lOMoARcPSD| 13728229
lOMoARcPSD| 13728229
Lilleys Pharmacology for Canadian Health Care Practice
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ock Test Bank
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Professionhood and the Knowledge of Nursing I
fy fy fy fy fy fy
, 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 fy
1. Which is a judgement about a particular patient‘s potential need or problem?
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a. A goal fy
b. An assessment fy
c. Subjective data fy
d. A nursing diagnosis fy fy
ANS: D fy
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
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heath conditions and life processes or vulnerability for that response.
fy fy fy fy fy fy fy fy fy
DIF: Cognitive Level: Knowledge fy fy
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to s
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
e medication orally, as ordered. The nurse needs to contact the physician. What type of problem is thi
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
a. A ―right time‖ problem fy fy fy
b. A ―right dose‖ problem fy fy fy
c. A ―right route‖ problem fy fy fy
d. A ―right medication‖ problem
fy fy fy
ANS: C fy
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the p
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
ht time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem b
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d to an inability to swallow. This is not a ―right medication‖ problem because the medication ordered
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te.
DIF: Cognitive Level: Application fy fy
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and
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s of possible adverse effects. What nursing process phase is the nurse practising?
fy fy fy fy fy fy fy fy fy fy fy fy
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis fy
ANS: B fy
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursin
fy fy fy fy fy fy fy fy fy fy fy fy fy
ed by this example.
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DIF: Cognitive Level: Application fy fy
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which s
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
n outcome criterion for this patient?
fy fy fy fy fy
a. The patient will follow instructions. fy fy fy fy
b. The patient will not experience complications.
fy fy fy fy fy
c. The patient adheres to the new insulin treatment regimen.
fy fy fy fy fy fy fy fy
d. The patient demonstrates safe insulin self-administration technique.
fy fy fy fy fy fy
ANS: D fy
Having the patient demonstrate safe insulin self-
fy fy fy fy fy fy
administration technique is a specific and measurable outcome criterion. Following instructions and av
fy fy fy fy fy fy fy fy fy fy fy fy
t specific criteria. Adherence to the new insulin treatment regimen is not objective and would be diffic
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
DIF: Cognitive Level: Application fy fy
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the nur
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
r the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid me
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
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
fy fy fy fy fy fy fy fy fy fy
ANS: C fy
If a medication order does not include the route, the nurse must ask the health care provider to clarify
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ministration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
fy fy fy fy fy fy
7. Which constitutes the traditional Five Rights of medication administration?
fy fy fy fy fy fy fy fy
a. Right drug, right route, right dose, right time, and right patient
fy fy fy fy fy fy fy fy fy fy
b. Right drug, the right effect, the right route, the right time, and the right patient
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
c. Right patient, right strength, right diagnosis, right drug, and right route
fy fy fy fy fy fy fy fy fy fy
d. Right patient, right diagnosis, right drug, right route, and right time
fy fy fy fy fy fy fy fy fy fy
ANS: A fy
The traditional Five Rights of medication administration were considered to be Right drug, Right route
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
ght patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
DIF: Cognitive Level: Comprehension fy fy
8. What correctly describes the nursing process?
fy fy fy fy fy
a. Diagnosing, planning, assessing, implementing, and finally evaluating fy fy fy fy fy fy
b. Assessing, then diagnosing, implementing, and ending with evaluating fy fy fy fy fy fy fy
c. A linear direction that begins with assessing and continues through diagnosing,
fy fy fy fy fy fy fy fy fy fy f
planning, and finally implementing
y fy fy fy
d. An ongoing process that begins with assessing and continues with diagnosing,
fy fy fy fy fy fy fy fy fy fy f
planning, implementing, and evaluating
y fy fy fy
ANS: D fy
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
fy fy fy fy fy fy fy fy fy fy
step process that begins with assessing and continues through diagnosing, planning, implementing, and
fy fy fy fy fy fy fy fy fy fy fy fy
may then lead back to any of the other phases.
fy fy fy fy fy fy fy fy fy
DIF: Cognitive Level: Application fy fy
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
a. The patient‘s identification fy fy
b. The patient‘s weight fy fy
c. The patient‘s last meal fy fy fy
d. Any drug or food allergies fy fy fy fy
ANS: C fy
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to a
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergie
fy fy fy fy fy fy fy fy fy fy fy fy fy
timing.
DIF: Cognitive Level: Application fy fy
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nur
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
a. Anxiety
b. Anxiety related to new drug therapy fy fy fy fy fy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
fy fy fy fy fy fy fy fy fy fy
statements such as ―I‘m upset about having to give myself shots‖
fy fy fy fy fy fy fy fy fy fy fy
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
fy fy fy fy fy fy fy fy fy fy fy fy
upset about having to give myself shots‖
fy fy fy fy fy fy fy
, lOMoARcPSD| 13728229
Chapter 02: Pharmacological Principles
fy fy fy
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
fy fy fy fy fy fy fy fy fy
MULTIPLE CHOICE fy
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both abs
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
n identical amounts. Which term best denotes that the drugs have the same absorption rates?
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D fy
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same b
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the exten
y fy fy fy fy fy fy fy fy fy fy fy fy fy
rgistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is grea
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
s of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indic
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
ot have a chemical reaction when mixed (or given, in the case of drugs) together.
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
DIF: Cognitive Level: Comprehension fy fy
2. A patient is receiving medication via intravenous injection. Which information should the nurse provi
fy fy fy fy fy fy fy fy fy fy fy fy fy
a. The medication will cause fewer adverse effects when given intravenously.
fy fy fy fy fy fy fy fy fy
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.
fy fy fy fy fy fy fy fy
d. Most of the drug is inactivated by the liver before it reaches the target area.
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
ANS: C fy
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the num
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
ntravenous route is not a slow route of absorption, and the intravenous route does not cause inactivatio
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
before it reaches the target area. fy fy fy fy fy
DIF: Cognitive Level: Comprehension fy fy
3. Which is true regarding parenteral drugs?
fy fy fy fy fy
a. They bypass the first-pass effect. fy fy fy fy
b. They decrease blood flow to the stomach. fy fy fy fy fy fy
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.
fy fy fy fy fy fy fy fy
ANS: A fy
Drugs given by the parenteral route bypass the first-
fy fy fy fy fy fy fy fy
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Ent
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
y), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
gs must be absorbed into cells and tissues from the circulation before they can exert their effects; they
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
hile circulating in the bloodstream.
fy fy fy fy
DIF: Cognitive Level: Analysis fy fy
4. A drug‘s half-life is best defined as
fy fy fy fy fy fy
a. The time it takes for the drug to elicit half its therapeutic response.
fy fy fy fy fy fy fy fy fy fy fy fy
b. The time it takes one- fy fy fy fy
half of the original amount of a drug to reach the target cells.
fy fy fy fy fy fy fy fy fy fy fy fy
c. The time it takes one- fy fy fy fy
half of the original amount of a drug to be removed from the body.
fy fy fy fy fy fy fy fy fy fy fy fy fy
d. The time it takes one- fy fy fy fy
half of the original amount of a drug to be absorbed into the circulation.
fy fy fy fy fy fy fy fy fy fy fy fy fy
ANS: C fy
lOMoARcPSD| 13728229
Lilleys Pharmacology for Canadian Health Care Practice
fy fy fy fy fy fy
ock Test Bank
fy fy
Professionhood and the Knowledge of Nursing I
fy fy fy fy fy fy
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
fy fy fy fy fy fy fy fy
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
fy fy fy fy fy fy fy fy fy
MULTIPLE CHOICE fy
1. Which is a judgement about a particular patient‘s potential need or problem?
fy fy fy fy fy fy fy fy fy fy fy
a. A goal fy
b. An assessment fy
c. Subjective data fy
d. A nursing diagnosis fy fy
ANS: D fy
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
heath conditions and life processes or vulnerability for that response.
fy fy fy fy fy fy fy fy fy
DIF: Cognitive Level: Knowledge fy fy
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to s
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
e medication orally, as ordered. The nurse needs to contact the physician. What type of problem is thi
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
a. A ―right time‖ problem fy fy fy
b. A ―right dose‖ problem fy fy fy
c. A ―right route‖ problem fy fy fy
d. A ―right medication‖ problem
fy fy fy
ANS: C fy
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the p
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
ht time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem b
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
d to an inability to swallow. This is not a ―right medication‖ problem because the medication ordered
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy f
te.
DIF: Cognitive Level: Application fy fy
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy f
s of possible adverse effects. What nursing process phase is the nurse practising?
fy fy fy fy fy fy fy fy fy fy fy fy
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis fy
ANS: B fy
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursin
fy fy fy fy fy fy fy fy fy fy fy fy fy
ed by this example.
fy fy fy
DIF: Cognitive Level: Application fy fy
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which s
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
n outcome criterion for this patient?
fy fy fy fy fy
a. The patient will follow instructions. fy fy fy fy
b. The patient will not experience complications.
fy fy fy fy fy
c. The patient adheres to the new insulin treatment regimen.
fy fy fy fy fy fy fy fy
d. The patient demonstrates safe insulin self-administration technique.
fy fy fy fy fy fy
ANS: D fy
Having the patient demonstrate safe insulin self-
fy fy fy fy fy fy
administration technique is a specific and measurable outcome criterion. Following instructions and av
fy fy fy fy fy fy fy fy fy fy fy fy
t specific criteria. Adherence to the new insulin treatment regimen is not objective and would be diffic
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
DIF: Cognitive Level: Application fy fy
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the nur
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
r the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid me
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
a. Recopy the order neatly on the order sheet, with the most common route indicated
fy fy fy fy fy fy fy fy fy fy fy fy fy
b. Consult with the pharmacist for clarification about the most common route
fy fy fy fy fy fy fy fy fy fy
c. Call the health care provider to clarify the route of administration
fy fy fy fy fy fy fy fy fy fy
d. Withhold the drug until the health care provider visits the patient
fy fy fy fy fy fy fy fy fy fy
ANS: C fy
If a medication order does not include the route, the nurse must ask the health care provider to clarify
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
ministration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
fy fy fy fy fy fy
7. Which constitutes the traditional Five Rights of medication administration?
fy fy fy fy fy fy fy fy
a. Right drug, right route, right dose, right time, and right patient
fy fy fy fy fy fy fy fy fy fy
b. Right drug, the right effect, the right route, the right time, and the right patient
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
c. Right patient, right strength, right diagnosis, right drug, and right route
fy fy fy fy fy fy fy fy fy fy
d. Right patient, right diagnosis, right drug, right route, and right time
fy fy fy fy fy fy fy fy fy fy
ANS: A fy
The traditional Five Rights of medication administration were considered to be Right drug, Right route
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
ght patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
DIF: Cognitive Level: Comprehension fy fy
8. What correctly describes the nursing process?
fy fy fy fy fy
a. Diagnosing, planning, assessing, implementing, and finally evaluating fy fy fy fy fy fy
b. Assessing, then diagnosing, implementing, and ending with evaluating fy fy fy fy fy fy fy
c. A linear direction that begins with assessing and continues through diagnosing,
fy fy fy fy fy fy fy fy fy fy f
planning, and finally implementing
y fy fy fy
d. An ongoing process that begins with assessing and continues with diagnosing,
fy fy fy fy fy fy fy fy fy fy f
planning, implementing, and evaluating
y fy fy fy
ANS: D fy
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
fy fy fy fy fy fy fy fy fy fy
step process that begins with assessing and continues through diagnosing, planning, implementing, and
fy fy fy fy fy fy fy fy fy fy fy fy
may then lead back to any of the other phases.
fy fy fy fy fy fy fy fy fy
DIF: Cognitive Level: Application fy fy
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
a. The patient‘s identification fy fy
b. The patient‘s weight fy fy
c. The patient‘s last meal fy fy fy
d. Any drug or food allergies fy fy fy fy
ANS: C fy
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to a
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergie
fy fy fy fy fy fy fy fy fy fy fy fy fy
timing.
DIF: Cognitive Level: Application fy fy
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nur
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
a. Anxiety
b. Anxiety related to new drug therapy fy fy fy fy fy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
fy fy fy fy fy fy fy fy fy fy
statements such as ―I‘m upset about having to give myself shots‖
fy fy fy fy fy fy fy fy fy fy fy
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
fy fy fy fy fy fy fy fy fy fy fy fy
upset about having to give myself shots‖
fy fy fy fy fy fy fy
, lOMoARcPSD| 13728229
Chapter 02: Pharmacological Principles
fy fy fy
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
fy fy fy fy fy fy fy fy fy
MULTIPLE CHOICE fy
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both abs
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
n identical amounts. Which term best denotes that the drugs have the same absorption rates?
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D fy
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same b
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the exten
y fy fy fy fy fy fy fy fy fy fy fy fy fy
rgistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is grea
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
s of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indic
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
ot have a chemical reaction when mixed (or given, in the case of drugs) together.
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
DIF: Cognitive Level: Comprehension fy fy
2. A patient is receiving medication via intravenous injection. Which information should the nurse provi
fy fy fy fy fy fy fy fy fy fy fy fy fy
a. The medication will cause fewer adverse effects when given intravenously.
fy fy fy fy fy fy fy fy fy
b. The medication will be absorbed slowly into the tissues over time.
fy fy fy fy fy fy fy fy fy fy
c. The medication‘s action will begin faster when given intravenously.
fy fy fy fy fy fy fy fy
d. Most of the drug is inactivated by the liver before it reaches the target area.
fy fy fy fy fy fy fy fy fy fy fy fy fy fy
ANS: C fy
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the num
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
ntravenous route is not a slow route of absorption, and the intravenous route does not cause inactivatio
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
before it reaches the target area. fy fy fy fy fy
DIF: Cognitive Level: Comprehension fy fy
3. Which is true regarding parenteral drugs?
fy fy fy fy fy
a. They bypass the first-pass effect. fy fy fy fy
b. They decrease blood flow to the stomach. fy fy fy fy fy fy
c. They are altered by the presence of food in the stomach.
fy fy fy fy fy fy fy fy fy fy
d. They exert their effects while circulating in the bloodstream.
fy fy fy fy fy fy fy fy
ANS: A fy
Drugs given by the parenteral route bypass the first-
fy fy fy fy fy fy fy fy
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Ent
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
y), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
gs must be absorbed into cells and tissues from the circulation before they can exert their effects; they
fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy fy
hile circulating in the bloodstream.
fy fy fy fy
DIF: Cognitive Level: Analysis fy fy
4. A drug‘s half-life is best defined as
fy fy fy fy fy fy
a. The time it takes for the drug to elicit half its therapeutic response.
fy fy fy fy fy fy fy fy fy fy fy fy
b. The time it takes one- fy fy fy fy
half of the original amount of a drug to reach the target cells.
fy fy fy fy fy fy fy fy fy fy fy fy
c. The time it takes one- fy fy fy fy
half of the original amount of a drug to be removed from the body.
fy fy fy fy fy fy fy fy fy fy fy fy fy
d. The time it takes one- fy fy fy fy
half of the original amount of a drug to be absorbed into the circulation.
fy fy fy fy fy fy fy fy fy fy fy fy fy
ANS: C fy
