Liley's
Pharmacology for
Canadian Health
Care Practice 4th
edition
,In which step of the nursing process does the nurse determine the outcome of
medication administration?
a. Planning
b. Assessment
c. Evaluation
d. Implementation - CORRECT ANSWERS-c. Evaluation
The nurse plans care for a male patient who is 80 years of age. The nursing diagnosis
is nonadherence with the medication regimen related to living alone, as evidenced by
uncontrolled blood pressure. What should the nurse do next?
a. Assess the impact of home self-management of medications.
b. Collaborate with the health care provider on a new medication regimen.
c. Enlist the help of a home care nurse for pharmacotherapy.
d. Examine the results of nursing help with the medications. - CORRECT ANSWERS-c.
Enlist the help of a home care nurse for pharmacotherapy.
Which statement is an example of objective data? (Select all that apply.)
a. The patient says that she has felt tired for almost a week.
b. The patient says that she feels like someone is touching her arm.
c. The patient has had a fever for 5 days.
d. The patient has clear urine.
e. The patient states that she has a headache. - CORRECT ANSWERS-c. The patient
has had a fever for 5 days.
d. The patient has clear urine.
What should the nurse check when reviewing a prescription with a patient? (Select all
that apply.)
a. The patient's emergency contact
b. The patient's home address
c. The route of administration
d. The age of the patient
e. The signature of the prescriber - CORRECT ANSWERS-c. The route of
administration
e. The signature of the prescriber
What information should the nurse chart when documenting medication administration?
(Select all that apply.)
a. The dosage of medication administered
b. The time of administration
c. Information about an "incident report" in the patient's chart
d. The patient's age
e. The route of administration - CORRECT ANSWERS-a. The dosage of medication
administered
b. The time of administration
e. The route of administration
,What is the study of physiochemical properties of drugs and how drugs influence the
body called?
a. Pharmacology
b. Pharmacodynamics
c. Pharmacokinetics
d. Pharmacotherapeutics - CORRECT ANSWERS-b. Pharmacodynamics
Which statement best describes pharmacokinetics?
a. Adverse effects and toxic reactions to medications
b. Conversion of medication into its active chemical substance
c. What the body does to the drug after it is administered
d. Physiologic interaction between a drug and body cells - CORRECT ANSWERS-c.
What the body does to the drug after it is administered
What is another term for biotransformation of a drug?
a. Metabolism
b. Absorption
c. Excretion
d. Dilution - CORRECT ANSWERS-a. Metabolism
A drug given by which route is altered by the first-pass effect?
a. Oral
b. Sublingual
c. Intravenous (IV)
d. Subcutaneous - CORRECT ANSWERS-a. Oral
Which nursing action will increase the absorption of a medication administered
intramuscularly?
a. Massaging the site after injection.
b. Lowering the extremity below the level of the heart.
c. Applying ice packs to the injection site.
d. Administering the medication via the Z-track method. - CORRECT ANSWERS-a.
Massaging the site after injection.
When administering two medications that are highly protein bound, the nurse
understands to monitor the patient carefully for which effect?
a. A short duration of medication action
b. Immediate improvement in the patient's condition
c. Increase in the risk of drug-drug interactions
d. Hypovolemic shock caused by a low albumin level - CORRECT ANSWERS-c.
Increase in the risk of drug-drug interactions
To achieve the most rapid onset of action, the health care provider will prescribe the
medication to be administered by which route?
a. Intravenous (IV)
, b. Subcutaneous (SC)
c. Intramuscular (IM)
d. Intrathecally - CORRECT ANSWERS-a. Intravenous (IV)
Patients with renal failure would most likely have problems with which pharmacokinetic
process?
a. Excretion
b. Absorption
c. Distribution
d. Metabolism - CORRECT ANSWERS-a. Excretion
What is the ratio between a drug's therapeutic effects and toxic effects called?
a. Therapeutic index
b. Cumulative effect
c. Tolerance
d. Affinity - CORRECT ANSWERS-a. Therapeutic index
A patient asks the nurse why the dose of IV pain medication being given is lower than
that of the patient's previous oral medication. What is the nurse's best response to the
patient?
a. "Medications given intravenously are not affected by the first-pass effect."
b. "Medications given orally bypass the portal circulatory system."
c. "Drugs administered intravenously enter the portal system before systemic
distribution."
d. "Drugs administered intravenously enter the portal system before systemic
distribution."
e. "Drugs administered intravenously enter the portal system before systemic
distribution." - CORRECT ANSWERS-a. "Medications given intravenously are not
affected by the first-pass effect."
The nurse understands that drugs exert their actions on the body by what process?
(Select all that apply.)
a. Making the cell perform a new function
b. Interacting with receptors
c. Inhibiting the action of a specific enzyme
d. Altering metabolic chemical processes - CORRECT ANSWERS-b. Interacting with
receptors
c. Inhibiting the action of a specific enzyme
d. Altering metabolic chemical processes
The nurse knows that which factors will affect the absorption of orally administered
medications? (Select all that apply.)
a. pH of the stomach
b. Form of drug preparation
c. Patient in high Fowler's position
d. Time of day
Pharmacology for
Canadian Health
Care Practice 4th
edition
,In which step of the nursing process does the nurse determine the outcome of
medication administration?
a. Planning
b. Assessment
c. Evaluation
d. Implementation - CORRECT ANSWERS-c. Evaluation
The nurse plans care for a male patient who is 80 years of age. The nursing diagnosis
is nonadherence with the medication regimen related to living alone, as evidenced by
uncontrolled blood pressure. What should the nurse do next?
a. Assess the impact of home self-management of medications.
b. Collaborate with the health care provider on a new medication regimen.
c. Enlist the help of a home care nurse for pharmacotherapy.
d. Examine the results of nursing help with the medications. - CORRECT ANSWERS-c.
Enlist the help of a home care nurse for pharmacotherapy.
Which statement is an example of objective data? (Select all that apply.)
a. The patient says that she has felt tired for almost a week.
b. The patient says that she feels like someone is touching her arm.
c. The patient has had a fever for 5 days.
d. The patient has clear urine.
e. The patient states that she has a headache. - CORRECT ANSWERS-c. The patient
has had a fever for 5 days.
d. The patient has clear urine.
What should the nurse check when reviewing a prescription with a patient? (Select all
that apply.)
a. The patient's emergency contact
b. The patient's home address
c. The route of administration
d. The age of the patient
e. The signature of the prescriber - CORRECT ANSWERS-c. The route of
administration
e. The signature of the prescriber
What information should the nurse chart when documenting medication administration?
(Select all that apply.)
a. The dosage of medication administered
b. The time of administration
c. Information about an "incident report" in the patient's chart
d. The patient's age
e. The route of administration - CORRECT ANSWERS-a. The dosage of medication
administered
b. The time of administration
e. The route of administration
,What is the study of physiochemical properties of drugs and how drugs influence the
body called?
a. Pharmacology
b. Pharmacodynamics
c. Pharmacokinetics
d. Pharmacotherapeutics - CORRECT ANSWERS-b. Pharmacodynamics
Which statement best describes pharmacokinetics?
a. Adverse effects and toxic reactions to medications
b. Conversion of medication into its active chemical substance
c. What the body does to the drug after it is administered
d. Physiologic interaction between a drug and body cells - CORRECT ANSWERS-c.
What the body does to the drug after it is administered
What is another term for biotransformation of a drug?
a. Metabolism
b. Absorption
c. Excretion
d. Dilution - CORRECT ANSWERS-a. Metabolism
A drug given by which route is altered by the first-pass effect?
a. Oral
b. Sublingual
c. Intravenous (IV)
d. Subcutaneous - CORRECT ANSWERS-a. Oral
Which nursing action will increase the absorption of a medication administered
intramuscularly?
a. Massaging the site after injection.
b. Lowering the extremity below the level of the heart.
c. Applying ice packs to the injection site.
d. Administering the medication via the Z-track method. - CORRECT ANSWERS-a.
Massaging the site after injection.
When administering two medications that are highly protein bound, the nurse
understands to monitor the patient carefully for which effect?
a. A short duration of medication action
b. Immediate improvement in the patient's condition
c. Increase in the risk of drug-drug interactions
d. Hypovolemic shock caused by a low albumin level - CORRECT ANSWERS-c.
Increase in the risk of drug-drug interactions
To achieve the most rapid onset of action, the health care provider will prescribe the
medication to be administered by which route?
a. Intravenous (IV)
, b. Subcutaneous (SC)
c. Intramuscular (IM)
d. Intrathecally - CORRECT ANSWERS-a. Intravenous (IV)
Patients with renal failure would most likely have problems with which pharmacokinetic
process?
a. Excretion
b. Absorption
c. Distribution
d. Metabolism - CORRECT ANSWERS-a. Excretion
What is the ratio between a drug's therapeutic effects and toxic effects called?
a. Therapeutic index
b. Cumulative effect
c. Tolerance
d. Affinity - CORRECT ANSWERS-a. Therapeutic index
A patient asks the nurse why the dose of IV pain medication being given is lower than
that of the patient's previous oral medication. What is the nurse's best response to the
patient?
a. "Medications given intravenously are not affected by the first-pass effect."
b. "Medications given orally bypass the portal circulatory system."
c. "Drugs administered intravenously enter the portal system before systemic
distribution."
d. "Drugs administered intravenously enter the portal system before systemic
distribution."
e. "Drugs administered intravenously enter the portal system before systemic
distribution." - CORRECT ANSWERS-a. "Medications given intravenously are not
affected by the first-pass effect."
The nurse understands that drugs exert their actions on the body by what process?
(Select all that apply.)
a. Making the cell perform a new function
b. Interacting with receptors
c. Inhibiting the action of a specific enzyme
d. Altering metabolic chemical processes - CORRECT ANSWERS-b. Interacting with
receptors
c. Inhibiting the action of a specific enzyme
d. Altering metabolic chemical processes
The nurse knows that which factors will affect the absorption of orally administered
medications? (Select all that apply.)
a. pH of the stomach
b. Form of drug preparation
c. Patient in high Fowler's position
d. Time of day
