TESTBANK e
LILLEY'S PHARMACOLOGYFOR CANADIAN HEALTH CARE PRACTICE
e e e e e e
KARASEALOCK
e
4th Edition
e
TESTBANK e
, lOMoAR e cPSD|
e3013804
lOMoAR e cPSD| e 3013804
Chapter 01: Nursing Practice in Canada and Drug Therapy
e e e e e e e e
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
e e e e e e e e e
MULTIPLE CHOICE e
1. Which is a judgement about a particular patient’s potential need or problem?
e e e e e e e e e e e
a. A goal e
b. An assessment e
c. Subjective data e
d. A nursing diagnosis
e e
ANS: D e
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a p
e e e e e e e e e e e e e e e e e e e
conditions and life processes or vulnerability for that response.
e e e e e e e e e
DIF: Cognitive Level: Knowledge e e
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow
e e e e e e e e e e e e e e e e e
e medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
e e e e e e e e e e e e e e e e
a. A “right time” problem
e e e
b. A “right dose” problem
e e e
c. A “right route” problem
e e e
d. A “right medication” problem
e e e
ANS: C e
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the prescr
e e e e e e e e e e e e e e e e e e e
problem because the ordered frequency has not changed. This is not a “right dose” problem because the dose
e e e e e e e e e e e e e e e e e e
swallow. This is not a “right medication” problem because the medication ordered will not change, just the r
e e e e e e e e e e e e e e e e e e
DIF: Cognitive Level: Application e e
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and has been
e e e e e e e e e e e e e e e e e e e
possible adverse effects. What nursing process phase is the nurse practising?
e e e e e e e e e e e
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis e
ANS: B e
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursing diag
e e e e e e e e e e e e e e
this example.
e e
DIF: Cognitive Level: Application e e
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statemen
e e e e e e e e e e e e e e e e e e
e outcome criterion for this patient? e e e e
a. The patient will follow instructions.
e e e e
b. The patient will not experience complications.
e e e e e
c. The patient adheres to the new insulin treatment regimen.
e e e e e e e e
d. The patient demonstrates safe insulin self-administration technique.
e e e e e e
ANS: D e
Having the patient demonstrate safe insulin self-administration technique is a specific and measurable outco
e e e e e e e e e e e e e
instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatment reg
e e e e e e e e e e e e e e e
would be difficult to measure.
e e e e e
DIF: Cognitive Level: Application e e
, lOMoAR e cPSD|
e3013804
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a med
e e e e e e e e e e e e e e e e e e e e e
e telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication erro
e e e e e e e e e e e e e e e e e e e e
a. Recopy the order neatly on the order sheet, with the most common route indicated
e e e e e e e e e e e e e
b. Consult with the pharmacist for clarification about the most common route
e e e e e e e e e e
c. Call the health care provider to clarify the route of administration
e e e e e e e e e e
d. Withhold the drug until the health care provider visits the patient e e e e e e e e e e
ANS: C e
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Never
e e e e e e e e e e e e e e e e e e e e
administration.
e
DIF: Cognitive Level: Application | Cognitive Level: Analysis e e e e e e
7. Which constitutes the traditional Five Rights of medication administration?
e e e e e e e e
a. Right drug, right route, right dose, right time, and right patient
e e e e e e e e e e
b. Right drug, the right effect, the right route, the right time, and the right patient
e e e e e e e e e e e e e e
c. Right patient, right strength, right diagnosis, right drug, and right route
e e e e e e e e e e
d. Right patient, right diagnosis, right drug, right route, and right time
e e e e e e e e e e
ANS: A e
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Righ
e e e e e e e e e e e e e e e
patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
e e e e e e e e e e e e e e e e
DIF: Cognitive Level: Comprehension e e
8. What correctly describes the nursing process?
e e e e e
a. Diagnosing, planning, assessing, implementing, and finally evaluating e e e e e e
b. Assessing, then diagnosing, implementing, and ending with evaluating e e e e e e e
c. A linear direction that begins with assessing and continues through diagnosing,
e e e e e e e e e e
planning, and finally implementing
e e e e
d. An ongoing process that begins with assessing and continues with diagnosing,
e e e e e e e e e e
planning, implementing, and evaluating
e e e e
ANS: D e
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with asses
e e e e e e e e e e e e e e e
diagnosing, planning, implementing, and finally evaluating, which may then lead back to any of the other ph
e e e e e e e e e e e e e e e e e
DIF: Cognitive Level: Application e e
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
e e e e e e e e e e e e e e e e
a. The patient’s identification e e
b. The patient’s weight e e
c. The patient’s last meal e e e
d. Any drug or food allergies e e e e
ANS: C e
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any dru
e e e e e e e e e e e e e e e e
compatibility issues. The patient’s identification, weight, and drug or food allergies are not affected by the d
e e e e e e e e e e e e e e e e e
DIF: Cognitive Level: Application e e
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing dia
e e e e e e e e e e e e e e e e e e e
a. Anxiety
b. Anxiety related to new drug therapy e e e e e
c. Anxiety related to anxious feelings about drug therapy, as evidenced by e e e e e e e e e e
statements such as “I’m upset about having to give myself shots”
e e e e e e e e e e e
d. Anxiety related to new drug therapy, as evidenced by statements such as “I’m
e e e e e e e e e e e e
upset about having to give myself shots”
e e e e e e e
ANS: D e
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is “Anxiety rela
e e e e e e e e e e e e e e e
, lOMoAR e cPSD|
e3013804
Chapter02: Pharmacological Principles
e e e
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
e e e e e e e e e
MULTIPLE CHOICE e
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed in
e e e e e e e e e e e e e e e e e e
identical amounts. Which term best denotes that the drugs have the same absorption rates?
e e e e e e e e e e e e e e
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D e
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same b
e e e e e e e e e e e e e e e e e
bioequivalent. “Equivalent” is incorrect because the term “bioavailability” is used to express the extent of d
e e e e e e e e e e e e e e e e
“Synergistic” is incorrect because this term refers to two drugs given together whose resulting effect is grea
e e e e e e e e e e e e e e e e
of each drug given alone. “Compatible” is incorrect because this term is a general term used to indicate that
e e e e e e e e e e e e e e e e e e e
chemical reaction when mixed (or given, in the case of drugs) together.
e e e e e e e e e e e e
DIF: Cognitive Level: Comprehension e e
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for
e e e e e e e e e e e e e e
a. The medication will cause fewer adverse effects when given intravenously.
e e e e e e e e e
b. The medication will be absorbed slowly into the tissues over time.
e e e e e e e e e e
c. The medication’s action will begin faster when given intravenously.
e e e e e e e e
d. Most of the drug is inactivated by the liver before it reaches the target area.
e e e e e e e e e e e e e e
ANS: C e
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of
e e e e e e e e e e e e e e e e
intravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of t
e e e e e e e e e e e e e e e e e e e
reaches the target area.
e e e e
DIF: Cognitive Level: Comprehension e e
3. Which is true regarding parenteral drugs?
e e e e e
a. They bypass the first-pass effect. e e e e
b. They decrease blood flow to the stomach. e e e e e e
c. They are altered by the presence of food in the stomach. e e e e e e e e e e
d. They exert their effects while circulating in the bloodstream.
e e e e e e e e
ANS: A e
Drugs given by the parenteral route bypass the first-pass effect, but they still must be absorbed into cells and ti
e e e e e e e e e e e e e e e e e e e
their effects. Enteral drugs (drugs taken orally), not parenteral drugs, decrease blood flow to the stomach an
e e e e e e e e e e e e e e e e e
of food in the stomach. Parenteral drugs must be absorbed into cells and tissues from the circulation before th
e e e e e e e e e e e e e e e e e e e
they do not exert their effects while circulating in the bloodstream.
e e e e e e e e e e e
DIF: Cognitive Level: Analysis e e
4. A drug’s half-life is best defined as
e e e e e e
a. The time it takes for the drug to elicit half its therapeutic response.
e e e e e e e e e e e e
b. The time it takes one-half of the original amount of a drug to reach the target cells.
e e e e e e e e e e e e e e e e
c. The time it takes one-half of the original amount of a drug to be removed from the body.
e e e e e e e e e e e e e e e e e
d. The time it takes one-half of the original amount of a drug to be absorbed into the
e e e e e e e e e e e e e e e e
e circulation.
ANS: C e
A drug’s half-life is the time it takes for one-half of the original amount of a drug to be removed from the body
e e e e e e e e e e e e e e e e e e e e e e
which drugs are removed from the body. Answers A, B, and D are not correct definitions of a drug’s half-life
e e e e e e e e e e e e e e e e e e e e
LILLEY'S PHARMACOLOGYFOR CANADIAN HEALTH CARE PRACTICE
e e e e e e
KARASEALOCK
e
4th Edition
e
TESTBANK e
, lOMoAR e cPSD|
e3013804
lOMoAR e cPSD| e 3013804
Chapter 01: Nursing Practice in Canada and Drug Therapy
e e e e e e e e
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
e e e e e e e e e
MULTIPLE CHOICE e
1. Which is a judgement about a particular patient’s potential need or problem?
e e e e e e e e e e e
a. A goal e
b. An assessment e
c. Subjective data e
d. A nursing diagnosis
e e
ANS: D e
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a p
e e e e e e e e e e e e e e e e e e e
conditions and life processes or vulnerability for that response.
e e e e e e e e e
DIF: Cognitive Level: Knowledge e e
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow
e e e e e e e e e e e e e e e e e
e medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
e e e e e e e e e e e e e e e e
a. A “right time” problem
e e e
b. A “right dose” problem
e e e
c. A “right route” problem
e e e
d. A “right medication” problem
e e e
ANS: C e
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the prescr
e e e e e e e e e e e e e e e e e e e
problem because the ordered frequency has not changed. This is not a “right dose” problem because the dose
e e e e e e e e e e e e e e e e e e
swallow. This is not a “right medication” problem because the medication ordered will not change, just the r
e e e e e e e e e e e e e e e e e e
DIF: Cognitive Level: Application e e
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and has been
e e e e e e e e e e e e e e e e e e e
possible adverse effects. What nursing process phase is the nurse practising?
e e e e e e e e e e e
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis e
ANS: B e
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursing diag
e e e e e e e e e e e e e e
this example.
e e
DIF: Cognitive Level: Application e e
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statemen
e e e e e e e e e e e e e e e e e e
e outcome criterion for this patient? e e e e
a. The patient will follow instructions.
e e e e
b. The patient will not experience complications.
e e e e e
c. The patient adheres to the new insulin treatment regimen.
e e e e e e e e
d. The patient demonstrates safe insulin self-administration technique.
e e e e e e
ANS: D e
Having the patient demonstrate safe insulin self-administration technique is a specific and measurable outco
e e e e e e e e e e e e e
instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatment reg
e e e e e e e e e e e e e e e
would be difficult to measure.
e e e e e
DIF: Cognitive Level: Application e e
, lOMoAR e cPSD|
e3013804
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a med
e e e e e e e e e e e e e e e e e e e e e
e telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication erro
e e e e e e e e e e e e e e e e e e e e
a. Recopy the order neatly on the order sheet, with the most common route indicated
e e e e e e e e e e e e e
b. Consult with the pharmacist for clarification about the most common route
e e e e e e e e e e
c. Call the health care provider to clarify the route of administration
e e e e e e e e e e
d. Withhold the drug until the health care provider visits the patient e e e e e e e e e e
ANS: C e
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Never
e e e e e e e e e e e e e e e e e e e e
administration.
e
DIF: Cognitive Level: Application | Cognitive Level: Analysis e e e e e e
7. Which constitutes the traditional Five Rights of medication administration?
e e e e e e e e
a. Right drug, right route, right dose, right time, and right patient
e e e e e e e e e e
b. Right drug, the right effect, the right route, the right time, and the right patient
e e e e e e e e e e e e e e
c. Right patient, right strength, right diagnosis, right drug, and right route
e e e e e e e e e e
d. Right patient, right diagnosis, right drug, right route, and right time
e e e e e e e e e e
ANS: A e
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Righ
e e e e e e e e e e e e e e e
patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
e e e e e e e e e e e e e e e e
DIF: Cognitive Level: Comprehension e e
8. What correctly describes the nursing process?
e e e e e
a. Diagnosing, planning, assessing, implementing, and finally evaluating e e e e e e
b. Assessing, then diagnosing, implementing, and ending with evaluating e e e e e e e
c. A linear direction that begins with assessing and continues through diagnosing,
e e e e e e e e e e
planning, and finally implementing
e e e e
d. An ongoing process that begins with assessing and continues with diagnosing,
e e e e e e e e e e
planning, implementing, and evaluating
e e e e
ANS: D e
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with asses
e e e e e e e e e e e e e e e
diagnosing, planning, implementing, and finally evaluating, which may then lead back to any of the other ph
e e e e e e e e e e e e e e e e e
DIF: Cognitive Level: Application e e
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
e e e e e e e e e e e e e e e e
a. The patient’s identification e e
b. The patient’s weight e e
c. The patient’s last meal e e e
d. Any drug or food allergies e e e e
ANS: C e
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any dru
e e e e e e e e e e e e e e e e
compatibility issues. The patient’s identification, weight, and drug or food allergies are not affected by the d
e e e e e e e e e e e e e e e e e
DIF: Cognitive Level: Application e e
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing dia
e e e e e e e e e e e e e e e e e e e
a. Anxiety
b. Anxiety related to new drug therapy e e e e e
c. Anxiety related to anxious feelings about drug therapy, as evidenced by e e e e e e e e e e
statements such as “I’m upset about having to give myself shots”
e e e e e e e e e e e
d. Anxiety related to new drug therapy, as evidenced by statements such as “I’m
e e e e e e e e e e e e
upset about having to give myself shots”
e e e e e e e
ANS: D e
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is “Anxiety rela
e e e e e e e e e e e e e e e
, lOMoAR e cPSD|
e3013804
Chapter02: Pharmacological Principles
e e e
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
e e e e e e e e e
MULTIPLE CHOICE e
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed in
e e e e e e e e e e e e e e e e e e
identical amounts. Which term best denotes that the drugs have the same absorption rates?
e e e e e e e e e e e e e e
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D e
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same b
e e e e e e e e e e e e e e e e e
bioequivalent. “Equivalent” is incorrect because the term “bioavailability” is used to express the extent of d
e e e e e e e e e e e e e e e e
“Synergistic” is incorrect because this term refers to two drugs given together whose resulting effect is grea
e e e e e e e e e e e e e e e e
of each drug given alone. “Compatible” is incorrect because this term is a general term used to indicate that
e e e e e e e e e e e e e e e e e e e
chemical reaction when mixed (or given, in the case of drugs) together.
e e e e e e e e e e e e
DIF: Cognitive Level: Comprehension e e
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for
e e e e e e e e e e e e e e
a. The medication will cause fewer adverse effects when given intravenously.
e e e e e e e e e
b. The medication will be absorbed slowly into the tissues over time.
e e e e e e e e e e
c. The medication’s action will begin faster when given intravenously.
e e e e e e e e
d. Most of the drug is inactivated by the liver before it reaches the target area.
e e e e e e e e e e e e e e
ANS: C e
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of
e e e e e e e e e e e e e e e e
intravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of t
e e e e e e e e e e e e e e e e e e e
reaches the target area.
e e e e
DIF: Cognitive Level: Comprehension e e
3. Which is true regarding parenteral drugs?
e e e e e
a. They bypass the first-pass effect. e e e e
b. They decrease blood flow to the stomach. e e e e e e
c. They are altered by the presence of food in the stomach. e e e e e e e e e e
d. They exert their effects while circulating in the bloodstream.
e e e e e e e e
ANS: A e
Drugs given by the parenteral route bypass the first-pass effect, but they still must be absorbed into cells and ti
e e e e e e e e e e e e e e e e e e e
their effects. Enteral drugs (drugs taken orally), not parenteral drugs, decrease blood flow to the stomach an
e e e e e e e e e e e e e e e e e
of food in the stomach. Parenteral drugs must be absorbed into cells and tissues from the circulation before th
e e e e e e e e e e e e e e e e e e e
they do not exert their effects while circulating in the bloodstream.
e e e e e e e e e e e
DIF: Cognitive Level: Analysis e e
4. A drug’s half-life is best defined as
e e e e e e
a. The time it takes for the drug to elicit half its therapeutic response.
e e e e e e e e e e e e
b. The time it takes one-half of the original amount of a drug to reach the target cells.
e e e e e e e e e e e e e e e e
c. The time it takes one-half of the original amount of a drug to be removed from the body.
e e e e e e e e e e e e e e e e e
d. The time it takes one-half of the original amount of a drug to be absorbed into the
e e e e e e e e e e e e e e e e
e circulation.
ANS: C e
A drug’s half-life is the time it takes for one-half of the original amount of a drug to be removed from the body
e e e e e e e e e e e e e e e e e e e e e e
which drugs are removed from the body. Answers A, B, and D are not correct definitions of a drug’s half-life
e e e e e e e e e e e e e e e e e e e e
