Lilleys Pharmacology for Canadian Health Care Practice 4th
Edition Sealock Test Bank Questions & Answers with
rationales
(C1) An 86-year-old patient is being discharged to home on digoxin and has little information regarding
the medication. Which statement best reflects a realistic outcome of patient teaching activities?
a) The patient and patient's daughter will state the proper way to take the drug.
b) The nurse will provide teaching about the drug's adverse effects.
c) The patient will state all the symptoms of digoxin toxicity.
d) The patient will call the prescriber if adverse effects occur. - Correct answer-a)
this is an outcome of patient teaching. With (b) this isn't a patient outcome, it is a step to take during
the intervention, not evaluation stage. (c) is unrealistic for the patient. (d) although it is good to voice
concerns when an adverse effect has arisen, it's not the best choice in relation to teaching activities.
(C1) A patient has a new prescription for a blood pressure medication that may cause him to feel dizzy
during the first few days of therapy. Which is the best nursing diagnosis for this situation?
a) Activity tolerance
b) Potential for injury
c) Disturbed body image
d) Self-care deficit - Correct answer-b)
Since the patient can feel dizzy during the first few days, their likelihood of falling or injuring themselves
becomes higher. The other answers don't directly connect with the question, since the adverse effect is
usually during the first few days of therapy.
(C1) A patient's chart includes an order that reads as follows: digoxin 0.025mcg once daily at 0900 hours.
Which action by the nurse is correct?
a) the nurse gives the drug via transdermal route
b) the nurse gives the drug orally
c) the nurse gives the drug intravenously
d) the nurse contacts the prescriber to clarify the dosage route - Correct answer-d)
, Lilleys Pharmacology for Canadian Health Care Practice 4th
Edition Sealock Test Bank Questions & Answers with
rationales
In the prescribers order, there is no indication of a route, so it is best not to assume to route, especially
with medications that can be given through multiple routes. By asking the prescriber, you can ensure
that the rights of medication administration are accounted for.
(C1) The nurse is compiling a drug history for a patient. Which question from the nurse will obtain the
most information from the patient?
a) "do you depend on sleeping pills to get to sleep?"
b) "do you have a family history of heart disease?"
c) "when you have pain, what do you do to relieve it?"
d) "what childhood diseases did you have?" - Correct answer-c)
Since we are asking specifically for the drug history of the patient, and not the general health history,
asking what they currently use to relieve pain would give us more information to compile a drug history.
(C1) A 77-year old man who has been diagnosed with an upper respiratory infection tells the nurse that
he is allergic to penicillin. What is the most appropriate response by the nurse?
a) "That is to be expected - lots of people are allergic to penicillin"
b) "This allergy is not of major concern because the drug is given so commonly"
c) "What type of reaction did you have when you took penicillin?"
d) "Drug allergies don't usually occur in older individuals because they have built up resistance." -
Correct answer-c)
This answer allows us to investigate further into his adverse reaction to penicillin.
(C1) The nurse is preparing a care plan for a patient who has been newly diagnosed with type 2 diabetes
mellitus. Put into correct order the steps of the nursing process, with 1 being the first step and 5 being
the last step.
, Lilleys Pharmacology for Canadian Health Care Practice 4th
Edition Sealock Test Bank Questions & Answers with
rationales
a) Implementation
b) Planning
c) Assessment
d) Evalulation
e) Nursing diagnoses - Correct answer-correct order: c, e, b, a, d
(C1) The nurse is reviewing new medication orders that have been written for a newly admitted patient.
Which orders will the nurse need to clarify? Select all that apply.
a) Metformin (Glucophage) 1000 mg PO twice a day
b) Sitagliptin (Januvia) 50 mg daily
c) Simvastatin (Zocor) 20 mg PO every evening
d) Irbesartan (Avapro) 300 mg PO once a day
e) Docusate (Colace) as needed for constipation - Correct answer-b) & e)
b) is missing the route while e) is missing the dosage and the route.
(C1) The nurse is reviewing data collected from a medication history. Which of these data are
considered objective data? (Select all that apply.)
a) White blood cell count 22,00 mm^3
b) Blood pressure 150/94 mm Hg
c) Patient rates pain as an "8" on a 10-point scale.
d) Patient's wife reports that the patient has been very sleepy during the day
e) Patient's weight is 150 lb - Correct answer-a), b), e)
These are all forms of objective data, since they include an instrument of measurement or a lab result.
The others are considered subjective, as it is something the patient reported.
, Lilleys Pharmacology for Canadian Health Care Practice 4th
Edition Sealock Test Bank Questions & Answers with
rationales
(C2) An older adult woman took a prescription medicine to help her to sleep; however, she felt restless
all night and did not sleep at all =. The nurse recognizes that this woman has experienced which type of
reaction or effect?
a) Allergic Reaction
b) Idiosyncratic reaction
c) Mutagenic effect
d) Synergistic effect - Correct answer-b)
An idiosyncratic reaction is "An abnormal and unexpected response to a medication, other than an
allergic reaction, that is peculiar to an individual patient."
(C2) While caring for a patient with cirrhosis or hepatitis, the nurse knows that abnormalities in which
phase of pharmacokinetics may occur?
a) Absorption
b) Distribution
c) Metabolism
d) Excretion - Correct answer-C)
The liver is the most responsible for metabolizing. So if the patient has some form of liver disease, then
this action will be greatly affected.
(C2) A patient who has advanced cancer is receiving opioid medications around the clock to "keep him
comfortable" as he nears the end of his life. Which term best describes this type of therapy?
a) Palliative therapy
b) Maintenance therapy
c) Supportive therapy
d) Supplemental therapy - Correct answer-a)
Edition Sealock Test Bank Questions & Answers with
rationales
(C1) An 86-year-old patient is being discharged to home on digoxin and has little information regarding
the medication. Which statement best reflects a realistic outcome of patient teaching activities?
a) The patient and patient's daughter will state the proper way to take the drug.
b) The nurse will provide teaching about the drug's adverse effects.
c) The patient will state all the symptoms of digoxin toxicity.
d) The patient will call the prescriber if adverse effects occur. - Correct answer-a)
this is an outcome of patient teaching. With (b) this isn't a patient outcome, it is a step to take during
the intervention, not evaluation stage. (c) is unrealistic for the patient. (d) although it is good to voice
concerns when an adverse effect has arisen, it's not the best choice in relation to teaching activities.
(C1) A patient has a new prescription for a blood pressure medication that may cause him to feel dizzy
during the first few days of therapy. Which is the best nursing diagnosis for this situation?
a) Activity tolerance
b) Potential for injury
c) Disturbed body image
d) Self-care deficit - Correct answer-b)
Since the patient can feel dizzy during the first few days, their likelihood of falling or injuring themselves
becomes higher. The other answers don't directly connect with the question, since the adverse effect is
usually during the first few days of therapy.
(C1) A patient's chart includes an order that reads as follows: digoxin 0.025mcg once daily at 0900 hours.
Which action by the nurse is correct?
a) the nurse gives the drug via transdermal route
b) the nurse gives the drug orally
c) the nurse gives the drug intravenously
d) the nurse contacts the prescriber to clarify the dosage route - Correct answer-d)
, Lilleys Pharmacology for Canadian Health Care Practice 4th
Edition Sealock Test Bank Questions & Answers with
rationales
In the prescribers order, there is no indication of a route, so it is best not to assume to route, especially
with medications that can be given through multiple routes. By asking the prescriber, you can ensure
that the rights of medication administration are accounted for.
(C1) The nurse is compiling a drug history for a patient. Which question from the nurse will obtain the
most information from the patient?
a) "do you depend on sleeping pills to get to sleep?"
b) "do you have a family history of heart disease?"
c) "when you have pain, what do you do to relieve it?"
d) "what childhood diseases did you have?" - Correct answer-c)
Since we are asking specifically for the drug history of the patient, and not the general health history,
asking what they currently use to relieve pain would give us more information to compile a drug history.
(C1) A 77-year old man who has been diagnosed with an upper respiratory infection tells the nurse that
he is allergic to penicillin. What is the most appropriate response by the nurse?
a) "That is to be expected - lots of people are allergic to penicillin"
b) "This allergy is not of major concern because the drug is given so commonly"
c) "What type of reaction did you have when you took penicillin?"
d) "Drug allergies don't usually occur in older individuals because they have built up resistance." -
Correct answer-c)
This answer allows us to investigate further into his adverse reaction to penicillin.
(C1) The nurse is preparing a care plan for a patient who has been newly diagnosed with type 2 diabetes
mellitus. Put into correct order the steps of the nursing process, with 1 being the first step and 5 being
the last step.
, Lilleys Pharmacology for Canadian Health Care Practice 4th
Edition Sealock Test Bank Questions & Answers with
rationales
a) Implementation
b) Planning
c) Assessment
d) Evalulation
e) Nursing diagnoses - Correct answer-correct order: c, e, b, a, d
(C1) The nurse is reviewing new medication orders that have been written for a newly admitted patient.
Which orders will the nurse need to clarify? Select all that apply.
a) Metformin (Glucophage) 1000 mg PO twice a day
b) Sitagliptin (Januvia) 50 mg daily
c) Simvastatin (Zocor) 20 mg PO every evening
d) Irbesartan (Avapro) 300 mg PO once a day
e) Docusate (Colace) as needed for constipation - Correct answer-b) & e)
b) is missing the route while e) is missing the dosage and the route.
(C1) The nurse is reviewing data collected from a medication history. Which of these data are
considered objective data? (Select all that apply.)
a) White blood cell count 22,00 mm^3
b) Blood pressure 150/94 mm Hg
c) Patient rates pain as an "8" on a 10-point scale.
d) Patient's wife reports that the patient has been very sleepy during the day
e) Patient's weight is 150 lb - Correct answer-a), b), e)
These are all forms of objective data, since they include an instrument of measurement or a lab result.
The others are considered subjective, as it is something the patient reported.
, Lilleys Pharmacology for Canadian Health Care Practice 4th
Edition Sealock Test Bank Questions & Answers with
rationales
(C2) An older adult woman took a prescription medicine to help her to sleep; however, she felt restless
all night and did not sleep at all =. The nurse recognizes that this woman has experienced which type of
reaction or effect?
a) Allergic Reaction
b) Idiosyncratic reaction
c) Mutagenic effect
d) Synergistic effect - Correct answer-b)
An idiosyncratic reaction is "An abnormal and unexpected response to a medication, other than an
allergic reaction, that is peculiar to an individual patient."
(C2) While caring for a patient with cirrhosis or hepatitis, the nurse knows that abnormalities in which
phase of pharmacokinetics may occur?
a) Absorption
b) Distribution
c) Metabolism
d) Excretion - Correct answer-C)
The liver is the most responsible for metabolizing. So if the patient has some form of liver disease, then
this action will be greatly affected.
(C2) A patient who has advanced cancer is receiving opioid medications around the clock to "keep him
comfortable" as he nears the end of his life. Which term best describes this type of therapy?
a) Palliative therapy
b) Maintenance therapy
c) Supportive therapy
d) Supplemental therapy - Correct answer-a)
