lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
x x x x x x x x
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
x x x x x x x x x
MULTIPLE CHOICE x
1. Which is a judgement about a particular patient‘s potential need or problem?
x x x x x x x x x x x
a. A goal x
b. An assessment x
c. Subjective data x
d. A nursing diagnosis x x
ANS: D x
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how
x x x x x x x x x x x x x x x x x
conditions and life processes or vulnerability for that response.
x x x x x x x x
DIF: Cognitive Level: Knowledge x x
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swall
x x x x x x x x x x x x x x x x x
dication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
x x x x x x x x x x x x x x x x
a. A ―right time‖ problem x x x
b. A ―right dose‖ problem x x x
c. A ―right route‖ problemx x x
d. A ―right medication‖ problem
x x x
ANS: C x
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the presc
x x x x x x x x x x x x x x x x x x x
‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem because the d
x x x x x x x x x x x x x x x x x x
ty to swallow. This is not a ―right medication‖ problem because the medication ordered will not change, ju
x x x x x x x x x x x x x x x x x
DIF: Cognitive Level: Application x x
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has b
x x x x x x x x x x x x x x x x x x x
ossible adverse effects. What nursing process phase is the nurse practising?
x x x x x x x x x x
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis x
ANS: B x
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing d
x x x x x x x x x x x x x x
y this example.
x x
DIF: Cognitive Level: Application x x
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statem
x x x x x x x x x x x x x x x x x x
ome criterion for this patient?
x x x x
a. The patient will follow instructions.
x x x x
b. The patient will not experience complications.
x x x x x
c. The patient adheres to the new insulin treatment regimen.
x x x x x x x x
d. The patient demonstrates safe insulin self-administration technique.
x x x x x x
ANS: D x
Having the patient demonstrate safe insulin self-
x x x x x x
administration technique is a specific and measurable outcome criterion. Following instructions and avoid
x x x x x x x x x x x x
cific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to me
x x x x x x x x x x x x x x x x x
DIF: Cognitive Level: Application x x
, 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
x x x x x x x x x x x x x x x x x x x x x
elephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication err
x x x x x x x x x x x x x x x x x x x x
a. Recopy the order neatly on the order sheet, with the most common route indicated
x x x x x x x x x x x x x
b. Consult with the pharmacist for clarification about the most common route
x x x x x x x x x x
c. Call the health care provider to clarify the route of administration
x x x x x x x x x x
d. Withhold the drug until the health care provider visits the patient
x x x x x x x x x x
ANS: C x
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Ne
x x x x x x x x x x x x x x x x x x x x
ation.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
x x x x x x
7. Which constitutes the traditional Five Rights of medication administration?
x x x x x x x x
a. Right drug, right route, right dose, right time, and right patient
x x x x x x x x x x
b. Right drug, the right effect, the right route, the right time, and the right patient
x x x x x x x x x x x x x x
c. Right patient, right strength, right diagnosis, right drug, and right route
x x x x x x x x x x
d. Right patient, right diagnosis, right drug, right route, and right time
x x x x x x x x x x
ANS: A x
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Ri
x x x x x x x x x x x x x x x
atient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
x x x x x x x x x x x x x x x
DIF: Cognitive Level: Comprehension x x
8. What correctly describes the nursing process?
x x x x x
a. Diagnosing, planning, assessing, implementing, and finally evaluating x x x x x x
b. Assessing, then diagnosing, implementing, and ending with evaluating
x x x x x x x
c. A linear direction that begins with assessing and continues through diagnosing, pl
x x x x x x x x x x x
anning, and finally implementing x x x
d. An ongoing process that begins with assessing and continues with diagnosing, pl
x x x x x x x x x x x
anning, implementing, and evaluatingx x x
ANS: D x
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
x x x x x x x x x x
step process that begins with assessing and continues through diagnosing, planning, implementing, and fin
x x x x x x x x x x x x x
then lead back to any of the other phases.
x x x x x x x x
DIF: Cognitive Level: Application x x
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
x x x x x x x x x x x x x x x x
a. The patient‘s identification x x
b. The patient‘s weight x x
c. The patient‘s last meal x x x
d. Any drug or food allergies x x x x
ANS: C x
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any d
x x x x x x x x x x x x x x x x
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies ar
x x x x x x x x x x x x x x
g.
DIF: Cognitive Level: Application x x
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing
x x x x x x x x x x x x x x x x x x x
a. Anxiety
b. Anxiety related to new drug therapy x x x x x
c. Anxiety related to anxious feelings about drug therapy, as evidenced by st
x x x x x x x x x x x
atements such as ―I‘m upset about having to give myself shots‖
x x x x x x x x x x
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m up
x x x x x x x x x x x x x
set about having to give myself shots‖
x x x x x x
, lOMoARcPSD| 13728229
Chapter 02: Pharmacological Principles
x x x
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
x x x x x x x x x
MULTIPLE CHOICE x
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbe
x x x x x x x x x x x x x x x x x
tical amounts. Which term best denotes that the drugs have the same absorption rates?
x x x x x x x x x x x x x
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D x
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioav
x x x x x x x x x x x x x x x x x
quivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent of drug
x x x x x x x x x x x x x x x
incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum
x x x x x x x x x x x x x x x x x
ven alone. ―Compatible‖ is incorrect because this term is a general term used to indicate that two substanc
x x x x x x x x x x x x x x x x x
tion when mixed (or given, in the case of drugs) together.
x x x x x x x x x x
DIF: Cognitive Level: Comprehension x x
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide f
x x x x x x x x x x x x x x
a. The medication will cause fewer adverse effects when given intravenously.
x x x x x x x x x
b. The medication will be absorbed slowly into the tissues over time.
x x x x x x x x x x
c. The medication‘s action will begin faster when given intravenously.
x x x x x x x x
d. Most of the drug is inactivated by the liver before it reaches the target area.
x x x x x x x x x x x x x x
ANS: C x
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number
x x x x x x x x x x x x x x x
venous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the
x x x x x x x x x x x x x x x x x x
aches the target area. x x x
DIF: Cognitive Level: Comprehension x x
3. Which is true regarding parenteral drugs?
x x x x x
a. They bypass the first-pass effect. x x x x
b. They decrease blood flow to the stomach. x x x x x x
c. They are altered by the presence of food in the stomach.
x x x x x x x x x x
d. They exert their effects while circulating in the bloodstream.
x x x x x x x x
ANS: A x
Drugs given by the parenteral route bypass the first-
x x x x x x x x
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Enteral
x x x x x x x x x x x x x x x x x x x
t parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomac
x x x x x x x x x x x x x x x x x x x
bsorbed into cells and tissues from the circulation before they can exert their effects; they do not exert thei
x x x x x x x x x x x x x x x x x x
he bloodstream.
x
DIF: Cognitive Level: Analysis x x
4. A drug‘s half-life is best defined as
x x x x x x
a. The time it takes for the drug to elicit half its therapeutic response.
x x x x x x x x x x x x
b. The time it takes one- x x x x
half of the original amount of a drug to reach the target cells.
x x x x x x x x x x x x
c. The time it takes one-
x x x x
half of the original amount of a drug to be removed from the body.
x x x x x x x x x x x x x
d. The time it takes one-
x x x x
half of the original amount of a drug to be absorbed into the circulation.
x x x x x x x x x x x x x
ANS: C x
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
x x x x x x x x
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
x x x x x x x x x
MULTIPLE CHOICE x
1. Which is a judgement about a particular patient‘s potential need or problem?
x x x x x x x x x x x
a. A goal x
b. An assessment x
c. Subjective data x
d. A nursing diagnosis x x
ANS: D x
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how
x x x x x x x x x x x x x x x x x
conditions and life processes or vulnerability for that response.
x x x x x x x x
DIF: Cognitive Level: Knowledge x x
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swall
x x x x x x x x x x x x x x x x x
dication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
x x x x x x x x x x x x x x x x
a. A ―right time‖ problem x x x
b. A ―right dose‖ problem x x x
c. A ―right route‖ problemx x x
d. A ―right medication‖ problem
x x x
ANS: C x
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the presc
x x x x x x x x x x x x x x x x x x x
‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem because the d
x x x x x x x x x x x x x x x x x x
ty to swallow. This is not a ―right medication‖ problem because the medication ordered will not change, ju
x x x x x x x x x x x x x x x x x
DIF: Cognitive Level: Application x x
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has b
x x x x x x x x x x x x x x x x x x x
ossible adverse effects. What nursing process phase is the nurse practising?
x x x x x x x x x x
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis x
ANS: B x
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing d
x x x x x x x x x x x x x x
y this example.
x x
DIF: Cognitive Level: Application x x
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statem
x x x x x x x x x x x x x x x x x x
ome criterion for this patient?
x x x x
a. The patient will follow instructions.
x x x x
b. The patient will not experience complications.
x x x x x
c. The patient adheres to the new insulin treatment regimen.
x x x x x x x x
d. The patient demonstrates safe insulin self-administration technique.
x x x x x x
ANS: D x
Having the patient demonstrate safe insulin self-
x x x x x x
administration technique is a specific and measurable outcome criterion. Following instructions and avoid
x x x x x x x x x x x x
cific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to me
x x x x x x x x x x x x x x x x x
DIF: Cognitive Level: Application x x
, 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
x x x x x x x x x x x x x x x x x x x x x
elephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication err
x x x x x x x x x x x x x x x x x x x x
a. Recopy the order neatly on the order sheet, with the most common route indicated
x x x x x x x x x x x x x
b. Consult with the pharmacist for clarification about the most common route
x x x x x x x x x x
c. Call the health care provider to clarify the route of administration
x x x x x x x x x x
d. Withhold the drug until the health care provider visits the patient
x x x x x x x x x x
ANS: C x
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Ne
x x x x x x x x x x x x x x x x x x x x
ation.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
x x x x x x
7. Which constitutes the traditional Five Rights of medication administration?
x x x x x x x x
a. Right drug, right route, right dose, right time, and right patient
x x x x x x x x x x
b. Right drug, the right effect, the right route, the right time, and the right patient
x x x x x x x x x x x x x x
c. Right patient, right strength, right diagnosis, right drug, and right route
x x x x x x x x x x
d. Right patient, right diagnosis, right drug, right route, and right time
x x x x x x x x x x
ANS: A x
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Ri
x x x x x x x x x x x x x x x
atient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
x x x x x x x x x x x x x x x
DIF: Cognitive Level: Comprehension x x
8. What correctly describes the nursing process?
x x x x x
a. Diagnosing, planning, assessing, implementing, and finally evaluating x x x x x x
b. Assessing, then diagnosing, implementing, and ending with evaluating
x x x x x x x
c. A linear direction that begins with assessing and continues through diagnosing, pl
x x x x x x x x x x x
anning, and finally implementing x x x
d. An ongoing process that begins with assessing and continues with diagnosing, pl
x x x x x x x x x x x
anning, implementing, and evaluatingx x x
ANS: D x
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
x x x x x x x x x x
step process that begins with assessing and continues through diagnosing, planning, implementing, and fin
x x x x x x x x x x x x x
then lead back to any of the other phases.
x x x x x x x x
DIF: Cognitive Level: Application x x
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
x x x x x x x x x x x x x x x x
a. The patient‘s identification x x
b. The patient‘s weight x x
c. The patient‘s last meal x x x
d. Any drug or food allergies x x x x
ANS: C x
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any d
x x x x x x x x x x x x x x x x
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies ar
x x x x x x x x x x x x x x
g.
DIF: Cognitive Level: Application x x
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing
x x x x x x x x x x x x x x x x x x x
a. Anxiety
b. Anxiety related to new drug therapy x x x x x
c. Anxiety related to anxious feelings about drug therapy, as evidenced by st
x x x x x x x x x x x
atements such as ―I‘m upset about having to give myself shots‖
x x x x x x x x x x
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m up
x x x x x x x x x x x x x
set about having to give myself shots‖
x x x x x x
, lOMoARcPSD| 13728229
Chapter 02: Pharmacological Principles
x x x
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
x x x x x x x x x
MULTIPLE CHOICE x
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbe
x x x x x x x x x x x x x x x x x
tical amounts. Which term best denotes that the drugs have the same absorption rates?
x x x x x x x x x x x x x
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D x
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioav
x x x x x x x x x x x x x x x x x
quivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent of drug
x x x x x x x x x x x x x x x
incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum
x x x x x x x x x x x x x x x x x
ven alone. ―Compatible‖ is incorrect because this term is a general term used to indicate that two substanc
x x x x x x x x x x x x x x x x x
tion when mixed (or given, in the case of drugs) together.
x x x x x x x x x x
DIF: Cognitive Level: Comprehension x x
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide f
x x x x x x x x x x x x x x
a. The medication will cause fewer adverse effects when given intravenously.
x x x x x x x x x
b. The medication will be absorbed slowly into the tissues over time.
x x x x x x x x x x
c. The medication‘s action will begin faster when given intravenously.
x x x x x x x x
d. Most of the drug is inactivated by the liver before it reaches the target area.
x x x x x x x x x x x x x x
ANS: C x
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number
x x x x x x x x x x x x x x x
venous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the
x x x x x x x x x x x x x x x x x x
aches the target area. x x x
DIF: Cognitive Level: Comprehension x x
3. Which is true regarding parenteral drugs?
x x x x x
a. They bypass the first-pass effect. x x x x
b. They decrease blood flow to the stomach. x x x x x x
c. They are altered by the presence of food in the stomach.
x x x x x x x x x x
d. They exert their effects while circulating in the bloodstream.
x x x x x x x x
ANS: A x
Drugs given by the parenteral route bypass the first-
x x x x x x x x
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Enteral
x x x x x x x x x x x x x x x x x x x
t parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomac
x x x x x x x x x x x x x x x x x x x
bsorbed into cells and tissues from the circulation before they can exert their effects; they do not exert thei
x x x x x x x x x x x x x x x x x x
he bloodstream.
x
DIF: Cognitive Level: Analysis x x
4. A drug‘s half-life is best defined as
x x x x x x
a. The time it takes for the drug to elicit half its therapeutic response.
x x x x x x x x x x x x
b. The time it takes one- x x x x
half of the original amount of a drug to reach the target cells.
x x x x x x x x x x x x
c. The time it takes one-
x x x x
half of the original amount of a drug to be removed from the body.
x x x x x x x x x x x x x
d. The time it takes one-
x x x x
half of the original amount of a drug to be absorbed into the circulation.
x x x x x x x x x x x x x
ANS: C x
