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