparticulartpatient’stpotentialtneedtortproblem?
a. Atgoal
b. Antassessment
c. Subjectivetdata
d. Atnursingtdiagnosis
ANS:t D
Nursingtdiagnosististthetphasetoftthetnursingtprocesstduringtwhichtatclinicaltjudgementtistmadetaboutthowtatpat
onstandtlifetprocessestortvulnerabilitytfortthattresponse.
DIF: CognitivetLevel:tKnowledge
2. Thetpatienttisttotreceivetoraltfurosemidet(Lasix)teverytday;thowever,tbecausetthetpatienttistunablettotswallow,
ontorally,tastordered.tThetnursetneedsttotcontacttthetphysician.tWhatttypetoftproblemtistthis?
a. At“rightttime”tproblem
b. At“righttdose”tproblem
c. At“righttroute”tproblem
d. At“righttmedication”tproblem
ANS:t C
Thististat“righttroute”tproblem:tthetnursetcannottassumetthetroutetandtmusttclarifytthetroutetwithtthetprescriber.tT
mtbecausetthetorderedtfrequencythastnottchanged.tThististnottat“righttdose”tproblemtbecausetthetdosetistnottre
w.tThististnottat“righttmedication”tproblemtbecausetthetmedicationtorderedtwilltnottchange,tjusttthetroute.
DIF: CognitivetLevel:tApplication
3. Thetnursethastbeentmonitoringtthetpatient’stprogresstonthistnewtdrugtregimentsincetthetfirsttdosetandthastbeentd
adverseteffects.tWhattnursingtprocesstphasetistthetnursetpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingtdiagnosis
ANS:t B
Monitoringtthetpatient’stprogresstistparttoftthetevaluationtphase.tPlanning,timplementation,tandtnursingtdiagn
example.
DIF: CognitivetLevel:tApplication
4. Thetnursetistcaringtfortatpatienttwhothastbeentnewlytdiagnosedtwithttypet1tdiabetestmellitus.tWhichtstatement
riteriontfortthistpatient?
a. Thetpatienttwilltfollowtinstructions.
b. Thetpatienttwilltnottexperiencetcomplications.
c. Thetpatienttadheresttotthetnewtinsulinttreatmenttregimen.
d. Thetpatienttdemonstratestsafetinsulintself-administrationttechnique.
ANS:t D
Havingtthetpatienttdemonstratetsafetinsulintself-
administrationttechniquetistatspecifictandtmeasurabletoutcometcriterion.tFollowingtinstructionstandtavoidingtco
teria.tAdherencettotthetnewtinsulinttreatmenttregimentistnottobjectivetandtwouldtbetdifficultttotmeasure.
DIF: CognitivetLevel:tApplication
5. Whichtactivitytbesttreflectstthetimplementationtphasetoftthetnursingtprocesstfortthetpatienttwhotistnewlytdiagno
mellitus?
a. Providingteducationtregardingtself-injectionttechnique
, lOMoARcPSD|13728229
6. Thetnursetistworkingtduringtatverytbusytnighttshift,tandtthethealthtcaretproviderthastjusttgiventthetnursetatmedica
ne,tbuttthetnursetdoestnottrecalltthetroute.tWhattistthetbesttwaytfortthetnursettotavoidtmedicationterrors?
a. Recopytthetordertneatlytontthetordertsheet,twithtthetmosttcommontroutetindicated
b. Consulttwithtthetpharmacisttfortclarificationtabouttthetmosttcommontroute
c. Calltthethealthtcaretproviderttotclarifytthetroutetoftadministration
d. Withholdtthetdrugtuntiltthethealthtcaretprovidertvisitstthetpatient
ANS:t C
Iftatmedicationtordertdoestnottincludetthetroute,tthetnursetmusttasktthethealthtcaretproviderttotclarifytit.tNeverta
DIF: CognitivetLevel:tApplicationt|tCognitivetLevel:tAnalysis
7. WhichtconstitutestthettraditionaltFivetRightstoftmedicationtadministration?
a. Righttdrug,trighttroute,trighttdose,trightttime,tandtrighttpatient
b. Righttdrug,tthetrightteffect,tthetrighttroute,tthetrightttime,tandtthetrighttpatient
c. Righttpatient,trighttstrength,trighttdiagnosis,trighttdrug,tandtrighttroute
d. Righttpatient,trighttdiagnosis,trighttdrug,trighttroute,tandtrightttime
ANS:t A
ThettraditionaltFivetRightstoftmedicationtadministrationtweretconsideredttotbetRighttdrug,tRighttroute,tRighttdo
ghtteffect,trighttstrength,tandtrighttdiagnosistaretnottparttoftthettraditionaltFivetRights.
DIF: CognitivetLevel:tComprehension
8. Whattcorrectlytdescribestthetnursingtprocess?
a. Diagnosing,tplanning,tassessing,timplementing,tandtfinallytevaluating
b. Assessing,tthentdiagnosing,timplementing,tandtendingtwithtevaluating
c. Atlineartdirectiontthattbeginstwithtassessingtandtcontinuestthroughtdiagnosing,tplanni
ng,tandtfinallytimplementing
d. Antongoingtprocesstthattbeginstwithtassessingtandtcontinuestwithtdiagnosing,tplanni
ng,timplementing,tandtevaluating
ANS:t D
Thetnursingtprocesstistantongoing,tflexible,tadaptable,tandtadjustabletfive-
steptprocesstthattbeginstwithtassessingtandtcontinuestthroughtdiagnosing,tplanning,timplementing,tandtfinally
adtbackttotanytoftthetothertphases.
DIF: CognitivetLevel:tApplication
9. Whentthetnursetistconsideringtthettimingtoftatdrugtdose,twhichtistmosttimportantttotassess?
a. Thetpatient’stidentification
b. Thetpatient’stweight
c. Thetpatient’stlasttmeal
d. Anytdrugtortfoodtallergies
ANS:t C
Thetpharmacokinetictandtpharmacodynamictpropertiestoftthetdrugtneedttotbetassessedtwithtregardttotanytdr
foodtinteractionstortcompatibilitytissues.tThetpatient’stidentification,tweight,tandtdrugtortfoodtallergiestaretno
DIF: CognitivetLevel:tApplication
10. Thetnursetistwritingtnursingtdiagnosestfortatplantoftcare.tWhichtreflectstthetcorrecttformattforthertnursingtdiagn
a. Anxiety
b. Anxietytrelatedttotnewtdrugttherapy
c. Anxietytrelatedttotanxioustfeelingstabouttdrugttherapy,tastevidencedtbytsta
tementstsuchtast“I’mtupsettaboutthavingttotgivetmyselftshots”
d. Anxietytrelatedttotnewtdrugttherapy,tastevidencedtbytstatementstsuchtast“I’mtupset
taboutthavingttotgivetmyselftshots”
ANS:t D
Formulationtoftnursingtdiagnosestistusuallytatthree-
steptprocess.tThetonlytcompletetanswertist“Anxietytrelatedttotnewtdrugttherapy,tastevidencedtbytstatementsts
otgivetmyselftshots.’”tThetanswert“Anxiety”tistmissingtthet“relatedtto”tandt“astevidencedtby”tportions.tThetansw
ugttherapy”tistmissingtthet“astevidencedtby”tportiontoftdefiningtcharacteristics.tThet“relatedtto”tsectiontint“Anx
, lOMoARcPSD|13728229
Chapter 02: Pharmacological Principles
t t t
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
t t t t t t t t t
MULTIPLEtCHOICE
1. Atpatienttistreceivingttwotdifferenttdrugs,twhich,tatttheirtcurrenttdosetformstandtdosages,taretbothtabsorbedtin
amounts.tWhichttermtbesttdenotestthattthetdrugsthavetthetsametabsorptiontrates?
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS:t D
Twotdrugstabsorbedtintotthetcirculationtattthetsametamountt(intspecifictdosagetforms)thavetthetsametbioavaila
lent.t“Equivalent”tistincorrecttbecausetthettermt“bioavailability”tistusedttotexpresstthetextenttoftdrugtabsorptio
causetthisttermtrefersttottwotdrugstgiventtogethertwhosetresultingteffecttistgreatertthantthetsumtofttheteffectstof
patible”tistincorrecttbecausetthisttermtistatgeneralttermtusedttotindicatetthatttwotsubstancestdotnotthavetatchem
ven,tintthetcasetoftdrugs)ttogether.
DIF: CognitivetLevel:tComprehension
2. Atpatienttistreceivingtmedicationtviatintravenoustinjection.tWhichtinformationtshouldtthetnursetprovidetfortpati
a. Thetmedicationtwilltcausetfewertadverseteffectstwhentgiventintravenously.
b. Thetmedicationtwilltbetabsorbedtslowlytintotthettissuestoverttime.
c. Thetmedication’stactiontwilltbegintfastertwhentgiventintravenously.
d. Mosttoftthetdrugtistinactivatedtbytthetlivertbeforetittreachestthettargettarea.
ANS:t C
Intravenoustinjectionstaretthetfastesttroutetoftabsorption.tThetintravenoustroutetdoestnottaffecttthetnumbertofta
stroutetistnottatslowtroutetoftabsorption,tandtthetintravenoustroutetdoestnottcausetinactivationtoftthetdrugtbytthe
rgettarea.
DIF: CognitivetLevel:tComprehension
3. Whichtisttruetregardingtparenteraltdrugs?
a. Theytbypasstthetfirst-passteffect.
b. Theytdecreasetbloodtflowttotthetstomach.
c. Theytaretalteredtbytthetpresencetoftfoodtintthetstomach.
d. Theytexertttheirteffectstwhiletcirculatingtintthetbloodstream.
ANS:t A
Drugstgiventbytthetparenteraltroutetbypasstthetfirst-
passteffect,tbutttheytstilltmusttbetabsorbedtintotcellstandttissuestbeforettheytcantexertttheirteffects.tEnteraltdrug
enteraltdrugs,tdecreasetbloodtflowttotthetstomachtandtaretalteredtbytthetpresencetoftfoodtintthetstomach.tPar
edtintotcellstandttissuestfromtthetcirculationtbeforettheytcantexertttheirteffects;ttheytdotnottexertttheirteffectstw
am.
DIF: CognitivetLevel:tAnalysis
4. Atdrug’sthalf-lifetistbesttdefinedtas
a. Thettimetitttakestfortthetdrugttotelicitthalftitsttherapeutictresponse.
b. Thettimetitttakestone-halftoftthetoriginaltamounttoftatdrugttotreachtthettargettcells.
c. Thettimetitttakestone-halftoftthetoriginaltamounttoftatdrugttotbetremovedtfromtthetbody.
d. Thettimetitttakestone-
halftoftthetoriginaltamounttoftatdrugttotbetabsorbedtintotthetcirculation.
ANS:t C
Atdrug’sthalf-lifetistthettimetitttakestfortone-
halftoftthetoriginaltamounttoftatdrugttotbetremovedtfromtthetbody.tIttistatmeasuretoftthetratetattwhichtdrugstare
werstA,tB,tandtDtaretnottcorrecttdefinitionstoftatdrug’sthalf-life.
DIF: CognitivetLevel:tComprehension
