lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
uu uu uu uu uu uu uu uu
, lOMoARcPSD| 13728229
a. A “right time” problem
uu uu uu
b. A “right dose” problem
uu uu uu
c. A “right route” problem
uu uu uu
d. A “right medication” problem
uu uu uu
ANS: C uu
This is a “right route” problem: the nurse cannot assume the route and must clarify t
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
riber. This is not a “right time” problem because the ordered frequency has not chan
uu uu uu uu uu uu uu uu uu uu uu uu uu uu
dose” problem because the dose is not related to an inability to swallow. This is not
u uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
oblem because the medication ordered will not change, just the route.
uu uu uu uu uu uu uu uu uu uu
DIF: Cognitive Level: Application uu uu
3. The nurse has been monitoring the patient’s progress on his new drug regimen since
uu uu uu uu uu uu uu uu uu uu uu uu uu u
been documenting signs of possible adverse effects. What nursing process phase is th
uu uu uu uu uu uu uu uu uu uu uu uu
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis uu
ANS: B uu
Monitoring the patient’s progress is part of the evaluation phase. Planning, implemen
uu uu uu uu uu uu uu uu uu uu uu
gnosis are not illustrated by this example.
uu uu uu uu uu uu
DIF: Cognitive Level: Application uu uu
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
ment best illustrates an outcome criterion for this patient?
uu uu uu uu uu uu uu uu
a. The patient will follow instructions.
uu uu uu uu
b. The patient will not experience complications.
uu uu uu uu uu
c. The patient adheres to the new insulin treatment regimen.
uu uu uu uu uu uu uu uu
d. The patient demonstrates safe insulin self-administration technique.
uu uu uu uu uu uu
ANS: D uu
Having the patient demonstrate safe insulin self-
uu uu uu uu uu uu
administration technique is a specific and measurable outcome criterion. Following in
uu uu uu uu uu uu uu uu uu uu
complications are not specific criteria. Adherence to the new insulin treatment regim
u uu uu uu uu uu uu uu uu uu uu uu
would be difficult to measure.
u uu uu uu uu
DIF: Cognitive Level: Application uu uu
5. Which activity best reflects the implementation phase of the nursing process for the p
uu uu uu uu uu uu uu uu uu uu uu uu uu
diagnosed with type 1 diabetes mellitus?
uu uu uu uu uu uu
a. Providing education regarding self-injection technique uu uu uu uu
b. Setting goals and outcome criteria with the patient’s input
uu uu uu uu uu uu uu uu
c. Recording a history of over-the-counter medications used at home
uu uu uu uu uu uu uu uu
d. Formulating nursing diagnoses regarding knowledge deficits relat uu uu uu uu uu uu
ed to the new treatment regimen
uu uu uu uu uu
ANS: A uu
Education is an intervention that occurs during the implementation phase. Setting go
uu uu uu uu uu uu uu uu uu uu uu
a reflects the planning phase. Recording a drug history reflects the assessment phase
uu uu uu uu uu uu uu uu uu uu uu uu
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
medication order over the telephone, but the nurse does not recall the route. What
uu uu uu uu uu uu uu uu uu uu uu uu uu uu
he nurse to avoid medication errors?
uu uu uu uu uu
a. Recopy the order neatly on the order sheet, with the most common route indicat
uu uu uu uu uu uu uu uu uu uu uu uu uu
b. Consult with the pharmacist for clarification about the most common route
uu uu uu uu uu uu uu uu uu uu
c. Call the health care provider to clarify the route of administration
uu uu uu uu uu uu uu uu uu uu
d. Withhold the drug until the health care provider visits the patient
uu uu uu uu uu uu uu uu uu uu
ANS: C uu
If a medication order does not include the route, the nurse must ask the health care
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu u
assume the route of administration.
uu uu uu uu uu
DIF: Cognitive Level: Application | Cognitive Level: Analysis uu uu uu uu uu uu
7. Which constitutes the traditional Five Rights of medication administration?
uu uu uu uu uu uu uu uu
a. Right drug, right route, right dose, right time, and right patient
uu uu uu uu uu uu uu uu uu uu
b. Right drug, the right effect, the right route, the right time, and the right patient
uu uu uu uu uu uu uu uu uu uu uu uu uu uu
c. Right patient, right strength, right diagnosis, right drug, and right route
uu uu uu uu uu uu uu uu uu uu
d. Right patient, right diagnosis, right drug, right route, and right time
uu uu uu uu uu uu uu uu uu uu
ANS: A uu
The traditional Five Rights of medication administration were considered to be Right
uu uu uu uu uu uu uu uu uu uu uu uu
e, Right time, and Right patient. Right effect, right strength, and right diagnosis are n
uu uu uu uu uu uu uu uu uu uu uu uu uu uu
ve Rights.uu
DIF: Cognitive Level: Comprehension uu uu
8. What correctly describes the nursing process?
uu uu uu uu uu
a. Diagnosing, planning, assessing, implementing, and finally evaluating uu uu uu uu uu uu
b. Assessing, then diagnosing, implementing, and ending with evaluating
uu uu uu uu uu uu uu
c. A linear direction that begins with assessing and continues throug
uu uu uu uu uu uu uu uu uu
h diagnosing, planning, and finally implementing
uu uu uu uu uu
d. An ongoing process that begins with assessing and continues wit
uu uu uu uu uu uu uu uu uu
h diagnosing, planning, implementing, and evaluating
uu uu uu uu uu
ANS: D uu
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
uu uu uu uu uu uu uu uu uu uu
step process that begins with assessing and continues through diagnosing, planning, i
uu uu uu uu uu uu uu uu uu uu uu
lly evaluating, which may then lead back to any of the other phases.
uu uu uu uu uu uu uu uu uu uu uu uu
DIF: Cognitive Level: Application uu uu
9. When the nurse is considering the timing of a drug dose, which is most important to
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
a. The patient’s identification uu uu
b. The patient’s weight uu uu
c. The patient’s last meal uu uu uu
d. Any drug or food allergies uu uu uu uu
ANS: C uu
, lOMoARcPSD| 13728229
step process. The only complete answer is “Anxiety related to new drug therapy, as e
uu uu uu uu uu uu uu uu uu uu uu uu uu uu
s such as ‘I’m upset about having to give myself shots.’” The answer “Anxiety” is mis
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
d “as evidenced by” portions. The answer “Anxiety related to new drug therapy” is m
uu uu uu uu uu uu uu uu uu uu uu uu uu uu
d by” portion of defining characteristics. The “related to” section in “Anxiety related t
uu uu uu uu uu uu uu uu uu uu uu uu uu
t drug therapy, as evidenced by statements such as ‘I’m upset about having to give m
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
a restatement of the problem “anxiety,” not a separate factor related to the respons
uu uu uu uu uu uu uu uu uu uu uu uu uu
DIF: Cognitive Level: Analysis uu uu
OTHER
1. Place the phases of the nursing process in the correct order, starting with the first ph
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
uu uu uu uu
DIF: Cognitive Level: Analysis uu uu
Chapter 01: Nursing Practice in Canada and Drug Therapy
uu uu uu uu uu uu uu uu
, lOMoARcPSD| 13728229
a. A “right time” problem
uu uu uu
b. A “right dose” problem
uu uu uu
c. A “right route” problem
uu uu uu
d. A “right medication” problem
uu uu uu
ANS: C uu
This is a “right route” problem: the nurse cannot assume the route and must clarify t
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
riber. This is not a “right time” problem because the ordered frequency has not chan
uu uu uu uu uu uu uu uu uu uu uu uu uu uu
dose” problem because the dose is not related to an inability to swallow. This is not
u uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
oblem because the medication ordered will not change, just the route.
uu uu uu uu uu uu uu uu uu uu
DIF: Cognitive Level: Application uu uu
3. The nurse has been monitoring the patient’s progress on his new drug regimen since
uu uu uu uu uu uu uu uu uu uu uu uu uu u
been documenting signs of possible adverse effects. What nursing process phase is th
uu uu uu uu uu uu uu uu uu uu uu uu
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis uu
ANS: B uu
Monitoring the patient’s progress is part of the evaluation phase. Planning, implemen
uu uu uu uu uu uu uu uu uu uu uu
gnosis are not illustrated by this example.
uu uu uu uu uu uu
DIF: Cognitive Level: Application uu uu
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
ment best illustrates an outcome criterion for this patient?
uu uu uu uu uu uu uu uu
a. The patient will follow instructions.
uu uu uu uu
b. The patient will not experience complications.
uu uu uu uu uu
c. The patient adheres to the new insulin treatment regimen.
uu uu uu uu uu uu uu uu
d. The patient demonstrates safe insulin self-administration technique.
uu uu uu uu uu uu
ANS: D uu
Having the patient demonstrate safe insulin self-
uu uu uu uu uu uu
administration technique is a specific and measurable outcome criterion. Following in
uu uu uu uu uu uu uu uu uu uu
complications are not specific criteria. Adherence to the new insulin treatment regim
u uu uu uu uu uu uu uu uu uu uu uu
would be difficult to measure.
u uu uu uu uu
DIF: Cognitive Level: Application uu uu
5. Which activity best reflects the implementation phase of the nursing process for the p
uu uu uu uu uu uu uu uu uu uu uu uu uu
diagnosed with type 1 diabetes mellitus?
uu uu uu uu uu uu
a. Providing education regarding self-injection technique uu uu uu uu
b. Setting goals and outcome criteria with the patient’s input
uu uu uu uu uu uu uu uu
c. Recording a history of over-the-counter medications used at home
uu uu uu uu uu uu uu uu
d. Formulating nursing diagnoses regarding knowledge deficits relat uu uu uu uu uu uu
ed to the new treatment regimen
uu uu uu uu uu
ANS: A uu
Education is an intervention that occurs during the implementation phase. Setting go
uu uu uu uu uu uu uu uu uu uu uu
a reflects the planning phase. Recording a drug history reflects the assessment phase
uu uu uu uu uu uu uu uu uu uu uu uu
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
medication order over the telephone, but the nurse does not recall the route. What
uu uu uu uu uu uu uu uu uu uu uu uu uu uu
he nurse to avoid medication errors?
uu uu uu uu uu
a. Recopy the order neatly on the order sheet, with the most common route indicat
uu uu uu uu uu uu uu uu uu uu uu uu uu
b. Consult with the pharmacist for clarification about the most common route
uu uu uu uu uu uu uu uu uu uu
c. Call the health care provider to clarify the route of administration
uu uu uu uu uu uu uu uu uu uu
d. Withhold the drug until the health care provider visits the patient
uu uu uu uu uu uu uu uu uu uu
ANS: C uu
If a medication order does not include the route, the nurse must ask the health care
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu u
assume the route of administration.
uu uu uu uu uu
DIF: Cognitive Level: Application | Cognitive Level: Analysis uu uu uu uu uu uu
7. Which constitutes the traditional Five Rights of medication administration?
uu uu uu uu uu uu uu uu
a. Right drug, right route, right dose, right time, and right patient
uu uu uu uu uu uu uu uu uu uu
b. Right drug, the right effect, the right route, the right time, and the right patient
uu uu uu uu uu uu uu uu uu uu uu uu uu uu
c. Right patient, right strength, right diagnosis, right drug, and right route
uu uu uu uu uu uu uu uu uu uu
d. Right patient, right diagnosis, right drug, right route, and right time
uu uu uu uu uu uu uu uu uu uu
ANS: A uu
The traditional Five Rights of medication administration were considered to be Right
uu uu uu uu uu uu uu uu uu uu uu uu
e, Right time, and Right patient. Right effect, right strength, and right diagnosis are n
uu uu uu uu uu uu uu uu uu uu uu uu uu uu
ve Rights.uu
DIF: Cognitive Level: Comprehension uu uu
8. What correctly describes the nursing process?
uu uu uu uu uu
a. Diagnosing, planning, assessing, implementing, and finally evaluating uu uu uu uu uu uu
b. Assessing, then diagnosing, implementing, and ending with evaluating
uu uu uu uu uu uu uu
c. A linear direction that begins with assessing and continues throug
uu uu uu uu uu uu uu uu uu
h diagnosing, planning, and finally implementing
uu uu uu uu uu
d. An ongoing process that begins with assessing and continues wit
uu uu uu uu uu uu uu uu uu
h diagnosing, planning, implementing, and evaluating
uu uu uu uu uu
ANS: D uu
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
uu uu uu uu uu uu uu uu uu uu
step process that begins with assessing and continues through diagnosing, planning, i
uu uu uu uu uu uu uu uu uu uu uu
lly evaluating, which may then lead back to any of the other phases.
uu uu uu uu uu uu uu uu uu uu uu uu
DIF: Cognitive Level: Application uu uu
9. When the nurse is considering the timing of a drug dose, which is most important to
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
a. The patient’s identification uu uu
b. The patient’s weight uu uu
c. The patient’s last meal uu uu uu
d. Any drug or food allergies uu uu uu uu
ANS: C uu
, lOMoARcPSD| 13728229
step process. The only complete answer is “Anxiety related to new drug therapy, as e
uu uu uu uu uu uu uu uu uu uu uu uu uu uu
s such as ‘I’m upset about having to give myself shots.’” The answer “Anxiety” is mis
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
d “as evidenced by” portions. The answer “Anxiety related to new drug therapy” is m
uu uu uu uu uu uu uu uu uu uu uu uu uu uu
d by” portion of defining characteristics. The “related to” section in “Anxiety related t
uu uu uu uu uu uu uu uu uu uu uu uu uu
t drug therapy, as evidenced by statements such as ‘I’m upset about having to give m
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
a restatement of the problem “anxiety,” not a separate factor related to the respons
uu uu uu uu uu uu uu uu uu uu uu uu uu
DIF: Cognitive Level: Analysis uu uu
OTHER
1. Place the phases of the nursing process in the correct order, starting with the first ph
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
uu uu uu uu
DIF: Cognitive Level: Analysis uu uu
