lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
Chapterg01:gNursinggPracticegingCanadagandgDruggTherapy
Sealock:gLilley’sgPharmacologygforgCanadiangHealthgCaregPractice,g4thgEdition
MULTIPLEgCHOICE
1. Whichgisgagjudgementgaboutgagparticulargpatient’sgpotentialgneedgorgproblem?
a. Aggoal
b. Angassessment
c. Subjectivegdata
d. Agnursinggdiagnosis
ANS:g D
Nursinggdiagnosisgisgthegphasegofgthegnursinggprocessgduringgwhichgagclinicalgjudgementgisgmadegabo
togheathgconditionsgandglifegprocessesgorgvulnerabilitygforgthatgresponse.
DIF: CognitivegLevel:gKnowledge
2. Thegpatientgisgtogreceivegoralgfurosemideg(Lasix)geverygday;ghowever,gbecausegthegpatientgisgunablegt
takegmedicationgorally,gasgordered.gThegnursegneedsgtogcontactgthegphysician.gWhatgtypegofgproblemg
a. Ag“rightgtime”gproblem
b. Ag“rightgdose”gproblem
c. Ag“rightgroute”gproblem
d. Ag“rightgmedication”gproblem
ANS:g C
Thisgisgag“rightgroute”gproblem:gthegnursegcannotgassumegthegroutegandgmustgclarifygthegroutegwithgth
rightgtime”gproblemgbecausegthegorderedgfrequencyghasgnotgchanged.gThisgisgnotgag“rightgdose”gprob
relatedgtoganginabilitygtogswallow.gThisgisgnotgag“rightgmedication”gproblemgbecausegthegmedicationg
tgthegroute.
DIF: CognitivegLevel:gApplication
3. Thegnurseghasgbeengmonitoringgthegpatient’sgprogressgonghisgnewgdruggregimengsincegthegfirstgdosega
ignsgofgpossiblegadversegeffects.gWhatgnursinggprocessgphasegisgthegnursegpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursinggdiagnosis
ANS:g B
Monitoringgthegpatient’sgprogressgisgpartgofgthegevaluationgphase.gPlanning,gimplementation,gandgnurs
ratedgbygthisgexample.
DIF: CognitivegLevel:gApplication
4. Thegnursegisgcaringgforgagpatientgwhoghasgbeengnewlygdiagnosedgwithgtypeg1gdiabetesgmellitus.gWhic
sgangoutcomegcriteriongforgthisgpatient?
a. Thegpatientgwillgfollowginstructions.
b. Thegpatientgwillgnotgexperiencegcomplications.
c. Thegpatientgadheresgtogthegnewginsulingtreatmentgregimen.
d. Thegpatientgdemonstratesgsafeginsulingself-administrationgtechnique.
ANS:g D
Havinggthegpatientgdemonstrategsafeginsulingself-
administrationgtechniquegisgagspecificgandgmeasurablegoutcomegcriterion.gFollowingginstructionsgandg
notgspecificgcriteria.gAdherencegtogthegnewginsulingtreatmentgregimengisgnotgobjectivegandgwouldgbeg
DIF: CognitivegLevel:gApplication
5. Whichgactivitygbestgreflectsgthegimplementationgphasegofgthegnursinggprocessgforgthegpatientgwhogisgn
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6. Thegnursegisgworkinggduringgagverygbusygnightgshift,gandgtheghealthgcaregproviderghasgjustggivengtheg
overgthegtelephone,gbutgthegnursegdoesgnotgrecallgthegroute.gWhatgisgthegbestgwaygforgthegnursegtogavo
a. Recopygthegordergneatlygongthegordergsheet,gwithgthegmostgcommongroutegindicated
b. Consultgwithgthegpharmacistgforgclarificationgaboutgthegmostgcommongroute
c. Callgtheghealthgcaregprovidergtogclarifygthegroutegofgadministration
d. Withholdgthegdrugguntilgtheghealthgcaregprovidergvisitsgthegpatient
ANS:g C
Ifgagmedicationgordergdoesgnotgincludegthegroute,gthegnursegmustgaskgtheghealthgcaregprovidergtogclari
gadministration.
DIF: CognitivegLevel:gApplicationg|gCognitivegLevel:gAnalysis
7. WhichgconstitutesgthegtraditionalgFivegRightsgofgmedicationgadministration?
a. Rightgdrug,grightgroute,grightgdose,grightgtime,gandgrightgpatient
b. Rightgdrug,gthegrightgeffect,gthegrightgroute,gthegrightgtime,gandgthegrightgpatient
c. Rightgpatient,grightgstrength,grightgdiagnosis,grightgdrug,gandgrightgroute
d. Rightgpatient,grightgdiagnosis,grightgdrug,grightgroute,gandgrightgtime
ANS:g A
ThegtraditionalgFivegRightsgofgmedicationgadministrationgweregconsideredgtogbegRightgdrug,gRightgro
gRightgpatient.gRightgeffect,grightgstrength,gandgrightgdiagnosisgaregnotgpartgofgthegtraditionalgFivegRi
DIF: CognitivegLevel:gComprehension
8. Whatgcorrectlygdescribesgthegnursinggprocess?
a. Diagnosing,gplanning,gassessing,gimplementing,gandgfinallygevaluating
b. Assessing,gthengdiagnosing,gimplementing,gandgendinggwithgevaluating
c. Aglineargdirectiongthatgbeginsgwithgassessinggandgcontinuesgthroughgdiagnosin
g,gplanning,gandgfinallygimplementing
d. Angongoinggprocessgthatgbeginsgwithgassessinggandgcontinuesgwithgdiagnosin
g,gplanning,gimplementing,gandgevaluating
ANS:g D
Thegnursinggprocessgisgangongoing,gflexible,gadaptable,gandgadjustablegfive-
stepgprocessgthatgbeginsgwithgassessinggandgcontinuesgthroughgdiagnosing,gplanning,gimplementing,ga
hgmaygthengleadgbackgtoganygofgthegothergphases.
DIF: CognitivegLevel:gApplication
9. Whengthegnursegisgconsideringgthegtiminggofgagdruggdose,gwhichgisgmostgimportantgtogassess?
a. Thegpatient’sgidentification
b. Thegpatient’sgweight
c. Thegpatient’sglastgmeal
d. Anygdruggorgfoodgallergies
ANS:g C
Thegpharmacokineticgandgpharmacodynamicgpropertiesgofgthegdruggneedgtogbegassessedgwithgregardgt
foodginteractionsgorgcompatibilitygissues.gThegpatient’sgidentification,gweight,gandgdruggorgfoodgallerg
’sgtiming.
DIF: CognitivegLevel:gApplication
10. Thegnursegisgwritinggnursinggdiagnosesgforgagplangofgcare.gWhichgreflectsgthegcorrectgformatgforghergn
a. Anxiety
b. Anxietygrelatedgtognewgdruggtherapy
c. Anxietygrelatedgtoganxiousgfeelingsgaboutgdruggtherapy,gasgevidencedg
bygstatementsgsuchgasg“I’mgupsetgaboutghavinggtoggivegmyselfgshots”
d. Anxietygrelatedgtognewgdruggtherapy,gasgevidencedgbygstatementsgsuchgasg“I
’mgupsetgaboutghavinggtoggivegmyselfgshots”
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Chapterg02:gPharmacologicalgPrinciples
Sealock:gLilley’sgPharmacologygforgCanadiangHealthgCaregPractice,g4thgEdition
MULTIPLEgCHOICE
1. Agpatientgisgreceivinggtwogdifferentgdrugs,gwhich,gatgtheirgcurrentgdosegformsgandgdosages,garegbothga
ngingidenticalgamounts.gWhichgtermgbestgdenotesgthatgthegdrugsghavegthegsamegabsorptiongrates?
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS:g D
Twogdrugsgabsorbedgintogthegcirculationgatgthegsamegamountg(ingspecificgdosagegforms)ghavegthegsam
aregbioequivalent.g“Equivalent”gisgincorrectgbecausegthegtermg“bioavailability”gisgusedgtogexpressgthe
“Synergistic”gisgincorrectgbecausegthisgtermgrefersgtogtwogdrugsggivengtogethergwhosegresultinggeffec
thegeffectsgofgeachgdrugggivengalone.g“Compatible”gisgincorrectgbecausegthisgtermgisgaggeneralgtermgu
stancesgdognotghavegagchemicalgreactiongwhengmixedg(orggiven,gingthegcasegofgdrugs)gtogether.
DIF: CognitivegLevel:gComprehension
2. Agpatientgisgreceivinggmedicationgviagintravenousginjection.gWhichginformationgshouldgthegnursegprov
a. Thegmedicationgwillgcausegfewergadversegeffectsgwhenggivengintravenously.
b. Thegmedicationgwillgbegabsorbedgslowlygintogthegtissuesgovergtime.
c. Thegmedication’sgactiongwillgbegingfastergwhenggivengintravenously.
d. Mostgofgthegdruggisginactivatedgbygtheglivergbeforegitgreachesgthegtargetgarea.
ANS:g C
Intravenousginjectionsgaregthegfastestgroutegofgabsorption.gThegintravenousgroutegdoesgnotgaffectgthegn
hegintravenousgroutegisgnotgagslowgroutegofgabsorption,gandgthegintravenousgroutegdoesgnotgcauseginac
glivergbeforegitgreachesgthegtargetgarea.
DIF: CognitivegLevel:gComprehension
3. Whichgisgtruegregardinggparenteralgdrugs?
a. Theygbypassgthegfirst-passgeffect.
b. Theygdecreasegbloodgflowgtogthegstomach.
c. Theygaregalteredgbygthegpresencegofgfoodgingthegstomach.
d. Theygexertgtheirgeffectsgwhilegcirculatinggingthegbloodstream.
ANS:g A
Drugsggivengbygthegparenteralgroutegbypassgthegfirst-
passgeffect,gbutgtheygstillgmustgbegabsorbedgintogcellsgandgtissuesgbeforegtheygcangexertgtheirgeffects.g
rally),gnotgparenteralgdrugs,gdecreasegbloodgflowgtogthegstomachgandgaregalteredgbygthegpresencegofgf
ralgdrugsgmustgbegabsorbedgintogcellsgandgtissuesgfromgthegcirculationgbeforegtheygcangexertgtheirgeff
effectsgwhilegcirculatinggingthegbloodstream.
DIF: CognitivegLevel:gAnalysis
4. Agdrug’sghalf-lifegisgbestgdefinedgas
a. Thegtimegitgtakesgforgthegdruggtogelicitghalfgitsgtherapeuticgresponse.
b. Thegtimegitgtakesgone-
halfgofgthegoriginalgamountgofgagdruggtogreachgthegtargetgcells.
c. Thegtimegitgtakesgone-
halfgofgthegoriginalgamountgofgagdruggtogbegremovedgfromgthegbody.
d. Thegtimegitgtakesgone-
halfgofgthegoriginalgamountgofgagdruggtogbegabsorbedgintogthegcirculation.
ANS:g C
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Chapterg01:gNursinggPracticegingCanadagandgDruggTherapy
Sealock:gLilley’sgPharmacologygforgCanadiangHealthgCaregPractice,g4thgEdition
MULTIPLEgCHOICE
1. Whichgisgagjudgementgaboutgagparticulargpatient’sgpotentialgneedgorgproblem?
a. Aggoal
b. Angassessment
c. Subjectivegdata
d. Agnursinggdiagnosis
ANS:g D
Nursinggdiagnosisgisgthegphasegofgthegnursinggprocessgduringgwhichgagclinicalgjudgementgisgmadegabo
togheathgconditionsgandglifegprocessesgorgvulnerabilitygforgthatgresponse.
DIF: CognitivegLevel:gKnowledge
2. Thegpatientgisgtogreceivegoralgfurosemideg(Lasix)geverygday;ghowever,gbecausegthegpatientgisgunablegt
takegmedicationgorally,gasgordered.gThegnursegneedsgtogcontactgthegphysician.gWhatgtypegofgproblemg
a. Ag“rightgtime”gproblem
b. Ag“rightgdose”gproblem
c. Ag“rightgroute”gproblem
d. Ag“rightgmedication”gproblem
ANS:g C
Thisgisgag“rightgroute”gproblem:gthegnursegcannotgassumegthegroutegandgmustgclarifygthegroutegwithgth
rightgtime”gproblemgbecausegthegorderedgfrequencyghasgnotgchanged.gThisgisgnotgag“rightgdose”gprob
relatedgtoganginabilitygtogswallow.gThisgisgnotgag“rightgmedication”gproblemgbecausegthegmedicationg
tgthegroute.
DIF: CognitivegLevel:gApplication
3. Thegnurseghasgbeengmonitoringgthegpatient’sgprogressgonghisgnewgdruggregimengsincegthegfirstgdosega
ignsgofgpossiblegadversegeffects.gWhatgnursinggprocessgphasegisgthegnursegpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursinggdiagnosis
ANS:g B
Monitoringgthegpatient’sgprogressgisgpartgofgthegevaluationgphase.gPlanning,gimplementation,gandgnurs
ratedgbygthisgexample.
DIF: CognitivegLevel:gApplication
4. Thegnursegisgcaringgforgagpatientgwhoghasgbeengnewlygdiagnosedgwithgtypeg1gdiabetesgmellitus.gWhic
sgangoutcomegcriteriongforgthisgpatient?
a. Thegpatientgwillgfollowginstructions.
b. Thegpatientgwillgnotgexperiencegcomplications.
c. Thegpatientgadheresgtogthegnewginsulingtreatmentgregimen.
d. Thegpatientgdemonstratesgsafeginsulingself-administrationgtechnique.
ANS:g D
Havinggthegpatientgdemonstrategsafeginsulingself-
administrationgtechniquegisgagspecificgandgmeasurablegoutcomegcriterion.gFollowingginstructionsgandg
notgspecificgcriteria.gAdherencegtogthegnewginsulingtreatmentgregimengisgnotgobjectivegandgwouldgbeg
DIF: CognitivegLevel:gApplication
5. Whichgactivitygbestgreflectsgthegimplementationgphasegofgthegnursinggprocessgforgthegpatientgwhogisgn
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6. Thegnursegisgworkinggduringgagverygbusygnightgshift,gandgtheghealthgcaregproviderghasgjustggivengtheg
overgthegtelephone,gbutgthegnursegdoesgnotgrecallgthegroute.gWhatgisgthegbestgwaygforgthegnursegtogavo
a. Recopygthegordergneatlygongthegordergsheet,gwithgthegmostgcommongroutegindicated
b. Consultgwithgthegpharmacistgforgclarificationgaboutgthegmostgcommongroute
c. Callgtheghealthgcaregprovidergtogclarifygthegroutegofgadministration
d. Withholdgthegdrugguntilgtheghealthgcaregprovidergvisitsgthegpatient
ANS:g C
Ifgagmedicationgordergdoesgnotgincludegthegroute,gthegnursegmustgaskgtheghealthgcaregprovidergtogclari
gadministration.
DIF: CognitivegLevel:gApplicationg|gCognitivegLevel:gAnalysis
7. WhichgconstitutesgthegtraditionalgFivegRightsgofgmedicationgadministration?
a. Rightgdrug,grightgroute,grightgdose,grightgtime,gandgrightgpatient
b. Rightgdrug,gthegrightgeffect,gthegrightgroute,gthegrightgtime,gandgthegrightgpatient
c. Rightgpatient,grightgstrength,grightgdiagnosis,grightgdrug,gandgrightgroute
d. Rightgpatient,grightgdiagnosis,grightgdrug,grightgroute,gandgrightgtime
ANS:g A
ThegtraditionalgFivegRightsgofgmedicationgadministrationgweregconsideredgtogbegRightgdrug,gRightgro
gRightgpatient.gRightgeffect,grightgstrength,gandgrightgdiagnosisgaregnotgpartgofgthegtraditionalgFivegRi
DIF: CognitivegLevel:gComprehension
8. Whatgcorrectlygdescribesgthegnursinggprocess?
a. Diagnosing,gplanning,gassessing,gimplementing,gandgfinallygevaluating
b. Assessing,gthengdiagnosing,gimplementing,gandgendinggwithgevaluating
c. Aglineargdirectiongthatgbeginsgwithgassessinggandgcontinuesgthroughgdiagnosin
g,gplanning,gandgfinallygimplementing
d. Angongoinggprocessgthatgbeginsgwithgassessinggandgcontinuesgwithgdiagnosin
g,gplanning,gimplementing,gandgevaluating
ANS:g D
Thegnursinggprocessgisgangongoing,gflexible,gadaptable,gandgadjustablegfive-
stepgprocessgthatgbeginsgwithgassessinggandgcontinuesgthroughgdiagnosing,gplanning,gimplementing,ga
hgmaygthengleadgbackgtoganygofgthegothergphases.
DIF: CognitivegLevel:gApplication
9. Whengthegnursegisgconsideringgthegtiminggofgagdruggdose,gwhichgisgmostgimportantgtogassess?
a. Thegpatient’sgidentification
b. Thegpatient’sgweight
c. Thegpatient’sglastgmeal
d. Anygdruggorgfoodgallergies
ANS:g C
Thegpharmacokineticgandgpharmacodynamicgpropertiesgofgthegdruggneedgtogbegassessedgwithgregardgt
foodginteractionsgorgcompatibilitygissues.gThegpatient’sgidentification,gweight,gandgdruggorgfoodgallerg
’sgtiming.
DIF: CognitivegLevel:gApplication
10. Thegnursegisgwritinggnursinggdiagnosesgforgagplangofgcare.gWhichgreflectsgthegcorrectgformatgforghergn
a. Anxiety
b. Anxietygrelatedgtognewgdruggtherapy
c. Anxietygrelatedgtoganxiousgfeelingsgaboutgdruggtherapy,gasgevidencedg
bygstatementsgsuchgasg“I’mgupsetgaboutghavinggtoggivegmyselfgshots”
d. Anxietygrelatedgtognewgdruggtherapy,gasgevidencedgbygstatementsgsuchgasg“I
’mgupsetgaboutghavinggtoggivegmyselfgshots”
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Chapterg02:gPharmacologicalgPrinciples
Sealock:gLilley’sgPharmacologygforgCanadiangHealthgCaregPractice,g4thgEdition
MULTIPLEgCHOICE
1. Agpatientgisgreceivinggtwogdifferentgdrugs,gwhich,gatgtheirgcurrentgdosegformsgandgdosages,garegbothga
ngingidenticalgamounts.gWhichgtermgbestgdenotesgthatgthegdrugsghavegthegsamegabsorptiongrates?
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS:g D
Twogdrugsgabsorbedgintogthegcirculationgatgthegsamegamountg(ingspecificgdosagegforms)ghavegthegsam
aregbioequivalent.g“Equivalent”gisgincorrectgbecausegthegtermg“bioavailability”gisgusedgtogexpressgthe
“Synergistic”gisgincorrectgbecausegthisgtermgrefersgtogtwogdrugsggivengtogethergwhosegresultinggeffec
thegeffectsgofgeachgdrugggivengalone.g“Compatible”gisgincorrectgbecausegthisgtermgisgaggeneralgtermgu
stancesgdognotghavegagchemicalgreactiongwhengmixedg(orggiven,gingthegcasegofgdrugs)gtogether.
DIF: CognitivegLevel:gComprehension
2. Agpatientgisgreceivinggmedicationgviagintravenousginjection.gWhichginformationgshouldgthegnursegprov
a. Thegmedicationgwillgcausegfewergadversegeffectsgwhenggivengintravenously.
b. Thegmedicationgwillgbegabsorbedgslowlygintogthegtissuesgovergtime.
c. Thegmedication’sgactiongwillgbegingfastergwhenggivengintravenously.
d. Mostgofgthegdruggisginactivatedgbygtheglivergbeforegitgreachesgthegtargetgarea.
ANS:g C
Intravenousginjectionsgaregthegfastestgroutegofgabsorption.gThegintravenousgroutegdoesgnotgaffectgthegn
hegintravenousgroutegisgnotgagslowgroutegofgabsorption,gandgthegintravenousgroutegdoesgnotgcauseginac
glivergbeforegitgreachesgthegtargetgarea.
DIF: CognitivegLevel:gComprehension
3. Whichgisgtruegregardinggparenteralgdrugs?
a. Theygbypassgthegfirst-passgeffect.
b. Theygdecreasegbloodgflowgtogthegstomach.
c. Theygaregalteredgbygthegpresencegofgfoodgingthegstomach.
d. Theygexertgtheirgeffectsgwhilegcirculatinggingthegbloodstream.
ANS:g A
Drugsggivengbygthegparenteralgroutegbypassgthegfirst-
passgeffect,gbutgtheygstillgmustgbegabsorbedgintogcellsgandgtissuesgbeforegtheygcangexertgtheirgeffects.g
rally),gnotgparenteralgdrugs,gdecreasegbloodgflowgtogthegstomachgandgaregalteredgbygthegpresencegofgf
ralgdrugsgmustgbegabsorbedgintogcellsgandgtissuesgfromgthegcirculationgbeforegtheygcangexertgtheirgeff
effectsgwhilegcirculatinggingthegbloodstream.
DIF: CognitivegLevel:gAnalysis
4. Agdrug’sghalf-lifegisgbestgdefinedgas
a. Thegtimegitgtakesgforgthegdruggtogelicitghalfgitsgtherapeuticgresponse.
b. Thegtimegitgtakesgone-
halfgofgthegoriginalgamountgofgagdruggtogreachgthegtargetgcells.
c. Thegtimegitgtakesgone-
halfgofgthegoriginalgamountgofgagdruggtogbegremovedgfromgthegbody.
d. Thegtimegitgtakesgone-
halfgofgthegoriginalgamountgofgagdruggtogbegabsorbedgintogthegcirculation.
ANS:g C
