lOMoARcPSD| 13728229
lOMoARcPSD| 13728229
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, 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 +I
1. Which is a judgement about a particular patient‘s potential need or problem?
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a. A goal +I
b. An assessment +I
c. Subjective data +I
d. A nursing diagnosis +I +I
ANS: D +I
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient responds to
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heath conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge +I +I
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot ta
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ke medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
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a. A ―right time‖ problem +I +I +I
b. A ―right dose‖ problem +I +I +I
c. A ―right route‖ problem +I +I +I
d. A ―right medication‖ problem
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ANS: C +I
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a ―ri
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ght time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem because the dose is not rel
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ated to an inability to swallow. This is not a ―right medication‖ problem because the medication ordered will not change, just the
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route.
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DIF: Cognitive Level: Application +I +I
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has been documenting sig
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ns of possible adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis +I
ANS: B +I
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustra
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ted by this example.
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DIF: Cognitive Level: Application +I +I
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statement best illustrates
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an outcome criterion for this patient?
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a. The patient will follow instructions.
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b. The patient will not experience complications.
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c. The patient adheres to the new insulin treatment regimen.
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d. The patient demonstrates safe insulin self-administration technique.
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ANS: D +I
Having the patient demonstrate safe insulin self-
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administration technique is a specific and measurable outcome criterion. Following instructions and avoiding complications are n
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ot specific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
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DIF: Cognitive Level: Application +I +I
5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with type
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+I 1 diabetes mellitus?
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a. Providing education regarding self-injection technique +I +I +I +I
b. Setting goals and outcome criteria with the patient‘s input
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c. Recording a history of over-the-counter medications used at home +I +I +I +I +I +I +I +I
d. Formulating nursing diagnoses regarding knowledge deficits related to the ne+I +I +I +I +I +I +I +I +I
w treatment regimen+I +I
ANS: A +I
Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the planning
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phase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit ref
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lects analysis of data as part of the planning phase.
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DIF: Cognitive Level: Analysis +I +I
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6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a medication order ov
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er the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
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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 +I +I +I +I +I +I +I +I +I +I
ANS: C +I
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 ad
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ministration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
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7. Which constitutes the traditional Five Rights of medication administration?
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a. Right drug, right route, right dose, right time, and right patient
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b. Right drug, the right effect, the right route, the right time, and the right patient
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c. Right patient, right strength, right diagnosis, right drug, and right route
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d. Right patient, right diagnosis, right drug, right route, and right time
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ANS: A +I
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose, Right time, and R
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ight patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
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DIF: Cognitive Level: Comprehension +I +I
8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating +I +I +I +I +I +I
b. Assessing, then diagnosing, implementing, and ending with evaluating +I +I +I +I +I +I +I
c. A linear direction that begins with assessing and continues through diagnosing
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, planning, and finally implementing
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d. An ongoing process that begins with assessing and continues with diagnosing
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, planning, implementing, and evaluating
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ANS: D +I
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
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step process that begins with assessing and continues through diagnosing, planning, implementing, and finally evaluating, which
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may then lead back to any of the other phases.
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DIF: Cognitive Level: Application +I +I
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
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a. The patient‘s identification +I +I
b. The patient‘s weight +I +I
c. The patient‘s last meal +I +I +I
d. Any drug or food allergies +I +I +I +I
ANS: C +I
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any drug–
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food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the drug‘s
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timing.
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DIF: Cognitive Level: Application +I +I
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
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a. Anxiety
b. Anxiety related to new drug therapy +I +I +I +I +I
c. Anxiety related to anxious feelings about drug therapy, as evidenced b
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y statements such as ―I‘m upset about having to give myself shots‖
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d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘
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m upset about having to give myself shots‖
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ANS: D +I
Formulation of nursing diagnoses is usually a three- +I +I +I +I +I +I +I
step process. The only complete answer is ―Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset a
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bout having to give myself shots.‘‖ The answer ―Anxiety‖ is missing the ―related to‖ and ―as evidenced by‖ portions. The answe
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r ―Anxiety related to new drug therapy‖ is missing the ―as evidenced by‖ portion of defining characteristics. The ―related to‖ sect
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ion in ―Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as ‗I‘m upset about having to giv
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e myself shots‘‖ is simply a restatement of the problem ―anxiety,‖ not a separate factor related to the response.
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DIF: Cognitive Level: Analysis +I +I
OTHER
1. Place the phases of the nursing process in the correct order, starting with the first phase.
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a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
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DIF: Cognitive Level: Analysis +I +I
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Chapter 02: Pharmacological Principles
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
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MULTIPLE CHOICE +I
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed into the circulation
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in identical amounts. Which term best denotes that the drugs have the same absorption rates?
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a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D +I
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioavailability; thus, they ar
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e bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent of drug absorption. ―Sy
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nergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of the ef
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fects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indicate that two substances
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do not have a chemical reaction when mixed (or given, in the case of drugs) together.
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DIF: Cognitive Level: Comprehension +I +I
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for patient education?
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a. The medication will cause fewer adverse effects when given intravenously.
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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.
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d. Most of the drug is inactivated by the liver before it reaches the target area.
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ANS: C +I
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of adverse effects, the
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intravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug by the live
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r before it reaches the target area.
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DIF: Cognitive Level: Comprehension +I +I
3. Which is true regarding parenteral drugs?
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a. They bypass the first-pass effect. +I +I +I +I
b. They decrease blood flow to the stomach. +I +I +I +I +I +I
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.
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ANS: A +I
Drugs given by the parenteral route bypass the first-
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pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Enteral drugs (drugs taken ora
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lly), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral
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drugs must be absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their effec
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ts while circulating in the bloodstream.
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DIF: Cognitive Level: Analysis +I +I
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- +I +I +I +I
half of the original amount of a drug to reach the target cells.
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c. The time it takes one- +I +I +I +I
half of the original amount of a drug to be removed from the body.
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d. The time it takes one- +I +I +I +I
half of the original amount of a drug to be absorbed into the circulation.
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ANS: C +I
A drug‘s half-life is the time it takes for one-
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half of the original amount of a drug to be removed from the body. It is a measure of the rate at which drugs are removed from t
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he body. Answers A, B, and D are not correct definitions of a drug‘s half-life.
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DIF: Cognitive Level: Comprehension +I +I
5. The term ―duration of action‖ is best defined as
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a. The time it takes for the drug to elicit a therapeutic response.
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b. The time it takes a drug to reach its maximum therapeutic response.
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c. The length of time it takes to remove a drug from circulation.
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d. The time during which drug concentration is sufficient to elicit a therapeuti
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c response.
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ANS: D +I
Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes for
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a drug to elicit a therapeutic response is the drug‘s ―onset of action.‖ The time it takes a drug to reach its maximum therapeutic
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response is a drug‘s ―peak effect.‖ ―The length of time it takes to remove a drug from circulation‖ defines a drug‘s elimination a
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nd does not correctly define a drug‘s duration of action.
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DIF: Cognitive Level: Comprehension +I +I
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lOMoARcPSD| 13728229
1
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Chapter 01: Nursing Practice in Canada and Drug Therapy
+I +I +I +I +I +I +I +I
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
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MULTIPLE CHOICE +I
1. Which is a judgement about a particular patient‘s potential need or problem?
+I +I +I +I +I +I +I +I +I +I +I
a. A goal +I
b. An assessment +I
c. Subjective data +I
d. A nursing diagnosis +I +I
ANS: D +I
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient responds to
+I +I +I +I +I +I +I +I +I +I +I +I +I +I +I +I +I +I +I +I +I +
heath conditions and life processes or vulnerability for that response.
I +I +I +I +I +I +I +I +I +I
DIF: Cognitive Level: Knowledge +I +I
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot ta
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ke medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
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a. A ―right time‖ problem +I +I +I
b. A ―right dose‖ problem +I +I +I
c. A ―right route‖ problem +I +I +I
d. A ―right medication‖ problem
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ANS: C +I
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a ―ri
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ght time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem because the dose is not rel
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ated to an inability to swallow. This is not a ―right medication‖ problem because the medication ordered will not change, just the
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route.
+I
DIF: Cognitive Level: Application +I +I
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has been documenting sig
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ns of possible adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis +I
ANS: B +I
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustra
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ted by this example.
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DIF: Cognitive Level: Application +I +I
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statement best illustrates
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an outcome criterion for this patient?
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a. The patient will follow instructions.
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b. The patient will not experience complications.
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c. The patient adheres to the new insulin treatment regimen.
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d. The patient demonstrates safe insulin self-administration technique.
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ANS: D +I
Having the patient demonstrate safe insulin self-
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administration technique is a specific and measurable outcome criterion. Following instructions and avoiding complications are n
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ot specific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
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DIF: Cognitive Level: Application +I +I
5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with type
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+I 1 diabetes mellitus?
+I +I
a. Providing education regarding self-injection technique +I +I +I +I
b. Setting goals and outcome criteria with the patient‘s input
+I +I +I +I +I +I +I +I
c. Recording a history of over-the-counter medications used at home +I +I +I +I +I +I +I +I
d. Formulating nursing diagnoses regarding knowledge deficits related to the ne+I +I +I +I +I +I +I +I +I
w treatment regimen+I +I
ANS: A +I
Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the planning
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phase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit ref
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lects analysis of data as part of the planning phase.
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DIF: Cognitive Level: Analysis +I +I
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6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a medication order ov
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er the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
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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 +I +I +I +I +I +I +I +I +I +I
ANS: C +I
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 ad
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ministration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
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7. Which constitutes the traditional Five Rights of medication administration?
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a. Right drug, right route, right dose, right time, and right patient
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b. Right drug, the right effect, the right route, the right time, and the right patient
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c. Right patient, right strength, right diagnosis, right drug, and right route
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d. Right patient, right diagnosis, right drug, right route, and right time
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ANS: A +I
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose, Right time, and R
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ight patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
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DIF: Cognitive Level: Comprehension +I +I
8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating +I +I +I +I +I +I
b. Assessing, then diagnosing, implementing, and ending with evaluating +I +I +I +I +I +I +I
c. A linear direction that begins with assessing and continues through diagnosing
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, planning, and finally implementing
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d. An ongoing process that begins with assessing and continues with diagnosing
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, planning, implementing, and evaluating
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ANS: D +I
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
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step process that begins with assessing and continues through diagnosing, planning, implementing, and finally evaluating, which
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may then lead back to any of the other phases.
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DIF: Cognitive Level: Application +I +I
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
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a. The patient‘s identification +I +I
b. The patient‘s weight +I +I
c. The patient‘s last meal +I +I +I
d. Any drug or food allergies +I +I +I +I
ANS: C +I
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any drug–
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food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the drug‘s
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timing.
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DIF: Cognitive Level: Application +I +I
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
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a. Anxiety
b. Anxiety related to new drug therapy +I +I +I +I +I
c. Anxiety related to anxious feelings about drug therapy, as evidenced b
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y statements such as ―I‘m upset about having to give myself shots‖
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d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘
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m upset about having to give myself shots‖
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ANS: D +I
Formulation of nursing diagnoses is usually a three- +I +I +I +I +I +I +I
step process. The only complete answer is ―Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset a
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bout having to give myself shots.‘‖ The answer ―Anxiety‖ is missing the ―related to‖ and ―as evidenced by‖ portions. The answe
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r ―Anxiety related to new drug therapy‖ is missing the ―as evidenced by‖ portion of defining characteristics. The ―related to‖ sect
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ion in ―Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as ‗I‘m upset about having to giv
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e myself shots‘‖ is simply a restatement of the problem ―anxiety,‖ not a separate factor related to the response.
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DIF: Cognitive Level: Analysis +I +I
OTHER
1. Place the phases of the nursing process in the correct order, starting with the first phase.
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a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
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DIF: Cognitive Level: Analysis +I +I
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Chapter 02: Pharmacological Principles
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
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MULTIPLE CHOICE +I
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed into the circulation
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in identical amounts. Which term best denotes that the drugs have the same absorption rates?
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a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D +I
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioavailability; thus, they ar
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e bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent of drug absorption. ―Sy
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nergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of the ef
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fects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indicate that two substances
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do not have a chemical reaction when mixed (or given, in the case of drugs) together.
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DIF: Cognitive Level: Comprehension +I +I
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for patient education?
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a. The medication will cause fewer adverse effects when given intravenously.
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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.
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d. Most of the drug is inactivated by the liver before it reaches the target area.
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ANS: C +I
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of adverse effects, the
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intravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug by the live
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r before it reaches the target area.
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DIF: Cognitive Level: Comprehension +I +I
3. Which is true regarding parenteral drugs?
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a. They bypass the first-pass effect. +I +I +I +I
b. They decrease blood flow to the stomach. +I +I +I +I +I +I
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.
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ANS: A +I
Drugs given by the parenteral route bypass the first-
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pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Enteral drugs (drugs taken ora
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lly), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral
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drugs must be absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their effec
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ts while circulating in the bloodstream.
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DIF: Cognitive Level: Analysis +I +I
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- +I +I +I +I
half of the original amount of a drug to reach the target cells.
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c. The time it takes one- +I +I +I +I
half of the original amount of a drug to be removed from the body.
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d. The time it takes one- +I +I +I +I
half of the original amount of a drug to be absorbed into the circulation.
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ANS: C +I
A drug‘s half-life is the time it takes for one-
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half of the original amount of a drug to be removed from the body. It is a measure of the rate at which drugs are removed from t
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he body. Answers A, B, and D are not correct definitions of a drug‘s half-life.
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DIF: Cognitive Level: Comprehension +I +I
5. The term ―duration of action‖ is best defined as
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a. The time it takes for the drug to elicit a therapeutic response.
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b. The time it takes a drug to reach its maximum therapeutic response.
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c. The length of time it takes to remove a drug from circulation.
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d. The time during which drug concentration is sufficient to elicit a therapeuti
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c response.
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ANS: D +I
Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes for
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a drug to elicit a therapeutic response is the drug‘s ―onset of action.‖ The time it takes a drug to reach its maximum therapeutic
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response is a drug‘s ―peak effect.‖ ―The length of time it takes to remove a drug from circulation‖ defines a drug‘s elimination a
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nd does not correctly define a drug‘s duration of action.
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DIF: Cognitive Level: Comprehension +I +I
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