lOMoARcPSD| 13728229
lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
km km km km km km km km
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
km km km km km km km km km
MULTIPLE CHOICE km
1. Which is a judgement about a particular patient‘s potential need or problem?
km km km km km km km km km km km
a. A goal km
b. An assessment km
c. Subjective data km
d. A nursing diagnosis
km km
ANS: D km
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made
km km km km km km km km km km km km km km km k
nds to heath conditions and life processes or vulnerability for that response.
km km km km km km km km km km km
DIF: Cognitive Level: Knowledge km km
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unab
km km km km km km km km km km km km km km km
not take medication orally, as ordered. The nurse needs to contact the physician. What type of p
km km km km km km km km km km km km km km km km
a. A ―right time‖ problem
km km km
b. A ―right dose‖ problem
km km km
c. A ―right route‖ problem
km km km
d. A ―right medication‖ problem
km km km
ANS: C km
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route wit
km km km km km km km km km km km km km km km km km
t a ―right time‖ problem because the ordered frequency has not changed. This is not a ―right dos
km km km km km km km km km km km km km km km km km
se is not related to an inability to swallow. This is not a ―right medication‖ problem because the
km km km km km km km km km km km km km km km km km
ot change, just the route.
km km km km
DIF: Cognitive Level: Application km km
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dos
km km km km km km km km km km km km km km km km
ng signs of possible adverse effects. What nursing process phase is the nurse practising?
km km km km km km km km km km km km km
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis km
ANS: B km
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and n
km km km km km km km km km km km km km
lustrated by this example. km km km
DIF: Cognitive Level: Application km km
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. W
km km km km km km km km km km km km km km km km km
trates an outcome criterion for this patient?
km km km km km km
a. The patient will follow instructions.
km km km km
b. The patient will not experience complications.
km km km km km
c. The patient adheres to the new insulin treatment regimen.
km km km km km km km km
d. The patient demonstrates safe insulin self-administration technique.
km km km km km km
ANS: D km
Having the patient demonstrate safe insulin self-
km km km km km km
administration technique is a specific and measurable outcome criterion. Following instructions an
km km km km km km km km km km km
re not specific criteria. Adherence to the new insulin treatment regimen is not objective and wou
km km km km km km km km km km km km km km km
DIF: Cognitive Level: Application km km
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6. The nurse is working during a very busy night shift, and the health care provider has just given
km km km km km km km km km km km km km km km km km km
rder over the telephone, but the nurse does not recall the route. What is the best way for the nu
km km km km km km km km km km km km km km km km km km km
errors?
a. Recopy the order neatly on the order sheet, with the most common route indicated
km km km km km km km km km km km km km
b. Consult with the pharmacist for clarification about the most common route
km km km km km km km km km km
c. Call the health care provider to clarify the route of administration
km km km km km km km km km km
d. Withhold the drug until the health care provider visits the patient
km km km km km km km km km km
ANS: C km
If a medication order does not include the route, the nurse must ask the health care provider to c
km km km km km km km km km km km km km km km km km km
te of administration.
km km
DIF: Cognitive Level: Application | Cognitive Level: Analysis
km km km km km km
7. Which constitutes the traditional Five Rights of medication administration?
km km km km km km km km
a. Right drug, right route, right dose, right time, and right patient
km km km km km km km km km km
b. Right drug, the right effect, the right route, the right time, and the right patient
km km km km km km km km km km km km km km
c. Right patient, right strength, right diagnosis, right drug, and right route
km km km km km km km km km km
d. Right patient, right diagnosis, right drug, right route, and right time
km km km km km km km km km km
ANS: A km
The traditional Five Rights of medication administration were considered to be Right drug, Right
km km km km km km km km km km km km km k
and Right patient. Right effect, right strength, and right diagnosis are not part of the traditional F
km km km km km km km km km km km km km km km km
DIF: Cognitive Level: Comprehension km km
8. What correctly describes the nursing process?
km km km km km
a. Diagnosing, planning, assessing, implementing, and finally evaluating
km km km km km km
b. Assessing, then diagnosing, implementing, and ending with evaluating
km km km km km km km
c. A linear direction that begins with assessing and continues through diagnos
km km km km km km km km km km
ing, planning, and finally implementing
km km km km
d. An ongoing process that begins with assessing and continues with diagnos
km km km km km km km km km km
ing, planning, implementing, and evaluating
km km km km
ANS: D km
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
km km km km km km km km km km
step process that begins with assessing and continues through diagnosing, planning, implementing
km km km km km km km km km km km
hich may then lead back to any of the other phases.
km km km km km km km km km km
DIF: Cognitive Level: Application km km
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
km km km km km km km km km km km km km km km km
a. The patient‘s identification
km km
b. The patient‘s weight km km
c. The patient‘s last mealkm km km
d. Any drug or food allergies km km km km
ANS: C km
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regar
km km km km km km km km km km km km km
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food al
km km km km km km km km km km km km km
drug‘s timing. km
DIF: Cognitive Level: Application km km
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for h
km km km km km km km km km km km km km km km km km
a. Anxiety
b. Anxiety related to new drug therapy km km km km km
c. Anxiety related to anxious feelings about drug therapy, as evidenced
km km km km km km km km km
by statements such as ―I‘m upset about having to give myself sho
km km km km km km km km km km km km
ts‖
, lOMoARcPSD| 13728229
C, E, A, D, B
km km km km
DIF: Cognitive Level: Analysis
km km
lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
km km km km km km km km
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
km km km km km km km km km
MULTIPLE CHOICE km
1. Which is a judgement about a particular patient‘s potential need or problem?
km km km km km km km km km km km
a. A goal km
b. An assessment km
c. Subjective data km
d. A nursing diagnosis
km km
ANS: D km
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made
km km km km km km km km km km km km km km km k
nds to heath conditions and life processes or vulnerability for that response.
km km km km km km km km km km km
DIF: Cognitive Level: Knowledge km km
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unab
km km km km km km km km km km km km km km km
not take medication orally, as ordered. The nurse needs to contact the physician. What type of p
km km km km km km km km km km km km km km km km
a. A ―right time‖ problem
km km km
b. A ―right dose‖ problem
km km km
c. A ―right route‖ problem
km km km
d. A ―right medication‖ problem
km km km
ANS: C km
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route wit
km km km km km km km km km km km km km km km km km
t a ―right time‖ problem because the ordered frequency has not changed. This is not a ―right dos
km km km km km km km km km km km km km km km km km
se is not related to an inability to swallow. This is not a ―right medication‖ problem because the
km km km km km km km km km km km km km km km km km
ot change, just the route.
km km km km
DIF: Cognitive Level: Application km km
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dos
km km km km km km km km km km km km km km km km
ng signs of possible adverse effects. What nursing process phase is the nurse practising?
km km km km km km km km km km km km km
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis km
ANS: B km
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and n
km km km km km km km km km km km km km
lustrated by this example. km km km
DIF: Cognitive Level: Application km km
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. W
km km km km km km km km km km km km km km km km km
trates an outcome criterion for this patient?
km km km km km km
a. The patient will follow instructions.
km km km km
b. The patient will not experience complications.
km km km km km
c. The patient adheres to the new insulin treatment regimen.
km km km km km km km km
d. The patient demonstrates safe insulin self-administration technique.
km km km km km km
ANS: D km
Having the patient demonstrate safe insulin self-
km km km km km km
administration technique is a specific and measurable outcome criterion. Following instructions an
km km km km km km km km km km km
re not specific criteria. Adherence to the new insulin treatment regimen is not objective and wou
km km km km km km km km km km km km km km km
DIF: Cognitive Level: Application km km
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given
km km km km km km km km km km km km km km km km km km
rder over the telephone, but the nurse does not recall the route. What is the best way for the nu
km km km km km km km km km km km km km km km km km km km
errors?
a. Recopy the order neatly on the order sheet, with the most common route indicated
km km km km km km km km km km km km km
b. Consult with the pharmacist for clarification about the most common route
km km km km km km km km km km
c. Call the health care provider to clarify the route of administration
km km km km km km km km km km
d. Withhold the drug until the health care provider visits the patient
km km km km km km km km km km
ANS: C km
If a medication order does not include the route, the nurse must ask the health care provider to c
km km km km km km km km km km km km km km km km km km
te of administration.
km km
DIF: Cognitive Level: Application | Cognitive Level: Analysis
km km km km km km
7. Which constitutes the traditional Five Rights of medication administration?
km km km km km km km km
a. Right drug, right route, right dose, right time, and right patient
km km km km km km km km km km
b. Right drug, the right effect, the right route, the right time, and the right patient
km km km km km km km km km km km km km km
c. Right patient, right strength, right diagnosis, right drug, and right route
km km km km km km km km km km
d. Right patient, right diagnosis, right drug, right route, and right time
km km km km km km km km km km
ANS: A km
The traditional Five Rights of medication administration were considered to be Right drug, Right
km km km km km km km km km km km km km k
and Right patient. Right effect, right strength, and right diagnosis are not part of the traditional F
km km km km km km km km km km km km km km km km
DIF: Cognitive Level: Comprehension km km
8. What correctly describes the nursing process?
km km km km km
a. Diagnosing, planning, assessing, implementing, and finally evaluating
km km km km km km
b. Assessing, then diagnosing, implementing, and ending with evaluating
km km km km km km km
c. A linear direction that begins with assessing and continues through diagnos
km km km km km km km km km km
ing, planning, and finally implementing
km km km km
d. An ongoing process that begins with assessing and continues with diagnos
km km km km km km km km km km
ing, planning, implementing, and evaluating
km km km km
ANS: D km
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
km km km km km km km km km km
step process that begins with assessing and continues through diagnosing, planning, implementing
km km km km km km km km km km km
hich may then lead back to any of the other phases.
km km km km km km km km km km
DIF: Cognitive Level: Application km km
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
km km km km km km km km km km km km km km km km
a. The patient‘s identification
km km
b. The patient‘s weight km km
c. The patient‘s last mealkm km km
d. Any drug or food allergies km km km km
ANS: C km
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regar
km km km km km km km km km km km km km
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food al
km km km km km km km km km km km km km
drug‘s timing. km
DIF: Cognitive Level: Application km km
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for h
km km km km km km km km km km km km km km km km km
a. Anxiety
b. Anxiety related to new drug therapy km km km km km
c. Anxiety related to anxious feelings about drug therapy, as evidenced
km km km km km km km km km
by statements such as ―I‘m upset about having to give myself sho
km km km km km km km km km km km km
ts‖
, lOMoARcPSD| 13728229
C, E, A, D, B
km km km km
DIF: Cognitive Level: Analysis
km km
