Lomoarcpsd|13728229
Test Bank For
Lilley’s Pharmacology for Canadian Health Car
5th Edition
By Kara Sealock, Cydnee Seneviratne
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Chapter 01: Nursing Practice In Canada And Drug Therapy
Sealock: Lilley’s Pharmacology For Canadian Health Care Practice, 5th Edition
MULTIPLE CHOICE
1. Which Is A Judgement About A Particular Patient’s Potential Need Or Problem?
a. A Goal
b. An Assessment
c. Subjective Data
d. A Nursing Diagnosis
ANSWER: D
Nursing Diagnosis Is The Phase Of The Nursing Process During Which A Clinical Judgement Is Made
Responds To Heath Conditions And Life Processes Or Vulnerability For That Response.
DIF: Cognitive Level: Knowledge
2. The Patient Is To Receive Oral Furosemide (Lasix) Every Day; However, Because The Patient Is Unab
Cannot Take Medication Orally, As Ordered. The Nurse Needs To Contact The Physician. What Type
a. A “Right Time” Problem
b. A “Right Dose” Problem
c. A “Right Route” Problem
d. A “Right Medication” Problem
ANSWER: C
This Is A “Right Route” Problem: The Nurse Cannot Assume The Route And Must Clarify The Route
Not A “Right Time” Problem Because The Ordered Frequency Has Not Changed. This Is Not A “R
The Dose Is Not Related To An Inability To Swallow. This Is Not A “Right Medication” Proble
Ordered Will Not Change, Just The Route.
DIF: Cognitive Level: Application
3. The Nurse Has Been Monitoring The Patient’s Progress On His New Drug Regimen Since The First D
Documenting Signs Of Possible Adverse Effects. What Nursing Process Phase Is The Nurse Practising
a. Planning
b. Evaluation
c. Implementation
d. Nursing Diagnosis
ANSWER: B
Monitoring The Patient’s Progress Is Part Of The Evaluation Phase. Planning, Implementation, And Nu
Illustrated By This Example.
DIF: Cognitive Level: Application
4. The Nurse Is Caring For A Patient Who Has Been Newly Diagnosed With Type 1 Diabetes Mellitus. W
Illustrates An Outcome Criterion For This Patient?
a. The Patient Will Follow Instructions.
b. The Patient Will Not Experience Complications.
c. The Patient Adheres To The New Insulin Treatment Regimen.
d. The Patient Demonstrates Safe Insulin Self-Administration Technique.
ANSWER: D
Having The Patient Demonstrate Safe Insulin Self-Administration Technique Is A Specific And Measu
Following Instructions And Avoiding Complications Are Not Specific Criteria. Adherence To The New
Regimen Is Not Objective And Would Be Difficult To Measure.
DIF: Cognitive Level: Application
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6. The Nurse Is Working During A Very Busy Night Shift, And The Health Care Provider Has Just Given
Order Over The Telephone, But The Nurse Does Not Recall The Route. What Is The Best Way For Th
Medication Errors?
a. Recopy The Order Neatly On The Order Sheet, With The Most Common Route Indicated
b. Consult With The Pharmacist For Clarification About The Most Common Route
c. Call The Health Care Provider To Clarify The Route Of Administration
d. Withhold The Drug Until The Health Care Provider Visits The Patient
ANSWER: C
If A Medication Order Does Not Include The Route, The Nurse Must Ask The Health Care Provider To
Route Of Administration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
7. Which Constitutes The Traditional Five Rights Of Medication Administration?
a. Right Drug, Right Route, Right Dose, Right Time, And Right Patient
b. Right Drug, The Right Effect, The Right Route, The Right Time, And The Right Patient
c. Right Patient, Right Strength, Right Diagnosis, Right Drug, And Right Route
d. Right Patient, Right Diagnosis, Right Drug, Right Route, And Right Time
ANSWER: A
The Traditional Five Rights Of Medication Administration Were Considered To Be Right Drug, Right
And Right Patient. Right Effect, Right Strength, And Right Diagnosis Are Not Part Of The Traditional
DIF: Cognitive Level: Comprehension
8. What Correctly Describes The Nursing Process?
a. Diagnosing, Planning, Assessing, Implementing, And Finally Evaluating
b. Assessing, Then Diagnosing, Implementing, And Ending With Evaluating
c. A Linear Direction That Begins With Assessing And Continues Through
Diagnosing, Planning, And Finally Implementing
d. An Ongoing Process That Begins With Assessing And Continues With
Diagnosing, Planning, Implementing, And Evaluating
ANSWER: D
The Nursing Process Is An Ongoing, Flexible, Adaptable, And Adjustable Five-Step Process That Begi
Continues Through Diagnosing, Planning, Implementing, And Finally Evaluating, Which May Then L
Other Phases.
DIF: Cognitive Level: Application
9. When The Nurse Is Considering The Timing Of A Drug Dose, Which Is Most Important To Assess?
a. The Patient’s Identification
b. The Patient’s Weight
c. The Patient’s Last Meal
d. Any Drug Or Food Allergies
ANSWER: C
The Pharmacokinetic And Pharmacodynamic Properties Of The Drug Need To Be Assessed With Rega
Interactions Or Compatibility Issues. The Patient’s Identification, Weight, And Drug Or Food Allergie
Drug’s Timing.
DIF: Cognitive Level: Application
10. The Nurse Is Writing Nursing Diagnoses For A Plan Of Care. Which Reflects The Correct Format For
a. Anxiety
b. Anxiety Related To New Drug Therapy
c. Anxiety Related To Anxious Feelings About Drug Therapy, As
Evidenced By Statements Such As “I’m Upset About Having To Give
Myself Shots”
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DIF: Cognitive Level: Analysis