TEST BANK =
PHARMACOLOGY=FOR=CANADIAN=HEALTH=CARE=PRACTICE
LINDA=LANE=LILLEY,=JULIE=S.=SNYDER=AND=SHELLY=RAINFORTH=COLLINS
3rd Edition
=
TESTBANK =
,Chapter 01: Nursing Practice in Canada and Drug Therapy
= = = = = = = =
Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
= = = = = = = = =
MULTIPLE=CHOICE
1. Which=is=a=judgement=about=a=particular=patient‘s=potential=need=or=
problem?
a. A=goal
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=process
es=or=vulnerability=forthat=response.
DIF: Cognitive=Level:=Knowledge REF:=p.=11
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=c
hanged.=This=is=not=a=―right=dose‖=problem=because=the=dose=is=not=related=to=an=inability=to=s
wallow.=This=is=not=a=―right=medication‖=problem=because=the=medication=ordered=will=not=ch
ange,=just=the=route.
DIF: Cognitive=Level:=Application REF:= p.=14
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,=a
nd=nursing=diagnosis=are=not=illustrated=by=this=example.
DIF: Cognitive=Level:=Application REF:=p.=19
,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=instructio
ns=and=avoiding=complications=are=not=specific=criteria.=Adherence=to=the=new=insulin=treatmen
t=regimen=is=not=objective=and=would=be=difficult=to=measure.
DIF: Cognitive=Level:=Application REF:=p.=13
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=o
utcome=criteria=reflects=the=planning=phase.=Recording=a=drug=history=reflects=the=assessment=p
hase.=Formulating=nursing=diagnoses=regarding=a=knowledge=deficit=reflects=analysis=of=data=as
=part=of=the=planning=phase.N
DIF: Cognitive=Level:=Analysis REF:= p.=8=|=p.=13
6. The=nurse=is=working=during=a=very=busy=night=shift,=and=the=health=care=provider=has=just=give
n=the=nurse=a=medication=order=over=the=telephone,=but=the=nurse=does=not=recall=the=route.=Wha
t=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.
DIF: Cognitive=Level:=Application=|=Cognitive=Level:=Analysis= REF:= p.=17
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.
DIF:= = Cognitive=Level:=Comprehension= = = REF:= p.=13
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
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,=implemen
ting,=and=finally=evaluating,=which=may=then=lead=back=to=any=of=the=other=phases.
DIF: Cognitive=Level:=Application REF:=p.=8
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=foo
d=allergies=are=not=affected=by=the=drug‘s=timing.
DIF: Cognitive=Level:=Application REF:=p.=17
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
PHARMACOLOGY=FOR=CANADIAN=HEALTH=CARE=PRACTICE
LINDA=LANE=LILLEY,=JULIE=S.=SNYDER=AND=SHELLY=RAINFORTH=COLLINS
3rd Edition
=
TESTBANK =
,Chapter 01: Nursing Practice in Canada and Drug Therapy
= = = = = = = =
Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
= = = = = = = = =
MULTIPLE=CHOICE
1. Which=is=a=judgement=about=a=particular=patient‘s=potential=need=or=
problem?
a. A=goal
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=process
es=or=vulnerability=forthat=response.
DIF: Cognitive=Level:=Knowledge REF:=p.=11
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=c
hanged.=This=is=not=a=―right=dose‖=problem=because=the=dose=is=not=related=to=an=inability=to=s
wallow.=This=is=not=a=―right=medication‖=problem=because=the=medication=ordered=will=not=ch
ange,=just=the=route.
DIF: Cognitive=Level:=Application REF:= p.=14
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,=a
nd=nursing=diagnosis=are=not=illustrated=by=this=example.
DIF: Cognitive=Level:=Application REF:=p.=19
,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=instructio
ns=and=avoiding=complications=are=not=specific=criteria.=Adherence=to=the=new=insulin=treatmen
t=regimen=is=not=objective=and=would=be=difficult=to=measure.
DIF: Cognitive=Level:=Application REF:=p.=13
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=o
utcome=criteria=reflects=the=planning=phase.=Recording=a=drug=history=reflects=the=assessment=p
hase.=Formulating=nursing=diagnoses=regarding=a=knowledge=deficit=reflects=analysis=of=data=as
=part=of=the=planning=phase.N
DIF: Cognitive=Level:=Analysis REF:= p.=8=|=p.=13
6. The=nurse=is=working=during=a=very=busy=night=shift,=and=the=health=care=provider=has=just=give
n=the=nurse=a=medication=order=over=the=telephone,=but=the=nurse=does=not=recall=the=route.=Wha
t=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.
DIF: Cognitive=Level:=Application=|=Cognitive=Level:=Analysis= REF:= p.=17
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.
DIF:= = Cognitive=Level:=Comprehension= = = REF:= p.=13
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
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,=implemen
ting,=and=finally=evaluating,=which=may=then=lead=back=to=any=of=the=other=phases.
DIF: Cognitive=Level:=Application REF:=p.=8
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=foo
d=allergies=are=not=affected=by=the=drug‘s=timing.
DIF: Cognitive=Level:=Application REF:=p.=17
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
