lOMoARcPSD|
13728229
+s
, lOMoARcPSD|
13728229
+s
Complete Test Bank LILLEYS Pharmacology for Canadian Healt +s +s +s +s +s +s +s+s
h Care Practice 4th Edition SEALOCK Chapter 1-58
+s +s +s +s +s +s +s
Chapter 01: Nursing Practice in Canada and Drug Therapy
+s +s +s +s +s +s +s +s
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
+s +s +s +s +s +s +s +s +s
MULTIPLE CHOICE +s
1. Which is a judgement about a particular patient’s potential need or problem?
+s +s +s +s +s +s +s +s +s +s +s
a. A goal +s
b. An assessment +s
c. Subjective data +s
d. A nursing diagnosis +s +s
ANS: D +s
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient responds to
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +
heath conditions and life processes or vulnerability for that response.
s +s +s +s +s +s +s +s +s +s
DIF: Cognitive Level: Knowledge +s +s
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot ta
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ke medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
a. A “right time” problem +s +s +s
b. A “right dose” problem +s +s +s
c. A “right route” problem +s +s +s
d. A “right medication” problem+s +s +s
ANS: C +s
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a “ri
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ght time” problem because the ordered frequency has not changed. This is not a “right dose” problem because the dose is not rel
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ated to an inability to swallow. This is not a “right medication” problem because the medication ordered will not change, just th
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
e route.
+s
DIF: Cognitive Level: Application +s +s
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and has been documenting sig
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ns of possible adverse effects. What nursing process phase is the nurse practising?
+s +s +s +s +s +s +s +s +s +s +s +s
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis +s
ANS: B +s
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustra
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ted by this example.
+s +s +s
DIF: Cognitive Level: Application +s +s
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statement best illustrates
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
an outcome criterion for this patient?
+s +s +s +s +s
a. The patient will follow instructions. +s +s +s +s
b. The patient will not experience complications.
+s +s +s +s +s
c. The patient adheres to the new insulin treatment regimen.
+s +s +s +s +s +s +s +s
d. The patient demonstrates safe insulin self-administration technique.
+s +s +s +s +s +s
ANS: D +s
Having the patient demonstrate safe insulin self-
+s +s +s +s +s +s
administration technique is a specific and measurable outcome criterion. Following instructions and avoiding complications are n
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ot specific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
DIF: Cognitive Level: Application +s +s
5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with type
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
1 diabetes mellitus?
+s +s +s
a. Providing education regarding self-injection technique +s +s +s +s
b. Setting goals and outcome criteria with the patient’s input
+s +s +s +s +s +s +s +s
c. Recording a history of over-the-counter medications used at home +s +s +s +s +s +s +s +s
d. Formulating nursing diagnoses regarding knowledge deficits related to the new +s +s +s +s +s +s +s +s +s
treatment regimen
+s +s
ANS: A +s
Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the planning
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
phase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit r
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
eflects analysis of data as part of the planning phase.
+s +s +s +s +s +s +s +s +s
DIF: Cognitive Level: Analysis +s +s
1
, lOMoARcPSD|
13728229
+s
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a medication order ov
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
er the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
a. Recopy the order neatly on the order sheet, with the most common route indicated
+s +s +s +s +s +s +s +s +s +s +s +s +s
b. Consult with the pharmacist for clarification about the most common route
+s +s +s +s +s +s +s +s +s +s
c. Call the health care provider to clarify the route of administration
+s +s +s +s +s +s +s +s +s +s
d. Withhold the drug until the health care provider visits the patient
+s +s +s +s +s +s +s +s +s +s
ANS: C +s
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 admini
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
stration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
+s +s +s +s +s +s
7. Which constitutes the traditional Five Rights of medication administration?
+s +s +s +s +s +s +s +s
a. Right drug, right route, right dose, right time, and right patient
+s +s +s +s +s +s +s +s +s +s
b. Right drug, the right effect, the right route, the right time, and the right patient
+s +s +s +s +s +s +s +s +s +s +s +s +s +s
c. Right patient, right strength, right diagnosis, right drug, and right route
+s +s +s +s +s +s +s +s +s +s
d. Right patient, right diagnosis, right drug, right route, and right time
+s +s +s +s +s +s +s +s +s +s
ANS: A +s
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose, Right time, an
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
d Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
DIF: Cognitive Level: Comprehension +s +s
8. What correctly describes the nursing process?
+s +s +s +s +s
a. Diagnosing, planning, assessing, implementing, and finally evaluating +s +s +s +s +s +s
b. Assessing, then diagnosing, implementing, and ending with evaluating +s +s +s +s +s +s +s
c. A linear direction that begins with assessing and continues through diagnosing,
+s +s +s +s +s +s +s +s +s +s
planning, and finally implementing
+s +s +s +s
d. An ongoing process that begins with assessing and continues with diagnosing,
+s +s +s +s +s +s +s +s +s +s
planning, implementing, and evaluating
+s +s +s +s
ANS: D +s
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
+s +s +s +s +s +s +s +s +s +s
step process that begins with assessing and continues through diagnosing, planning, implementing, and finally evaluating, whic
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
h may then lead back to any of the other phases.
+s +s +s +s +s +s +s +s +s +s
DIF: Cognitive Level: Application +s +s
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
a. The patient’s identification +s +s
b. The patient’s weight +s +s
c. The patient’s last meal +s +s +s
d. Any drug or food allergies +s +s +s +s
ANS: C +s
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any drug–
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
food interactions or compatibility issues. The patient’s identification, weight, and drug or food allergies are not affected by the drug’s ti
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ming.
DIF: Cognitive Level: Application +s +s
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
a. Anxiety
b. Anxiety related to new drug therapy +s +s +s +s +s
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
+s +s +s +s +s +s +s +s +s +s
statements such as “I’m upset about having to give myself shots”
+s +s +s +s +s +s +s +s +s +s +s
d. Anxiety related to new drug therapy, as evidenced by statements such as “I’
+s +s +s +s +s +s +s +s +s +s +s +s
m upset about having to give myself shots”
+s +s +s +s +s +s +s
ANS: D +s
Formulation of nursing diagnoses is usually a three- +s +s +s +s +s +s +s
step process. The only complete answer is “Anxiety related to new drug therapy, as evidenced by statements such as ‘I’m upset
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +
about having to give myself shots.’” The answer “Anxiety” is missing the “related to” and “as evidenced by” portions. The ans
s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
wer “Anxiety related to new drug therapy” is missing the “as evidenced by” portion of defining characteristics. The “related to”
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
section in “Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as ‘I’m upset about having to
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
give myself shots’” is simply a restatement of the problem “anxiety,” not a separate factor related to the response.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
DIF: Cognitive Level: Analysis +s +s
OTHER
1. Place the phases of the nursing process in the correct order, starting with the first phase.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
+s +s +s +s
DIF: Cognitive Level: Analysis +s +s
2
, lOMoARcPSD|
13728229
+s
Chapter 02: Pharmacological Principles
+s +s +s
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
+s +s +s +s +s +s +s +s +s
MULTIPLE CHOICE +s
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed into the circulation
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
in identical amounts. Which term best denotes that the drugs have the same absorption rates?
+s +s +s +s +s +s +s +s +s +s +s +s +s +s
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D +s
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioavailability; thus, they
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
are bioequivalent. “Equivalent” is incorrect because the term “bioavailability” is used to express the extent of drug absorption.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
“Synergistic” is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
the effects of each drug given alone. “Compatible” is incorrect because this term is a general term used to indicate that two subs
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
tances do not have a chemical reaction when mixed (or given, in the case of drugs) together.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
DIF: + s + s Cognitive Level: Comprehension +s +s
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for patient education?
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
a. The medication will cause fewer adverse effects when given intravenously.
+s +s +s +s +s +s +s +s +s
b. The medication will be absorbed slowly into the tissues over time.
+s +s +s +s +s +s +s +s +s +s
c. The medication’s action will begin faster when given intravenously.
+s +s +s +s +s +s +s +s
d. Most of the drug is inactivated by the liver before it reaches the target area.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s
ANS: C +s
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of adverse effects, t
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
he intravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug by th
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
e liver before it reaches the target area.
+s +s +s +s +s +s +s
DIF: + s + s Cognitive Level: Comprehension +s +s
3. Which is true regarding parenteral drugs?
+s +s +s +s +s
a. They bypass the first-pass effect. +s +s +s +s
b. They decrease blood flow to the stomach. +s +s +s +s +s +s
c. They are altered by the presence of food in the stomach.
+s +s +s +s +s +s +s +s +s +s
d. They exert their effects while circulating in the bloodstream.
+s +s +s +s +s +s +s +s
ANS: A +s
Drugs given by the parenteral route bypass the first-
+s +s +s +s +s +s +s +s
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Enteral drugs (drugs taken ora
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
lly), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
drugs must be absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their eff
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ects while circulating in the bloodstream.
+s +s +s +s +s
DIF: + s + s Cognitive Level: Analysis +s +s
4. A drug’s half-life is best defined as
+s +s +s +s +s +s
a. The time it takes for the drug to elicit half its therapeutic response.
+s +s +s +s +s +s +s +s +s +s +s +s
b. The time it takes one- +s +s +s +s
half of the original amount of a drug to reach the target cells.
+s +s +s +s +s +s +s +s +s +s +s +s
c. The time it takes one-
+s +s +s +s
half of the original amount of a drug to be removed from the body.
+s +s +s +s +s +s +s +s +s +s +s +s +s
d. The time it takes one-
+s +s +s +s
half of the original amount of a drug to be absorbed into the circulation.
+s +s +s +s +s +s +s +s +s +s +s +s +s
ANS: C +s
A drug’s half-life is the time it takes for one-
+s +s +s +s +s +s +s +s +s
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
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
the body. Answers A, B, and D are not correct definitions of a drug’s half-life.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s
DIF: + s + s Cognitive Level: Comprehension +s +s
5. The term “duration of action” is best defined as
+s +s +s +s +s +s +s +s
a. The time it takes for the drug to elicit a therapeutic response.
+s +s +s +s +s +s +s +s +s +s +s
b. The time it takes a drug to reach its maximum therapeutic response.
+s +s +s +s +s +s +s +s +s +s +s
c. The length of time it takes to remove a drug from circulation.
+s +s +s +s +s +s +s +s +s +s +s
d. The time during which drug concentration is sufficient to elicit a therapeuti
+s +s +s +s +s +s +s +s +s +s +s
c response.
+s
ANS: D +s
Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes f
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
or a drug to elicit a therapeutic response is the drug’s “onset of action.” The time it takes a drug to reach its maximum therape
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
utic response is a drug’s “peak effect.” “The length of time it takes to remove a drug from circulation” defines a drug’s eliminati
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
on and does not correctly define a drug’s duration of action.
+s +s +s +s +s +s +s +s +s +s
DIF: + s + s Cognitive Level: Comprehension +s +s
1
13728229
+s
, lOMoARcPSD|
13728229
+s
Complete Test Bank LILLEYS Pharmacology for Canadian Healt +s +s +s +s +s +s +s+s
h Care Practice 4th Edition SEALOCK Chapter 1-58
+s +s +s +s +s +s +s
Chapter 01: Nursing Practice in Canada and Drug Therapy
+s +s +s +s +s +s +s +s
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
+s +s +s +s +s +s +s +s +s
MULTIPLE CHOICE +s
1. Which is a judgement about a particular patient’s potential need or problem?
+s +s +s +s +s +s +s +s +s +s +s
a. A goal +s
b. An assessment +s
c. Subjective data +s
d. A nursing diagnosis +s +s
ANS: D +s
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient responds to
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +
heath conditions and life processes or vulnerability for that response.
s +s +s +s +s +s +s +s +s +s
DIF: Cognitive Level: Knowledge +s +s
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot ta
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ke medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
a. A “right time” problem +s +s +s
b. A “right dose” problem +s +s +s
c. A “right route” problem +s +s +s
d. A “right medication” problem+s +s +s
ANS: C +s
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a “ri
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ght time” problem because the ordered frequency has not changed. This is not a “right dose” problem because the dose is not rel
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ated to an inability to swallow. This is not a “right medication” problem because the medication ordered will not change, just th
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
e route.
+s
DIF: Cognitive Level: Application +s +s
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and has been documenting sig
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ns of possible adverse effects. What nursing process phase is the nurse practising?
+s +s +s +s +s +s +s +s +s +s +s +s
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis +s
ANS: B +s
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustra
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ted by this example.
+s +s +s
DIF: Cognitive Level: Application +s +s
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statement best illustrates
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
an outcome criterion for this patient?
+s +s +s +s +s
a. The patient will follow instructions. +s +s +s +s
b. The patient will not experience complications.
+s +s +s +s +s
c. The patient adheres to the new insulin treatment regimen.
+s +s +s +s +s +s +s +s
d. The patient demonstrates safe insulin self-administration technique.
+s +s +s +s +s +s
ANS: D +s
Having the patient demonstrate safe insulin self-
+s +s +s +s +s +s
administration technique is a specific and measurable outcome criterion. Following instructions and avoiding complications are n
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ot specific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
DIF: Cognitive Level: Application +s +s
5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with type
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
1 diabetes mellitus?
+s +s +s
a. Providing education regarding self-injection technique +s +s +s +s
b. Setting goals and outcome criteria with the patient’s input
+s +s +s +s +s +s +s +s
c. Recording a history of over-the-counter medications used at home +s +s +s +s +s +s +s +s
d. Formulating nursing diagnoses regarding knowledge deficits related to the new +s +s +s +s +s +s +s +s +s
treatment regimen
+s +s
ANS: A +s
Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the planning
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
phase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit r
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
eflects analysis of data as part of the planning phase.
+s +s +s +s +s +s +s +s +s
DIF: Cognitive Level: Analysis +s +s
1
, lOMoARcPSD|
13728229
+s
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a medication order ov
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
er the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
a. Recopy the order neatly on the order sheet, with the most common route indicated
+s +s +s +s +s +s +s +s +s +s +s +s +s
b. Consult with the pharmacist for clarification about the most common route
+s +s +s +s +s +s +s +s +s +s
c. Call the health care provider to clarify the route of administration
+s +s +s +s +s +s +s +s +s +s
d. Withhold the drug until the health care provider visits the patient
+s +s +s +s +s +s +s +s +s +s
ANS: C +s
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 admini
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
stration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
+s +s +s +s +s +s
7. Which constitutes the traditional Five Rights of medication administration?
+s +s +s +s +s +s +s +s
a. Right drug, right route, right dose, right time, and right patient
+s +s +s +s +s +s +s +s +s +s
b. Right drug, the right effect, the right route, the right time, and the right patient
+s +s +s +s +s +s +s +s +s +s +s +s +s +s
c. Right patient, right strength, right diagnosis, right drug, and right route
+s +s +s +s +s +s +s +s +s +s
d. Right patient, right diagnosis, right drug, right route, and right time
+s +s +s +s +s +s +s +s +s +s
ANS: A +s
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose, Right time, an
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
d Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
DIF: Cognitive Level: Comprehension +s +s
8. What correctly describes the nursing process?
+s +s +s +s +s
a. Diagnosing, planning, assessing, implementing, and finally evaluating +s +s +s +s +s +s
b. Assessing, then diagnosing, implementing, and ending with evaluating +s +s +s +s +s +s +s
c. A linear direction that begins with assessing and continues through diagnosing,
+s +s +s +s +s +s +s +s +s +s
planning, and finally implementing
+s +s +s +s
d. An ongoing process that begins with assessing and continues with diagnosing,
+s +s +s +s +s +s +s +s +s +s
planning, implementing, and evaluating
+s +s +s +s
ANS: D +s
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
+s +s +s +s +s +s +s +s +s +s
step process that begins with assessing and continues through diagnosing, planning, implementing, and finally evaluating, whic
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
h may then lead back to any of the other phases.
+s +s +s +s +s +s +s +s +s +s
DIF: Cognitive Level: Application +s +s
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
a. The patient’s identification +s +s
b. The patient’s weight +s +s
c. The patient’s last meal +s +s +s
d. Any drug or food allergies +s +s +s +s
ANS: C +s
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any drug–
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
food interactions or compatibility issues. The patient’s identification, weight, and drug or food allergies are not affected by the drug’s ti
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ming.
DIF: Cognitive Level: Application +s +s
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
a. Anxiety
b. Anxiety related to new drug therapy +s +s +s +s +s
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
+s +s +s +s +s +s +s +s +s +s
statements such as “I’m upset about having to give myself shots”
+s +s +s +s +s +s +s +s +s +s +s
d. Anxiety related to new drug therapy, as evidenced by statements such as “I’
+s +s +s +s +s +s +s +s +s +s +s +s
m upset about having to give myself shots”
+s +s +s +s +s +s +s
ANS: D +s
Formulation of nursing diagnoses is usually a three- +s +s +s +s +s +s +s
step process. The only complete answer is “Anxiety related to new drug therapy, as evidenced by statements such as ‘I’m upset
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +
about having to give myself shots.’” The answer “Anxiety” is missing the “related to” and “as evidenced by” portions. The ans
s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
wer “Anxiety related to new drug therapy” is missing the “as evidenced by” portion of defining characteristics. The “related to”
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
section in “Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as ‘I’m upset about having to
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
give myself shots’” is simply a restatement of the problem “anxiety,” not a separate factor related to the response.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
DIF: Cognitive Level: Analysis +s +s
OTHER
1. Place the phases of the nursing process in the correct order, starting with the first phase.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
+s +s +s +s
DIF: Cognitive Level: Analysis +s +s
2
, lOMoARcPSD|
13728229
+s
Chapter 02: Pharmacological Principles
+s +s +s
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
+s +s +s +s +s +s +s +s +s
MULTIPLE CHOICE +s
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed into the circulation
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
in identical amounts. Which term best denotes that the drugs have the same absorption rates?
+s +s +s +s +s +s +s +s +s +s +s +s +s +s
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D +s
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioavailability; thus, they
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
are bioequivalent. “Equivalent” is incorrect because the term “bioavailability” is used to express the extent of drug absorption.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
“Synergistic” is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
the effects of each drug given alone. “Compatible” is incorrect because this term is a general term used to indicate that two subs
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
tances do not have a chemical reaction when mixed (or given, in the case of drugs) together.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
DIF: + s + s Cognitive Level: Comprehension +s +s
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for patient education?
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
a. The medication will cause fewer adverse effects when given intravenously.
+s +s +s +s +s +s +s +s +s
b. The medication will be absorbed slowly into the tissues over time.
+s +s +s +s +s +s +s +s +s +s
c. The medication’s action will begin faster when given intravenously.
+s +s +s +s +s +s +s +s
d. Most of the drug is inactivated by the liver before it reaches the target area.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s
ANS: C +s
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of adverse effects, t
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
he intravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug by th
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
e liver before it reaches the target area.
+s +s +s +s +s +s +s
DIF: + s + s Cognitive Level: Comprehension +s +s
3. Which is true regarding parenteral drugs?
+s +s +s +s +s
a. They bypass the first-pass effect. +s +s +s +s
b. They decrease blood flow to the stomach. +s +s +s +s +s +s
c. They are altered by the presence of food in the stomach.
+s +s +s +s +s +s +s +s +s +s
d. They exert their effects while circulating in the bloodstream.
+s +s +s +s +s +s +s +s
ANS: A +s
Drugs given by the parenteral route bypass the first-
+s +s +s +s +s +s +s +s
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Enteral drugs (drugs taken ora
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
lly), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
drugs must be absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their eff
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
ects while circulating in the bloodstream.
+s +s +s +s +s
DIF: + s + s Cognitive Level: Analysis +s +s
4. A drug’s half-life is best defined as
+s +s +s +s +s +s
a. The time it takes for the drug to elicit half its therapeutic response.
+s +s +s +s +s +s +s +s +s +s +s +s
b. The time it takes one- +s +s +s +s
half of the original amount of a drug to reach the target cells.
+s +s +s +s +s +s +s +s +s +s +s +s
c. The time it takes one-
+s +s +s +s
half of the original amount of a drug to be removed from the body.
+s +s +s +s +s +s +s +s +s +s +s +s +s
d. The time it takes one-
+s +s +s +s
half of the original amount of a drug to be absorbed into the circulation.
+s +s +s +s +s +s +s +s +s +s +s +s +s
ANS: C +s
A drug’s half-life is the time it takes for one-
+s +s +s +s +s +s +s +s +s
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
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
the body. Answers A, B, and D are not correct definitions of a drug’s half-life.
+s +s +s +s +s +s +s +s +s +s +s +s +s +s
DIF: + s + s Cognitive Level: Comprehension +s +s
5. The term “duration of action” is best defined as
+s +s +s +s +s +s +s +s
a. The time it takes for the drug to elicit a therapeutic response.
+s +s +s +s +s +s +s +s +s +s +s
b. The time it takes a drug to reach its maximum therapeutic response.
+s +s +s +s +s +s +s +s +s +s +s
c. The length of time it takes to remove a drug from circulation.
+s +s +s +s +s +s +s +s +s +s +s
d. The time during which drug concentration is sufficient to elicit a therapeuti
+s +s +s +s +s +s +s +s +s +s +s
c response.
+s
ANS: D +s
Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes f
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
or a drug to elicit a therapeutic response is the drug’s “onset of action.” The time it takes a drug to reach its maximum therape
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
utic response is a drug’s “peak effect.” “The length of time it takes to remove a drug from circulation” defines a drug’s eliminati
+s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s +s
on and does not correctly define a drug’s duration of action.
+s +s +s +s +s +s +s +s +s +s
DIF: + s + s Cognitive Level: Comprehension +s +s
1
