, CompleteTestBankLILLEYSPharmacologyforCanadianHealt hCa 1a v% v%
rePractice 5th EditionSEALOCKChapter1-58 v% v%
Chapter01:Nursing Practicein Canadaand Drug Therapy v % 1a 1a 1a
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
v% v% v % v% 1a v% v% 1a v%
MULTIPLE CHOICE v%
1. Whichis a judgement about a particular patient‘s potential need or problem?
v% v% v% v% v% v% v% v% v% v%
a. A goal v%
b. An assessment v%
c. Subjective data v%
d. A nursing diagnosis v% f6
ANS: D v %
Nursing diagnosis is the phase ofthe nursingprocess during which a clinical judgement is made about how apatient responds to h eat
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
h conditions and life processes or vulnerability for that response.
v% v% v% v% v% v% v% v% v% v%
DIF: Cognitive Level: Knowledge v% v%
2. The patient is to receive oral furosemide (Lasix)everyday; however, because the patient is unable to swallow, he cannot take
1a v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
m edication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
a. A ―right time‖ problem v% 1a v%
b. A―right dose‖ problem v% v%
c. A ―right route‖ problem v% v% v%
d. A ―right medication‖ problem
v% v% v%
ANS: C v %
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a ―righ t ti
v% v% v% v% v% v% v% 1a v% v% v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v% v% v
%me‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem because the dose is not related
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
to a n inability to swallow. This is not a ―right medication‖ problem because the medication ordered will not change, just the r
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
oute
.
DIF: Cognitive Level: Application v% v%
3. Thenursehas been monitoring the patient‘s progress on his new drug regimen since the first dose and has been documenting signs of
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
possible adverse effects. What nursing process phase is the nurse practising?
v% v% v% v% v% v% v% v% v% v% v%
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis v%
ANS: B v %
Monitoringthe patient‘s progress ispart of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrate d
1a v% v% v% v% 1a 1a v% v% v% v% v% v% v% v% v% v
by this example.
% v% v%
DIF: Cognitive Level: Application v% v%
4. The nurse is caring for a patient who has been newlydiagnosed with type 1 diabetes mellitus. Which statement best illustrates an o
1a v% v% 1a v% v% v% v% 1a 1a 1a v% v% v% v% v% v% 1a v% v% v%
u tcome criterion for this patient?
v% v% v% v% v%
a. The patient will follow instructions. v% v% v% v%
b. The patient will not experience complications.
v% v% v% v% v%
c. Thepatient adheres to the new insulin treatment regimen. v% v% v% v% v% v% v%
d. Thepatient demonstrates safe insulin self-administration technique. v% v% v% v% v%
ANS: D v %
Having the patient demonstrate safeinsulin self-
1a v% v% v% v%
administration technique is aspecific and measurable outcomecriterion. Following instructions and avoiding complications are not specif
v% v% v% v% v% v% v% v% v% v% v% v% v% v%
i c criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
DIF: Cognitive Level: Application v% v%
5. Which activitybest reflects the implementation phase of the nursing process for the patient who is newlydiagnosed with type 1
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v % v% v%
d iabetes mellitus?
v% v%
a. Providingeducation regarding self-injection technique v% 1a v%
b. Setting goals and outcome criteria with the patient‘s input
v% v% v% v% v% v% v% v%
c. Recording a historyof over-the-counter medications used at home 1a v% v% v% v% v% v%
d. Formulating nursing diagnoses regardingknowledge deficits related to the new t v% 1a v% v% v% v% v% v% v% v
reatment regimen
% v%
ANS: A v %
Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the planning p h
v% v% v % v% 1a v% v% v% v% v% v% 1a 1a v% 1a v% v% v% v%
a se. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit refl
v% v% v% v% v% v% v% v% v% v% 1a v% v% v% v% v% v%
e cts analysis of data as part of the planning phase.
v% v% v% v% v% v% v% v% v% v%
DIF: Cognitive Level: Analysis v% v%
1
, 6. The nurse is working during a verybusynight shift, and the health care provider has just given the nurse a medication order over t
1a v% v% v% v% v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v% v% v%
h e telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
a. Recopythe order neatly on the order sheet, with the most common route indicated v% v% v% v% v% v% v% v% v% v% v% v%
b. Consult with the pharmacist for clarification about the most common route
v% v% v% v% v% v% v% v% v% v%
c. Callthe health care provider to clarify the route of administration
v% v% v% v% v% v% v% v% v%
d. Withhold the drug until the health care provider visits the patient v% v% 1a v% v% v% v% v% v% v%
ANS: C v %
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 administr ation.
v% 1a v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
DIF: Cognitive Level: Application | Cognitive Level: Analysis
v% v% v% v% v% v%
7. Whichconstitutes the traditional Five Rights of medication administration? v% v% v% v% v% v% v %
a. Rightdrug, right route, right dose, right time, and right patient v% v% v% v% v% v% v% v% v%
b. Rightdrug, the right effect, the right route, the right time, and the right patient
v% v% v% v% v% v% v% v% v% v% v% v% v%
c. Right patient, right strength, right diagnosis, right drug, and right route
v% v% v% v% v% v% v% v% 1a v%
d. Right patient, right diagnosis, right drug, right route, and right time
v% v% v% v% v% v% v% v% v% v%
ANS: A v %
Thetraditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose, Right time, and Ri gh
v% v% v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v% v% v% v%
t patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
DIF: Cognitive Level: Comprehension v% v%
8. What correctlydescribes the nursing process?
v% v % v% v%
a. Diagnosing,planning, assessing, implementing, and finallyevaluating v% v% v% v%
b. Assessing,then diagnosing, implementing, and ending with evaluating v% v% v% v% 1a v%
c. Alineardirectionthatbegins with assessing and continues throughdiagnosing, pl v% 1a 1a 1a 1a v% v
anning, and finally implementing
% v% v% v%
d. Anongoing process that begins with assessingand continues with diagnosing, p
v% v% 1a v% 1a v% 1a v%
lanning, implementing, and evaluating
v% v% v% v%
ANS: D v %
Thenursingprocess is an ongoing, flexible, adaptable, and adjustable five- v% v% v% v% v% v% v% v%
step process that begins with assessing and continues through diagnosing, planning, implementing, and finally evaluating, which m
1a v% 1a v% 1a v% v% v% v% v% v% v% v% v% v% v% v
%ay then lead back to any of the other phases.
v% v% v% 1a v% v% v% v% v%
DIF: Cognitive Level: Application v% v%
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
1a v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
a. Thepatient‘s identification v%
b. Thepatient‘s weight v%
c. Thepatient‘s last meal v% v%
d. Anydrug or food allergies v% v% v%
ANS: C v %
Thepharmacokinetic and pharmacodynamic properties of the drug need to beassessed with regard to anydrug– v% 1a v% v% v% 1a v% v% v% v% v% 1a v%
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the drug‘s timi
v% 1a v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
n g.
v% v%
DIF: Cognitive Level: Application v% v%
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
1a v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
a. Anxiety
b. Anxietyrelated to new drug therapy v% v% v% v%
c. Anxietyrelated to anxious feelings about drugtherapy, as evidenced by s 1a 1a 1a 1a v% v% v% 1a v% v
tatements such as ―I‘m upset about having to give myself shots‖
% v% v% v% v% v% v% v% v% v% v%
d. Anxietyrelated to new drug therapy, as evidenced bystatements such as ―I‘m 1a v% v% v% v% 1a v% v% v% v%
upset about having to give myself shots‖
v% v% v% v% v% v%
ANS: D v %
Formulation of nursing diagnoses is usually a three- v% v% v% v% v% v% v%
step process. The only complete answer is ―Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset
v% v% v% v% v% v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v%
a bout having to give myself shots.‘‖ The answer ―Anxiety‖ is missing the ―related to‖ and ―as evidenced by‖ portions. The ans
v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v% v% 1a v% v% v% v% v%
wer
―Anxiety related to new drug therapy‖ ismissing the―as evidenced by‖ portion of defining characteristics. The―relatedto‖ sectio n
1a v% v% v% v% v% v% v% 1a v% v% v% v% v%
i n―Anxietyrelatedtoanxious feelings about drug therapy, as evidenced by statements such as ‗I‘m upset about having to give m ys
v% v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v% v% v% v%
elf shots‘‖ is simply a restatement of the problem ―anxiety,‖ not a separate factor related to the response.
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
DIF: v % v % Cognitive Level: Analysis v% v%
OTHER
1. Placethe phases of the nursing process in the correct order, starting with the first phase.
v% v% v% v% v% v% v% v% v% v% v% v% 1a v%
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
v% v% v% v%
DIF: v % v % Cognitive Level: Analysis v% v%
2
, Chapter02:Pharmacological Principles v%
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
v% v% v % v% 1a v% v% 1a v%
MULTIPLE CHOICE v%
1. A patient is receivingtwo different drugs, which, at their current dose forms and dosages, are both absorbed into the circulation in
v% v% v% v% v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v% v% v
% i dentical amounts. Which term best denotes that the drugs have the same absorption rates?
v% v% v% v% v% v% v% v% v% v% v% v% v% v%
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D v %
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioavailability; thus, they are b
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
ioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent of drug absorption.
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum o
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
f th e effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indicate that two subst
v% v% v% v% v% v% v% v% v% v% v% v% v% v% 1a v% v% v% v% v% v% v% v% v%
anc e s do not have a chemical reaction when mixed (or given, in the case of drugs) together.
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
DIF: Cognitive Level: Comprehension v% v%
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for patient education?
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
a. Themedication will cause fewer adverse effects when given intravenously. v% v% v% v% v% v% v% v%
b. Themedication will be absorbed slowlyinto the tissues over time. v% v% v% v% v% v% v% v%
c. Themedication‘s action will begin faster when given intravenously. v% v% v% v% v% v% v%
d. Most of the drug is inactivated bythe liver before it reaches the target area.
v% v% v% v% v% v% v% v% v % v% v% v% v%
ANS: C v %
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of adverse effects, the
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v
%i ntravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug by the l
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
iv e r before it reaches the target area.
v % v % v% v% v% v% v% v% v%
DIF: Cognitive Level: Comprehension v% v%
3. Which is true regarding parenteral drugs?
v% v% v% v% v%
a. Theybypass the first-pass effect. v% v% v %
b. Theydecrease blood flow to the stomach. v% v% v% v% v%
c. Theyare altered by the presence of food in the stomach. v% v% v% v% v% v% v% v% v%
d. Theyexert their effects while circulating in the bloodstream. v% v% v% v% v% v% v%
ANS: A v %
Drugs given bythe parenteral route bypass the first-
v% v% v% v% v% v% v%
pass effect, but theystill must be absorbed into cells and tissues before theycan exert their effects. Enteral drugs (drugs taken orall y
v% v% v% v% v% v% v% v% v% 1a v% v% v% 1a v% v% v% v% v% v% v%
), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral dr
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
ug s must be absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their eff
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
ects whi le circulating in the bloodstream.
v% v% v% v% v% v%
DIF: v % v % Cognitive Level: Analysis v% v%
4. A drug‘s half-life is best defined as
v% v% v% v% v% v%
a. Thetime it takes for the drug to elicit half its therapeutic response. v% v% v% v% v% v% v% v% v% v% v%
b. Thetimeit takes one- 1a v%
half of theoriginal amount of a drug to reachthetarget cells.
v% v% v% v% v% v% v% v% v%
c. Thetimeit takes one- v% v%
half of the original amount of adrug to be removed from the body.
v% v% v% v% v% v% v% 1a v% v% v% v%
d. Thetimeit takes one- v% v%
half of the original amount of adrug to be absorbed into the circulation.
v% v% 1a v% 1a v% v% v% v% v% v% v%
ANS: C v %
A drug‘s half-life is the time it takes for one-
v% v% v% v% v% v% v% v% v%
half of the original amount of a drug to be removed from the body. It is a measure of the rate at which drugs are removed from t
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v%
h e body. Answers A, B, and D are not correct definitions of a drug‘s half-life.
v% v% v% v% v% v% v% v% v% 1a 1a v% v% v% v%
DIF: v % v % Cognitive Level: Comprehension v% v%
5. The term ―duration of action‖ is best defined as
1a v% v% v% v% 1a v%
a. Thetime it takes for the drug to elicit a therapeutic response. v% v% v% v% v% v% v% v% v% v%
b. Thetimeit takes a drug to reach its maximum therapeutic response. v% v% v% v% v% v% v% v% v%
c. The length of time it takes to remove a drug from circulation.
v% v% v% v% v% v% v% v% v% 1a v %
d. Thetimeduring which drug concentration is sufficient to elicit a therapeutic r 1a v% v% v% 1a v% 1a v% v% v%
v% esponse.
ANS: D v %
Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it take
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
s for a drug to elicit a therapeutic response is the drug‘s ―onset of action.‖ The time it takes a drug to reach its maximum ther
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
apeutic r esponse is a drug‘s ―peak effect.‖ ―The length of time it takes to remove a drug from circulation‖ defines a drug‘s eliminati
v% v% 1a v% v% v% v% v% v% v% v% v% v% 1a v% v% v% v% 1a v% v% v% v%
on and do es not correctly define a drug‘s duration of action.
v% v% v% v% v% v% v% v% v% v% v%
DIF: v % v % Cognitive Level: Comprehension v% v%
1
rePractice 5th EditionSEALOCKChapter1-58 v% v%
Chapter01:Nursing Practicein Canadaand Drug Therapy v % 1a 1a 1a
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
v% v% v % v% 1a v% v% 1a v%
MULTIPLE CHOICE v%
1. Whichis a judgement about a particular patient‘s potential need or problem?
v% v% v% v% v% v% v% v% v% v%
a. A goal v%
b. An assessment v%
c. Subjective data v%
d. A nursing diagnosis v% f6
ANS: D v %
Nursing diagnosis is the phase ofthe nursingprocess during which a clinical judgement is made about how apatient responds to h eat
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
h conditions and life processes or vulnerability for that response.
v% v% v% v% v% v% v% v% v% v%
DIF: Cognitive Level: Knowledge v% v%
2. The patient is to receive oral furosemide (Lasix)everyday; however, because the patient is unable to swallow, he cannot take
1a v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
m edication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
a. A ―right time‖ problem v% 1a v%
b. A―right dose‖ problem v% v%
c. A ―right route‖ problem v% v% v%
d. A ―right medication‖ problem
v% v% v%
ANS: C v %
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a ―righ t ti
v% v% v% v% v% v% v% 1a v% v% v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v% v% v
%me‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem because the dose is not related
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
to a n inability to swallow. This is not a ―right medication‖ problem because the medication ordered will not change, just the r
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
oute
.
DIF: Cognitive Level: Application v% v%
3. Thenursehas been monitoring the patient‘s progress on his new drug regimen since the first dose and has been documenting signs of
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
possible adverse effects. What nursing process phase is the nurse practising?
v% v% v% v% v% v% v% v% v% v% v%
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis v%
ANS: B v %
Monitoringthe patient‘s progress ispart of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrate d
1a v% v% v% v% 1a 1a v% v% v% v% v% v% v% v% v% v
by this example.
% v% v%
DIF: Cognitive Level: Application v% v%
4. The nurse is caring for a patient who has been newlydiagnosed with type 1 diabetes mellitus. Which statement best illustrates an o
1a v% v% 1a v% v% v% v% 1a 1a 1a v% v% v% v% v% v% 1a v% v% v%
u tcome criterion for this patient?
v% v% v% v% v%
a. The patient will follow instructions. v% v% v% v%
b. The patient will not experience complications.
v% v% v% v% v%
c. Thepatient adheres to the new insulin treatment regimen. v% v% v% v% v% v% v%
d. Thepatient demonstrates safe insulin self-administration technique. v% v% v% v% v%
ANS: D v %
Having the patient demonstrate safeinsulin self-
1a v% v% v% v%
administration technique is aspecific and measurable outcomecriterion. Following instructions and avoiding complications are not specif
v% v% v% v% v% v% v% v% v% v% v% v% v% v%
i c criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
DIF: Cognitive Level: Application v% v%
5. Which activitybest reflects the implementation phase of the nursing process for the patient who is newlydiagnosed with type 1
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v % v% v%
d iabetes mellitus?
v% v%
a. Providingeducation regarding self-injection technique v% 1a v%
b. Setting goals and outcome criteria with the patient‘s input
v% v% v% v% v% v% v% v%
c. Recording a historyof over-the-counter medications used at home 1a v% v% v% v% v% v%
d. Formulating nursing diagnoses regardingknowledge deficits related to the new t v% 1a v% v% v% v% v% v% v% v
reatment regimen
% v%
ANS: A v %
Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the planning p h
v% v% v % v% 1a v% v% v% v% v% v% 1a 1a v% 1a v% v% v% v%
a se. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit refl
v% v% v% v% v% v% v% v% v% v% 1a v% v% v% v% v% v%
e cts analysis of data as part of the planning phase.
v% v% v% v% v% v% v% v% v% v%
DIF: Cognitive Level: Analysis v% v%
1
, 6. The nurse is working during a verybusynight shift, and the health care provider has just given the nurse a medication order over t
1a v% v% v% v% v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v% v% v%
h e telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
a. Recopythe order neatly on the order sheet, with the most common route indicated v% v% v% v% v% v% v% v% v% v% v% v%
b. Consult with the pharmacist for clarification about the most common route
v% v% v% v% v% v% v% v% v% v%
c. Callthe health care provider to clarify the route of administration
v% v% v% v% v% v% v% v% v%
d. Withhold the drug until the health care provider visits the patient v% v% 1a v% v% v% v% v% v% v%
ANS: C v %
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 administr ation.
v% 1a v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
DIF: Cognitive Level: Application | Cognitive Level: Analysis
v% v% v% v% v% v%
7. Whichconstitutes the traditional Five Rights of medication administration? v% v% v% v% v% v% v %
a. Rightdrug, right route, right dose, right time, and right patient v% v% v% v% v% v% v% v% v%
b. Rightdrug, the right effect, the right route, the right time, and the right patient
v% v% v% v% v% v% v% v% v% v% v% v% v%
c. Right patient, right strength, right diagnosis, right drug, and right route
v% v% v% v% v% v% v% v% 1a v%
d. Right patient, right diagnosis, right drug, right route, and right time
v% v% v% v% v% v% v% v% v% v%
ANS: A v %
Thetraditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose, Right time, and Ri gh
v% v% v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v% v% v% v%
t patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
DIF: Cognitive Level: Comprehension v% v%
8. What correctlydescribes the nursing process?
v% v % v% v%
a. Diagnosing,planning, assessing, implementing, and finallyevaluating v% v% v% v%
b. Assessing,then diagnosing, implementing, and ending with evaluating v% v% v% v% 1a v%
c. Alineardirectionthatbegins with assessing and continues throughdiagnosing, pl v% 1a 1a 1a 1a v% v
anning, and finally implementing
% v% v% v%
d. Anongoing process that begins with assessingand continues with diagnosing, p
v% v% 1a v% 1a v% 1a v%
lanning, implementing, and evaluating
v% v% v% v%
ANS: D v %
Thenursingprocess is an ongoing, flexible, adaptable, and adjustable five- v% v% v% v% v% v% v% v%
step process that begins with assessing and continues through diagnosing, planning, implementing, and finally evaluating, which m
1a v% 1a v% 1a v% v% v% v% v% v% v% v% v% v% v% v
%ay then lead back to any of the other phases.
v% v% v% 1a v% v% v% v% v%
DIF: Cognitive Level: Application v% v%
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
1a v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
a. Thepatient‘s identification v%
b. Thepatient‘s weight v%
c. Thepatient‘s last meal v% v%
d. Anydrug or food allergies v% v% v%
ANS: C v %
Thepharmacokinetic and pharmacodynamic properties of the drug need to beassessed with regard to anydrug– v% 1a v% v% v% 1a v% v% v% v% v% 1a v%
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the drug‘s timi
v% 1a v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
n g.
v% v%
DIF: Cognitive Level: Application v% v%
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
1a v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
a. Anxiety
b. Anxietyrelated to new drug therapy v% v% v% v%
c. Anxietyrelated to anxious feelings about drugtherapy, as evidenced by s 1a 1a 1a 1a v% v% v% 1a v% v
tatements such as ―I‘m upset about having to give myself shots‖
% v% v% v% v% v% v% v% v% v% v%
d. Anxietyrelated to new drug therapy, as evidenced bystatements such as ―I‘m 1a v% v% v% v% 1a v% v% v% v%
upset about having to give myself shots‖
v% v% v% v% v% v%
ANS: D v %
Formulation of nursing diagnoses is usually a three- v% v% v% v% v% v% v%
step process. The only complete answer is ―Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset
v% v% v% v% v% v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v%
a bout having to give myself shots.‘‖ The answer ―Anxiety‖ is missing the ―related to‖ and ―as evidenced by‖ portions. The ans
v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v% v% 1a v% v% v% v% v%
wer
―Anxiety related to new drug therapy‖ ismissing the―as evidenced by‖ portion of defining characteristics. The―relatedto‖ sectio n
1a v% v% v% v% v% v% v% 1a v% v% v% v% v%
i n―Anxietyrelatedtoanxious feelings about drug therapy, as evidenced by statements such as ‗I‘m upset about having to give m ys
v% v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v% v% v% v%
elf shots‘‖ is simply a restatement of the problem ―anxiety,‖ not a separate factor related to the response.
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
DIF: v % v % Cognitive Level: Analysis v% v%
OTHER
1. Placethe phases of the nursing process in the correct order, starting with the first phase.
v% v% v% v% v% v% v% v% v% v% v% v% 1a v%
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
v% v% v% v%
DIF: v % v % Cognitive Level: Analysis v% v%
2
, Chapter02:Pharmacological Principles v%
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
v% v% v % v% 1a v% v% 1a v%
MULTIPLE CHOICE v%
1. A patient is receivingtwo different drugs, which, at their current dose forms and dosages, are both absorbed into the circulation in
v% v% v% v% v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v% v% v
% i dentical amounts. Which term best denotes that the drugs have the same absorption rates?
v% v% v% v% v% v% v% v% v% v% v% v% v% v%
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D v %
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioavailability; thus, they are b
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
ioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent of drug absorption.
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum o
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
f th e effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indicate that two subst
v% v% v% v% v% v% v% v% v% v% v% v% v% v% 1a v% v% v% v% v% v% v% v% v%
anc e s do not have a chemical reaction when mixed (or given, in the case of drugs) together.
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
DIF: Cognitive Level: Comprehension v% v%
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for patient education?
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
a. Themedication will cause fewer adverse effects when given intravenously. v% v% v% v% v% v% v% v%
b. Themedication will be absorbed slowlyinto the tissues over time. v% v% v% v% v% v% v% v%
c. Themedication‘s action will begin faster when given intravenously. v% v% v% v% v% v% v%
d. Most of the drug is inactivated bythe liver before it reaches the target area.
v% v% v% v% v% v% v% v% v % v% v% v% v%
ANS: C v %
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of adverse effects, the
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v
%i ntravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug by the l
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
iv e r before it reaches the target area.
v % v % v% v% v% v% v% v% v%
DIF: Cognitive Level: Comprehension v% v%
3. Which is true regarding parenteral drugs?
v% v% v% v% v%
a. Theybypass the first-pass effect. v% v% v %
b. Theydecrease blood flow to the stomach. v% v% v% v% v%
c. Theyare altered by the presence of food in the stomach. v% v% v% v% v% v% v% v% v%
d. Theyexert their effects while circulating in the bloodstream. v% v% v% v% v% v% v%
ANS: A v %
Drugs given bythe parenteral route bypass the first-
v% v% v% v% v% v% v%
pass effect, but theystill must be absorbed into cells and tissues before theycan exert their effects. Enteral drugs (drugs taken orall y
v% v% v% v% v% v% v% v% v% 1a v% v% v% 1a v% v% v% v% v% v% v%
), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral dr
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
ug s must be absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their eff
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
ects whi le circulating in the bloodstream.
v% v% v% v% v% v%
DIF: v % v % Cognitive Level: Analysis v% v%
4. A drug‘s half-life is best defined as
v% v% v% v% v% v%
a. Thetime it takes for the drug to elicit half its therapeutic response. v% v% v% v% v% v% v% v% v% v% v%
b. Thetimeit takes one- 1a v%
half of theoriginal amount of a drug to reachthetarget cells.
v% v% v% v% v% v% v% v% v%
c. Thetimeit takes one- v% v%
half of the original amount of adrug to be removed from the body.
v% v% v% v% v% v% v% 1a v% v% v% v%
d. Thetimeit takes one- v% v%
half of the original amount of adrug to be absorbed into the circulation.
v% v% 1a v% 1a v% v% v% v% v% v% v%
ANS: C v %
A drug‘s half-life is the time it takes for one-
v% v% v% v% v% v% v% v% v%
half of the original amount of a drug to be removed from the body. It is a measure of the rate at which drugs are removed from t
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% 1a v% v% v% v% v% v% v% v% v% v% v%
h e body. Answers A, B, and D are not correct definitions of a drug‘s half-life.
v% v% v% v% v% v% v% v% v% 1a 1a v% v% v% v%
DIF: v % v % Cognitive Level: Comprehension v% v%
5. The term ―duration of action‖ is best defined as
1a v% v% v% v% 1a v%
a. Thetime it takes for the drug to elicit a therapeutic response. v% v% v% v% v% v% v% v% v% v%
b. Thetimeit takes a drug to reach its maximum therapeutic response. v% v% v% v% v% v% v% v% v%
c. The length of time it takes to remove a drug from circulation.
v% v% v% v% v% v% v% v% v% 1a v %
d. Thetimeduring which drug concentration is sufficient to elicit a therapeutic r 1a v% v% v% 1a v% 1a v% v% v%
v% esponse.
ANS: D v %
Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it take
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
s for a drug to elicit a therapeutic response is the drug‘s ―onset of action.‖ The time it takes a drug to reach its maximum ther
v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v% v%
apeutic r esponse is a drug‘s ―peak effect.‖ ―The length of time it takes to remove a drug from circulation‖ defines a drug‘s eliminati
v% v% 1a v% v% v% v% v% v% v% v% v% v% 1a v% v% v% v% 1a v% v% v% v%
on and do es not correctly define a drug‘s duration of action.
v% v% v% v% v% v% v% v% v% v% v%
DIF: v % v % Cognitive Level: Comprehension v% v%
1
