TESTBANK l
PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE
l l l l l
LINDALANE LILLEY, JULIE S. SNYDER AND SHELLY RAINFORTH COLLINS
l l l l l l l l l
3rd Edition
l
TESTBANK l
,Chapter 01: Nursing Practice in Canada and Drug Therapy
l l l l l l l l
Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
l l l l l l l l l
MULTIPLE CHOICE l
1. Which is a judgement about a particular patient‘s potential need or
l l l l l l l l l l
problem?
l
a. A goal l
b. An assessment l
c. Subjective data l
d. A nursing diagnosis l l
ANS: D l
Nursing diagnosis is the phase of the nursing process during which
l l l l l l l l l l
a clinical judgement is made about how a patient responds to heath conditions and life processes
l l l l l l l l l l l l l l l
or vulnerability forthat response.
l l l l
DIF: Cognitive Level: Knowledge l l REF: p. 11 l l
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is
l l l l l l l l l l l l l l
unable to swallow, he cannot take medication orally, as ordered. The nurse needs to contact
l l l l l l l l l l l l l l l
the physician. What type of problem is this?
l l l l l l l l
a. A ―right time‖ problem l l l
b. A ―right dose‖ problem l l l
c. A ―right route‖ problem l l l
d. A ―right medication‖ problem l l l
ANS: C l
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route
l l l l l l l l l l l l l l l l
with the prescriber. This is not a ―right time‖ problem because the ordered frequency has not
l l l l l l l l l l l l l l l
changed. This is not a ―right dose‖ problem because the dose is not related to an inability to
l l l l l l l l l l l l l l l l l l
swallow. This is not a ―right medication‖ problem because the medication ordered will not
l l l l l l l l l l l l l l
change, just the route.
l l l l
DIF: Cognitive Level: Application l l REF: p. 14 l l
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first
l l l l l l l l l l l l l l l
dose and has been documenting signs of possible adverse effects. What nursing process phase is
l l l l l l l l l l l l l l l
the nurse practising?
l l l
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis l
ANS: B l
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and
l l l l l l l l l l l l
nursing diagnosis are not illustrated by this example.
l l l l l l l l
DIF: Cognitive Level: Application l l REF: p. 19 l l
,4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus.
l l l l l l l l l l l l l l l l
Which statement best illustrates an outcome criterion for this patient?
l l l l l l l l l l
a. The patient will follow instructions. l l l l
b. The patient will not experience complications.
l l l l l
c. The patient adheres to the new insulin treatment regimen.
l l l l l l l l
d. The patient demonstrates safe insulin self-administration technique.
l l l l l l
ANS: D l
Having the patient demonstrate safe insulin self-administration technique is a specific and
l l l l l l l l l l l
measurable outcome criterion. Following instructions and avoiding complications are not
l l l l l l l l l l
specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
l l l l l l l l l l l l l l l
difficult to measure.
l l l
DIF: Cognitive Level: Application l l REF: p. 13 l l
5. Which activity best reflects the implementation phase of the nursing process for the patient
l l l l l l l l l l l l l
lwho is newly diagnosed with type 1 diabetes mellitus?
l l l l l l l l
a. Providing education regarding self-injection technique l l l l
b. Setting goals and outcome criteria with the patient‘s input l l l l l l l l
c. Recording a history of over-the-counter medications used at home l l l l l l l l
d. Formulating nursing diagnoses regarding knowledge deficits related to the new l l l l l l l l l
treatment regimen
l l
ANS: A l
Education is an intervention that occurs during the implementation phase. Setting goals and
l l l l l l l l l l l l
outcome criteria reflects the planning phase. Recording a drug history reflects the assessment
l l l l l l l l l l l l l
phase. Formulating nursing diagnoses regarding a knowledge deficit reflects analysis of data as
l l l l l l l l l l l l l
part of the planning phase.N
l l l l l
DIF: Cognitive Level: Analysis l l REF: p. 8 | p. 13 l l l l l
6. The nurse is working during a very busy night shift, and the health care provider has just given
l l l l l l l l l l l l l l l l l
the nurse a medication order over the telephone, but the nurse does not recall the route. What is
l l l l l l l l l l l l l l l l l l
the best way for the nurse to avoid medication errors?
l l l l l l l l l l
a. Recopy the order neatly on the order sheet, with the most common route indicated
l l l l l l l l l l l l l
b. Consult with the pharmacist for clarification about the most common route l l l l l l l l l l
c. Call the health care provider to clarify the route of administration
l l l l l l l l l l
d. Withhold the drug until the health care provider visits the patient l l l l l l l l l l
ANS: C l
If a medication order does not include the route, the nurse must ask the health care provider to
l l l l l l l l l l l l l l l l l
clarify it. Never assume the route of administration.
l l l l l l l l
DIF: Cognitive Level: Application | Cognitive Level: Analysis REF: p. 17 l l l l l l l l l
7. Which constitutes the traditional Five Rights of medication administration?
l l l l l l l l
a. Right drug, right route, right dose, right time, and right patient
l l l l l l l l l l
b. Right drug, the right effect, the right route, the right time, and the right patient
l l l l l l l l l l l l l l
c. Right patient, right strength, right diagnosis, right drug, and right route
l l l l l l l l l l
d. Right patient, right diagnosis, right drug, right route, and right time
l l l l l l l l l l
ANS: A l
, The traditional Five Rights of medication administration were considered to be Right drug,
l l l l l l l l l l l l
Right route, Right dose, Right time, and Right patient. Right effect, right strength, and right
l l l l l l l l l l l l l l l
diagnosis are not part of the traditional Five Rights.
l l l l l l l l l
DIF: l l Cognitive Level: Comprehension l l l l l REF: l p. 13 l
8. What correctly describes the nursing process?
l l l l l
a. Diagnosing, planning, assessing, implementing, and finally evaluating l l l l l l
b. Assessing, then diagnosing, implementing, and ending with evaluating l l l l l l l
c. A linear direction that begins with assessing and continues through diagnosing,
l l l l l l l l l l
planning, and finally implementing
l l l l
d. An ongoing process that begins with assessing and continues with diagnosing,
l l l l l l l l l l
planning, implementing, and evaluating
l l l l
ANS: D l
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that
l l l l l l l l l l l l
begins with assessing and continues through diagnosing, planning, implementing, and finally
l l l l l l l l l l l
evaluating, which may then lead back to any of the other phases.
l l l l l l l l l l l l
DIF: Cognitive Level: Application l l REF: p. 8 l l
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
l l l l l l l l l l l l l l l l
a. The patient‘s identification l l
b. The patient‘s weight l l
c. The patient‘s last meal l l l
d. Any drug or food allergies l l l l
ANS: C l
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with
l l l l l l l l l l l l
regard to any drug–food interactions or compatibility issues. The patient‘s identification,
l l l l l l l l l l
weight, and drug or food allergies are not affected by the drug‘s timing.
l l l l l l l l l l l l l
DIF: Cognitive Level: Application l l REF: p. 17 l l
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
l l l l l l l l l l l l l l l l l
nursing diagnosis?
l l
a. Anxiety
b. Anxiety related to new drug therapy l l l l l
c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements
l l l l l l l l l l l
such as ―I‘m upset about having to give myself shots‖
l l l l l l l l l l
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
l l l l l l l l l l l l
upset about having to give myself shots‖
l l l l l l l
ANS: D l
PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE
l l l l l
LINDALANE LILLEY, JULIE S. SNYDER AND SHELLY RAINFORTH COLLINS
l l l l l l l l l
3rd Edition
l
TESTBANK l
,Chapter 01: Nursing Practice in Canada and Drug Therapy
l l l l l l l l
Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
l l l l l l l l l
MULTIPLE CHOICE l
1. Which is a judgement about a particular patient‘s potential need or
l l l l l l l l l l
problem?
l
a. A goal l
b. An assessment l
c. Subjective data l
d. A nursing diagnosis l l
ANS: D l
Nursing diagnosis is the phase of the nursing process during which
l l l l l l l l l l
a clinical judgement is made about how a patient responds to heath conditions and life processes
l l l l l l l l l l l l l l l
or vulnerability forthat response.
l l l l
DIF: Cognitive Level: Knowledge l l REF: p. 11 l l
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is
l l l l l l l l l l l l l l
unable to swallow, he cannot take medication orally, as ordered. The nurse needs to contact
l l l l l l l l l l l l l l l
the physician. What type of problem is this?
l l l l l l l l
a. A ―right time‖ problem l l l
b. A ―right dose‖ problem l l l
c. A ―right route‖ problem l l l
d. A ―right medication‖ problem l l l
ANS: C l
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route
l l l l l l l l l l l l l l l l
with the prescriber. This is not a ―right time‖ problem because the ordered frequency has not
l l l l l l l l l l l l l l l
changed. This is not a ―right dose‖ problem because the dose is not related to an inability to
l l l l l l l l l l l l l l l l l l
swallow. This is not a ―right medication‖ problem because the medication ordered will not
l l l l l l l l l l l l l l
change, just the route.
l l l l
DIF: Cognitive Level: Application l l REF: p. 14 l l
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first
l l l l l l l l l l l l l l l
dose and has been documenting signs of possible adverse effects. What nursing process phase is
l l l l l l l l l l l l l l l
the nurse practising?
l l l
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis l
ANS: B l
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and
l l l l l l l l l l l l
nursing diagnosis are not illustrated by this example.
l l l l l l l l
DIF: Cognitive Level: Application l l REF: p. 19 l l
,4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus.
l l l l l l l l l l l l l l l l
Which statement best illustrates an outcome criterion for this patient?
l l l l l l l l l l
a. The patient will follow instructions. l l l l
b. The patient will not experience complications.
l l l l l
c. The patient adheres to the new insulin treatment regimen.
l l l l l l l l
d. The patient demonstrates safe insulin self-administration technique.
l l l l l l
ANS: D l
Having the patient demonstrate safe insulin self-administration technique is a specific and
l l l l l l l l l l l
measurable outcome criterion. Following instructions and avoiding complications are not
l l l l l l l l l l
specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
l l l l l l l l l l l l l l l
difficult to measure.
l l l
DIF: Cognitive Level: Application l l REF: p. 13 l l
5. Which activity best reflects the implementation phase of the nursing process for the patient
l l l l l l l l l l l l l
lwho is newly diagnosed with type 1 diabetes mellitus?
l l l l l l l l
a. Providing education regarding self-injection technique l l l l
b. Setting goals and outcome criteria with the patient‘s input l l l l l l l l
c. Recording a history of over-the-counter medications used at home l l l l l l l l
d. Formulating nursing diagnoses regarding knowledge deficits related to the new l l l l l l l l l
treatment regimen
l l
ANS: A l
Education is an intervention that occurs during the implementation phase. Setting goals and
l l l l l l l l l l l l
outcome criteria reflects the planning phase. Recording a drug history reflects the assessment
l l l l l l l l l l l l l
phase. Formulating nursing diagnoses regarding a knowledge deficit reflects analysis of data as
l l l l l l l l l l l l l
part of the planning phase.N
l l l l l
DIF: Cognitive Level: Analysis l l REF: p. 8 | p. 13 l l l l l
6. The nurse is working during a very busy night shift, and the health care provider has just given
l l l l l l l l l l l l l l l l l
the nurse a medication order over the telephone, but the nurse does not recall the route. What is
l l l l l l l l l l l l l l l l l l
the best way for the nurse to avoid medication errors?
l l l l l l l l l l
a. Recopy the order neatly on the order sheet, with the most common route indicated
l l l l l l l l l l l l l
b. Consult with the pharmacist for clarification about the most common route l l l l l l l l l l
c. Call the health care provider to clarify the route of administration
l l l l l l l l l l
d. Withhold the drug until the health care provider visits the patient l l l l l l l l l l
ANS: C l
If a medication order does not include the route, the nurse must ask the health care provider to
l l l l l l l l l l l l l l l l l
clarify it. Never assume the route of administration.
l l l l l l l l
DIF: Cognitive Level: Application | Cognitive Level: Analysis REF: p. 17 l l l l l l l l l
7. Which constitutes the traditional Five Rights of medication administration?
l l l l l l l l
a. Right drug, right route, right dose, right time, and right patient
l l l l l l l l l l
b. Right drug, the right effect, the right route, the right time, and the right patient
l l l l l l l l l l l l l l
c. Right patient, right strength, right diagnosis, right drug, and right route
l l l l l l l l l l
d. Right patient, right diagnosis, right drug, right route, and right time
l l l l l l l l l l
ANS: A l
, The traditional Five Rights of medication administration were considered to be Right drug,
l l l l l l l l l l l l
Right route, Right dose, Right time, and Right patient. Right effect, right strength, and right
l l l l l l l l l l l l l l l
diagnosis are not part of the traditional Five Rights.
l l l l l l l l l
DIF: l l Cognitive Level: Comprehension l l l l l REF: l p. 13 l
8. What correctly describes the nursing process?
l l l l l
a. Diagnosing, planning, assessing, implementing, and finally evaluating l l l l l l
b. Assessing, then diagnosing, implementing, and ending with evaluating l l l l l l l
c. A linear direction that begins with assessing and continues through diagnosing,
l l l l l l l l l l
planning, and finally implementing
l l l l
d. An ongoing process that begins with assessing and continues with diagnosing,
l l l l l l l l l l
planning, implementing, and evaluating
l l l l
ANS: D l
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that
l l l l l l l l l l l l
begins with assessing and continues through diagnosing, planning, implementing, and finally
l l l l l l l l l l l
evaluating, which may then lead back to any of the other phases.
l l l l l l l l l l l l
DIF: Cognitive Level: Application l l REF: p. 8 l l
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
l l l l l l l l l l l l l l l l
a. The patient‘s identification l l
b. The patient‘s weight l l
c. The patient‘s last meal l l l
d. Any drug or food allergies l l l l
ANS: C l
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with
l l l l l l l l l l l l
regard to any drug–food interactions or compatibility issues. The patient‘s identification,
l l l l l l l l l l
weight, and drug or food allergies are not affected by the drug‘s timing.
l l l l l l l l l l l l l
DIF: Cognitive Level: Application l l REF: p. 17 l l
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
l l l l l l l l l l l l l l l l l
nursing diagnosis?
l l
a. Anxiety
b. Anxiety related to new drug therapy l l l l l
c. Anxiety related to anxious feelings about drug therapy, as evidenced by statements
l l l l l l l l l l l
such as ―I‘m upset about having to give myself shots‖
l l l l l l l l l l
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
l l l l l l l l l l l l
upset about having to give myself shots‖
l l l l l l l
ANS: D l
