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