lOMoARcPSD| 13728229
lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
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Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
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MULTIPLE CHOICE tq
1. Which is a judgement about a particular patient‘s potential need or problem?
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a. A goal tq
b. An assessment tq
c. Subjective data tq
d. A nursing diagnosis tq tq
ANS: D tq
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
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eath conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge tq tq
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to sw
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
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a. A ―right time‖ problemtq tq tq
b. A ―right dose‖ problemtq tq tq
c. A ―right route‖ problem
tq tq tq
d. A ―right medication‖ problem
tq tq tq
ANS: C tq
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the p
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time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem beca
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o an inability to swallow. This is not a ―right medication‖ problem because the medication ordered wil
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DIF: Cognitive Level: Application tq tq
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and h
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of possible adverse effects. What nursing process phase is the nurse practising?
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a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis tq
ANS: B tq
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing
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d by this example.
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DIF: Cognitive Level: Application tq tq
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which st
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outcome criterion for this patient?
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a. The patient will follow instructions.tq tq tq tq
b. The patient will not experience complications.
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c. The patient adheres to the new insulin treatment regimen.
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d. The patient demonstrates safe insulin self-administration technique.
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ANS: D tq
Having the patient demonstrate safe insulin self-
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administration technique is a specific and measurable outcome criterion. Following instructions and av
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, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurs
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qthe telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medi
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a. Recopy the order neatly on the order sheet, with the most common route indicated
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b. Consult with the pharmacist for clarification about the most common route
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c. Call the health care provider to clarify the route of administration
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d. Withhold the drug until the health care provider visits the patient
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ANS: C tq
If a medication order does not include the route, the nurse must ask the health care provider to clarify it
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inistration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
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7. Which constitutes the traditional Five Rights of medication administration?
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a. Right drug, right route, right dose, right time, and right patient
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b. Right drug, the right effect, the right route, the right time, and the right patient
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c. Right patient, right strength, right diagnosis, right drug, and right route
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d. Right patient, right diagnosis, right drug, right route, and right time
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ANS: A tq
The traditional Five Rights of medication administration were considered to be Right drug, Right route
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ht patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
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DIF: Cognitive Level: Comprehension tq tq
8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating tq tq tq tq tq tq
b. Assessing, then diagnosing, implementing, and ending with evaluating
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c. A linear direction that begins with assessing and continues through diagnosing,
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planning, and finally implementing tq tq tq
d. An ongoing process that begins with assessing and continues with diagnosing,
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planning, implementing, and evaluating tq tq tq
ANS: D tq
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
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step process that begins with assessing and continues through diagnosing, planning, implementing, and
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may then lead back to any of the other phases.
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DIF: Cognitive Level: Application tq tq
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
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a. The patient‘s identification tq tq
b. The patient‘s weight tq tq
c. The patient‘s last meal tq tq tq
d. Any drug or food allergies tq tq tq tq
ANS: C tq
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to a
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergie
tq tq tq tq tq tq tq tq tq tq tq tq tq
ming.
DIF: Cognitive Level: Application tq tq
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nurs
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
a. Anxiety
b. Anxiety related to new drug therapy tq tq tq tq tq
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
tq tq tq tq tq tq tq tq tq tq tq
statements such as ―I‘m upset about having to give myself shots‖
tq tq tq tq tq tq tq tq tq tq
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
tq tq tq tq tq tq tq tq tq tq tq tq t
upset about having to give myself shots‖
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, lOMoARcPSD| 13728229
Chapter 02: Pharmacological Principles
tq tq tq
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
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MULTIPLE CHOICE tq
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both abso
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identical amounts. Which term best denotes that the drugs have the same absorption rates?
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a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D tq
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same b
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bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the exten
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gistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greate
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of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indicate
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have a chemical reaction when mixed (or given, in the case of drugs) together.
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DIF: Cognitive Level: Comprehension tq tq
2. A patient is receiving medication via intravenous injection. Which information should the nurse provid
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a. The medication will cause fewer adverse effects when given intravenously.
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b. The medication will be absorbed slowly into the tissues over time.
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c. The medication‘s action will begin faster when given intravenously.
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d. Most of the drug is inactivated by the liver before it reaches the target area.
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ANS: C tq
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the num
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
ntravenous route is not a slow route of absorption, and the intravenous route does not cause inactivatio
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
efore it reaches the target area.
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DIF: Cognitive Level: Comprehension tq tq
3. Which is true regarding parenteral drugs?
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a. They bypass the first-pass effect. tq tq tq tq
b. They decrease blood flow to the stomach.
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c. They are altered by the presence of food in the stomach.
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d. They exert their effects while circulating in the bloodstream.
tq tq tq tq tq tq tq tq
ANS: A tq
Drugs given by the parenteral route bypass the first-
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pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Ente
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in th
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
must be absorbed into cells and tissues from the circulation before they can exert their effects; they do
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circulating in the bloodstream. tq tq tq
DIF: Cognitive Level: Analysis tq tq
4. A drug‘s half-life is best defined as
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a. The time it takes for the drug to elicit half its therapeutic response.
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b. The time it takes one- tq tq tq tq
half of the original amount of a drug to reach the target cells.
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c. The time it takes one-
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half of the original amount of a drug to be removed from the body.
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d. The time it takes one-
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half of the original amount of a drug to be absorbed into the circulation.
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ANS: C tq
lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
tq tq tq tq tq tq tq tq
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
tq tq tq tq tq tq tq tq tq
MULTIPLE CHOICE tq
1. Which is a judgement about a particular patient‘s potential need or problem?
tq tq tq tq tq tq tq tq tq tq tq
a. A goal tq
b. An assessment tq
c. Subjective data tq
d. A nursing diagnosis tq tq
ANS: D tq
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
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eath conditions and life processes or vulnerability for that response.
tq tq tq tq tq tq tq tq tq
DIF: Cognitive Level: Knowledge tq tq
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to sw
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
q tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
a. A ―right time‖ problemtq tq tq
b. A ―right dose‖ problemtq tq tq
c. A ―right route‖ problem
tq tq tq
d. A ―right medication‖ problem
tq tq tq
ANS: C tq
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the p
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem beca
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o an inability to swallow. This is not a ―right medication‖ problem because the medication ordered wil
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
DIF: Cognitive Level: Application tq tq
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and h
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
of possible adverse effects. What nursing process phase is the nurse practising?
q tq tq tq tq tq tq tq tq tq tq tq
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis tq
ANS: B tq
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing
tq tq tq tq tq tq tq tq tq tq tq tq tq
d by this example.
tq tq tq
DIF: Cognitive Level: Application tq tq
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which st
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
outcome criterion for this patient?
q tq tq tq tq
a. The patient will follow instructions.tq tq tq tq
b. The patient will not experience complications.
tq tq tq tq tq
c. The patient adheres to the new insulin treatment regimen.
tq tq tq tq tq tq tq tq
d. The patient demonstrates safe insulin self-administration technique.
tq tq tq tq tq tq
ANS: D tq
Having the patient demonstrate safe insulin self-
tq tq tq tq tq tq
administration technique is a specific and measurable outcome criterion. Following instructions and av
tq tq tq tq tq tq tq tq tq tq tq tq
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the nurs
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
qthe telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medi
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
a. Recopy the order neatly on the order sheet, with the most common route indicated
tq tq tq tq tq tq tq tq tq tq tq tq tq
b. Consult with the pharmacist for clarification about the most common route
tq tq tq tq tq tq tq tq tq tq
c. Call the health care provider to clarify the route of administration
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d. Withhold the drug until the health care provider visits the patient
tq tq tq tq tq tq tq tq tq tq
ANS: C tq
If a medication order does not include the route, the nurse must ask the health care provider to clarify it
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
inistration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
tq tq tq tq tq tq
7. Which constitutes the traditional Five Rights of medication administration?
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a. Right drug, right route, right dose, right time, and right patient
tq tq tq tq tq tq tq tq tq tq
b. Right drug, the right effect, the right route, the right time, and the right patient
tq tq tq tq tq tq tq tq tq tq tq tq tq tq
c. Right patient, right strength, right diagnosis, right drug, and right route
tq tq tq tq tq tq tq tq tq tq
d. Right patient, right diagnosis, right drug, right route, and right time
tq tq tq tq tq tq tq tq tq tq
ANS: A tq
The traditional Five Rights of medication administration were considered to be Right drug, Right route
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ht patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
DIF: Cognitive Level: Comprehension tq tq
8. What correctly describes the nursing process?
tq tq tq tq tq
a. Diagnosing, planning, assessing, implementing, and finally evaluating tq tq tq tq tq tq
b. Assessing, then diagnosing, implementing, and ending with evaluating
tq tq tq tq tq tq tq
c. A linear direction that begins with assessing and continues through diagnosing,
tq tq tq tq tq tq tq tq tq tq tq
planning, and finally implementing tq tq tq
d. An ongoing process that begins with assessing and continues with diagnosing,
tq tq tq tq tq tq tq tq tq tq tq
planning, implementing, and evaluating tq tq tq
ANS: D tq
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
tq tq tq tq tq tq tq tq tq tq
step process that begins with assessing and continues through diagnosing, planning, implementing, and
tq tq tq tq tq tq tq tq tq tq tq tq
may then lead back to any of the other phases.
tq tq tq tq tq tq tq tq tq
DIF: Cognitive Level: Application tq tq
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
a. The patient‘s identification tq tq
b. The patient‘s weight tq tq
c. The patient‘s last meal tq tq tq
d. Any drug or food allergies tq tq tq tq
ANS: C tq
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to a
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergie
tq tq tq tq tq tq tq tq tq tq tq tq tq
ming.
DIF: Cognitive Level: Application tq tq
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nurs
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
a. Anxiety
b. Anxiety related to new drug therapy tq tq tq tq tq
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
tq tq tq tq tq tq tq tq tq tq tq
statements such as ―I‘m upset about having to give myself shots‖
tq tq tq tq tq tq tq tq tq tq
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
tq tq tq tq tq tq tq tq tq tq tq tq t
upset about having to give myself shots‖
q tq tq tq tq tq tq
, lOMoARcPSD| 13728229
Chapter 02: Pharmacological Principles
tq tq tq
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
tq tq tq tq tq tq tq tq tq
MULTIPLE CHOICE tq
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both abso
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
identical amounts. Which term best denotes that the drugs have the same absorption rates?
q tq tq tq tq tq tq tq tq tq tq tq tq tq
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D tq
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same b
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the exten
tq tq tq tq tq tq tq tq tq tq tq tq tq
gistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greate
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indicate
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
have a chemical reaction when mixed (or given, in the case of drugs) together.
tq tq tq tq tq tq tq tq tq tq tq tq tq
DIF: Cognitive Level: Comprehension tq tq
2. A patient is receiving medication via intravenous injection. Which information should the nurse provid
tq tq tq tq tq tq tq tq tq tq tq tq tq
a. The medication will cause fewer adverse effects when given intravenously.
tq tq tq tq tq tq tq tq tq
b. The medication will be absorbed slowly into the tissues over time.
tq tq tq tq tq tq tq tq tq tq
c. The medication‘s action will begin faster when given intravenously.
tq tq tq tq tq tq tq tq
d. Most of the drug is inactivated by the liver before it reaches the target area.
tq tq tq tq tq tq tq tq tq tq tq tq tq tq
ANS: C tq
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the num
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
ntravenous route is not a slow route of absorption, and the intravenous route does not cause inactivatio
tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq tq
efore it reaches the target area.
tq tq tq tq tq
DIF: Cognitive Level: Comprehension tq tq
3. Which is true regarding parenteral drugs?
tq tq tq tq tq
a. They bypass the first-pass effect. tq tq tq tq
b. They decrease blood flow to the stomach.
tq tq tq tq tq tq
c. They are altered by the presence of food in the stomach.
tq tq tq tq tq tq tq tq tq tq
d. They exert their effects while circulating in the bloodstream.
tq tq tq tq tq tq tq tq
ANS: A tq
Drugs given by the parenteral route bypass the first-
tq tq tq tq tq tq tq tq
pass effect, but they still must be absorbed into cells and tissues before they can exert their effects. Ente
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), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in th
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must be absorbed into cells and tissues from the circulation before they can exert their effects; they do
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circulating in the bloodstream. tq tq tq
DIF: Cognitive Level: Analysis tq tq
4. A drug‘s half-life is best defined as
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a. The time it takes for the drug to elicit half its therapeutic response.
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b. The time it takes one- tq tq tq tq
half of the original amount of a drug to reach the target cells.
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c. The time it takes one-
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half of the original amount of a drug to be removed from the body.
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d. The time it takes one-
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half of the original amount of a drug to be absorbed into the circulation.
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ANS: C tq
