lOMoARcPSD| 13728229
lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
l8 l8 l8 l8 l8 l8 l8 l8
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
l8 l8 l8 l8 l8 l8 l8 l8 l8
MULTIPLE CHOICE l8
1. Which is a judgement about a particular patient‘s potential need or problem?
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a. A goal l8
b. An assessment l8
c. Subjective data l8
d. A nursing diagnosis l8 l8
ANS: D l8
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
eath conditions and life processes or vulnerability for that response.
l8 l8 l8 l8 l8 l8 l8 l8 l8
DIF: Cognitive Level: Knowledge l8 l8
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to sw
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
8 medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
a. A ―right time‖ problem
l8 l8 l8
b. A ―right dose‖ problem
l8 l8 l8
c. A ―right route‖ problem
l8 l8 l8
d. A ―right medication‖ problem
l8 l8 l8
ANS: C l8
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the p
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem beca
8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
o an inability to swallow. This is not a ―right medication‖ problem because the medication ordered wil
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
DIF: Cognitive Level: Application l8 l8
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and h
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
of possible adverse effects. What nursing process phase is the nurse practising?
8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis l8
ANS: B l8
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
d by this example.
l8 l8 l8
DIF: Cognitive Level: Application l8 l8
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which st
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
8 outcome criterion for this patient? l8 l8 l8 l8
a. The patient will follow instructions.
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b. The patient will not experience complications.
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c. The patient adheres to the new insulin treatment regimen.
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d. The patient demonstrates safe insulin self-administration technique.
l8 l8 l8 l8 l8 l8
ANS: D l8
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurs
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
8 the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medi
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
a. Recopy the order neatly on the order sheet, with the most common route indicated
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
b. Consult with the pharmacist for clarification about the most common route
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c. Call the health care provider to clarify the route of administration
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
d. Withhold the drug until the health care provider visits the patient
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ANS: C l8
If a medication order does not include the route, the nurse must ask the health care provider to clarify it
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
inistration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
l8 l8 l8 l8 l8 l8
7. Which constitutes the traditional Five Rights of medication administration?
l8 l8 l8 l8 l8 l8 l8 l8
a. Right drug, right route, right dose, right time, and right patient
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
b. Right drug, the right effect, the right route, the right time, and the right patient
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
c. Right patient, right strength, right diagnosis, right drug, and right route
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
d. Right patient, right diagnosis, right drug, right route, and right time
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ANS: A l8
The traditional Five Rights of medication administration were considered to be Right drug, Right route
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ht patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
DIF: Cognitive Level: Comprehension l8 l8
8. What correctly describes the nursing process?
l8 l8 l8 l8 l8
a. Diagnosing, planning, assessing, implementing, and finally evaluating l8 l8 l8 l8 l8 l8
b. Assessing, then diagnosing, implementing, and ending with evaluating
l8 l8 l8 l8 l8 l8 l8
c. A linear direction that begins with assessing and continues through diagnosing,
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
planning, and finally implementing l8 l8 l8
d. An ongoing process that begins with assessing and continues with diagnosing,
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
planning, implementing, and evaluating l8 l8 l8
ANS: D l8
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
step process that begins with assessing and continues through diagnosing, planning, implementing, and
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
may then lead back to any of the other phases.
l8 l8 l8 l8 l8 l8 l8 l8 l8
DIF: Cognitive Level: Application l8 l8
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
a. The patient‘s identification l8 l8
b. The patient‘s weight l8 l8
c. The patient‘s last meal l8 l8 l8
d. Any drug or food allergies l8 l8 l8 l8
ANS: C l8
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to a
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergie
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ming.
DIF: Cognitive Level: Application l8 l8
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nurs
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
a. Anxiety
b. Anxiety related to new drug therapy l8 l8 l8 l8 l8
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
statements such as ―I‘m upset about having to give myself shots‖
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
upset about having to give myself shots‖
8 l8 l8 l8 l8 l8 l8
, lOMoARcPSD| 13728229
Chapter 02: Pharmacological Principles
l8 l8 l8
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
l8 l8 l8 l8 l8 l8 l8 l8 l8
MULTIPLE CHOICE l8
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both abso
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
identical amounts. Which term best denotes that the drugs have the same absorption rates?
8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D l8
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same b
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the exten
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
gistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greate
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indicate
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
have a chemical reaction when mixed (or given, in the case of drugs) together.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
DIF: Cognitive Level: Comprehension l8 l8
2. A patient is receiving medication via intravenous injection. Which information should the nurse provid
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
a. The medication will cause fewer adverse effects when given intravenously.
l8 l8 l8 l8 l8 l8 l8 l8 l8
b. The medication will be absorbed slowly into the tissues over time.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
c. The medication‘s action will begin faster when given intravenously.
l8 l8 l8 l8 l8 l8 l8 l8
d. Most of the drug is inactivated by the liver before it reaches the target area.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ANS: C l8
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the num
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ntravenous route is not a slow route of absorption, and the intravenous route does not cause inactivatio
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
efore it reaches the target area.
l8 l8 l8 l8 l8
DIF: Cognitive Level: Comprehension l8 l8
3. Which is true regarding parenteral drugs?
l8 l8 l8 l8 l8
a. They bypass the first-pass effect. l8 l8 l8 l8
b. They decrease blood flow to the stomach.
l8 l8 l8 l8 l8 l8
c. They are altered by the presence of food in the stomach.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
d. They exert their effects while circulating in the bloodstream.
l8 l8 l8 l8 l8 l8 l8 l8
ANS: A l8
Drugs given by the parenteral route bypass the first-
l8 l8 l8 l8 l8 l8 l8 l8
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Ente
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in th
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
8must be absorbed into cells and tissues from the circulation before they can exert their effects; they do
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
circulating in the bloodstream. l8 l8 l8
DIF: Cognitive Level: Analysis l8 l8
4. A drug‘s half-life is best defined as
l8 l8 l8 l8 l8 l8
a. The time it takes for the drug to elicit half its therapeutic response.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
b. The time it takes one- l8 l8 l8 l8
half of the original amount of a drug to reach the target cells.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
c. The time it takes one-
l8 l8 l8 l8
half of the original amount of a drug to be removed from the body.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
d. The time it takes one-
l8 l8 l8 l8
half of the original amount of a drug to be absorbed into the circulation.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ANS: C l8
lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
l8 l8 l8 l8 l8 l8 l8 l8
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
l8 l8 l8 l8 l8 l8 l8 l8 l8
MULTIPLE CHOICE l8
1. Which is a judgement about a particular patient‘s potential need or problem?
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
a. A goal l8
b. An assessment l8
c. Subjective data l8
d. A nursing diagnosis l8 l8
ANS: D l8
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
eath conditions and life processes or vulnerability for that response.
l8 l8 l8 l8 l8 l8 l8 l8 l8
DIF: Cognitive Level: Knowledge l8 l8
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to sw
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
8 medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
a. A ―right time‖ problem
l8 l8 l8
b. A ―right dose‖ problem
l8 l8 l8
c. A ―right route‖ problem
l8 l8 l8
d. A ―right medication‖ problem
l8 l8 l8
ANS: C l8
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the p
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem beca
8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
o an inability to swallow. This is not a ―right medication‖ problem because the medication ordered wil
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
DIF: Cognitive Level: Application l8 l8
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and h
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
of possible adverse effects. What nursing process phase is the nurse practising?
8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis l8
ANS: B l8
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
d by this example.
l8 l8 l8
DIF: Cognitive Level: Application l8 l8
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which st
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
8 outcome criterion for this patient? l8 l8 l8 l8
a. The patient will follow instructions.
l8 l8 l8 l8
b. The patient will not experience complications.
l8 l8 l8 l8 l8
c. The patient adheres to the new insulin treatment regimen.
l8 l8 l8 l8 l8 l8 l8 l8
d. The patient demonstrates safe insulin self-administration technique.
l8 l8 l8 l8 l8 l8
ANS: D l8
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurs
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
8 the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medi
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
a. Recopy the order neatly on the order sheet, with the most common route indicated
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
b. Consult with the pharmacist for clarification about the most common route
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
c. Call the health care provider to clarify the route of administration
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
d. Withhold the drug until the health care provider visits the patient
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ANS: C l8
If a medication order does not include the route, the nurse must ask the health care provider to clarify it
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
inistration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
l8 l8 l8 l8 l8 l8
7. Which constitutes the traditional Five Rights of medication administration?
l8 l8 l8 l8 l8 l8 l8 l8
a. Right drug, right route, right dose, right time, and right patient
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
b. Right drug, the right effect, the right route, the right time, and the right patient
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
c. Right patient, right strength, right diagnosis, right drug, and right route
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
d. Right patient, right diagnosis, right drug, right route, and right time
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ANS: A l8
The traditional Five Rights of medication administration were considered to be Right drug, Right route
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ht patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
DIF: Cognitive Level: Comprehension l8 l8
8. What correctly describes the nursing process?
l8 l8 l8 l8 l8
a. Diagnosing, planning, assessing, implementing, and finally evaluating l8 l8 l8 l8 l8 l8
b. Assessing, then diagnosing, implementing, and ending with evaluating
l8 l8 l8 l8 l8 l8 l8
c. A linear direction that begins with assessing and continues through diagnosing,
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
planning, and finally implementing l8 l8 l8
d. An ongoing process that begins with assessing and continues with diagnosing,
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
planning, implementing, and evaluating l8 l8 l8
ANS: D l8
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
step process that begins with assessing and continues through diagnosing, planning, implementing, and
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
may then lead back to any of the other phases.
l8 l8 l8 l8 l8 l8 l8 l8 l8
DIF: Cognitive Level: Application l8 l8
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
a. The patient‘s identification l8 l8
b. The patient‘s weight l8 l8
c. The patient‘s last meal l8 l8 l8
d. Any drug or food allergies l8 l8 l8 l8
ANS: C l8
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to a
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergie
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ming.
DIF: Cognitive Level: Application l8 l8
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nurs
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
a. Anxiety
b. Anxiety related to new drug therapy l8 l8 l8 l8 l8
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
statements such as ―I‘m upset about having to give myself shots‖
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
upset about having to give myself shots‖
8 l8 l8 l8 l8 l8 l8
, lOMoARcPSD| 13728229
Chapter 02: Pharmacological Principles
l8 l8 l8
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
l8 l8 l8 l8 l8 l8 l8 l8 l8
MULTIPLE CHOICE l8
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both abso
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
identical amounts. Which term best denotes that the drugs have the same absorption rates?
8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D l8
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same b
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the exten
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
gistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greate
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indicate
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
have a chemical reaction when mixed (or given, in the case of drugs) together.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
DIF: Cognitive Level: Comprehension l8 l8
2. A patient is receiving medication via intravenous injection. Which information should the nurse provid
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
a. The medication will cause fewer adverse effects when given intravenously.
l8 l8 l8 l8 l8 l8 l8 l8 l8
b. The medication will be absorbed slowly into the tissues over time.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
c. The medication‘s action will begin faster when given intravenously.
l8 l8 l8 l8 l8 l8 l8 l8
d. Most of the drug is inactivated by the liver before it reaches the target area.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ANS: C l8
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the num
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ntravenous route is not a slow route of absorption, and the intravenous route does not cause inactivatio
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
efore it reaches the target area.
l8 l8 l8 l8 l8
DIF: Cognitive Level: Comprehension l8 l8
3. Which is true regarding parenteral drugs?
l8 l8 l8 l8 l8
a. They bypass the first-pass effect. l8 l8 l8 l8
b. They decrease blood flow to the stomach.
l8 l8 l8 l8 l8 l8
c. They are altered by the presence of food in the stomach.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
d. They exert their effects while circulating in the bloodstream.
l8 l8 l8 l8 l8 l8 l8 l8
ANS: A l8
Drugs given by the parenteral route bypass the first-
l8 l8 l8 l8 l8 l8 l8 l8
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Ente
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in th
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
8must be absorbed into cells and tissues from the circulation before they can exert their effects; they do
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
circulating in the bloodstream. l8 l8 l8
DIF: Cognitive Level: Analysis l8 l8
4. A drug‘s half-life is best defined as
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a. The time it takes for the drug to elicit half its therapeutic response.
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b. The time it takes one- l8 l8 l8 l8
half of the original amount of a drug to reach the target cells.
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c. The time it takes one-
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half of the original amount of a drug to be removed from the body.
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d. The time it takes one-
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half of the original amount of a drug to be absorbed into the circulation.
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ANS: C l8
