, CompleteTestBankLILLEYSPharmacologyforC fg fg fg
hCarePractice 5th EditionSEALOCKChapter1-
fg fg fg fg fg fg fg
Chapter01:Nursing PracticeinCanadaandDrugTherapy
fg fg fg fg fg fg fg fg
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
fg fg fg fg fg fg fg fg fg
MULTIPLE CHOICE fg
1. Which is a judgement about a particular patient‘s potential need or problem?
fg fg fg fg fg fg fg fg fg fg fg
a. A goal fg
b. An assessment fg
c. Subjective data fg
d. A nursing diagnosis fg f6
ANS: D f g
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how
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conditions and life processes or vulnerability for that response.
fg fg fg fg fg fg fg fg
DIF: Cognitive Level: Knowledge fg fg
2. The patient is to receive oral furosemide (Lasix) everyday; however, because the patient is unable to swallo
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
dication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
a. A ―right time‖ problemfg fg fg
b. A ―right dose‖ problemfg fg fg
c. A ―right route‖ problem
fg fg fg
d. A ―right medication‖ problem
fg fg fg
ANS: C f g
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the presc
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me‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem because
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inability to swallow. This is not a ―right medication‖ problem because the medication ordered will not c
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
.
DIF: Cognitive Level: Application fg fg
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has be
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
ossible adverse effects. What nursing process phase is the nurse practising?
fg fg fg fg fg fg fg fg fg fg
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis fg
ANS: B f g
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing dia
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y this example.
fg fg
DIF: Cognitive Level: Application fg fg
4. The nurse is caring for a patient who has been newlydiagnosed with type 1 diabetes mellitus. Which statem
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
come criterion for this patient?
fg fg fg fg
a. The patient will follow instructions. fg fg fg fg
b. The patient will not experience complications.
fg fg fg fg fg
c. The patient adheres to the new insulin treatment regimen.
fg fg fg fg fg fg fg fg
d. Thepatient demonstrates safe insulin self-administration technique.
fg fg fg fg fg fg
ANS: D f g
Having the patient demonstrate safe insulin self-
fg fg fg fg fg fg
administration technique is a specific and measurable outcome criterion. Following instructions and avoid
fg fg fg fg fg fg fg fg fg fg fg fg
criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measu
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
, 6. The nurse is working during a verybusy night shift, and the health care provider has just given the nurse a m
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elephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
a. Recopythe order neatly on the order sheet, with the most common route indicated
fg fg fg fg fg fg fg fg fg fg fg fg fg
b. Consult with the pharmacist for clarification about the most common route fg fg fg fg fg fg fg fg fg fg
c. Call the health care provider to clarify the route of administration
fg fg fg fg fg fg fg fg fg fg
d. Withhold the drug until the health care provider visits the patient fg fg fg fg fg fg fg fg fg fg
ANS: C f g
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Nev
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
DIF: f g f g Cognitive Level: Application | Cognitive Level: Analysis f6 fg fg fg fg fg
7. Which constitutes the traditional Five Rights of medication administration?
fg fg fg fg fg fg fg fg
a. Right drug, right route, right dose, right time, and right patient
fg fg fg fg fg fg fg fg fg fg
b. Right drug, the right effect, the right route, the right time, and the right patient
fg fg fg fg fg fg fg fg fg fg fg fg fg fg
c. Right patient, right strength, right diagnosis, right drug, and right route
fg fg fg fg fg fg fg fg fg fg
d. Right patient, right diagnosis, right drug, right route, and right time
fg fg fg fg fg fg fg fg fg fg
ANS: A f g
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Rig
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
ht patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
DIF: f g f g Cognitive Level: Comprehension fg fg
8. What correctly describes the nursing process?
fg fg fg fg fg
a. Diagnosing,planning, assessing, implementing, and finally evaluating fg fg fg fg fg fg
b. Assessing,then diagnosing, implementing, and ending with evaluating fg fg fg fg fg fg fg
c. Alinear direction that begins withassessing and continues through diagnosing, pl
fg fg fg fg fg fg fg fg fg fg fg
anning, and finally implementing fg fg fg
d. An ongoing process that begins with assessing and continues with diagnosing, pl
fg f6 fg fg fg fg fg fg fg fg fg
anning, implementing, and evaluating fg fg fg
ANS: D f g
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
fg fg fg fg fg fg fg fg fg fg
step process that begins with assessing and continues through diagnosing, planning, implementing, and fi
fg fg fg fg fg f6 fg fg fg fg fg fg fg
y then lead back to any of the other phases.
fg fg fg fg fg fg fg fg fg
DIF: f g f g Cognitive Level: Application fg fg
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
a. The patient‘s identification fg fg
b. The patient‘s weight fg fg
c. Thepatient‘s last meal fg fg fg
d. Any drug or food allergies fg f6 fg fg
ANS: C f g
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any d
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies
f6 fg fg fg fg fg fg fg fg fg fg fg fg fg
.
DIF: f g f g Cognitive Level: Application fg fg
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursin
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
a. Anxiety
b. Anxietyrelated to new drug therapy fg fg fg fg fg
c. Anxietyrelated toanxious feelings about drugtherapy, as evidenced by st fg fg fg fg f6 fg fg fg fg fg
atements such as ―I‘m upset about having to give myself shots‖ fg fg fg fg fg fg fg fg fg fg
d. Anxietyrelated to new drug therapy, as evidenced bystatements such as ―I‘m u fg fg fg f6 fg fg fg fg fg fg fg
pset about having to give myself shots‖
fg fg fg fg fg fg
ANS: D f g
, Chapter 02: Pharmacological Principles
fg fg fg
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
fg fg fg fg fg fg fg fg fg
MULTIPLE CHOICE fg
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
ntical amounts. Which term best denotes that the drugs have the same absorption rates?
fg fg fg fg fg fg fg fg fg fg fg fg fg
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D f g
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioa
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
equivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent o
fg fg fg fg fg fg fg fg fg fg fg fg fg fg
―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is g
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to ind
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
o not have a chemical reaction when mixed (or given, in the case of drugs) together.
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
DIF: f g f g Cognitive Level: Comprehension f6 fg
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide
fg fg fg fg fg fg fg fg fg fg f6 fg fg
a. The medication will cause fewer adverse effects when given intravenously.
fg fg fg fg fg fg fg fg fg
b. The medication will be absorbed slowlyinto the tissues over time.
fg fg fg fg fg fg fg fg fg fg
c. Themedication‘s action will begin faster when given intravenously.
fg fg fg fg fg fg fg fg
d. Most of the drug is inactivated by the liver before it reaches the target area.
fg fg fg fg fg fg fg fg fg fg fg fg fg fg
ANS: C f g
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
ravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
fore it reaches the target area.
fg fg fg fg fg
DIF: f g f g Cognitive Level: Comprehension f6 fg
3. Which is true regarding parenteral drugs?
fg fg fg fg fg
a. They bypass the first-pass effect. fg fg fg fg
b. They decrease blood flow to the stomach. fg fg fg fg fg fg
c. They are altered by the presence of food in the stomach.
fg fg fg fg fg fg fg fg fg fg
d. Theyexert their effects while circulating in the bloodstream.
fg fg fg fg fg fg fg fg
ANS: A f g
Drugs given bythe parenteral route bypass the first-
fg fg fg fg fg fg fg fg
pass effect, but theystill must be absorbed into cells and tissues before they can exert their effects. Enteral d
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the st
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
ust be absorbed into cells and tissues from the circulation before they can exert their effects; they do not
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
culating in the bloodstream. fg fg fg
DIF: Cognitive Level: Analysis f6 fg
4. A drug‘s half-life is best defined as
fg fg fg fg fg fg
a. The time it takes for the drug to elicit half its therapeutic response.
fg fg fg fg fg fg fg fg fg fg fg fg
b. The timeit takes one- fg fg fg fg
half of the original amount of a drug to reach the target cells.
fg fg fg fg fg fg f6 fg fg fg fg fg
c. The time it takes one-fg fg fg fg
half of the original amount of a drug to be removed from the body.
fg fg fg fg fg fg fg fg fg fg fg fg fg
d. The time it takes one-fg fg fg fg
half of the original amount of a drug to be absorbed into the circulation.
fg fg fg fg fg fg fg f6 fg fg fg f6 fg
ANS: C f g
hCarePractice 5th EditionSEALOCKChapter1-
fg fg fg fg fg fg fg
Chapter01:Nursing PracticeinCanadaandDrugTherapy
fg fg fg fg fg fg fg fg
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
fg fg fg fg fg fg fg fg fg
MULTIPLE CHOICE fg
1. Which is a judgement about a particular patient‘s potential need or problem?
fg fg fg fg fg fg fg fg fg fg fg
a. A goal fg
b. An assessment fg
c. Subjective data fg
d. A nursing diagnosis fg f6
ANS: D f g
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
conditions and life processes or vulnerability for that response.
fg fg fg fg fg fg fg fg
DIF: Cognitive Level: Knowledge fg fg
2. The patient is to receive oral furosemide (Lasix) everyday; however, because the patient is unable to swallo
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
dication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
a. A ―right time‖ problemfg fg fg
b. A ―right dose‖ problemfg fg fg
c. A ―right route‖ problem
fg fg fg
d. A ―right medication‖ problem
fg fg fg
ANS: C f g
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the presc
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
me‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem because
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
inability to swallow. This is not a ―right medication‖ problem because the medication ordered will not c
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
.
DIF: Cognitive Level: Application fg fg
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has be
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
ossible adverse effects. What nursing process phase is the nurse practising?
fg fg fg fg fg fg fg fg fg fg
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis fg
ANS: B f g
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing dia
fg fg fg fg fg fg fg fg fg fg fg fg fg fg
y this example.
fg fg
DIF: Cognitive Level: Application fg fg
4. The nurse is caring for a patient who has been newlydiagnosed with type 1 diabetes mellitus. Which statem
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
come criterion for this patient?
fg fg fg fg
a. The patient will follow instructions. fg fg fg fg
b. The patient will not experience complications.
fg fg fg fg fg
c. The patient adheres to the new insulin treatment regimen.
fg fg fg fg fg fg fg fg
d. Thepatient demonstrates safe insulin self-administration technique.
fg fg fg fg fg fg
ANS: D f g
Having the patient demonstrate safe insulin self-
fg fg fg fg fg fg
administration technique is a specific and measurable outcome criterion. Following instructions and avoid
fg fg fg fg fg fg fg fg fg fg fg fg
criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measu
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
, 6. The nurse is working during a verybusy night shift, and the health care provider has just given the nurse a m
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
elephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
a. Recopythe order neatly on the order sheet, with the most common route indicated
fg fg fg fg fg fg fg fg fg fg fg fg fg
b. Consult with the pharmacist for clarification about the most common route fg fg fg fg fg fg fg fg fg fg
c. Call the health care provider to clarify the route of administration
fg fg fg fg fg fg fg fg fg fg
d. Withhold the drug until the health care provider visits the patient fg fg fg fg fg fg fg fg fg fg
ANS: C f g
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Nev
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
DIF: f g f g Cognitive Level: Application | Cognitive Level: Analysis f6 fg fg fg fg fg
7. Which constitutes the traditional Five Rights of medication administration?
fg fg fg fg fg fg fg fg
a. Right drug, right route, right dose, right time, and right patient
fg fg fg fg fg fg fg fg fg fg
b. Right drug, the right effect, the right route, the right time, and the right patient
fg fg fg fg fg fg fg fg fg fg fg fg fg fg
c. Right patient, right strength, right diagnosis, right drug, and right route
fg fg fg fg fg fg fg fg fg fg
d. Right patient, right diagnosis, right drug, right route, and right time
fg fg fg fg fg fg fg fg fg fg
ANS: A f g
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Rig
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
ht patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
DIF: f g f g Cognitive Level: Comprehension fg fg
8. What correctly describes the nursing process?
fg fg fg fg fg
a. Diagnosing,planning, assessing, implementing, and finally evaluating fg fg fg fg fg fg
b. Assessing,then diagnosing, implementing, and ending with evaluating fg fg fg fg fg fg fg
c. Alinear direction that begins withassessing and continues through diagnosing, pl
fg fg fg fg fg fg fg fg fg fg fg
anning, and finally implementing fg fg fg
d. An ongoing process that begins with assessing and continues with diagnosing, pl
fg f6 fg fg fg fg fg fg fg fg fg
anning, implementing, and evaluating fg fg fg
ANS: D f g
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
fg fg fg fg fg fg fg fg fg fg
step process that begins with assessing and continues through diagnosing, planning, implementing, and fi
fg fg fg fg fg f6 fg fg fg fg fg fg fg
y then lead back to any of the other phases.
fg fg fg fg fg fg fg fg fg
DIF: f g f g Cognitive Level: Application fg fg
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
a. The patient‘s identification fg fg
b. The patient‘s weight fg fg
c. Thepatient‘s last meal fg fg fg
d. Any drug or food allergies fg f6 fg fg
ANS: C f g
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any d
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies
f6 fg fg fg fg fg fg fg fg fg fg fg fg fg
.
DIF: f g f g Cognitive Level: Application fg fg
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursin
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
a. Anxiety
b. Anxietyrelated to new drug therapy fg fg fg fg fg
c. Anxietyrelated toanxious feelings about drugtherapy, as evidenced by st fg fg fg fg f6 fg fg fg fg fg
atements such as ―I‘m upset about having to give myself shots‖ fg fg fg fg fg fg fg fg fg fg
d. Anxietyrelated to new drug therapy, as evidenced bystatements such as ―I‘m u fg fg fg f6 fg fg fg fg fg fg fg
pset about having to give myself shots‖
fg fg fg fg fg fg
ANS: D f g
, Chapter 02: Pharmacological Principles
fg fg fg
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
fg fg fg fg fg fg fg fg fg
MULTIPLE CHOICE fg
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
ntical amounts. Which term best denotes that the drugs have the same absorption rates?
fg fg fg fg fg fg fg fg fg fg fg fg fg
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D f g
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioa
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
equivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent o
fg fg fg fg fg fg fg fg fg fg fg fg fg fg
―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is g
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to ind
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
o not have a chemical reaction when mixed (or given, in the case of drugs) together.
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
DIF: f g f g Cognitive Level: Comprehension f6 fg
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide
fg fg fg fg fg fg fg fg fg fg f6 fg fg
a. The medication will cause fewer adverse effects when given intravenously.
fg fg fg fg fg fg fg fg fg
b. The medication will be absorbed slowlyinto the tissues over time.
fg fg fg fg fg fg fg fg fg fg
c. Themedication‘s action will begin faster when given intravenously.
fg fg fg fg fg fg fg fg
d. Most of the drug is inactivated by the liver before it reaches the target area.
fg fg fg fg fg fg fg fg fg fg fg fg fg fg
ANS: C f g
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
ravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
fore it reaches the target area.
fg fg fg fg fg
DIF: f g f g Cognitive Level: Comprehension f6 fg
3. Which is true regarding parenteral drugs?
fg fg fg fg fg
a. They bypass the first-pass effect. fg fg fg fg
b. They decrease blood flow to the stomach. fg fg fg fg fg fg
c. They are altered by the presence of food in the stomach.
fg fg fg fg fg fg fg fg fg fg
d. Theyexert their effects while circulating in the bloodstream.
fg fg fg fg fg fg fg fg
ANS: A f g
Drugs given bythe parenteral route bypass the first-
fg fg fg fg fg fg fg fg
pass effect, but theystill must be absorbed into cells and tissues before they can exert their effects. Enteral d
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the st
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
ust be absorbed into cells and tissues from the circulation before they can exert their effects; they do not
fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg fg
culating in the bloodstream. fg fg fg
DIF: Cognitive Level: Analysis f6 fg
4. A drug‘s half-life is best defined as
fg fg fg fg fg fg
a. The time it takes for the drug to elicit half its therapeutic response.
fg fg fg fg fg fg fg fg fg fg fg fg
b. The timeit takes one- fg fg fg fg
half of the original amount of a drug to reach the target cells.
fg fg fg fg fg fg f6 fg fg fg fg fg
c. The time it takes one-fg fg fg fg
half of the original amount of a drug to be removed from the body.
fg fg fg fg fg fg fg fg fg fg fg fg fg
d. The time it takes one-fg fg fg fg
half of the original amount of a drug to be absorbed into the circulation.
fg fg fg fg fg fg fg f6 fg fg fg f6 fg
ANS: C f g
