lOMoARcPSD|35516335
Chapter 01: Nursing Practice in Canada and Drug Therapy
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Editio
MULTIPLE CHOICE
1. Which is a judgement about a particular patient’s potential need or
a A goal
problem?
.
b. An assessment
c. Subjective data
d. A nursing
diagnosis
ANS: D
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
how a patient responds to heath conditions and life processes or vulnerability for that response.
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is
unable to swallow, he cannot take medication orally, as ordered. The nurse needs to contact
the physician. What type of problem is this?
a. A “right time” problem
b. A “right dose” problem
c. A “right route” problem
d. A “right medication” problem
ANS: C
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the
prescriber. This is not a “right time” problem because the ordered frequency has not changed. This is not
a “right dose” problem because the dose is not related to an inability to swallow. This is not a “right
medication” problem because the medication ordered will not change, just the route.
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first
dose and has been documenting signs of possible adverse effects. What nursing process phase
is the nurse practising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis
ANS: B
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursing
diagnosis are not illustrated by this example.
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which
statement best illustrates an outcome criterion for this patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient adheres to the new insulin treatment regimen.
, d. The patient demonstrates safe insulin self-administration technique.
ANS: D
Having the patient demonstrate safe insulin self-administration technique is a specific and measurable
outcome criterion. Following instructions and avoiding complications are not specific criteria. Adherence
to the new insulin treatment regimen is not objective and would be difficult to measure.
5. Which activity best reflects the implementation phase of the nursing process for the patient who is
newly diagnosed with type 1 diabetes mellitus?
a. Providing education regarding self-injection technique
b. Setting goals and outcome criteria with the patient’s input
c. Recording a history of over-the-counter medications used at home
d. Formulating nursing diagnoses regarding knowledge deficits related to the new treatment regimen
ANS: A
Education is an intervention that occurs during the implementation phase. Setting goals and outcome
criteria reflects the planning phase. Recording a drug history reflects the assessment phase. Formulating
nursing diagnoses regarding a knowledge deficit reflects analysis of data as part of the planning phase.
6. The nurse is working during a very busy night shift, and the health care provider has just given the
nurse a medication order over the telephone, but the nurse does not recall the route. What is the best
way for the nurse to avoid medication errors?
a. Recopy the order neatly on the order sheet, with the most common route indicated
b. Consult with the pharmacist for clarification about the most common route
c. Call the health care provider to clarify the route of administration
d. Withhold the drug until the health care provider visits the patient
ANS: C
If a medication order does not include the route, the nurse must ask the health care provider to clarify it.
Never assume the route of administration.
7. Which constitutes the traditional Five Rights of medication administration?
a. Right drug, right route, right dose, right time, and right patient
b. Right drug, the right effect, the right route, the right time, and the right patient
c. Right patient, right strength, right diagnosis, right drug, and right route
d. Right patient, right diagnosis, right drug, right route, and right time
ANS: A
The traditional Five Rights of medication administration were considered to be Right drug, Right route,
Right dose, Right time, and Right patient. Right effect, right strength, and right diagnosis are not part of
the traditional Five Rights.
8. What correctly describes the nursing process?
a. Diagnosing, planning, assessing, implementing, and finally evaluating
b. Assessing, then diagnosing, implementing, and ending with evaluating
c. A linear direction that begins with assessing and continues through diagnosing,
planning, and finally implementing
, lOMoARcPSD|35516335
d. An ongoing process that begins with assessing and continues with
diagnosing, planning, implementing, and evaluating
ANS: D
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with
assessing and continues through diagnosing, planning, implementing, and finally evaluating, which may
then lead back to any of the other phases.
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
a. The patient’s identification
b. The patient’s weight
c. The patient’s last meal
d. Any drug or food allergies
ANS: C
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any
drug–food interactions or compatibility issues. The patient’s identification, weight, and drug or food
allergies are not affected by the drug’s timing.
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
nursing diagnosis?
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy,
as evidenced by statements such as “I’m upset about
having to give myself shots”
d. Anxiety related to new drug therapy, as evidenced
by statements such as “I’m upset about having to
give myself shots”
ANS: D
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is “Anxiety
related to new drug therapy, as evidenced by statements such as ‘I’m upset about having to give myself
shots.’” The answer “Anxiety” is missing the “related to” and “as evidenced by” portions. The answer
“Anxiety related to new drug therapy” is missing the “as evidenced by” portion of defining
characteristics. The “related to” section in “Anxiety related to anxious feelings about drug therapy, as
evidenced by statements such as ‘I’m upset about having to give myself shots’” is simply a restatement
of the problem “anxiety,” not a separate factor related to the response.
OTHER
1. Place the phases of the nursing process in the correct order,
starting with the first phase. a. Planning
b. Evaluation
, c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
Chapter 02: Pharmacological Principles
MULTIPLE CHOICE
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are
both absorbed into the circulation in identical amounts. Which term best denotes that the drugs
have the same absorption rates?
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same
bioavailability; thus, they are bioequivalent. “Equivalent” is incorrect because the term “bioavailability”
is used to express the extent of drug absorption. “Synergistic” is incorrect because this term refers to two
drugs given together whose resulting effect is greater than the sum of the effects of each drug given
alone. “Compatible” is incorrect because this term is a general term used to indicate that two substances
do not have a chemical reaction when mixed (or given, in the case of drugs) together.
2. A patient is receiving medication via intravenous injection. Which information should the nu
provide for patient education?
a. The medication will cause fewer adverse effects when given intravenously.
b. The medication will be absorbed slowly into the tissues over time.
c. The medication’s action will begin faster when given intravenously.
d. Most of the drug is inactivated by the liver before it reaches the target area.
ANS: C
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the
number of adverse effects, the intravenous route is not a slow route of absorption, and the intravenous
route does not cause inactivation of the drug by the liver before it reaches the target area.
3. Which is true regarding parenteral drugs?
a. They bypass the first-pass effect.
b. They decrease blood flow to the stomach.
c. They are altered by the presence of food in the stomach.
d. They exert their effects while circulating in the bloodstream.
ANS: A
Chapter 01: Nursing Practice in Canada and Drug Therapy
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Editio
MULTIPLE CHOICE
1. Which is a judgement about a particular patient’s potential need or
a A goal
problem?
.
b. An assessment
c. Subjective data
d. A nursing
diagnosis
ANS: D
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
how a patient responds to heath conditions and life processes or vulnerability for that response.
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is
unable to swallow, he cannot take medication orally, as ordered. The nurse needs to contact
the physician. What type of problem is this?
a. A “right time” problem
b. A “right dose” problem
c. A “right route” problem
d. A “right medication” problem
ANS: C
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the
prescriber. This is not a “right time” problem because the ordered frequency has not changed. This is not
a “right dose” problem because the dose is not related to an inability to swallow. This is not a “right
medication” problem because the medication ordered will not change, just the route.
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first
dose and has been documenting signs of possible adverse effects. What nursing process phase
is the nurse practising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis
ANS: B
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursing
diagnosis are not illustrated by this example.
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which
statement best illustrates an outcome criterion for this patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient adheres to the new insulin treatment regimen.
, d. The patient demonstrates safe insulin self-administration technique.
ANS: D
Having the patient demonstrate safe insulin self-administration technique is a specific and measurable
outcome criterion. Following instructions and avoiding complications are not specific criteria. Adherence
to the new insulin treatment regimen is not objective and would be difficult to measure.
5. Which activity best reflects the implementation phase of the nursing process for the patient who is
newly diagnosed with type 1 diabetes mellitus?
a. Providing education regarding self-injection technique
b. Setting goals and outcome criteria with the patient’s input
c. Recording a history of over-the-counter medications used at home
d. Formulating nursing diagnoses regarding knowledge deficits related to the new treatment regimen
ANS: A
Education is an intervention that occurs during the implementation phase. Setting goals and outcome
criteria reflects the planning phase. Recording a drug history reflects the assessment phase. Formulating
nursing diagnoses regarding a knowledge deficit reflects analysis of data as part of the planning phase.
6. The nurse is working during a very busy night shift, and the health care provider has just given the
nurse a medication order over the telephone, but the nurse does not recall the route. What is the best
way for the nurse to avoid medication errors?
a. Recopy the order neatly on the order sheet, with the most common route indicated
b. Consult with the pharmacist for clarification about the most common route
c. Call the health care provider to clarify the route of administration
d. Withhold the drug until the health care provider visits the patient
ANS: C
If a medication order does not include the route, the nurse must ask the health care provider to clarify it.
Never assume the route of administration.
7. Which constitutes the traditional Five Rights of medication administration?
a. Right drug, right route, right dose, right time, and right patient
b. Right drug, the right effect, the right route, the right time, and the right patient
c. Right patient, right strength, right diagnosis, right drug, and right route
d. Right patient, right diagnosis, right drug, right route, and right time
ANS: A
The traditional Five Rights of medication administration were considered to be Right drug, Right route,
Right dose, Right time, and Right patient. Right effect, right strength, and right diagnosis are not part of
the traditional Five Rights.
8. What correctly describes the nursing process?
a. Diagnosing, planning, assessing, implementing, and finally evaluating
b. Assessing, then diagnosing, implementing, and ending with evaluating
c. A linear direction that begins with assessing and continues through diagnosing,
planning, and finally implementing
, lOMoARcPSD|35516335
d. An ongoing process that begins with assessing and continues with
diagnosing, planning, implementing, and evaluating
ANS: D
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with
assessing and continues through diagnosing, planning, implementing, and finally evaluating, which may
then lead back to any of the other phases.
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
a. The patient’s identification
b. The patient’s weight
c. The patient’s last meal
d. Any drug or food allergies
ANS: C
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any
drug–food interactions or compatibility issues. The patient’s identification, weight, and drug or food
allergies are not affected by the drug’s timing.
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
nursing diagnosis?
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy,
as evidenced by statements such as “I’m upset about
having to give myself shots”
d. Anxiety related to new drug therapy, as evidenced
by statements such as “I’m upset about having to
give myself shots”
ANS: D
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is “Anxiety
related to new drug therapy, as evidenced by statements such as ‘I’m upset about having to give myself
shots.’” The answer “Anxiety” is missing the “related to” and “as evidenced by” portions. The answer
“Anxiety related to new drug therapy” is missing the “as evidenced by” portion of defining
characteristics. The “related to” section in “Anxiety related to anxious feelings about drug therapy, as
evidenced by statements such as ‘I’m upset about having to give myself shots’” is simply a restatement
of the problem “anxiety,” not a separate factor related to the response.
OTHER
1. Place the phases of the nursing process in the correct order,
starting with the first phase. a. Planning
b. Evaluation
, c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
Chapter 02: Pharmacological Principles
MULTIPLE CHOICE
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are
both absorbed into the circulation in identical amounts. Which term best denotes that the drugs
have the same absorption rates?
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same
bioavailability; thus, they are bioequivalent. “Equivalent” is incorrect because the term “bioavailability”
is used to express the extent of drug absorption. “Synergistic” is incorrect because this term refers to two
drugs given together whose resulting effect is greater than the sum of the effects of each drug given
alone. “Compatible” is incorrect because this term is a general term used to indicate that two substances
do not have a chemical reaction when mixed (or given, in the case of drugs) together.
2. A patient is receiving medication via intravenous injection. Which information should the nu
provide for patient education?
a. The medication will cause fewer adverse effects when given intravenously.
b. The medication will be absorbed slowly into the tissues over time.
c. The medication’s action will begin faster when given intravenously.
d. Most of the drug is inactivated by the liver before it reaches the target area.
ANS: C
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the
number of adverse effects, the intravenous route is not a slow route of absorption, and the intravenous
route does not cause inactivation of the drug by the liver before it reaches the target area.
3. Which is true regarding parenteral drugs?
a. They bypass the first-pass effect.
b. They decrease blood flow to the stomach.
c. They are altered by the presence of food in the stomach.
d. They exert their effects while circulating in the bloodstream.
ANS: A
