r
lOMoAR r r cPSD| 3013804
Lilleys Pharmacology for Canadian Health Care P r r r r r r
Edition Sealock Test Bank Questions & Answers w
r r r r r r r r
Chapter 01: Nursing Practice in Canada and Drug Therapy
r r r r r r r r
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
r r r r r r r r r
MULTIPLE CHOICE r
1. Which is a judgement about a particular patient‘s potential need or problem?
r r r r r r r r r r r
a. A goal r
b. An assessment r
c. Subjective data r
d. A nursing diagnosis r r
ANS: D r
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how
r r r r r r r r r r r r r r r r r
conditions and life processes or vulnerability for that response.
r r r r r r r r r
DIF: Cognitive Level: Knowledge r r
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swal
r r r r r r r r r r r r r r r r r
r medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
r r r r r r r r r r r r r r r r
a. A ―right time‖ problem
r r r
b. A ―right dose‖ problem
r r r
c. A ―right route‖ problem
r r r
d. A ―right medication‖ problem
r r r
ANS: C r
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the p
r r r r r r r r r r r r r r r r r r r
time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem becau
r r r r r r r r r r r r r r r r r
inability to swallow. This is not a ―right medication‖ problem because the medication ordered will not ch
r r r r r r r r r r r r r r r r r
DIF: Cognitive Level: Application r r
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has
r r r r r r r r r r r r r r r r r r r
r possible adverse effects. What nursing process phase is the nurse practising?
r r r r r r r r r r
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis r
ANS: B r
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing d
r r r r r r r r r r r r r r
by this example.
r r r
DIF: Cognitive Level: Application r r
, r
reflects analysis of data as part of the planning phase.
r r r r r r r r r
DIF: Cognitive Level: Analysis
r r
Copyright © 2021, Elsevier Inc. All rights reserved.
r r r r r r r
, r
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a
r r r r r r r r r r r r r r r r r r r r
telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication
r r r r r r r r r r r r r r r r r r r r
a. Recopy the order neatly on the order sheet, with the most common route indicated
r r r r r r r r r r r r r
b. Consult with the pharmacist for clarification about the most common route
r r r r r r r r r r
c. Call the health care provider to clarify the route of administration
r r r r r r r r r r
d. Withhold the drug until the health care provider visits the patient
r r r r r r r r r r
ANS: C r
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. N
r r r r r r r r r r r r r r r r r r r r
administration.
r
DIF: Cognitive Level: Application | Cognitive Level: Analysis r r r r r r
7. Which constitutes the traditional Five Rights of medication administration?
r r r r r r r r
a. Right drug, right route, right dose, right time, and right patient
r r r r r r r r r r
b. Right drug, the right effect, the right route, the right time, and the right patient
r r r r r r r r r r r r r r
c. Right patient, right strength, right diagnosis, right drug, and right route
r r r r r r r r r r
d. Right patient, right diagnosis, right drug, right route, and right time
r r r r r r r r r r
ANS: A r
The traditional Five Rights of medication administration were considered to be Right drug, Right route, R
r r r r r r r r r r r r r r r
patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
r r r r r r r r r r r r r r r r
DIF: Cognitive Level: Comprehension r r
8. What correctly describes the nursing process?
r r r r r
a. Diagnosing, planning, assessing, implementing, and finally evaluating r r r r r r
b. Assessing, then diagnosing, implementing, and ending with evaluating r r r r r r r
c. A linear direction that begins with assessing and continues through diagnosing,
r r r r r r r r r r
planning, and finally implementing
r r r r
d. An ongoing process that begins with assessing and continues with diagnosing,
r r r r r r r r r r
planning, implementing, and evaluating
r r r r
ANS: D r
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with as
r r r r r r r r r r r r r r r
through diagnosing, planning, implementing, and finally evaluating, which may then lead back to any of
r r r r r r r r r r r r r r r
DIF: Cognitive Level: Application r r
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
r r r r r r r r r r r r r r r r
a. The patient‘s identification r r
b. The patient‘s weight r r
c. The patient‘s last meal r r r
d. Any drug or food allergies r r r r
ANS: C r
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any
r r r r r r r r r r r r r r r
compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by th
r r r r r r r r r r r r r r r r
DIF: Cognitive Level: Application r r
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing
r r r r r r r r r r r r r r r r r r
a. Anxiety
b. Anxiety related to new drug therapy r r r r r
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
r r r r r r r r r r
statements such as ―I‘m upset about having to give myself shots‖
r r r r r r r r r r r
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
r r r r r r r r r r r r
upset about having to give myself shots‖
r r r r r r r
ANS: D r
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is ―Anxiety
r r r r r r r r r r r r r r r
, r
Chapter 02: Pharmacological Principles
r r r
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
r r r r r r r r r
MULTIPLE CHOICE r
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbe
r r r r r r r r r r r r r r r r r
identical amounts. Which term best denotes that the drugs have the same absorption rates?
r r r r r r r r r r r r r r
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D r
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same b
r r r r r r r r r r r r r r r r r
bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent o
r r r r r r r r r r r r r r r
―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is
r r r r r r r r r r r r r r r
effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to ind
r r r r r r r r r r r r r r r r r r r
not have a chemical reaction when mixed (or given, in the case of drugs) together.
r r r r r r r r r r r r r r r
DIF: Cognitive Level: Comprehension r r
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide f
r r r r r r r r r r r r r r
a. The medication will cause fewer adverse effects when given intravenously.
r r r r r r r r r
b. The medication will be absorbed slowly into the tissues over time.
r r r r r r r r r r
c. The medication‘s action will begin faster when given intravenously.
r r r r r r r r
d. Most of the drug is inactivated by the liver before it reaches the target area.
r r r r r r r r r r r r r r
ANS: C r
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the numbe
r r r r r r r r r r r r r r r
intravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation
r r r r r r r r r r r r r r r r r
before it reaches the target area.
r r r r r r
DIF: Cognitive Level: Comprehension r r
3. Which is true regarding parenteral drugs?
r r r r r
a. They bypass the first-pass effect. r r r r
b. They decrease blood flow to the stomach. r r r r r r
c. They are altered by the presence of food in the stomach.
r r r r r r r r r r
d. They exert their effects while circulating in the bloodstream.
r r r r r r r r
ANS: A r
Drugs given by the parenteral route bypass the first-pass effect, but they still must be absorbed into cells an
r r r r r r r r r r r r r r r r r r
exert their effects. Enteral drugs (drugs taken orally), not parenteral drugs, decrease blood flow to the sto
r r r r r r r r r r r r r r r r r
presence of food in the stomach. Parenteral drugs must be absorbed into cells and tissues from the circula
r r r r r r r r r r r r r r r r r r
their effects; they do not exert their effects while circulating in the bloodstream.
r r r r r r r r r r r r r
DIF: Cognitive Level: Analysis r r
4. A drug‘s half-life is best defined as
r r r r r r
a. The time it takes for the drug to elicit half its therapeutic response.
r r r r r r r r r r r r
b. The time it takes one-half of the original amount of a drug to reach the target
r r r r r r r r r r r r r r r
cells.
r
c. The time it takes one-half of the original amount of a drug to be removed from the
r r r r r r r r r r r r r r r r
body.
r
d. The time it takes one-half of the original amount of a drug to be absorbed into the
r r r r r r r r r r r r r r r r
circulation.
r
ANS: C r
A drug‘s half-life is the time it takes for one-half of the original amount of a drug to be removed from the b
r r r r r r r r r r r r r r r r r r r r r r
lOMoAR r r cPSD| 3013804
Lilleys Pharmacology for Canadian Health Care P r r r r r r
Edition Sealock Test Bank Questions & Answers w
r r r r r r r r
Chapter 01: Nursing Practice in Canada and Drug Therapy
r r r r r r r r
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
r r r r r r r r r
MULTIPLE CHOICE r
1. Which is a judgement about a particular patient‘s potential need or problem?
r r r r r r r r r r r
a. A goal r
b. An assessment r
c. Subjective data r
d. A nursing diagnosis r r
ANS: D r
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how
r r r r r r r r r r r r r r r r r
conditions and life processes or vulnerability for that response.
r r r r r r r r r
DIF: Cognitive Level: Knowledge r r
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swal
r r r r r r r r r r r r r r r r r
r medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
r r r r r r r r r r r r r r r r
a. A ―right time‖ problem
r r r
b. A ―right dose‖ problem
r r r
c. A ―right route‖ problem
r r r
d. A ―right medication‖ problem
r r r
ANS: C r
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the p
r r r r r r r r r r r r r r r r r r r
time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem becau
r r r r r r r r r r r r r r r r r
inability to swallow. This is not a ―right medication‖ problem because the medication ordered will not ch
r r r r r r r r r r r r r r r r r
DIF: Cognitive Level: Application r r
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has
r r r r r r r r r r r r r r r r r r r
r possible adverse effects. What nursing process phase is the nurse practising?
r r r r r r r r r r
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis r
ANS: B r
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing d
r r r r r r r r r r r r r r
by this example.
r r r
DIF: Cognitive Level: Application r r
, r
reflects analysis of data as part of the planning phase.
r r r r r r r r r
DIF: Cognitive Level: Analysis
r r
Copyright © 2021, Elsevier Inc. All rights reserved.
r r r r r r r
, r
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a
r r r r r r r r r r r r r r r r r r r r
telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication
r r r r r r r r r r r r r r r r r r r r
a. Recopy the order neatly on the order sheet, with the most common route indicated
r r r r r r r r r r r r r
b. Consult with the pharmacist for clarification about the most common route
r r r r r r r r r r
c. Call the health care provider to clarify the route of administration
r r r r r r r r r r
d. Withhold the drug until the health care provider visits the patient
r r r r r r r r r r
ANS: C r
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. N
r r r r r r r r r r r r r r r r r r r r
administration.
r
DIF: Cognitive Level: Application | Cognitive Level: Analysis r r r r r r
7. Which constitutes the traditional Five Rights of medication administration?
r r r r r r r r
a. Right drug, right route, right dose, right time, and right patient
r r r r r r r r r r
b. Right drug, the right effect, the right route, the right time, and the right patient
r r r r r r r r r r r r r r
c. Right patient, right strength, right diagnosis, right drug, and right route
r r r r r r r r r r
d. Right patient, right diagnosis, right drug, right route, and right time
r r r r r r r r r r
ANS: A r
The traditional Five Rights of medication administration were considered to be Right drug, Right route, R
r r r r r r r r r r r r r r r
patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
r r r r r r r r r r r r r r r r
DIF: Cognitive Level: Comprehension r r
8. What correctly describes the nursing process?
r r r r r
a. Diagnosing, planning, assessing, implementing, and finally evaluating r r r r r r
b. Assessing, then diagnosing, implementing, and ending with evaluating r r r r r r r
c. A linear direction that begins with assessing and continues through diagnosing,
r r r r r r r r r r
planning, and finally implementing
r r r r
d. An ongoing process that begins with assessing and continues with diagnosing,
r r r r r r r r r r
planning, implementing, and evaluating
r r r r
ANS: D r
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with as
r r r r r r r r r r r r r r r
through diagnosing, planning, implementing, and finally evaluating, which may then lead back to any of
r r r r r r r r r r r r r r r
DIF: Cognitive Level: Application r r
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
r r r r r r r r r r r r r r r r
a. The patient‘s identification r r
b. The patient‘s weight r r
c. The patient‘s last meal r r r
d. Any drug or food allergies r r r r
ANS: C r
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any
r r r r r r r r r r r r r r r
compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by th
r r r r r r r r r r r r r r r r
DIF: Cognitive Level: Application r r
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing
r r r r r r r r r r r r r r r r r r
a. Anxiety
b. Anxiety related to new drug therapy r r r r r
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
r r r r r r r r r r
statements such as ―I‘m upset about having to give myself shots‖
r r r r r r r r r r r
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
r r r r r r r r r r r r
upset about having to give myself shots‖
r r r r r r r
ANS: D r
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is ―Anxiety
r r r r r r r r r r r r r r r
, r
Chapter 02: Pharmacological Principles
r r r
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
r r r r r r r r r
MULTIPLE CHOICE r
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbe
r r r r r r r r r r r r r r r r r
identical amounts. Which term best denotes that the drugs have the same absorption rates?
r r r r r r r r r r r r r r
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D r
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same b
r r r r r r r r r r r r r r r r r
bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent o
r r r r r r r r r r r r r r r
―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is
r r r r r r r r r r r r r r r
effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to ind
r r r r r r r r r r r r r r r r r r r
not have a chemical reaction when mixed (or given, in the case of drugs) together.
r r r r r r r r r r r r r r r
DIF: Cognitive Level: Comprehension r r
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide f
r r r r r r r r r r r r r r
a. The medication will cause fewer adverse effects when given intravenously.
r r r r r r r r r
b. The medication will be absorbed slowly into the tissues over time.
r r r r r r r r r r
c. The medication‘s action will begin faster when given intravenously.
r r r r r r r r
d. Most of the drug is inactivated by the liver before it reaches the target area.
r r r r r r r r r r r r r r
ANS: C r
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the numbe
r r r r r r r r r r r r r r r
intravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation
r r r r r r r r r r r r r r r r r
before it reaches the target area.
r r r r r r
DIF: Cognitive Level: Comprehension r r
3. Which is true regarding parenteral drugs?
r r r r r
a. They bypass the first-pass effect. r r r r
b. They decrease blood flow to the stomach. r r r r r r
c. They are altered by the presence of food in the stomach.
r r r r r r r r r r
d. They exert their effects while circulating in the bloodstream.
r r r r r r r r
ANS: A r
Drugs given by the parenteral route bypass the first-pass effect, but they still must be absorbed into cells an
r r r r r r r r r r r r r r r r r r
exert their effects. Enteral drugs (drugs taken orally), not parenteral drugs, decrease blood flow to the sto
r r r r r r r r r r r r r r r r r
presence of food in the stomach. Parenteral drugs must be absorbed into cells and tissues from the circula
r r r r r r r r r r r r r r r r r r
their effects; they do not exert their effects while circulating in the bloodstream.
r r r r r r r r r r r r r
DIF: Cognitive Level: Analysis r r
4. A drug‘s half-life is best defined as
r r r r r r
a. The time it takes for the drug to elicit half its therapeutic response.
r r r r r r r r r r r r
b. The time it takes one-half of the original amount of a drug to reach the target
r r r r r r r r r r r r r r r
cells.
r
c. The time it takes one-half of the original amount of a drug to be removed from the
r r r r r r r r r r r r r r r r
body.
r
d. The time it takes one-half of the original amount of a drug to be absorbed into the
r r r r r r r r r r r r r r r r
circulation.
r
ANS: C r
A drug‘s half-life is the time it takes for one-half of the original amount of a drug to be removed from the b
r r r r r r r r r r r r r r r r r r r r r r
