lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
s s s s s s s s
MULTIPLE CHOICE s
1. Which is a judgement about a particular patient‘s potential need or problem?
s s s s s s s s s s s
a. A goal s
b. An assessment s
c. Subjective data s
d. A nursing diagnosis s s
ANS: D s
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a
s s s s s s s s s s s s s s s s s s
nditions and life processes or vulnerability for that response.
s s s s s s s s
DIF: Cognitive Level: Knowledge s s
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallo
s s s s s s s s s s s s s s s s s
ation orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
s s s s s s s s s s s s s s s s
a. A ―right time‖ problem s s s
b. A ―right dose‖ problem s s s
c. A ―right route‖ problems s s
d. A ―right medication‖ problem
s s s
ANS: C s
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescrib
s s s s s s s s s s s s s s s s s s s
roblem because the ordered frequency has not changed. This is not a ―right dose‖ problem because the dose
s s s s s s s s s s s s s s s s s
swallow. This is not a ―right medication‖ problem because the medication ordered will not change, just the r
s s s s s s s s s s s s s s s s s
DIF: Cognitive Level: Application s s
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has be
s s s s s s s s s s s s s s s s s s s
sible adverse effects. What nursing process phase is the nurse practising?
s s s s s s s s s s
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis s
ANS: B s
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing dia
s s s s s s s s s s s s s s
his example.
s
DIF: Cognitive Level: Application s s
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which stateme
s s s s s s s s s s s s s s s s s s
me criterion for this patient?
s s s s
a. The patient will follow instructions. s s s s
b. The patient will not experience complications.
s s s s s
c. The patient adheres to the new insulin treatment regimen.
s s s s s s s s
d. The patient demonstrates safe insulin self-administration technique.
s s s s s s
ANS: D s
Having the patient demonstrate safe insulin self-
s s s s s s
administration technique is a specific and measurable outcome criterion. Following instructions and avoidi
s s s s s s s s s s s s
ific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measu
s s s s s s s s s s s s s s s s s
DIF: Cognitive Level: Application s s
5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly dia
s s s s s s s s s s s s s s s s s
es mellitus?
s
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a me
s s s s s s s s s s s s s s s s s s s s s
phone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
s s s s s s s s s s s s s s s s s s s s
a. Recopy the order neatly on the order sheet, with the most common route indicated
s s s s s s s s s s s s s
b. Consult with the pharmacist for clarification about the most common route
s s s s s s s s s s
c. Call the health care provider to clarify the route of administration
s s s s s s s s s s
d. Withhold the drug until the health care provider visits the patient s s s s s s s s s s
ANS: C s
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Neve
s s s s s s s s s s s s s s s s s s s s
on.
DIF: Cognitive Level: Application | Cognitive Level: Analysis s s s s s s
7. Which constitutes the traditional Five Rights of medication administration?
s s s s s s s s
a. Right drug, right route, right dose, right time, and right patient
s s s s s s s s s s
b. Right drug, the right effect, the right route, the right time, and the right patient
s s s s s s s s s s s s s s
c. Right patient, right strength, right diagnosis, right drug, and right route
s s s s s s s s s s
d. Right patient, right diagnosis, right drug, right route, and right time
s s s s s s s s s s
ANS: A s
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Rig
s s s s s s s s s s s s s s s
ent. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
s s s s s s s s s s s s s s s
DIF: Cognitive Level: Comprehension s s
8. What correctly describes the nursing process?
s s s s s
a. Diagnosing, planning, assessing, implementing, and finally evaluating s s s s s s
b. Assessing, then diagnosing, implementing, and ending with evaluating s s s s s s s
c. A linear direction that begins with assessing and continues through diagnosing, pla
s s s s s s s s s s s
nning, and finally implementing s s s
d. An ongoing process that begins with assessing and continues with diagnosing, pla
s s s s s s s s s s s
nning, implementing, and evaluating s s s
ANS: D s
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
s s s s s s s s s s
step process that begins with assessing and continues through diagnosing, planning, implementing, and fina
s s s s s s s s s s s s s
hen lead back to any of the other phases.
s s s s s s s s
DIF: Cognitive Level: Application s s
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
s s s s s s s s s s s s s s s s
a. The patient‘s identification s s
b. The patient‘s weight s s
c. The patient‘s last meal s s s
d. Any drug or food allergies s s s s
ANS: C s
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any dr
s s s s s s s s s s s s s s s s
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are
s s s s s s s s s s s s s s
DIF: Cognitive Level: Application s s
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing di
s s s s s s s s s s s s s s s s s s s
a. Anxiety
b. Anxiety related to new drug therapy s s s s s
c. Anxiety related to anxious feelings about drug therapy, as evidenced by sta
s s s s s s s s s s s
tements such as ―I‘m upset about having to give myself shots‖
s s s s s s s s s s
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m ups
s s s s s s s s s s s s s
et about having to give myself shots‖
s s s s s s
ANS: D s
, lOMoARcPSD| 13728229
Chapter 02: Pharmacological Principles
s s s
MULTIPLE CHOICE s
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed
s s s s s s s s s s s s s s s s s
cal amounts. Which term best denotes that the drugs have the same absorption rates?
s s s s s s s s s s s s s
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D s
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioava
s s s s s s s s s s s s s s s s s
ivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent of drug abs
s s s s s s s s s s s s s s s s
rrect because this term refers to two drugs given together whose resulting effect is greater than the sum of th
s s s s s s s s s s s s s s s s s s s
one. ―Compatible‖ is incorrect because this term is a general term used to indicate that two substances do no
s s s s s s s s s s s s s s s s s s
en mixed (or given, in the case of drugs) together.
s s s s s s s s s
DIF: Cognitive Level: Comprehension s s
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide fo
s s s s s s s s s s s s s s
a. The medication will cause fewer adverse effects when given intravenously.
s s s s s s s s s
b. The medication will be absorbed slowly into the tissues over time.
s s s s s s s s s s
c. The medication‘s action will begin faster when given intravenously.
s s s s s s s s
d. Most of the drug is inactivated by the liver before it reaches the target area.
s s s s s s s s s s s s s s
ANS: C s
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number o
s s s s s s s s s s s s s s s s
nous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug
s s s s s s s s s s s s s s s s s s s
the target area.
s s s
DIF: Cognitive Level: Comprehension s s
3. Which is true regarding parenteral drugs?
s s s s s
a. They bypass the first-pass effect. s s s s
b. They decrease blood flow to the stomach. s s s s s s
c. They are altered by the presence of food in the stomach.
s s s s s s s s s s
d. They exert their effects while circulating in the bloodstream.
s s s s s s s s
ANS: A s
Drugs given by the parenteral route bypass the first-
s s s s s s s s
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Enteral dr
s s s s s s s s s s s s s s s s s s s
arenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. P
s s s s s s s s s s s s s s s s s s s
bed into cells and tissues from the circulation before they can exert their effects; they do not exert their effec
s s s s s s s s s s s s s s s s s s s
dstream.
DIF: Cognitive Level: Analysis s s
4. A drug‘s half-life is best defined as
s s s s s s
a. The time it takes for the drug to elicit half its therapeutic response.
s s s s s s s s s s s s
b. The time it takes one- s s s s
half of the original amount of a drug to reach the target cells.
s s s s s s s s s s s s
c. The time it takes one- s s s s
half of the original amount of a drug to be removed from the body.
s s s s s s s s s s s s s
d. The time it takes one- s s s s
half of the original amount of a drug to be absorbed into the circulation.
s s s s s s s s s s s s s
ANS: C s
A drug‘s half-life is the time it takes for one-
s s s s s s s s s
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
s s s s s s s s
MULTIPLE CHOICE s
1. Which is a judgement about a particular patient‘s potential need or problem?
s s s s s s s s s s s
a. A goal s
b. An assessment s
c. Subjective data s
d. A nursing diagnosis s s
ANS: D s
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a
s s s s s s s s s s s s s s s s s s
nditions and life processes or vulnerability for that response.
s s s s s s s s
DIF: Cognitive Level: Knowledge s s
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallo
s s s s s s s s s s s s s s s s s
ation orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
s s s s s s s s s s s s s s s s
a. A ―right time‖ problem s s s
b. A ―right dose‖ problem s s s
c. A ―right route‖ problems s s
d. A ―right medication‖ problem
s s s
ANS: C s
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescrib
s s s s s s s s s s s s s s s s s s s
roblem because the ordered frequency has not changed. This is not a ―right dose‖ problem because the dose
s s s s s s s s s s s s s s s s s
swallow. This is not a ―right medication‖ problem because the medication ordered will not change, just the r
s s s s s s s s s s s s s s s s s
DIF: Cognitive Level: Application s s
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has be
s s s s s s s s s s s s s s s s s s s
sible adverse effects. What nursing process phase is the nurse practising?
s s s s s s s s s s
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis s
ANS: B s
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing dia
s s s s s s s s s s s s s s
his example.
s
DIF: Cognitive Level: Application s s
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which stateme
s s s s s s s s s s s s s s s s s s
me criterion for this patient?
s s s s
a. The patient will follow instructions. s s s s
b. The patient will not experience complications.
s s s s s
c. The patient adheres to the new insulin treatment regimen.
s s s s s s s s
d. The patient demonstrates safe insulin self-administration technique.
s s s s s s
ANS: D s
Having the patient demonstrate safe insulin self-
s s s s s s
administration technique is a specific and measurable outcome criterion. Following instructions and avoidi
s s s s s s s s s s s s
ific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measu
s s s s s s s s s s s s s s s s s
DIF: Cognitive Level: Application s s
5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly dia
s s s s s s s s s s s s s s s s s
es mellitus?
s
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a me
s s s s s s s s s s s s s s s s s s s s s
phone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
s s s s s s s s s s s s s s s s s s s s
a. Recopy the order neatly on the order sheet, with the most common route indicated
s s s s s s s s s s s s s
b. Consult with the pharmacist for clarification about the most common route
s s s s s s s s s s
c. Call the health care provider to clarify the route of administration
s s s s s s s s s s
d. Withhold the drug until the health care provider visits the patient s s s s s s s s s s
ANS: C s
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Neve
s s s s s s s s s s s s s s s s s s s s
on.
DIF: Cognitive Level: Application | Cognitive Level: Analysis s s s s s s
7. Which constitutes the traditional Five Rights of medication administration?
s s s s s s s s
a. Right drug, right route, right dose, right time, and right patient
s s s s s s s s s s
b. Right drug, the right effect, the right route, the right time, and the right patient
s s s s s s s s s s s s s s
c. Right patient, right strength, right diagnosis, right drug, and right route
s s s s s s s s s s
d. Right patient, right diagnosis, right drug, right route, and right time
s s s s s s s s s s
ANS: A s
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Rig
s s s s s s s s s s s s s s s
ent. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
s s s s s s s s s s s s s s s
DIF: Cognitive Level: Comprehension s s
8. What correctly describes the nursing process?
s s s s s
a. Diagnosing, planning, assessing, implementing, and finally evaluating s s s s s s
b. Assessing, then diagnosing, implementing, and ending with evaluating s s s s s s s
c. A linear direction that begins with assessing and continues through diagnosing, pla
s s s s s s s s s s s
nning, and finally implementing s s s
d. An ongoing process that begins with assessing and continues with diagnosing, pla
s s s s s s s s s s s
nning, implementing, and evaluating s s s
ANS: D s
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
s s s s s s s s s s
step process that begins with assessing and continues through diagnosing, planning, implementing, and fina
s s s s s s s s s s s s s
hen lead back to any of the other phases.
s s s s s s s s
DIF: Cognitive Level: Application s s
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
s s s s s s s s s s s s s s s s
a. The patient‘s identification s s
b. The patient‘s weight s s
c. The patient‘s last meal s s s
d. Any drug or food allergies s s s s
ANS: C s
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any dr
s s s s s s s s s s s s s s s s
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are
s s s s s s s s s s s s s s
DIF: Cognitive Level: Application s s
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing di
s s s s s s s s s s s s s s s s s s s
a. Anxiety
b. Anxiety related to new drug therapy s s s s s
c. Anxiety related to anxious feelings about drug therapy, as evidenced by sta
s s s s s s s s s s s
tements such as ―I‘m upset about having to give myself shots‖
s s s s s s s s s s
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m ups
s s s s s s s s s s s s s
et about having to give myself shots‖
s s s s s s
ANS: D s
, lOMoARcPSD| 13728229
Chapter 02: Pharmacological Principles
s s s
MULTIPLE CHOICE s
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed
s s s s s s s s s s s s s s s s s
cal amounts. Which term best denotes that the drugs have the same absorption rates?
s s s s s s s s s s s s s
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D s
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioava
s s s s s s s s s s s s s s s s s
ivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent of drug abs
s s s s s s s s s s s s s s s s
rrect because this term refers to two drugs given together whose resulting effect is greater than the sum of th
s s s s s s s s s s s s s s s s s s s
one. ―Compatible‖ is incorrect because this term is a general term used to indicate that two substances do no
s s s s s s s s s s s s s s s s s s
en mixed (or given, in the case of drugs) together.
s s s s s s s s s
DIF: Cognitive Level: Comprehension s s
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide fo
s s s s s s s s s s s s s s
a. The medication will cause fewer adverse effects when given intravenously.
s s s s s s s s s
b. The medication will be absorbed slowly into the tissues over time.
s s s s s s s s s s
c. The medication‘s action will begin faster when given intravenously.
s s s s s s s s
d. Most of the drug is inactivated by the liver before it reaches the target area.
s s s s s s s s s s s s s s
ANS: C s
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number o
s s s s s s s s s s s s s s s s
nous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug
s s s s s s s s s s s s s s s s s s s
the target area.
s s s
DIF: Cognitive Level: Comprehension s s
3. Which is true regarding parenteral drugs?
s s s s s
a. They bypass the first-pass effect. s s s s
b. They decrease blood flow to the stomach. s s s s s s
c. They are altered by the presence of food in the stomach.
s s s s s s s s s s
d. They exert their effects while circulating in the bloodstream.
s s s s s s s s
ANS: A s
Drugs given by the parenteral route bypass the first-
s s s s s s s s
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Enteral dr
s s s s s s s s s s s s s s s s s s s
arenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. P
s s s s s s s s s s s s s s s s s s s
bed into cells and tissues from the circulation before they can exert their effects; they do not exert their effec
s s s s s s s s s s s s s s s s s s s
dstream.
DIF: Cognitive Level: Analysis s s
4. A drug‘s half-life is best defined as
s s s s s s
a. The time it takes for the drug to elicit half its therapeutic response.
s s s s s s s s s s s s
b. The time it takes one- s s s s
half of the original amount of a drug to reach the target cells.
s s s s s s s s s s s s
c. The time it takes one- s s s s
half of the original amount of a drug to be removed from the body.
s s s s s s s s s s s s s
d. The time it takes one- s s s s
half of the original amount of a drug to be absorbed into the circulation.
s s s s s s s s s s s s s
ANS: C s
A drug‘s half-life is the time it takes for one-
s s s s s s s s s
