,Chapter 01: Nursing Practice in Canada and Drug Therapy
Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
MULTIPLE CHOICE
1. Whichkiskakjudgementkaboutkakparticularkpatient‘skpotentialkneedk
orkproblem?
a. Akgoal
b. Ankassessment
c. Subjectivekdata
d. Aknursingkdiagnosis
ANS:k D
Nursingkdiagnosiskiskthekphasekofktheknursingkprocesskduringkwhich
akclinicalkjudgementkiskmadekaboutkhowkakpatientkrespondsktokheathkconditionskandkl
ifekprocesseskorkvulnerabilitykforthatkresponse.
DIF:k k CognitivekLevel:kKnowledge REF:kp.k11
2. Thekpatientkisktokreceivekoralkfurosemidek(Lasix)keverykday;khowever,kbecausekthekpatient
kiskunablektokswallow,khekcannotktakekmedicationkorally,kaskordered.kTheknursekneedsktokc
ontactkthekphysician.kWhatktypekofkproblemkiskthis?
a. Ak―rightktime‖kproblem
b. Ak―rightk dose‖kproblem
c. Ak―rightkroute‖kproblem
d. Ak―rightkmedication‖kproblem
ANS:k C
Thiskiskak―rightkroute‖kproblem:ktheknursekcannotkassumekthekroutekandkmustkclarifykthekro
utekwithkthekprescriber.kThiskisknotkak―rightktime‖kproblemkbecausekthekorderedkfrequencyk
hasknotkchanged.kThiskisknotkak―rightkdose‖kproblemkbecausekthekdosekisknotkrelatedktokan
kinabilityktokswallow.kThiskisknotkak―rightkmedication‖kproblemkbecausekthekmedicationko
rderedkwillknot
change,kjustkthekroute.
DIF:k k CognitivekLevel:kApplication REF:k p.k14
3. Theknursekhaskbeenkmonitoringkthekpatient‘skprogresskonkhisknewkdrugkregimenksincekthekfi
rstkdosekandkhaskbeenkdocumentingksignskofkpossiblekadversekeffects.kWhatknursingkprocessk
phasekisktheknursekpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingkdiagnosis
ANS:k B
Monitoringkthekpatient‘skprogresskiskpartkofkthekevaluationkphase.kPlanning,kimplementatio
n,kandknursingkdiagnosiskareknotkillustratedkbykthiskexample.
DIF:k k CognitivekLevel:kApplication REF:kp.k19
,4. Theknursekiskcaringkforkakpatientkwhokhaskbeenknewlykdiagnosedkwithktypek1kdiabeteskmelli
tus.kWhichkstatementkbestkillustrateskankoutcomekcriterionkforkthiskpatient?
a. Thekpatientkwillkfollowkinstructions.
b. Thekpatientkwillknotkexperiencekcomplications.
c. Thekpatientkadheresktoktheknewkinsulinktreatmentkregimen.
d. Thekpatientkdemonstratesksafekinsulinkself-administrationktechnique.
ANS:k D
Havingkthekpatientkdemonstrateksafekinsulinkself-
administrationktechniquekiskakspecifickandkmeasurablekoutcomekcriterion.kFollowingkinstruc
tionskandkavoidingkcomplicationskareknotkspecifickcriteria.kAdherencektoktheknewkinsulinktre
atmentkregimenkisknotkobjectivekandkwouldkbekdifficultktokmeasure.
DIF: CognitivekLevel:kApplication REF:kp.k13
5. Whichkactivitykbestkreflectskthekimplementationkphasekofktheknursingkprocesskforkthekpati
entkwhokisknewlykdiagnosedkwithktypek1kdiabeteskmellitus?
a. Providingkeducationkregardingkself-injectionktechnique
b. Settingkgoalskandkoutcomekcriteriakwithkthekpatient‘skinput
c. Recordingkakhistorykofkover-the-counterkmedicationskusedkatkhome
d. Formulatingknursingkdiagnoseskregardingkknowledgekdeficitskrelatedktokthekne
wktreatmentkregimen
ANS:k A
Educationkiskankinterventionkthatkoccurskduringkthekimplementationkphase.kSettingkgoalskan
dkoutcomekcriteriakreflectskthekplanningkphase.kRecordingkakdrugkhistorykreflectskthekassess
mentkphase.kFormulatingknursingkdiagnoseskregardingkakknowledgekdeficitkreflectskanalysis
kofkdatakaskpartkofkthekplanningkphase.N
DIF: CognitivekLevel:kAnalysis REF:kp.k8k|kp.k13
6. Theknursekiskworkingkduringkakverykbusyknightkshift,kandkthekhealthkcarekproviderkhaskjust
kgivenktheknursekakmedicationkorderkoverkthektelephone,kbutktheknursekdoesknotkrecallkthekro
ute.kWhatkiskthekbestkwaykforktheknursektokavoidkmedicationkerrors?
a. Recopykthekorderkneatlykonkthekorderksheet,kwithkthekmostkcommonkroutekindicated
b. Consultkwithkthekpharmacistkforkclarificationkaboutkthekmostkcommonkroute
c. Callkthekhealthkcarekproviderktokclarifykthekroutekofkadministration
d. Withholdkthekdrugkuntilkthekhealthkcarekproviderkvisitskthekpatient
ANS:k C
Ifkakmedicationkorderkdoesknotkincludekthekroute,ktheknursekmustkaskkthekhealthkcarekprovider
ktokclarifykit.kNeverkassumekthekroutekofkadministration.
DIF: CognitivekLevel:kApplicationk|kCognitivekLevel:kAnalysisk REF:k p.k17
7. WhichkconstituteskthektraditionalkFivekRightskofkmedicationkadministration?
a. Rightkdrug,krightkroute,krightkdose,krightktime,kandkrightkpatient
b. Rightkdrug,kthekrightkeffect,kthekrightkroute,kthekrightktime,kandkthekrightkpatient
c. Rightkpatient,krightkstrength,krightkdiagnosis,krightkdrug,kandkrightkroute
d. Rightkpatient,krightkdiagnosis,krightkdrug,krightkroute,kandkrightktime
ANS:k A
, ThektraditionalkFivekRightskofkmedicationkadministrationkwerekconsideredktokbekRightkdru
g,kRightkroute,kRightkdose,kRightktime,kandkRightkpatient.kRightkeffect,krightkstrength,kand
krightkdiagnosiskareknotkpartkofkthektraditionalkFivekRights.
DIF:k k CognitivekLevel:kComprehensionk k REF:k p.k13
8. Whatkzcorrectlyzdescribeskzthekznursingkzprocess?
a. Diagnosing,kzplanning,kzassessing,kzimplementing,kzandkzfinallyzevaluating
b. Assessing,kzthenkzdiagnosing,kzimplementing,kzandkzendingkzwithkzevaluating
c. Akzlinearkzdirectionkzthatkzbeginskzwithkzassessingkzandkzcontinueskzthrou
ghkzdiagnosing,kzplanning,kzandkzfinallykzimplementing
d. Ankzongoingkzprocesskzthatkzbeginskzwithkzassessingkzandkzcontinueskzwi
thkzdiagnosing,kzplanning,kzimplementing,kzandkzevaluating
ANS:kzkD
Thekznursingkzprocesskziskzankzongoing,kzflexible,kzadaptable,kzandkzadjustablekzfive-
stepkzprocesskzthatkzbeginskzwithkzassessingkzandkzcontinueskzthroughkzdiagnosing,kzplanning,kz
implementing,kzandkzfinallykzevaluating,kzwhichkzmaykzthenkzleadkzbackkztokzanykzofkzthekzoth
erkzphases.
DIF:k k CognitivekzLevel:kzApplication REF:kzp.kz8
9. Whenkzthekznursekziskzconsideringkzthekztimingkzofkzakzdrugkzdose,kzwhichkziskzmostkzimportantkztokzassess?
a. Thekzpatient‘skzidentification
b. Thezpatient‘skzweight
c. Thekzpatient‘skzlastkzmeal
d. Anyzdrugkzorkzfoodkzallergies
ANS:k zk C
Thekzpharmacokinetickzandkzpharmacodynamickzpropertieskzofkzthekzdrugkzneedkztokzbekzassessedkzwithkre
gardkztokzanyzdrug–foodkzinteractionskzorkzcompatibilityzissues.kzThekzpatient‘skzidentification,
zweight,kzandkzdrugkzorkzfoodkzallergieskzarekznotkzaffectedkzbykzthekzdrug‘skztiming.
DIF:k k CognitivekzLevel:kzApplication REF:kzp.kz17
10. Thekznursekziskzwritingkznursingkzdiagnoseskzforkzakzplankzofkzcare.kzWhichkzreflectskzthekzcorr
ectkzformatkzforkzherkznursingkzdiagnosis?
a. Anxiety
b. Anxietyzrelatedkztokznewkzdrugkztherapy
c. Anxietyzrelatedkztokzanxiouskzfeelingskzaboutkzdrugkztherapy,kzaskzevidencedkz
bykzstatementskzsuchkzaskz―I‘mkzupsetkzaboutkzhavingkztokzgivekzmyselfkzsh
ots‖
d. Anxietyzrelatedztoznewzdrugztherapy,kzaskzevidencedzbyzstatementszsuchzas
kz―I‘mkzupsetkzaboutkzhavingkztokzgivekzmyselfkzshots‖
ANS:kzkD
Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
MULTIPLE CHOICE
1. Whichkiskakjudgementkaboutkakparticularkpatient‘skpotentialkneedk
orkproblem?
a. Akgoal
b. Ankassessment
c. Subjectivekdata
d. Aknursingkdiagnosis
ANS:k D
Nursingkdiagnosiskiskthekphasekofktheknursingkprocesskduringkwhich
akclinicalkjudgementkiskmadekaboutkhowkakpatientkrespondsktokheathkconditionskandkl
ifekprocesseskorkvulnerabilitykforthatkresponse.
DIF:k k CognitivekLevel:kKnowledge REF:kp.k11
2. Thekpatientkisktokreceivekoralkfurosemidek(Lasix)keverykday;khowever,kbecausekthekpatient
kiskunablektokswallow,khekcannotktakekmedicationkorally,kaskordered.kTheknursekneedsktokc
ontactkthekphysician.kWhatktypekofkproblemkiskthis?
a. Ak―rightktime‖kproblem
b. Ak―rightk dose‖kproblem
c. Ak―rightkroute‖kproblem
d. Ak―rightkmedication‖kproblem
ANS:k C
Thiskiskak―rightkroute‖kproblem:ktheknursekcannotkassumekthekroutekandkmustkclarifykthekro
utekwithkthekprescriber.kThiskisknotkak―rightktime‖kproblemkbecausekthekorderedkfrequencyk
hasknotkchanged.kThiskisknotkak―rightkdose‖kproblemkbecausekthekdosekisknotkrelatedktokan
kinabilityktokswallow.kThiskisknotkak―rightkmedication‖kproblemkbecausekthekmedicationko
rderedkwillknot
change,kjustkthekroute.
DIF:k k CognitivekLevel:kApplication REF:k p.k14
3. Theknursekhaskbeenkmonitoringkthekpatient‘skprogresskonkhisknewkdrugkregimenksincekthekfi
rstkdosekandkhaskbeenkdocumentingksignskofkpossiblekadversekeffects.kWhatknursingkprocessk
phasekisktheknursekpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingkdiagnosis
ANS:k B
Monitoringkthekpatient‘skprogresskiskpartkofkthekevaluationkphase.kPlanning,kimplementatio
n,kandknursingkdiagnosiskareknotkillustratedkbykthiskexample.
DIF:k k CognitivekLevel:kApplication REF:kp.k19
,4. Theknursekiskcaringkforkakpatientkwhokhaskbeenknewlykdiagnosedkwithktypek1kdiabeteskmelli
tus.kWhichkstatementkbestkillustrateskankoutcomekcriterionkforkthiskpatient?
a. Thekpatientkwillkfollowkinstructions.
b. Thekpatientkwillknotkexperiencekcomplications.
c. Thekpatientkadheresktoktheknewkinsulinktreatmentkregimen.
d. Thekpatientkdemonstratesksafekinsulinkself-administrationktechnique.
ANS:k D
Havingkthekpatientkdemonstrateksafekinsulinkself-
administrationktechniquekiskakspecifickandkmeasurablekoutcomekcriterion.kFollowingkinstruc
tionskandkavoidingkcomplicationskareknotkspecifickcriteria.kAdherencektoktheknewkinsulinktre
atmentkregimenkisknotkobjectivekandkwouldkbekdifficultktokmeasure.
DIF: CognitivekLevel:kApplication REF:kp.k13
5. Whichkactivitykbestkreflectskthekimplementationkphasekofktheknursingkprocesskforkthekpati
entkwhokisknewlykdiagnosedkwithktypek1kdiabeteskmellitus?
a. Providingkeducationkregardingkself-injectionktechnique
b. Settingkgoalskandkoutcomekcriteriakwithkthekpatient‘skinput
c. Recordingkakhistorykofkover-the-counterkmedicationskusedkatkhome
d. Formulatingknursingkdiagnoseskregardingkknowledgekdeficitskrelatedktokthekne
wktreatmentkregimen
ANS:k A
Educationkiskankinterventionkthatkoccurskduringkthekimplementationkphase.kSettingkgoalskan
dkoutcomekcriteriakreflectskthekplanningkphase.kRecordingkakdrugkhistorykreflectskthekassess
mentkphase.kFormulatingknursingkdiagnoseskregardingkakknowledgekdeficitkreflectskanalysis
kofkdatakaskpartkofkthekplanningkphase.N
DIF: CognitivekLevel:kAnalysis REF:kp.k8k|kp.k13
6. Theknursekiskworkingkduringkakverykbusyknightkshift,kandkthekhealthkcarekproviderkhaskjust
kgivenktheknursekakmedicationkorderkoverkthektelephone,kbutktheknursekdoesknotkrecallkthekro
ute.kWhatkiskthekbestkwaykforktheknursektokavoidkmedicationkerrors?
a. Recopykthekorderkneatlykonkthekorderksheet,kwithkthekmostkcommonkroutekindicated
b. Consultkwithkthekpharmacistkforkclarificationkaboutkthekmostkcommonkroute
c. Callkthekhealthkcarekproviderktokclarifykthekroutekofkadministration
d. Withholdkthekdrugkuntilkthekhealthkcarekproviderkvisitskthekpatient
ANS:k C
Ifkakmedicationkorderkdoesknotkincludekthekroute,ktheknursekmustkaskkthekhealthkcarekprovider
ktokclarifykit.kNeverkassumekthekroutekofkadministration.
DIF: CognitivekLevel:kApplicationk|kCognitivekLevel:kAnalysisk REF:k p.k17
7. WhichkconstituteskthektraditionalkFivekRightskofkmedicationkadministration?
a. Rightkdrug,krightkroute,krightkdose,krightktime,kandkrightkpatient
b. Rightkdrug,kthekrightkeffect,kthekrightkroute,kthekrightktime,kandkthekrightkpatient
c. Rightkpatient,krightkstrength,krightkdiagnosis,krightkdrug,kandkrightkroute
d. Rightkpatient,krightkdiagnosis,krightkdrug,krightkroute,kandkrightktime
ANS:k A
, ThektraditionalkFivekRightskofkmedicationkadministrationkwerekconsideredktokbekRightkdru
g,kRightkroute,kRightkdose,kRightktime,kandkRightkpatient.kRightkeffect,krightkstrength,kand
krightkdiagnosiskareknotkpartkofkthektraditionalkFivekRights.
DIF:k k CognitivekLevel:kComprehensionk k REF:k p.k13
8. Whatkzcorrectlyzdescribeskzthekznursingkzprocess?
a. Diagnosing,kzplanning,kzassessing,kzimplementing,kzandkzfinallyzevaluating
b. Assessing,kzthenkzdiagnosing,kzimplementing,kzandkzendingkzwithkzevaluating
c. Akzlinearkzdirectionkzthatkzbeginskzwithkzassessingkzandkzcontinueskzthrou
ghkzdiagnosing,kzplanning,kzandkzfinallykzimplementing
d. Ankzongoingkzprocesskzthatkzbeginskzwithkzassessingkzandkzcontinueskzwi
thkzdiagnosing,kzplanning,kzimplementing,kzandkzevaluating
ANS:kzkD
Thekznursingkzprocesskziskzankzongoing,kzflexible,kzadaptable,kzandkzadjustablekzfive-
stepkzprocesskzthatkzbeginskzwithkzassessingkzandkzcontinueskzthroughkzdiagnosing,kzplanning,kz
implementing,kzandkzfinallykzevaluating,kzwhichkzmaykzthenkzleadkzbackkztokzanykzofkzthekzoth
erkzphases.
DIF:k k CognitivekzLevel:kzApplication REF:kzp.kz8
9. Whenkzthekznursekziskzconsideringkzthekztimingkzofkzakzdrugkzdose,kzwhichkziskzmostkzimportantkztokzassess?
a. Thekzpatient‘skzidentification
b. Thezpatient‘skzweight
c. Thekzpatient‘skzlastkzmeal
d. Anyzdrugkzorkzfoodkzallergies
ANS:k zk C
Thekzpharmacokinetickzandkzpharmacodynamickzpropertieskzofkzthekzdrugkzneedkztokzbekzassessedkzwithkre
gardkztokzanyzdrug–foodkzinteractionskzorkzcompatibilityzissues.kzThekzpatient‘skzidentification,
zweight,kzandkzdrugkzorkzfoodkzallergieskzarekznotkzaffectedkzbykzthekzdrug‘skztiming.
DIF:k k CognitivekzLevel:kzApplication REF:kzp.kz17
10. Thekznursekziskzwritingkznursingkzdiagnoseskzforkzakzplankzofkzcare.kzWhichkzreflectskzthekzcorr
ectkzformatkzforkzherkznursingkzdiagnosis?
a. Anxiety
b. Anxietyzrelatedkztokznewkzdrugkztherapy
c. Anxietyzrelatedkztokzanxiouskzfeelingskzaboutkzdrugkztherapy,kzaskzevidencedkz
bykzstatementskzsuchkzaskz―I‘mkzupsetkzaboutkzhavingkztokzgivekzmyselfkzsh
ots‖
d. Anxietyzrelatedztoznewzdrugztherapy,kzaskzevidencedzbyzstatementszsuchzas
kz―I‘mkzupsetkzaboutkzhavingkztokzgivekzmyselfkzshots‖
ANS:kzkD
