lOMoARcPSD|13728229
TEST BANK
LILLEYS PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE
ALL CHAPTERS 1-58 COVERED
QUESTIONS AND ANSWERS GRADED A+
LATEST UPDATE.
, lOMoARcPSD|13728229
TABLE OF CONTENT
Part One: Pharmacology Basics
1. Nursing Practice in Canada and Drug Therapy
2. Pharmacological Principles
3. Legal and Ethical Considerations
4. Patient Focused Considerations
5. Gene Therapy and Pharmacogenomics
6. Medication Errors: Preventing and Responding
7. Patient Education and Drug Therapy
8. Over-the-Counter Drugs and Natural Health Products
9. Vitamins and Minerals
10. Principles of Drug Administration
Part Two: Drugs Affecting the Central Nervous System
11. Analgesic Drugs
12. General and Local Anaesthetics
13. Central Nervous System Depressants and Muscle Relaxants
14. Central Nervous System Stimulants and Related Drugs
15. Antiepileptic Drugs
16. Antiparkinsonian Drugs
17. Psychotherapeutic Drugs
18. Substance Misuse
Part Three: Drugs Affecting the Autonomic Nervous System
19. Adrenergic Drugs
20. Adrenergic-Blocking Drugs
21. Cholinergic Drugs
22. Cholinergic Blocking Drugs
Part Four: Drugs Affecting the Cardiovascular and Renal Systems
23. Antihypertensive Drugs
24. Antianginal Drugs
25. Heart Failure Drugs
26. Antidysrhythmic Drugs
27. Coagulation Modifier Drugs
28. Antilipemic Drugs
29. Diuretic Drugs
30. Fluids and Electrolytes
Part Five: Drugs Affecting the Endocrine System
31. Pituitary Drugs
32. Thyroid and Antithyroid Drugs
33. Antidiabetic Drugs
34. Adrenal Drugs
35. Women's Health Drugs
36. Men's Health Drugs
Part Six: Drugs Affecting the Respiratory System
37. Antihistamines, Decongestants, Antitussives, and Expectorants
38. Respiratory Drugs
Part Seven: Drugs Affecting the Gastrointestinal System and Nutrition
39. Acid-Controlling Drugs
40. Antidiarrheal Drugs and Laxatives
41. Antiemetic and Antinausea Drugs
42. Nutritional Supplements
Part Eight: Anti-Infective and Anti-Inflammatory Drugs
43. Antibiotics Part 1: Sulfonamides, Penicillins, Cephalosporins, Macrolides, and Tetracycline
44. Antibiotics Part 2: Aminoglycosides, Fluoroquinalones, and Other Drugs
, lOMoARcPSD|13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
MULTIPLE CHOICE
1. Which is a judgement about a particular patient‘s potential need or problem?
a. A goal
b. An assessment
c. Subjective data
d. A nursing diagnosis
ANS: D
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about h
heath conditions and life processes or vulnerability for that response.
DIF: Cognitive Level: Knowledge
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to sw
medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
a. A ―right time‖ problem
b. A ―right dose‖ problem
c. A ―right route‖ problem
d. A ―right medication‖ problem
ANS: C
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the p
time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem beca
an inability to swallow. This is not a ―right medication‖ problem because the medication ordered will n
DIF: Cognitive Level: Application
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and h
of possible adverse effects. What nursing process phase is the nurse practising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis
ANS: B
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing
illustrated by this example.
DIF: Cognitive Level: Application
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which sta
outcome criterion for this patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient adheres to the new insulin treatment regimen.
d. The patient demonstrates safe insulin self-administration technique.
ANS: D
Having the patient demonstrate safe insulin self-administration technique is a specific and measurable o
instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatmen
and would be difficult to measure.
DIF: Cognitive Level: Application
, lOMoARcPSD|13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurs
the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medic
a. Recopy the order neatly on the order sheet, with the most common route indicated
b. Consult with the pharmacist for clarification about the most common route
c. Call the health care provider to clarify the route of administration
d. Withhold the drug until the health care provider visits the patient
ANS: C
If a medication order does not include the route, the nurse must ask the health care provider to clarify it.
administration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
7. Which constitutes the traditional Five Rights of medication administration?
a. Right drug, right route, right dose, right time, and right patient
b. Right drug, the right effect, the right route, the right time, and the right patient
c. Right patient, right strength, right diagnosis, right drug, and right route
d. Right patient, right diagnosis, right drug, right route, and right time
ANS: A
The traditional Five Rights of medication administration were considered to be Right drug, Right route,
Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
DIF: Cognitive Level: Comprehension
8. What correctly describes the nursing process?
a. Diagnosing, planning, assessing, implementing, and finally evaluating
b. Assessing, then diagnosing, implementing, and ending with evaluating
c. A linear direction that begins with assessing and continues through diagnosing,
planning, and finally implementing
d. An ongoing process that begins with assessing and continues with diagnosing,
planning, implementing, and evaluating
ANS: D
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with
through diagnosing, planning, implementing, and finally evaluating, which may then lead back to any o
DIF: Cognitive Level: Application
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
a. The patient‘s identification
b. The patient‘s weight
c. The patient‘s last meal
d. Any drug or food allergies
ANS: C
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to an
compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by
DIF: Cognitive Level: Application
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nurs
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
statements such as ―I‘m upset about having to give myself shots‖
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
upset about having to give myself shots‖
ANS: D
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is ―Anxiet
TEST BANK
LILLEYS PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE
ALL CHAPTERS 1-58 COVERED
QUESTIONS AND ANSWERS GRADED A+
LATEST UPDATE.
, lOMoARcPSD|13728229
TABLE OF CONTENT
Part One: Pharmacology Basics
1. Nursing Practice in Canada and Drug Therapy
2. Pharmacological Principles
3. Legal and Ethical Considerations
4. Patient Focused Considerations
5. Gene Therapy and Pharmacogenomics
6. Medication Errors: Preventing and Responding
7. Patient Education and Drug Therapy
8. Over-the-Counter Drugs and Natural Health Products
9. Vitamins and Minerals
10. Principles of Drug Administration
Part Two: Drugs Affecting the Central Nervous System
11. Analgesic Drugs
12. General and Local Anaesthetics
13. Central Nervous System Depressants and Muscle Relaxants
14. Central Nervous System Stimulants and Related Drugs
15. Antiepileptic Drugs
16. Antiparkinsonian Drugs
17. Psychotherapeutic Drugs
18. Substance Misuse
Part Three: Drugs Affecting the Autonomic Nervous System
19. Adrenergic Drugs
20. Adrenergic-Blocking Drugs
21. Cholinergic Drugs
22. Cholinergic Blocking Drugs
Part Four: Drugs Affecting the Cardiovascular and Renal Systems
23. Antihypertensive Drugs
24. Antianginal Drugs
25. Heart Failure Drugs
26. Antidysrhythmic Drugs
27. Coagulation Modifier Drugs
28. Antilipemic Drugs
29. Diuretic Drugs
30. Fluids and Electrolytes
Part Five: Drugs Affecting the Endocrine System
31. Pituitary Drugs
32. Thyroid and Antithyroid Drugs
33. Antidiabetic Drugs
34. Adrenal Drugs
35. Women's Health Drugs
36. Men's Health Drugs
Part Six: Drugs Affecting the Respiratory System
37. Antihistamines, Decongestants, Antitussives, and Expectorants
38. Respiratory Drugs
Part Seven: Drugs Affecting the Gastrointestinal System and Nutrition
39. Acid-Controlling Drugs
40. Antidiarrheal Drugs and Laxatives
41. Antiemetic and Antinausea Drugs
42. Nutritional Supplements
Part Eight: Anti-Infective and Anti-Inflammatory Drugs
43. Antibiotics Part 1: Sulfonamides, Penicillins, Cephalosporins, Macrolides, and Tetracycline
44. Antibiotics Part 2: Aminoglycosides, Fluoroquinalones, and Other Drugs
, lOMoARcPSD|13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
MULTIPLE CHOICE
1. Which is a judgement about a particular patient‘s potential need or problem?
a. A goal
b. An assessment
c. Subjective data
d. A nursing diagnosis
ANS: D
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about h
heath conditions and life processes or vulnerability for that response.
DIF: Cognitive Level: Knowledge
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to sw
medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
a. A ―right time‖ problem
b. A ―right dose‖ problem
c. A ―right route‖ problem
d. A ―right medication‖ problem
ANS: C
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the p
time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem beca
an inability to swallow. This is not a ―right medication‖ problem because the medication ordered will n
DIF: Cognitive Level: Application
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and h
of possible adverse effects. What nursing process phase is the nurse practising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis
ANS: B
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing
illustrated by this example.
DIF: Cognitive Level: Application
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which sta
outcome criterion for this patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient adheres to the new insulin treatment regimen.
d. The patient demonstrates safe insulin self-administration technique.
ANS: D
Having the patient demonstrate safe insulin self-administration technique is a specific and measurable o
instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatmen
and would be difficult to measure.
DIF: Cognitive Level: Application
, lOMoARcPSD|13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurs
the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medic
a. Recopy the order neatly on the order sheet, with the most common route indicated
b. Consult with the pharmacist for clarification about the most common route
c. Call the health care provider to clarify the route of administration
d. Withhold the drug until the health care provider visits the patient
ANS: C
If a medication order does not include the route, the nurse must ask the health care provider to clarify it.
administration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
7. Which constitutes the traditional Five Rights of medication administration?
a. Right drug, right route, right dose, right time, and right patient
b. Right drug, the right effect, the right route, the right time, and the right patient
c. Right patient, right strength, right diagnosis, right drug, and right route
d. Right patient, right diagnosis, right drug, right route, and right time
ANS: A
The traditional Five Rights of medication administration were considered to be Right drug, Right route,
Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
DIF: Cognitive Level: Comprehension
8. What correctly describes the nursing process?
a. Diagnosing, planning, assessing, implementing, and finally evaluating
b. Assessing, then diagnosing, implementing, and ending with evaluating
c. A linear direction that begins with assessing and continues through diagnosing,
planning, and finally implementing
d. An ongoing process that begins with assessing and continues with diagnosing,
planning, implementing, and evaluating
ANS: D
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with
through diagnosing, planning, implementing, and finally evaluating, which may then lead back to any o
DIF: Cognitive Level: Application
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
a. The patient‘s identification
b. The patient‘s weight
c. The patient‘s last meal
d. Any drug or food allergies
ANS: C
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to an
compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by
DIF: Cognitive Level: Application
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nurs
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
statements such as ―I‘m upset about having to give myself shots‖
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
upset about having to give myself shots‖
ANS: D
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is ―Anxiet
