lOMoARcPSD|13728229
lOMoARcPSD|13728229
Complete Test Bank Lilleys Pharmacology for
Health Care Practice 4th Edition Sealock Qu
Verified Answers with rationales (Chapter 1-5
Professionhood and the Knowledge of Nursing I
d d d d d d
, lOMoARcPSD|13728229
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
MULTIPLE CHOICE d
1. Which is a judgement about a particular patient’s potential need or problem?
d d d d d d d d d d d
a. A goal d
b. An assessment d
c. Subjective data d
d. A nursing diagnosis d d
ANS: D d
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how
d d d d d d d d d d d d d d d d d
conditions and life processes or vulnerability for that response.
d d d d d d d d
DIF: Cognitive Level: Knowledge d d
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swall
d d d d d d d d d d d d d d d d d
dication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
d d d d d d d d d d d d d d d d
a. A “right time” problemd d d
b. A “right dose” problemd d d
c. A “right route” problem
d d d
d. A “right medication” problem
d d d
ANS: C d
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the presc
d d d d d d d d d d d d d d d d d d d
” problem because the ordered frequency has not changed. This is not a “right dose” problem because the d
d d d d d d d d d d d d d d d d d d
ty to swallow. This is not a “right medication” problem because the medication ordered will not change, ju
d d d d d d d d d d d d d d d d d
DIF: Cognitive Level: Application d d
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and has b
d d d d d d d d d d d d d d d d d d d
ossible adverse effects. What nursing process phase is the nurse practising?
d d d d d d d d d d
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis d
ANS: B d
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursing d
d d d d d d d d d d d d d d
y this example.
d d
DIF: Cognitive Level: Application d d
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statem
d d d d d d d d d d d d d d d d d d
ome criterion for this patient?
d d d d
a. The patient will follow instructions.
d d d d
b. The patient will not experience complications.
d d d d d
c. The patient adheres to the new insulin treatment regimen.
d d d d d d d d
d. The patient demonstrates safe insulin self-administration technique.
d d d d d d
ANS: D d
Having the patient demonstrate safe insulin self-
d d d d d d
administration technique is a specific and measurable outcome criterion. Following instructions and avoid
d d d d d d d d d d d d
cific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to me
d d d d d d d d d d d d d d d d d
DIF: Cognitive Level: Application d d
, lOMoARcPSD|13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a m
d d d d d d d d d d d d d d d d d d d d d
elephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication err
d d d d d d d d d d d d d d d d d d d d
a. Recopy the order neatly on the order sheet, with the most common route indicated
d d d d d d d d d d d d d
b. Consult with the pharmacist for clarification about the most common route
d d d d d d d d d d
c. Call the health care provider to clarify the route of administration
d d d d d d d d d d
d. Withhold the drug until the health care provider visits the patient
d d d d d d d d d d
ANS: C d
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Ne
d d d d d d d d d d d d d d d d d d d d
ation.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
d d d d d d
7. Which constitutes the traditional Five Rights of medication administration?
d d d d d d d d
a. Right drug, right route, right dose, right time, and right patient
d d d d d d d d d d
b. Right drug, the right effect, the right route, the right time, and the right patient
d d d d d d d d d d d d d d
c. Right patient, right strength, right diagnosis, right drug, and right route
d d d d d d d d d d
d. Right patient, right diagnosis, right drug, right route, and right time
d d d d d d d d d d
ANS: A d
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Ri
d d d d d d d d d d d d d d d
atient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
d d d d d d d d d d d d d d d
DIF: Cognitive Level: Comprehension d d
8. What correctly describes the nursing process?
d d d d d
a. Diagnosing, planning, assessing, implementing, and finally evaluating d d d d d d
b. Assessing, then diagnosing, implementing, and ending with evaluating
d d d d d d d
c. A linear direction that begins with assessing and continues through diagnosing, pl
d d d d d d d d d d d
anning, and finally implementing d d d
d. An ongoing process that begins with assessing and continues with diagnosing, pl
d d d d d d d d d d d
anning, implementing, and evaluatingd d d
ANS: D d
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
d d d d d d d d d d
step process that begins with assessing and continues through diagnosing, planning, implementing, and fin
d d d d d d d d d d d d d
then lead back to any of the other phases.
d d d d d d d d
DIF: Cognitive Level: Application d d
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
d d d d d d d d d d d d d d d d
a. The patient’s identification d d
b. The patient’s weight d d
c. The patient’s last meal d d d
d. Any drug or food allergies d d d d
ANS: C d
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any d
d d d d d d d d d d d d d d d d
food interactions or compatibility issues. The patient’s identification, weight, and drug or food allergies ar
d d d d d d d d d d d d d d
g.
DIF: Cognitive Level: Application d d
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing
d d d d d d d d d d d d d d d d d d d
a. Anxiety
b. Anxiety related to new drug therapy d d d d d
c. Anxiety related to anxious feelings about drug therapy, as evidenced by st
d d d d d d d d d d d
atements such as “I’m upset about having to give myself shots”
d d d d d d d d d d
d. Anxiety related to new drug therapy, as evidenced by statements such as “I’m up
d d d d d d d d d d d d d
set about having to give myself shots”
d d d d d d
, lOMoARcPSD|13728229
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
MULTIPLE CHOICE d
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbe
d d d d d d d d d d d d d d d d d
tical amounts. Which term best denotes that the drugs have the same absorption rates?
d d d d d d d d d d d d d
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D d
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioav
d d d d d d d d d d d d d d d d d
quivalent. “Equivalent” is incorrect because the term “bioavailability” is used to express the extent of drug
d d d d d d d d d d d d d d d
incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum
d d d d d d d d d d d d d d d d d
ven alone. “Compatible” is incorrect because this term is a general term used to indicate that two substanc
d d d d d d d d d d d d d d d d d
tion when mixed (or given, in the case of drugs) together.
d d d d d d d d d d
DIF: Cognitive Level: Comprehension d d
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide f
d d d d d d d d d d d d d d
a. The medication will cause fewer adverse effects when given intravenously.
d d d d d d d d d
b. The medication will be absorbed slowly into the tissues over time.
d d d d d d d d d d
c. The medication’s action will begin faster when given intravenously.
d d d d d d d d
d. Most of the drug is inactivated by the liver before it reaches the target area.
d d d d d d d d d d d d d d
ANS: C d
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number
d d d d d d d d d d d d d d d
venous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the
d d d d d d d d d d d d d d d d d d
aches the target area. d d d
DIF: Cognitive Level: Comprehension d d
3. Which is true regarding parenteral drugs?
d d d d d
a. They bypass the first-pass effect. d d d d
b. They decrease blood flow to the stomach. d d d d d d
c. They are altered by the presence of food in the stomach.
d d d d d d d d d d
d. They exert their effects while circulating in the bloodstream.
d d d d d d d d
ANS: A d
Drugs given by the parenteral route bypass the first-
d d d d d d d d
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Enteral
d d d d d d d d d d d d d d d d d d d
t parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomac
d d d d d d d d d d d d d d d d d d d
bsorbed into cells and tissues from the circulation before they can exert their effects; they do not exert thei
d d d d d d d d d d d d d d d d d d
he bloodstream.
d
DIF: Cognitive Level: Analysis d d
4. A drug’s half-life is best defined as
d d d d d d
a. The time it takes for the drug to elicit half its therapeutic response.
d d d d d d d d d d d d
b. The time it takes one- d d d d
half of the original amount of a drug to reach the target cells.
d d d d d d d d d d d d
c. The time it takes one-
d d d d
half of the original amount of a drug to be removed from the body.
d d d d d d d d d d d d d
d. The time it takes one-
d d d d
half of the original amount of a drug to be absorbed into the circulation.
d d d d d d d d d d d d d
ANS: C d
lOMoARcPSD|13728229
Complete Test Bank Lilleys Pharmacology for
Health Care Practice 4th Edition Sealock Qu
Verified Answers with rationales (Chapter 1-5
Professionhood and the Knowledge of Nursing I
d d d d d d
, lOMoARcPSD|13728229
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
MULTIPLE CHOICE d
1. Which is a judgement about a particular patient’s potential need or problem?
d d d d d d d d d d d
a. A goal d
b. An assessment d
c. Subjective data d
d. A nursing diagnosis d d
ANS: D d
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how
d d d d d d d d d d d d d d d d d
conditions and life processes or vulnerability for that response.
d d d d d d d d
DIF: Cognitive Level: Knowledge d d
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swall
d d d d d d d d d d d d d d d d d
dication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
d d d d d d d d d d d d d d d d
a. A “right time” problemd d d
b. A “right dose” problemd d d
c. A “right route” problem
d d d
d. A “right medication” problem
d d d
ANS: C d
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the presc
d d d d d d d d d d d d d d d d d d d
” problem because the ordered frequency has not changed. This is not a “right dose” problem because the d
d d d d d d d d d d d d d d d d d d
ty to swallow. This is not a “right medication” problem because the medication ordered will not change, ju
d d d d d d d d d d d d d d d d d
DIF: Cognitive Level: Application d d
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and has b
d d d d d d d d d d d d d d d d d d d
ossible adverse effects. What nursing process phase is the nurse practising?
d d d d d d d d d d
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis d
ANS: B d
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursing d
d d d d d d d d d d d d d d
y this example.
d d
DIF: Cognitive Level: Application d d
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statem
d d d d d d d d d d d d d d d d d d
ome criterion for this patient?
d d d d
a. The patient will follow instructions.
d d d d
b. The patient will not experience complications.
d d d d d
c. The patient adheres to the new insulin treatment regimen.
d d d d d d d d
d. The patient demonstrates safe insulin self-administration technique.
d d d d d d
ANS: D d
Having the patient demonstrate safe insulin self-
d d d d d d
administration technique is a specific and measurable outcome criterion. Following instructions and avoid
d d d d d d d d d d d d
cific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to me
d d d d d d d d d d d d d d d d d
DIF: Cognitive Level: Application d d
, lOMoARcPSD|13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a m
d d d d d d d d d d d d d d d d d d d d d
elephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication err
d d d d d d d d d d d d d d d d d d d d
a. Recopy the order neatly on the order sheet, with the most common route indicated
d d d d d d d d d d d d d
b. Consult with the pharmacist for clarification about the most common route
d d d d d d d d d d
c. Call the health care provider to clarify the route of administration
d d d d d d d d d d
d. Withhold the drug until the health care provider visits the patient
d d d d d d d d d d
ANS: C d
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Ne
d d d d d d d d d d d d d d d d d d d d
ation.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
d d d d d d
7. Which constitutes the traditional Five Rights of medication administration?
d d d d d d d d
a. Right drug, right route, right dose, right time, and right patient
d d d d d d d d d d
b. Right drug, the right effect, the right route, the right time, and the right patient
d d d d d d d d d d d d d d
c. Right patient, right strength, right diagnosis, right drug, and right route
d d d d d d d d d d
d. Right patient, right diagnosis, right drug, right route, and right time
d d d d d d d d d d
ANS: A d
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Ri
d d d d d d d d d d d d d d d
atient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
d d d d d d d d d d d d d d d
DIF: Cognitive Level: Comprehension d d
8. What correctly describes the nursing process?
d d d d d
a. Diagnosing, planning, assessing, implementing, and finally evaluating d d d d d d
b. Assessing, then diagnosing, implementing, and ending with evaluating
d d d d d d d
c. A linear direction that begins with assessing and continues through diagnosing, pl
d d d d d d d d d d d
anning, and finally implementing d d d
d. An ongoing process that begins with assessing and continues with diagnosing, pl
d d d d d d d d d d d
anning, implementing, and evaluatingd d d
ANS: D d
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
d d d d d d d d d d
step process that begins with assessing and continues through diagnosing, planning, implementing, and fin
d d d d d d d d d d d d d
then lead back to any of the other phases.
d d d d d d d d
DIF: Cognitive Level: Application d d
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
d d d d d d d d d d d d d d d d
a. The patient’s identification d d
b. The patient’s weight d d
c. The patient’s last meal d d d
d. Any drug or food allergies d d d d
ANS: C d
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any d
d d d d d d d d d d d d d d d d
food interactions or compatibility issues. The patient’s identification, weight, and drug or food allergies ar
d d d d d d d d d d d d d d
g.
DIF: Cognitive Level: Application d d
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing
d d d d d d d d d d d d d d d d d d d
a. Anxiety
b. Anxiety related to new drug therapy d d d d d
c. Anxiety related to anxious feelings about drug therapy, as evidenced by st
d d d d d d d d d d d
atements such as “I’m upset about having to give myself shots”
d d d d d d d d d d
d. Anxiety related to new drug therapy, as evidenced by statements such as “I’m up
d d d d d d d d d d d d d
set about having to give myself shots”
d d d d d d
, lOMoARcPSD|13728229
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
MULTIPLE CHOICE d
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbe
d d d d d d d d d d d d d d d d d
tical amounts. Which term best denotes that the drugs have the same absorption rates?
d d d d d d d d d d d d d
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D d
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioav
d d d d d d d d d d d d d d d d d
quivalent. “Equivalent” is incorrect because the term “bioavailability” is used to express the extent of drug
d d d d d d d d d d d d d d d
incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum
d d d d d d d d d d d d d d d d d
ven alone. “Compatible” is incorrect because this term is a general term used to indicate that two substanc
d d d d d d d d d d d d d d d d d
tion when mixed (or given, in the case of drugs) together.
d d d d d d d d d d
DIF: Cognitive Level: Comprehension d d
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide f
d d d d d d d d d d d d d d
a. The medication will cause fewer adverse effects when given intravenously.
d d d d d d d d d
b. The medication will be absorbed slowly into the tissues over time.
d d d d d d d d d d
c. The medication’s action will begin faster when given intravenously.
d d d d d d d d
d. Most of the drug is inactivated by the liver before it reaches the target area.
d d d d d d d d d d d d d d
ANS: C d
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number
d d d d d d d d d d d d d d d
venous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the
d d d d d d d d d d d d d d d d d d
aches the target area. d d d
DIF: Cognitive Level: Comprehension d d
3. Which is true regarding parenteral drugs?
d d d d d
a. They bypass the first-pass effect. d d d d
b. They decrease blood flow to the stomach. d d d d d d
c. They are altered by the presence of food in the stomach.
d d d d d d d d d d
d. They exert their effects while circulating in the bloodstream.
d d d d d d d d
ANS: A d
Drugs given by the parenteral route bypass the first-
d d d d d d d d
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Enteral
d d d d d d d d d d d d d d d d d d d
t parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomac
d d d d d d d d d d d d d d d d d d d
bsorbed into cells and tissues from the circulation before they can exert their effects; they do not exert thei
d d d d d d d d d d d d d d d d d d
he bloodstream.
d
DIF: Cognitive Level: Analysis d d
4. A drug’s half-life is best defined as
d d d d d d
a. The time it takes for the drug to elicit half its therapeutic response.
d d d d d d d d d d d d
b. The time it takes one- d d d d
half of the original amount of a drug to reach the target cells.
d d d d d d d d d d d d
c. The time it takes one-
d d d d
half of the original amount of a drug to be removed from the body.
d d d d d d d d d d d d d
d. The time it takes one-
d d d d
half of the original amount of a drug to be absorbed into the circulation.
d d d d d d d d d d d d d
ANS: C d
