Lilley's Pharmacology for Canadian Health
Care Practice 4th Edition by Kara Sealock
TEST BANK
COMPLETE CHAPTERS 1-58| VERIFIED
Q&As FOR EXAM PRACTICE
TB
Ac
er
pg. 1
, Chapter 01: Nursing Practice in Canada and Drug Therapy
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
CORRECT ANSWER: D
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient
responds to 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 swallow, he
TB
cannot take medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
a. A ―right time‖ problem
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b. A ―right dose‖ problem
c. A ―right route‖ problem
er
d. A ―right medication‖ problem
CORRECT ANSWER: C
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescriber.
This is not a ―right time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem
because the dose is not related to an inability to swallow. This is not a ―right medication‖ problem because the
medication ordered will not change, just the route.
DIF: Cognitive Level: Application
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has been
documenting signs of possible adverse effects. What nursing process phase is the nurse practising?
a. Planning
b. Evaluation
c. Implementation
pg. 2
,d. Nursing diagnosis
CORRECT ANSWER: B
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis
are not 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 statement
best illustrates an 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.
CORRECT ANSWER: D
TB
Having the patient demonstrate safe insulin self-administration technique is a specific and measurable outcome
criterion. Following instructions and avoiding complications are not specific criteria. Adherence to the new insulin
treatment regimen is not objective and would be difficult to measure.
Ac
DIF: Cognitive Level: Application
er
5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly
diagnosed with type 1 diabetes mellitus?
a. Providing education regarding self-injection technique
b. Setting goals and outcome criteria with the patient‘s input
c. Recording a history of over-the-counter medications used at home
d. Formulating nursing diagnoses regarding knowledge deficits related to the new treatment regimen
CORRECT ANSWER: A
Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects
the planning phase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses
regarding a knowledge deficit reflects analysis of data as part of the planning phase.
DIF: Cognitive Level: Analysis
pg. 3
, 6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a
medication order over the telephone, but the nurse does not recall the route. What is the best way for the nurse to
avoid medication errors?
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
CORRECT ANSWER: C
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Never
assume the route of 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
TB
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
Ac
d. Right patient, right diagnosis, right drug, right route, and right time
er
CORRECT ANSWER: A
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose,
Right time, and 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
CORRECT ANSWER: D
pg. 4
Care Practice 4th Edition by Kara Sealock
TEST BANK
COMPLETE CHAPTERS 1-58| VERIFIED
Q&As FOR EXAM PRACTICE
TB
Ac
er
pg. 1
, Chapter 01: Nursing Practice in Canada and Drug Therapy
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
CORRECT ANSWER: D
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient
responds to 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 swallow, he
TB
cannot take medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
a. A ―right time‖ problem
Ac
b. A ―right dose‖ problem
c. A ―right route‖ problem
er
d. A ―right medication‖ problem
CORRECT ANSWER: C
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescriber.
This is not a ―right time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem
because the dose is not related to an inability to swallow. This is not a ―right medication‖ problem because the
medication ordered will not change, just the route.
DIF: Cognitive Level: Application
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has been
documenting signs of possible adverse effects. What nursing process phase is the nurse practising?
a. Planning
b. Evaluation
c. Implementation
pg. 2
,d. Nursing diagnosis
CORRECT ANSWER: B
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis
are not 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 statement
best illustrates an 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.
CORRECT ANSWER: D
TB
Having the patient demonstrate safe insulin self-administration technique is a specific and measurable outcome
criterion. Following instructions and avoiding complications are not specific criteria. Adherence to the new insulin
treatment regimen is not objective and would be difficult to measure.
Ac
DIF: Cognitive Level: Application
er
5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly
diagnosed with type 1 diabetes mellitus?
a. Providing education regarding self-injection technique
b. Setting goals and outcome criteria with the patient‘s input
c. Recording a history of over-the-counter medications used at home
d. Formulating nursing diagnoses regarding knowledge deficits related to the new treatment regimen
CORRECT ANSWER: A
Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects
the planning phase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses
regarding a knowledge deficit reflects analysis of data as part of the planning phase.
DIF: Cognitive Level: Analysis
pg. 3
, 6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a
medication order over the telephone, but the nurse does not recall the route. What is the best way for the nurse to
avoid medication errors?
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
CORRECT ANSWER: C
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Never
assume the route of 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
TB
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
Ac
d. Right patient, right diagnosis, right drug, right route, and right time
er
CORRECT ANSWER: A
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose,
Right time, and 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
CORRECT ANSWER: D
pg. 4
