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, CompleteTestBank
th LILLEYSPharmacologyforCanadianHealth gx




CarePractice4 Edition SEALOCK Chapter1-58 gx gx gx




Chapter01:NursingPracticeinCanadaandDrugTherapy
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
gx gx gx gx gx gx gx gx




MULTIPLE CHOICE gx




1. Whichisajudgement about a particular patient’s potentialneed or problem?
gx gx gx gx gx gx gx gx gx



a. A goal gx



b. Anassessment gx



c. Subjectivedata
d. A nursing diagnosis gx gx




ANS: D gx



Nursingdiagnosis isthephase ofthenursingprocessduring which aclinicaljudgementis made about howa patient respondsto heath co nditi
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



ons and life processes or ulnerability for that response.
gx gx gx gx ggx gx gx gx




DIF: Cognitive Level: Knowledge gx gx




2. The patient isto receive oral furosemide (Lasix) everyday; however,becausethepatientis unableto swallow,hecannot take medi ca
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



tion orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



a. A “right time” problem gx gx



b. A“right dose” problem gx gx



c. A “right route” problem gx gx



d. A “right medication” problem gx gx




ANS: C gx



This is a “right route” problem: the nursecannot assume the route and must clarifythe route with the prescriber. This is not a “right time” pro
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



blem because the ordered frequencyhas not changed. This is not a “right dose” problem because the dose is not related to an inabilit y to s
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



wallow. This is not a “right medication” problem because the medication ordered will not change, just the route.
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx




DIF: Cognitive Level: Application gx gx




3. The nursehasbeen monitoring thepatient’s progress on his newdrugregimen sincethe first doseand hasbeen documenting signs of po ssi
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



ble adverse effects. What nursing process phase is the nurse practising?
gx gx gx gx gx gx gx gx gx gx



a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis gx




ANS: B gx



Monitoringthepatient’s progress is partoftheevaluation phase. Planning, implementation, and nursingdiagnosis are not illustrated by th gx gx gx gx gx gx gx gx gx gx gx gx gx



is example.
gx




DIF: Cognitive Level: Application gx gx




4. The nurseiscaringfora patientwhohasbeennewlydiagnosed with type1diabetesmellitus.Whichstatementbestillustratesan outco me
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



criterion for this patient? gx gx gx



a. Thepatient will follow instructions. gx gx gx gx



b. Thepatient will not experience complications. gx gx gx gx



c. Thepatient adheres tothenew insulin treatment regimen. gx gx gx gx gx



d. Thepatient demonstrates safeinsulinself-administration technique. gx gx gx gx gx




ANS: D gx



Having the patient demonstrate safeinsulinself-
gx gx gx gx



administration technique is a specific and measurable outcomecriterion. Following instructions and avoiding complications are not spe ci
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



fic criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx




DIF: Cognitive Level: Application gx gx




5. Whichactivitybestreflects the implementation phase ofthe nursing process forthe patient who isnewlydiagnosed with type 1 diab e
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



tes mellitus?
gx



a. Providingeducation regardingself-injection technique gx gx gx



b. Setting goals and outcomecriteria with thepatient’s input gx gx gx gx gx gx



c. Recording a historyofover-the-counter medications used at home gx gx gx gx gx gx gx



d. Formulatingnursingdiagnosesregardingknowledgedeficitsrelatedtothenew tre gx gx gx



atment regimen gx




ANS: A gx



Education is anintervention thatoccursduringthe implementation phase. Settinggoals and outcomecriteriareflects theplanning phase
gx gx gx gx gx gx gx gx gx gx



. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit reflects analy sis
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



of data as part of the planning phase.
gx gx gx gx gx gx gx gx




DIF: Cognitive Level: Analysis gx gx




1

, 6. The nurseisworkingduringa verybusynight shift,andthe health careprovider has just given thenurse a medication order over the tel ep
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



hone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



a. Recopytheorder neatly on the order sheet, with themost common routeindicated gx gx gx gx gx gx gx gx gx gx gx gx



b. Consultwith the pharmacist forclarification about themost common route gx gx gx gx gx gx gx gx



c. Callthe health care provider toclarifythe route of administration gx gx gx gx gx gx gx gx



d. Withholdthe drug until the health care provider isits the patient gx gx gx gx gx gx gx ggx gx gx




ANS: C gx



If a medication order does not include theroute, the nurse must ask thehealthcareprovider toclarifyit. Never assumethe route of administration.
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx




DIF: Cognitive Level: Application |Cognitive Level: Analysis gx gx gx gx gx




7. Whichconstitutes thetraditional FiveRights ofmedication administration? gx gx gx gx gx gx



a. Rightdrug, rightroute, right dose, right time, and right patient gx gx gx gx gx gx gx gx



b. Rightdrug, the right effect, the right route, the right time, and theright patient gx gx gx gx gx gx gx gx gx gx gx gx



c. Right patient, right strength, right diagnosis, right drug, and right route
gx gx gx gx gx gx gx gx gx gx



d. Rightpatient, right diagnosis, right drug,right route, and right time gx gx gx gx gx gx gx gx gx




ANS: A gx



ThetraditionalFiveRights ofmedication administrationwereconsidered to be Right drug,Right route,Right dose,Righttime,and Right pat
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



ient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx




DIF: Cognitive Level: Comprehension gx gx




8. What correctlydescribes the nursing process?
gx gx gx gx gx



a. Diagnosing,planning, assessing,implementing, andfinallyevaluating gx gx gx



b. Assessing,thendiagnosing, implementing, and endingwith evaluating gx gx gx gx gx gx



c. Alineardirectionthatbegins withassessingand continuesthroughdiagnosing, pla gx gx gx gx



nning, and finally implementing gx gx gx



d. Anongoingprocess that begins withassessingandcontinues withdiagnosing, pla gx gx gx gx gx g



nning, implementing, and evaluating
x gx gx gx




ANS: D gx



Thenursingprocess isan ongoing, flexible, adaptable, and adjustablefive- gx gx gx gx gx gx



step processthatbegins withassessingand continues through diagnosing, planning, implementing, and finally evaluating, which may the
gx gx gx gx gx gx gx gx gx gx gx gx gx gx



n lead back to any of the other phases.
gx gx gx gx gx gx gx gx




DIF: Cognitive Level: Application gx gx




9. Whenthe nurseis considering thetimingof a drug dose, which is mostimportant to assess?
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



a. Thepatient’s identification gx



b. Thepatient’s weight gx



c. Thepatient’slast meal gx gx



d. Anydrug or food allergies gx gx gx




ANS: C gx



Thepharmacokinetic and pharmacodynamic properties ofthedrugneed to be assessed with regard to anydrug– gx gx gx gx gx gx gx gx gx gx



food interactions or compatibility issues. The patient’s identification, weight, and drug or food allergies are not affected by the drug’s timing.
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx




DIF: Cognitive Level: Application gx gx




10. The nurseis writing nursingdiagnoses for aplan of care. Which reflects the correct format for her nursing diagnosis?
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



a. Anxiety
b. Anxietyrelated to new drug therapy gx gx gx gx



c. Anxietyrelated to anxious feelings aboutdrugtherapy, as evidenced by sta gx gx gx gx gx gx gx gx gx



tements such as “I’m upset about having to give myself shots”
gx gx gx gx gx gx gx gx gx gx



d. Anxietyrelatedtonewdrugtherapy, as evidenced bystatementssuch as“I’m ups gx gx gx gx gx gx gx gx



et about having to give myself shots”
gx gx gx gx gx gx




ANS: D gx



Formulation of nursing diagnoses is usually a three- gx gx gx gx gx gx gx



step process. The only complete answer is “Anxiety related to new drug therapy, as evidenced by statements such as ‘I’m upset about h av
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



ing to give myself shots.’” The answer “Anxiety” is missing the “related to” and “as evidenced by” portions. The answer “Anxiety re lated
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



to new drug therapy” is missing the “as evidenced by” portion ofdefining characteristics. The“related to”section in“Anxietyrelat
g x gx g x g x g x gx g x g x g x g x g x gx gx g x gx gx gx



ed to anxious feelings about drugtherapy, as evidenced by statements such as ‘I’m upset about having to give myself shots’” is simply a re
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



statement of the problem “anxiety,” not a separate factor related to the response.
gx gx gx gx gx gx gx gx gx gx gx gx




DIF: g x g x Cognitive Level: Analysis gx gx




OTHER

1. Placethe phases of thenursing process inthe correct order, starting with thefirst phase.
gx gx gx gx gx gx gx gx gx gx gx gx gx



a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing

ANS:
C, E, A, D, B
gx gx gx gx




DIF: g x g x Cognitive Level: Analysis gx gx




2

, Chapter02:Pharmacological Principles gx




Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition gx gx gx gx gx gx gx gx




MULTIPLE CHOICE gx




1. A patientisreceivingtwodifferent drugs, which, at their currentdose formsand dosages, arebothabsorbed into thecirculationin identi ca
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



l amounts. Which term best denotes that the drugs have the same absorption rates?
gx gx gx gx gx gx gx gx gx gx gx gx gx



a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D gx



Two drugs absorbed into the circulation at thesameamount (in specific dosage forms) havethesame bioavailability; thus, they are bioe qu
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



ivalent. “Equivalent” is incorrect because the term “bioavailability” is used to express the extent of drug absorption.
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



“Synergistic” is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of the effe ct
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



s of each drug given alone. “Compatible” is incorrect because this term is ageneral term used to indicate that two substances do not ha e
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx ggx gx



a chemical reaction when mixed (or given, in the case of drugs) together.
gx gx gx gx gx gx gx gx gx gx gx gx




DIF: g x g x CognitiveLevel:Comprehension

2. Apatient is receivingmedication ia intravenous injection. Which information shouldthenurseprovideforpatient education?
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



a. Themedication will causefewer adverse effects when given intravenously. gx gx gx gx gx gx gx



b. Themedication will be absorbed slowlyinto the tissues over time. gx gx gx gx gx gx gx gx



c. Themedication’s action will begin faster when given intravenously. gx gx gx gx gx gx gx



d. Mostofthe drugis inactivated bytheliver before it reaches the target area.
gx gx gx gx gx gx gx gx gx gx gx gx gx




ANS: C gx



Intravenous injections are the fastest route of absorption. Theintravenous routedoes not affect the number of adverse effects, the intra en
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx ggx



ous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug by the liver before it r each
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



es the target area.
gx gx gx




DIF: g x g x CognitiveLevel:Comprehension

3. Which is true regarding parenteral drugs?
gx gx gx gx gx



a. Theybypass the first-pass effect. gx gx gx



b. Theydecrease blood flow to the stomach. gx gx gx gx gx



c. Theyare altered bythe presence of food in the stomach. gx gx gx gx gx gx gx gx gx



d. Theyexert their effects while circulating in the bloodstream. gx gx gx gx gx gx gx




ANS: A gx



Drugs givenbytheparenteral routebypass thefirst-
gx gx gx gx gx



pass effect, but theystill must be absorbed into cells and tissues before theycan exert their effects. Enteral drugs (drugs taken orally), not par
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



enteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral drugs must be a bsor
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



bed into cells and tissues from the circulation before they can exert their effects; they do not exert their effects while circulating in t he blo
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



odstream.

DIF: g x g x CognitiveLevel:Analysis

4. Adrug’shalf-life isbest defined as
gx gx gx gx gx



a. Thetime it takes forthe drugto elicit halfits therapeutic response. gx gx gx gx gx gx gx gx gx gx gx



b. Thetimeit takes one- gx gx



half oftheoriginal amount ofa drugto reach thetarget cells.
gx gx gx gx gx gx gx



c. Thetimeittakesone-
half oftheoriginal amount of a drugto beremoved from the body.
gx gx gx gx gx gx gx gx gx



d. Thetimeittakesone-
half oftheoriginal amount of adrugto be absorbed intothe circulation.
gx gx gx gx gx gx gx gx




ANS: C gx



Adrug’s half-life is thetimeittakes forone-
gx gx gx gx gx gx gx



half of the originalamount of a drugto be removed from the body. It is ameasure of the rate at which drugs are removed from the body.
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



Answers A, B, and D are not correct definitions of a drug’s half-life.
gx gx gx gx gx gx gx gx gx gx gx gx




DIF: g x g x CognitiveLevel:Comprehension

5. The term “duration of action”isbest defined as
gx gx gx gx gx gx gx



a. Thetime it takes forthe drugto elicit a therapeutic response. gx gx gx gx gx gx gx gx gx gx



b. Thetimeit takes a drugto reach its maximum therapeutic response. gx gx gx gx gx gx gx gx gx



c. The length oftime it takes to remove adrug from circulation.
gx gx gx gx gx gx gx gx gx gx



d. Thetimeduringwhich drugconcentrationis sufficient toelicitatherapeutic res gx gx gx gx gx gx gx



ponse.
ANS: D gx



Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. Thetime it takes for a drug to el
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



icit a therapeutic response is the drug’s “onset of action.” The time it takes a drug to reach its maximum therapeutic responsei sad rug’s“p
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



eakeffect.” “Thelengthof timeit takes toremove a drugfrom circulation” defines a drug’s eliminationand does not correctly d efine a dr
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx



ug’s duration of action. gx gx gx




DIF: g x g x CognitiveLevel:Comprehension




1