X
lOMoARcPSD| 301
@ X@ 380 4
, X
lOMoARcPSD| 301
@ X@ 380 4
TABLE OF CONTENTS
x# x#
, X
lOMoARcPSD| 301
@ X@ 380 4
Chapter 01: Nursing Practice in Canada and Drug Therapy
x# x# x# x# x# x# x# x#
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
x# x# x# x# x# x# x# x# x#
MULTIPLE CHOICE x#
1. Which is a judgement about a particular patient‘s potential need or problem?
x# x# x# x# x# x# x# x# x# x# x#
a. A goal x#
b. An assessment x#
c. Subjective data x#
d. A nursing diagnosis x# x#
ANSWER: D x #
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient respon
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
ds toheath conditions and life processes or vulnerability for that response.
x# x# x# x# x# x# x# x# x# x# x#
DIF: Cognitive Level: Knowledge x# x#
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
takemedication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
#
x x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
a. A ―right time‖ problem x# x# x#
b. A ―right dose‖ problem x# x# x#
c. A ―right route‖ problem x# x# x#
d. A ―right medication‖ problemx# x# x#
ANSWER: C x #
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
―righttime‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem because the dose is not
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x
related toan inability to swallow. This is not a ―right medication‖ problem because the medication ordered will not change, just
# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x
the route.
# x#
DIF: Cognitive Level: Application x# x#
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has been documenting si
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
gnsof possible adverse effects. What nursing process phase is the nurse practising?
#
x x# x# x# x# x# x# x# x# x# x# x#
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis x#
ANSWER: B x #
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis are notillust
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# #
x
rated by this example. x# x# x#
DIF: Cognitive Level: Application x# x#
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statement best illustrate
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
s anoutcome criterion for this patient?
x# #
x x# x# x# x#
a. The patient will follow instructions. x# x# x# x#
b. The patient will not experience complications.
x# x# x# x# x#
c. The patient adheres to the new insulin treatment regimen.
x# x# x# x# x# x# x# x#
d. The patient demonstrates safe insulin self-administration technique.
x# x# x# x# x# x#
ANSWER: D x #
Having the patient demonstrate safe insulin self-
x# x# x# x# x# x#
administration technique is a specific and measurable outcome criterion. Followinginstructions and avoiding complications are n
x# x# x# x# x# x# x# x# x# #
x x# x# x# x# x#
ot specific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
DIF: Cognitive Level: Application x# x#
5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with typ
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
e 1diabetes mellitus?
x# #
x x#
a. Providing education regarding self-injection technique x# x# x# x#
b. Setting goals and outcome criteria with the patient‘s inputx# x# x# x# x# x# x# x#
c. Recording a history of over-the-counter medications used at home x# x# x# x# x# x# x# x#
d. Formulating nursing diagnoses regarding knowledge deficits related to the ne x# x# x# x# x# x# x# x# x#
wtreatment regimen x# x#
ANSWER: A x #
Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the plann
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
ingphase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge defic
#
x x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
it reflects analysis of data as part of the planning phase.
x# x# x# x# x# x# x# x# x# x#
DIF: Cognitive Level: Analysis x# x#
, X
lOMoARcPSD| 301
@ X@ 380 4
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a medication order
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
overthe telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
#
x x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
a. Recopy the order neatly on the order sheet, with the most common route indicated
x# x# x# x# x# x# x# x# x# x# x# x# x#
b. Consult with the pharmacist for clarification about the most common route
x# x# x# x# x# x# x# x# x# x#
c. Call the health care provider to clarify the route of administration
x# x# x# x# x# x# x# x# x# x#
d. Withhold the drug until the health care provider visits the patient x# x# x# x# x# x# x# x# x# x#
ANSWER: C x#
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Never assume the route ofadminis
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# #
x
tration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis x# x# x# x# x# x#
7. Which constitutes the traditional Five Rights of medication administration?
x# x# x# x# x# x# x# x#
a. Right drug, right route, right dose, right time, and right patient
x# x# x# x# x# x# x# x# x# x#
b. Right drug, the right effect, the right route, the right time, and the right patient
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
c. Right patient, right strength, right diagnosis, right drug, and right route
x# x# x# x# x# x# x# x# x# x#
d. Right patient, right diagnosis, right drug, right route, and right time
x# x# x# x# x# x# x# x# x# x#
ANSWER: A x#
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose, Right time,
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
andRight patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
#
x x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
DIF: Cognitive Level: Comprehension x# x#
8. What correctly describes the nursing process?
x# x# x# x# x#
a. Diagnosing, planning, assessing, implementing, and finally evaluating x# x# x# x# x# x#
b. Assessing, then diagnosing, implementing, and ending with evaluating x# x# x# x# x# x# x#
c. A linear direction that begins with assessing and continues through diagnosin
x# x# x# x# x# x# x# x# x# x#
g,planning, and finally implementing
x# x# x# x#
d. An ongoing process that begins with assessing and continues with diagnosin
x# x# x# x# x# x# x# x# x# x#
g,planning, implementing, and evaluating
x# x# x# x#
ANSWER: D x#
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
x# x# x# x# x# x# x# x# x# x#
step process that begins with assessing and continuesthrough diagnosing, planning, implementing, and finally evaluating, whi
x# x# x# x# x# x# x# #
x x# x# x# x# x# x# x#
ch may then lead back to any of the other phases.
x# x# x# x# x# x# x# x# x# x#
DIF: Cognitive Level: Application x# x#
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
a. The patient‘s identification x# x#
b. The patient‘s weight x# x#
c. The patient‘s last meal x# x# x#
d. Any drug or food allergies x# x# x# x#
ANSWER: C x#
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any drug–
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
food interactions orcompatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the d
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
rug‘s timing. x#
DIF: Cognitive Level: Application x# x#
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
a. Anxiety
b. Anxiety related to new drug therapy x# x# x# x# x#
c. Anxiety related to anxious feelings about drug therapy, as evidenced
x# x# x# x# x# x# x# x# x# x#
bystatements such as ―I‘m upset about having to give myself shots‖
x# x# x# x# x# x# x# x# x# x# x#
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I
x# x# x# x# x# x# x# x# x# x# x# x#
‘mupset about having to give myself shots‖
x# x# x# x# x# x# x#
ANSWER: D x#
Formulation of nursing diagnoses is usually a three- x# x# x# x# x# x# x#
step process. The only complete answer is ―Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
about having to give myself shots.‘‖ The answer ―Anxiety‖ is missing the ―related to‖ and ―as evidenced by‖ portions. The an
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
swer ―Anxiety related to new drug therapy‖ is missing the ―as evidenced by‖ portion of defining characteristics. The ―related to
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
‖ section in ―Anxiety related to anxious feelings about drug therapy, as evidencedby statements such as ‗I‘m upset about having
x# x# x# x# x# x# x# x# x# x# x# x# #
x x# x# x# x# x# x# x# x
to give myself shots‘‖ is simply a restatement of the problem ―anxiety,‖ not a separate factor related to the response.
# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
DIF: Cognitive Level: Analysis x# x#
OTHER
1. Place the phases of the nursing process in the correct order, starting with the first phase.
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANSWER:
C, E, A, D, B
x# x# x# x#
Copyright © 2021, Elsevier Inc. All rights reserv
X@ X@ X@ X@ X@ X@ X@ 2
ed.
lOMoARcPSD| 301
@ X@ 380 4
, X
lOMoARcPSD| 301
@ X@ 380 4
TABLE OF CONTENTS
x# x#
, X
lOMoARcPSD| 301
@ X@ 380 4
Chapter 01: Nursing Practice in Canada and Drug Therapy
x# x# x# x# x# x# x# x#
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
x# x# x# x# x# x# x# x# x#
MULTIPLE CHOICE x#
1. Which is a judgement about a particular patient‘s potential need or problem?
x# x# x# x# x# x# x# x# x# x# x#
a. A goal x#
b. An assessment x#
c. Subjective data x#
d. A nursing diagnosis x# x#
ANSWER: D x #
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient respon
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
ds toheath conditions and life processes or vulnerability for that response.
x# x# x# x# x# x# x# x# x# x# x#
DIF: Cognitive Level: Knowledge x# x#
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
takemedication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
#
x x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
a. A ―right time‖ problem x# x# x#
b. A ―right dose‖ problem x# x# x#
c. A ―right route‖ problem x# x# x#
d. A ―right medication‖ problemx# x# x#
ANSWER: C x #
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
―righttime‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem because the dose is not
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x
related toan inability to swallow. This is not a ―right medication‖ problem because the medication ordered will not change, just
# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x
the route.
# x#
DIF: Cognitive Level: Application x# x#
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has been documenting si
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
gnsof possible adverse effects. What nursing process phase is the nurse practising?
#
x x# x# x# x# x# x# x# x# x# x# x#
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis x#
ANSWER: B x #
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis are notillust
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# #
x
rated by this example. x# x# x#
DIF: Cognitive Level: Application x# x#
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which statement best illustrate
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
s anoutcome criterion for this patient?
x# #
x x# x# x# x#
a. The patient will follow instructions. x# x# x# x#
b. The patient will not experience complications.
x# x# x# x# x#
c. The patient adheres to the new insulin treatment regimen.
x# x# x# x# x# x# x# x#
d. The patient demonstrates safe insulin self-administration technique.
x# x# x# x# x# x#
ANSWER: D x #
Having the patient demonstrate safe insulin self-
x# x# x# x# x# x#
administration technique is a specific and measurable outcome criterion. Followinginstructions and avoiding complications are n
x# x# x# x# x# x# x# x# x# #
x x# x# x# x# x#
ot specific criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
DIF: Cognitive Level: Application x# x#
5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with typ
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
e 1diabetes mellitus?
x# #
x x#
a. Providing education regarding self-injection technique x# x# x# x#
b. Setting goals and outcome criteria with the patient‘s inputx# x# x# x# x# x# x# x#
c. Recording a history of over-the-counter medications used at home x# x# x# x# x# x# x# x#
d. Formulating nursing diagnoses regarding knowledge deficits related to the ne x# x# x# x# x# x# x# x# x#
wtreatment regimen x# x#
ANSWER: A x #
Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the plann
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
ingphase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge defic
#
x x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
it reflects analysis of data as part of the planning phase.
x# x# x# x# x# x# x# x# x# x#
DIF: Cognitive Level: Analysis x# x#
, X
lOMoARcPSD| 301
@ X@ 380 4
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurse a medication order
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
overthe telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
#
x x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
a. Recopy the order neatly on the order sheet, with the most common route indicated
x# x# x# x# x# x# x# x# x# x# x# x# x#
b. Consult with the pharmacist for clarification about the most common route
x# x# x# x# x# x# x# x# x# x#
c. Call the health care provider to clarify the route of administration
x# x# x# x# x# x# x# x# x# x#
d. Withhold the drug until the health care provider visits the patient x# x# x# x# x# x# x# x# x# x#
ANSWER: C x#
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Never assume the route ofadminis
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# #
x
tration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis x# x# x# x# x# x#
7. Which constitutes the traditional Five Rights of medication administration?
x# x# x# x# x# x# x# x#
a. Right drug, right route, right dose, right time, and right patient
x# x# x# x# x# x# x# x# x# x#
b. Right drug, the right effect, the right route, the right time, and the right patient
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
c. Right patient, right strength, right diagnosis, right drug, and right route
x# x# x# x# x# x# x# x# x# x#
d. Right patient, right diagnosis, right drug, right route, and right time
x# x# x# x# x# x# x# x# x# x#
ANSWER: A x#
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose, Right time,
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
andRight patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
#
x x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
DIF: Cognitive Level: Comprehension x# x#
8. What correctly describes the nursing process?
x# x# x# x# x#
a. Diagnosing, planning, assessing, implementing, and finally evaluating x# x# x# x# x# x#
b. Assessing, then diagnosing, implementing, and ending with evaluating x# x# x# x# x# x# x#
c. A linear direction that begins with assessing and continues through diagnosin
x# x# x# x# x# x# x# x# x# x#
g,planning, and finally implementing
x# x# x# x#
d. An ongoing process that begins with assessing and continues with diagnosin
x# x# x# x# x# x# x# x# x# x#
g,planning, implementing, and evaluating
x# x# x# x#
ANSWER: D x#
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
x# x# x# x# x# x# x# x# x# x#
step process that begins with assessing and continuesthrough diagnosing, planning, implementing, and finally evaluating, whi
x# x# x# x# x# x# x# #
x x# x# x# x# x# x# x#
ch may then lead back to any of the other phases.
x# x# x# x# x# x# x# x# x# x#
DIF: Cognitive Level: Application x# x#
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
a. The patient‘s identification x# x#
b. The patient‘s weight x# x#
c. The patient‘s last meal x# x# x#
d. Any drug or food allergies x# x# x# x#
ANSWER: C x#
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any drug–
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
food interactions orcompatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the d
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
rug‘s timing. x#
DIF: Cognitive Level: Application x# x#
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
a. Anxiety
b. Anxiety related to new drug therapy x# x# x# x# x#
c. Anxiety related to anxious feelings about drug therapy, as evidenced
x# x# x# x# x# x# x# x# x# x#
bystatements such as ―I‘m upset about having to give myself shots‖
x# x# x# x# x# x# x# x# x# x# x#
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I
x# x# x# x# x# x# x# x# x# x# x# x#
‘mupset about having to give myself shots‖
x# x# x# x# x# x# x#
ANSWER: D x#
Formulation of nursing diagnoses is usually a three- x# x# x# x# x# x# x#
step process. The only complete answer is ―Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
about having to give myself shots.‘‖ The answer ―Anxiety‖ is missing the ―related to‖ and ―as evidenced by‖ portions. The an
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
swer ―Anxiety related to new drug therapy‖ is missing the ―as evidenced by‖ portion of defining characteristics. The ―related to
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
‖ section in ―Anxiety related to anxious feelings about drug therapy, as evidencedby statements such as ‗I‘m upset about having
x# x# x# x# x# x# x# x# x# x# x# x# #
x x# x# x# x# x# x# x# x
to give myself shots‘‖ is simply a restatement of the problem ―anxiety,‖ not a separate factor related to the response.
# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
DIF: Cognitive Level: Analysis x# x#
OTHER
1. Place the phases of the nursing process in the correct order, starting with the first phase.
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANSWER:
C, E, A, D, B
x# x# x# x#
Copyright © 2021, Elsevier Inc. All rights reserv
X@ X@ X@ X@ X@ X@ X@ 2
ed.
