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