c
lOMoAR cPSD|
c 3013804
cc
lOMoAR cPSD| 3013804
, c
lOMoAR cPSD|
c 3013804
Chapterc01:cNursingcPracticecincCanadacandcDrugcTherapy
Sealock:cLilley’scPharmacologycforcCanadiancHealthcCarecPractice,c4thcEdition
MULTIPLEcCHOICE
1. Whichciscacjudgementcaboutcacparticularcpatient’scpotentialcneedcorcproblem?
a. Acgoal
b. Ancassessment
c. Subjectivecdata
d. Acnursingcdiagnosis
ANS:c D
Nursingcdiagnosisciscthecphasecofcthecnursingcprocesscduringcwhichcacclinicalcjudgementciscmadecabou
cheathcconditionscandclifecprocessescorcvulnerabilitycforcthatcresponse.
DIF: CognitivecLevel:cKnowledge
2. Thecpatientcisctocreceivecoralcfurosemidec(Lasix)ceverycday;chowever,cbecausecthecpatientciscunablectoc
kecmedicationcorally,cascordered.cThecnursecneedsctoccontactcthecphysician.cWhatctypecofcproblemcisct
a. Ac“rightctime”cproblem
b. Ac“rightcdose”cproblem
c. Ac“rightcroute”cproblem
d. Ac“rightcmedication”cproblem
ANS:c C
Thisciscac“rightcroute”cproblem:cthecnurseccannotcassumecthecroutecandcmustcclarifycthecroutecwithcthe
ghtctime”cproblemcbecausecthecorderedcfrequencychascnotcchanged.cThisciscnotcac“rightcdose”cproblem
tedctocancinabilityctocswallow.cThisciscnotcac“rightcmedication”cproblemcbecausecthecmedicationcorder
oute.
DIF: CognitivecLevel:cApplication
3. Thecnursechascbeencmonitoringcthecpatient’scprogressconchiscnewcdrugcregimencsincecthecfirstcdosecand
nscofcpossiblecadverseceffects.cWhatcnursingcprocesscphaseciscthecnursecpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingcdiagnosis
ANS:c B
Monitoringcthecpatient’scprogressciscpartcofcthecevaluationcphase.cPlanning,cimplementation,candcnursin
tedcbycthiscexample.
DIF: CognitivecLevel:cApplication
4. Thecnursecisccaringcforcacpatientcwhochascbeencnewlycdiagnosedcwithctypec1cdiabetescmellitus.cWhichc
ancoutcomeccriterioncforcthiscpatient?
a. Thecpatientcwillcfollowcinstructions.
b. Thecpatientcwillcnotcexperienceccomplications.
c. Thecpatientcadheresctocthecnewcinsulinctreatmentcregimen.
d. Thecpatientcdemonstratescsafecinsulincself-administrationctechnique.
ANS:c D
Havingcthecpatientcdemonstratecsafecinsulincself-
administrationctechniqueciscacspecificcandcmeasurablecoutcomeccriterion.cFollowingcinstructionscandcav
otcspecificccriteria.cAdherencectocthecnewcinsulinctreatmentcregimenciscnotcobjectivecandcwouldcbecdif
DIF: CognitivecLevel:cApplication
5. Whichcactivitycbestcreflectscthecimplementationcphasecofcthecnursingcprocesscforcthecpatientcwhociscnew
, c
lOMoAR cPSD|
c 3013804
a. Recopycthecordercneatlyconcthecordercsheet,cwithcthecmostccommoncroutecindicated
b. Consultcwithcthecpharmacistcforcclarificationcaboutcthecmostccommoncroute
c. Callcthechealthccarecproviderctocclarifycthecroutecofcadministration
d. Withholdcthecdrugcuntilcthechealthccarecprovidercvisitscthecpatient
ANS:cC
Ifcacmedicationcordercdoescnotcincludecthecroute,cthecnursecmustcaskcthechealthccarecproviderctocclarify
ministration.
DIF: CognitivecLevel:cApplicationc|cCognitivecLevel:cAnalysis
7. WhichcconstitutescthectraditionalcFivecRightscofcmedicationcadministration?
a. Rightcdrug,crightcroute,crightcdose,crightctime,candcrightcpatient
b. Rightcdrug,cthecrightceffect,cthecrightcroute,cthecrightctime,candcthecrightcpatient
c. Rightcpatient,crightcstrength,crightcdiagnosis,crightcdrug,candcrightcroute
d. Rightcpatient,crightcdiagnosis,crightcdrug,crightcroute,candcrightctime
ANS:cA
ThectraditionalcFivecRightscofcmedicationcadministrationcwerecconsideredctocbecRightcdrug,cRightcrout
ndcRightcpatient.cRightceffect,crightcstrength,candcrightcdiagnosiscarecnotcpartcofcthectraditionalcFivecR
DIF: CognitivecLevel:cComprehension
8. Whatccorrectlycdescribescthecnursingcprocess?
a. Diagnosing,cplanning,cassessing,cimplementing,candcfinallycevaluating
b. Assessing,cthencdiagnosing,cimplementing,candcendingcwithcevaluating
c. Aclinearcdirectioncthatcbeginscwithcassessingcandccontinuescthroughcdiagnosin
g,cplanning,candcfinallycimplementing
d. Ancongoingcprocesscthatcbeginscwithcassessingcandccontinuescwithcdiagnosin
g,cplanning,cimplementing,candcevaluating
ANS:cD
Thecnursingcprocessciscancongoing,cflexible,cadaptable,candcadjustablecfive-
stepcprocesscthatcbeginscwithcassessingcandccontinuescthroughcdiagnosing,cplanning,cimplementing,can
cmaycthencleadcbackctocanycofcthecothercphases.
DIF: CognitivecLevel:cApplication
9. Whencthecnurseciscconsideringcthectimingcofcacdrugcdose,cwhichciscmostcimportantctocassess?
a. Thecpatient’scidentification
b. Thecpatient’scweight
c. Thecpatient’sclastcmeal
d. Anycdrugcorcfoodcallergies
ANS:cC
Thecpharmacokineticcandcpharmacodynamiccpropertiescofcthecdrugcneedctocbecassessedcwithcregardctoc
foodcinteractionscorccompatibilitycissues.cThecpatient’scidentification,cweight,candcdrugcorcfoodcallergi
ctiming.
DIF: CognitivecLevel:cApplication
10. Thecnurseciscwritingcnursingcdiagnosescforcacplancofccare.cWhichcreflectsctheccorrectcformatcforchercnu
a. Anxiety
b. Anxietycrelatedctocnewcdrugctherapy
c. Anxietycrelatedctocanxiouscfeelingscaboutcdrugctherapy,cascevidencedcb
ycstatementscsuchcasc“I’mcupsetcaboutchavingctocgivecmyselfcshots”
d. Anxietycrelatedctocnewcdrugctherapy,cascevidencedcbycstatementscsuchcasc“I’
mcupsetcaboutchavingctocgivecmyselfcshots”
ANS:cD
Formulationcofcnursingcdiagnosesciscusuallycacthree-
stepcprocess.cTheconlyccompletecanswercisc“Anxietycrelatedctocnewcdrugctherapy,cascevidencedcbycsta
, c
lOMoAR cPSD|
c 3013804
Chapterc02:cPharmacologicalcPrinciples
Sealock:cLilley’scPharmacologycforcCanadiancHealthcCarecPractice,c4thcEdition
MULTIPLEcCHOICE
1. Acpatientciscreceivingctwocdifferentcdrugs,cwhich,catctheirccurrentcdosecformscandcdosages,carecbothcabs
incidenticalcamounts.cWhichctermcbestcdenotescthatcthecdrugschavecthecsamecabsorptioncrates?
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS:c D
Twocdrugscabsorbedcintoctheccirculationcatcthecsamecamountc(incspecificcdosagecforms)chavecthecsame
recbioequivalent.c“Equivalent”ciscincorrectcbecausecthectermc“bioavailability”ciscusedctocexpresscthecex
“Synergistic”ciscincorrectcbecausecthisctermcrefersctoctwocdrugscgivenctogethercwhosecresultingceffectc
heceffectscofceachcdrugcgivencalone.c“Compatible”ciscincorrectcbecausecthisctermciscacgeneralctermcuse
ancescdocnotchavecacchemicalcreactioncwhencmixedc(orcgiven,cinctheccasecofcdrugs)ctogether.
DIF: CognitivecLevel:cComprehension
2. Acpatientciscreceivingcmedicationcviacintravenouscinjection.cWhichcinformationcshouldcthecnursecprovi
a. Thecmedicationcwillccausecfewercadverseceffectscwhencgivencintravenously.
b. Thecmedicationcwillcbecabsorbedcslowlycintocthectissuescoverctime.
c. Thecmedication’scactioncwillcbegincfastercwhencgivencintravenously.
d. Mostcofcthecdrugciscinactivatedcbyctheclivercbeforecitcreachescthectargetcarea.
ANS:c C
Intravenouscinjectionscarecthecfastestcroutecofcabsorption.cThecintravenouscroutecdoescnotcaffectcthecnu
hecintravenouscrouteciscnotcacslowcroutecofcabsorption,candcthecintravenouscroutecdoescnotccausecinact
clivercbeforecitcreachescthectargetcarea.
DIF: CognitivecLevel:cComprehension
3. Whichcisctruecregardingcparenteralcdrugs?
a. Theycbypasscthecfirst-passceffect.
b. Theycdecreasecbloodcflowctocthecstomach.
c. Theycarecalteredcbycthecpresencecofcfoodcincthecstomach.
d. Theycexertctheirceffectscwhileccirculatingcincthecbloodstream.
ANS:c A
Drugscgivencbycthecparenteralcroutecbypasscthecfirst-
passceffect,cbutctheycstillcmustcbecabsorbedcintoccellscandctissuescbeforectheyccancexertctheirceffects.cEn
lly),cnotcparenteralcdrugs,cdecreasecbloodcflowctocthecstomachcandcarec alteredcbycthecpresencecofcfood
drugscmustcbecabsorbedcintoccellscandctissuescfromctheccirculationcbeforectheyccancexertctheirceffects;c
tscwhileccirculatingcincthecbloodstream.
DIF: CognitivecLevel:cAnalysis
4. Acdrug’schalf-lifeciscbestcdefinedcas
a. Thectimecitctakescforcthecdrugctocelicitchalfcitsctherapeuticcresponse.
b. Thectimecitctakescone-
halfcofcthecoriginalcamountcofcacdrugctocreachcthectargetccells.
c. Thectimecitctakescone-
halfcofcthecoriginalcamountcofcacdrugctocbecremovedcfromcthecbody.
d. Thectimecitctakescone-
halfcofcthecoriginalcamountcofcacdrugctocbecabsorbedcintoctheccirculation.
ANS:c C
lOMoAR cPSD|
c 3013804
cc
lOMoAR cPSD| 3013804
, c
lOMoAR cPSD|
c 3013804
Chapterc01:cNursingcPracticecincCanadacandcDrugcTherapy
Sealock:cLilley’scPharmacologycforcCanadiancHealthcCarecPractice,c4thcEdition
MULTIPLEcCHOICE
1. Whichciscacjudgementcaboutcacparticularcpatient’scpotentialcneedcorcproblem?
a. Acgoal
b. Ancassessment
c. Subjectivecdata
d. Acnursingcdiagnosis
ANS:c D
Nursingcdiagnosisciscthecphasecofcthecnursingcprocesscduringcwhichcacclinicalcjudgementciscmadecabou
cheathcconditionscandclifecprocessescorcvulnerabilitycforcthatcresponse.
DIF: CognitivecLevel:cKnowledge
2. Thecpatientcisctocreceivecoralcfurosemidec(Lasix)ceverycday;chowever,cbecausecthecpatientciscunablectoc
kecmedicationcorally,cascordered.cThecnursecneedsctoccontactcthecphysician.cWhatctypecofcproblemcisct
a. Ac“rightctime”cproblem
b. Ac“rightcdose”cproblem
c. Ac“rightcroute”cproblem
d. Ac“rightcmedication”cproblem
ANS:c C
Thisciscac“rightcroute”cproblem:cthecnurseccannotcassumecthecroutecandcmustcclarifycthecroutecwithcthe
ghtctime”cproblemcbecausecthecorderedcfrequencychascnotcchanged.cThisciscnotcac“rightcdose”cproblem
tedctocancinabilityctocswallow.cThisciscnotcac“rightcmedication”cproblemcbecausecthecmedicationcorder
oute.
DIF: CognitivecLevel:cApplication
3. Thecnursechascbeencmonitoringcthecpatient’scprogressconchiscnewcdrugcregimencsincecthecfirstcdosecand
nscofcpossiblecadverseceffects.cWhatcnursingcprocesscphaseciscthecnursecpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingcdiagnosis
ANS:c B
Monitoringcthecpatient’scprogressciscpartcofcthecevaluationcphase.cPlanning,cimplementation,candcnursin
tedcbycthiscexample.
DIF: CognitivecLevel:cApplication
4. Thecnursecisccaringcforcacpatientcwhochascbeencnewlycdiagnosedcwithctypec1cdiabetescmellitus.cWhichc
ancoutcomeccriterioncforcthiscpatient?
a. Thecpatientcwillcfollowcinstructions.
b. Thecpatientcwillcnotcexperienceccomplications.
c. Thecpatientcadheresctocthecnewcinsulinctreatmentcregimen.
d. Thecpatientcdemonstratescsafecinsulincself-administrationctechnique.
ANS:c D
Havingcthecpatientcdemonstratecsafecinsulincself-
administrationctechniqueciscacspecificcandcmeasurablecoutcomeccriterion.cFollowingcinstructionscandcav
otcspecificccriteria.cAdherencectocthecnewcinsulinctreatmentcregimenciscnotcobjectivecandcwouldcbecdif
DIF: CognitivecLevel:cApplication
5. Whichcactivitycbestcreflectscthecimplementationcphasecofcthecnursingcprocesscforcthecpatientcwhociscnew
, c
lOMoAR cPSD|
c 3013804
a. Recopycthecordercneatlyconcthecordercsheet,cwithcthecmostccommoncroutecindicated
b. Consultcwithcthecpharmacistcforcclarificationcaboutcthecmostccommoncroute
c. Callcthechealthccarecproviderctocclarifycthecroutecofcadministration
d. Withholdcthecdrugcuntilcthechealthccarecprovidercvisitscthecpatient
ANS:cC
Ifcacmedicationcordercdoescnotcincludecthecroute,cthecnursecmustcaskcthechealthccarecproviderctocclarify
ministration.
DIF: CognitivecLevel:cApplicationc|cCognitivecLevel:cAnalysis
7. WhichcconstitutescthectraditionalcFivecRightscofcmedicationcadministration?
a. Rightcdrug,crightcroute,crightcdose,crightctime,candcrightcpatient
b. Rightcdrug,cthecrightceffect,cthecrightcroute,cthecrightctime,candcthecrightcpatient
c. Rightcpatient,crightcstrength,crightcdiagnosis,crightcdrug,candcrightcroute
d. Rightcpatient,crightcdiagnosis,crightcdrug,crightcroute,candcrightctime
ANS:cA
ThectraditionalcFivecRightscofcmedicationcadministrationcwerecconsideredctocbecRightcdrug,cRightcrout
ndcRightcpatient.cRightceffect,crightcstrength,candcrightcdiagnosiscarecnotcpartcofcthectraditionalcFivecR
DIF: CognitivecLevel:cComprehension
8. Whatccorrectlycdescribescthecnursingcprocess?
a. Diagnosing,cplanning,cassessing,cimplementing,candcfinallycevaluating
b. Assessing,cthencdiagnosing,cimplementing,candcendingcwithcevaluating
c. Aclinearcdirectioncthatcbeginscwithcassessingcandccontinuescthroughcdiagnosin
g,cplanning,candcfinallycimplementing
d. Ancongoingcprocesscthatcbeginscwithcassessingcandccontinuescwithcdiagnosin
g,cplanning,cimplementing,candcevaluating
ANS:cD
Thecnursingcprocessciscancongoing,cflexible,cadaptable,candcadjustablecfive-
stepcprocesscthatcbeginscwithcassessingcandccontinuescthroughcdiagnosing,cplanning,cimplementing,can
cmaycthencleadcbackctocanycofcthecothercphases.
DIF: CognitivecLevel:cApplication
9. Whencthecnurseciscconsideringcthectimingcofcacdrugcdose,cwhichciscmostcimportantctocassess?
a. Thecpatient’scidentification
b. Thecpatient’scweight
c. Thecpatient’sclastcmeal
d. Anycdrugcorcfoodcallergies
ANS:cC
Thecpharmacokineticcandcpharmacodynamiccpropertiescofcthecdrugcneedctocbecassessedcwithcregardctoc
foodcinteractionscorccompatibilitycissues.cThecpatient’scidentification,cweight,candcdrugcorcfoodcallergi
ctiming.
DIF: CognitivecLevel:cApplication
10. Thecnurseciscwritingcnursingcdiagnosescforcacplancofccare.cWhichcreflectsctheccorrectcformatcforchercnu
a. Anxiety
b. Anxietycrelatedctocnewcdrugctherapy
c. Anxietycrelatedctocanxiouscfeelingscaboutcdrugctherapy,cascevidencedcb
ycstatementscsuchcasc“I’mcupsetcaboutchavingctocgivecmyselfcshots”
d. Anxietycrelatedctocnewcdrugctherapy,cascevidencedcbycstatementscsuchcasc“I’
mcupsetcaboutchavingctocgivecmyselfcshots”
ANS:cD
Formulationcofcnursingcdiagnosesciscusuallycacthree-
stepcprocess.cTheconlyccompletecanswercisc“Anxietycrelatedctocnewcdrugctherapy,cascevidencedcbycsta
, c
lOMoAR cPSD|
c 3013804
Chapterc02:cPharmacologicalcPrinciples
Sealock:cLilley’scPharmacologycforcCanadiancHealthcCarecPractice,c4thcEdition
MULTIPLEcCHOICE
1. Acpatientciscreceivingctwocdifferentcdrugs,cwhich,catctheirccurrentcdosecformscandcdosages,carecbothcabs
incidenticalcamounts.cWhichctermcbestcdenotescthatcthecdrugschavecthecsamecabsorptioncrates?
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS:c D
Twocdrugscabsorbedcintoctheccirculationcatcthecsamecamountc(incspecificcdosagecforms)chavecthecsame
recbioequivalent.c“Equivalent”ciscincorrectcbecausecthectermc“bioavailability”ciscusedctocexpresscthecex
“Synergistic”ciscincorrectcbecausecthisctermcrefersctoctwocdrugscgivenctogethercwhosecresultingceffectc
heceffectscofceachcdrugcgivencalone.c“Compatible”ciscincorrectcbecausecthisctermciscacgeneralctermcuse
ancescdocnotchavecacchemicalcreactioncwhencmixedc(orcgiven,cinctheccasecofcdrugs)ctogether.
DIF: CognitivecLevel:cComprehension
2. Acpatientciscreceivingcmedicationcviacintravenouscinjection.cWhichcinformationcshouldcthecnursecprovi
a. Thecmedicationcwillccausecfewercadverseceffectscwhencgivencintravenously.
b. Thecmedicationcwillcbecabsorbedcslowlycintocthectissuescoverctime.
c. Thecmedication’scactioncwillcbegincfastercwhencgivencintravenously.
d. Mostcofcthecdrugciscinactivatedcbyctheclivercbeforecitcreachescthectargetcarea.
ANS:c C
Intravenouscinjectionscarecthecfastestcroutecofcabsorption.cThecintravenouscroutecdoescnotcaffectcthecnu
hecintravenouscrouteciscnotcacslowcroutecofcabsorption,candcthecintravenouscroutecdoescnotccausecinact
clivercbeforecitcreachescthectargetcarea.
DIF: CognitivecLevel:cComprehension
3. Whichcisctruecregardingcparenteralcdrugs?
a. Theycbypasscthecfirst-passceffect.
b. Theycdecreasecbloodcflowctocthecstomach.
c. Theycarecalteredcbycthecpresencecofcfoodcincthecstomach.
d. Theycexertctheirceffectscwhileccirculatingcincthecbloodstream.
ANS:c A
Drugscgivencbycthecparenteralcroutecbypasscthecfirst-
passceffect,cbutctheycstillcmustcbecabsorbedcintoccellscandctissuescbeforectheyccancexertctheirceffects.cEn
lly),cnotcparenteralcdrugs,cdecreasecbloodcflowctocthecstomachcandcarec alteredcbycthecpresencecofcfood
drugscmustcbecabsorbedcintoccellscandctissuescfromctheccirculationcbeforectheyccancexertctheirceffects;c
tscwhileccirculatingcincthecbloodstream.
DIF: CognitivecLevel:cAnalysis
4. Acdrug’schalf-lifeciscbestcdefinedcas
a. Thectimecitctakescforcthecdrugctocelicitchalfcitsctherapeuticcresponse.
b. Thectimecitctakescone-
halfcofcthecoriginalcamountcofcacdrugctocreachcthectargetccells.
c. Thectimecitctakescone-
halfcofcthecoriginalcamountcofcacdrugctocbecremovedcfromcthecbody.
d. Thectimecitctakescone-
halfcofcthecoriginalcamountcofcacdrugctocbecabsorbedcintoctheccirculation.
ANS:c C
