,Chapter 01: Nursing Practice in Canada and Drug Therapy
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MULTIPLE CHOICE vb
1. Which is a judgement about a particular patient’s potential need or problem?
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a. A goal
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b. An assessment
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c. Subjective data vb
d. A nursing diagnosis
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ANS: D vb
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
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how a patient responds to heath conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge vb vb
2.
The patient is to receive oral furosemide (Lasix) every day; however, because the patient is una
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ble to swallow, he cannot take medication orally, as ordered. The nurse needs to contact the physician.
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What type of problem is this?
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a. A “right time” problem
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b. A “right dose” problem
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c. A “right route” problem
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d. A “right medication” problem
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ANS: C vb
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the
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prescriber. This is not a “right time” problem because the ordered frequency has not changed. This is n
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ot a “right dose” problem because the dose is not related to an inability to swallow. This is not a “right
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medication” problem because the medication ordered will not change, just the route.
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DIF: Cognitive Level: Application vb vb
3.
The nurse has been monitoring the patient’s progress on his new drug regimen since the first d
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ose and has been documenting signs of possible adverse effects. What nursing process phase is the nur
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se practising?
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a. Planning
,b. Evaluation
c. Implementation
d. Nursing diagnosis vb
ANS: B vb
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursin
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g diagnosis are not illustrated by this example.
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DIF: Cognitive Level: Application
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4.
The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus.
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Which statement best illustrates an outcome criterion for this patient?
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a. The patient will follow instructions.
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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 vb
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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oiding complications are not specific criteria. Adherence to the new insulin treatment regimen is not o
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bjective and would be difficult to measure.
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DIF: Cognitive Level: Application
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5.
Which activity best reflects the implementation phase of the nursing process for the patient w
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ho is newly diagnosed with type 1 diabetes mellitus?
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a. Providing education regarding self-injection technique
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b. Setting goals and outcome criteria with the patient’s input
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c. Recording a history of over-the-counter medications used at home
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d.
Formulating nursing diagnoses regarding knowledge deficits related to the new treatment regi
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men
ANS: A vb
, Education is an intervention that occurs during the implementation phase. Setting goals and outcome c
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riteria reflects the planning phase. Recording a drug history reflects the assessment phase. Formulating
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nursing diagnoses regarding a knowledge deficit reflects analysis of data as part of the planning phase.
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DIF: Cognitive Level: Analysis vb vb
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6.
The nurse is working during a very busy night shift, and the health care provider has just given
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the nurse a medication order over the telephone, but the nurse does not recall the route. What is the
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best way for the nurse to avoid medication errors?
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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 vb
If a medication order does not include the route, the nurse must ask the health care provider to clarify
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it. Never assume the route of administration.
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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 vb
The traditional Five Rights of medication administration were considered to be Right drug, Right route,
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Right dose, Right time, and Right patient. Right effect, right strength, and right diagnosis are not part o
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f the traditional Five Rights.
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DIF: Cognitive Level: Comprehension vb vb
8. What correctly describes the nursing process?
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MULTIPLE CHOICE vb
1. Which is a judgement about a particular patient’s potential need or problem?
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a. A goal
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b. An assessment
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c. Subjective data vb
d. A nursing diagnosis
vb vb
ANS: D vb
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
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how a patient responds to heath conditions and life processes or vulnerability for that response.
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DIF: Cognitive Level: Knowledge vb vb
2.
The patient is to receive oral furosemide (Lasix) every day; however, because the patient is una
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
ble to swallow, he cannot take medication orally, as ordered. The nurse needs to contact the physician.
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
What type of problem is this?
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a. A “right time” problem
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b. A “right dose” problem
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c. A “right route” problem
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d. A “right medication” problem
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ANS: C vb
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the
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prescriber. This is not a “right time” problem because the ordered frequency has not changed. This is n
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ot a “right dose” problem because the dose is not related to an inability to swallow. This is not a “right
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medication” problem because the medication ordered will not change, just the route.
b vb vb vb vb vb vb vb vb vb vb vb
DIF: Cognitive Level: Application vb vb
3.
The nurse has been monitoring the patient’s progress on his new drug regimen since the first d
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
ose and has been documenting signs of possible adverse effects. What nursing process phase is the nur
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
se practising?
vb
a. Planning
,b. Evaluation
c. Implementation
d. Nursing diagnosis vb
ANS: B vb
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursin
vb vb vb vb vb vb vb vb vb vb vb vb vb
g diagnosis are not illustrated by this example.
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DIF: Cognitive Level: Application
vb vb
4.
The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus.
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
Which statement best illustrates an outcome criterion for this patient?
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a. The patient will follow instructions.
vb vb vb vb
b. The patient will not experience complications.
vb vb vb vb vb
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 vb
Having the patient demonstrate safe insulin self-
vb vb vb vb vb vb
administration technique is a specific and measurable outcome criterion. Following instructions and av
vb vb vb vb vb vb vb vb vb vb vb vb
oiding complications are not specific criteria. Adherence to the new insulin treatment regimen is not o
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
bjective and would be difficult to measure.
vb vb vb vb vb vb
DIF: Cognitive Level: Application
vb vb
5.
Which activity best reflects the implementation phase of the nursing process for the patient w
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ho is newly diagnosed with type 1 diabetes mellitus?
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a. Providing education regarding self-injection technique
vb vb vb vb
b. Setting goals and outcome criteria with the patient’s input
vb vb vb vb vb vb vb vb
c. Recording a history of over-the-counter medications used at home
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d.
Formulating nursing diagnoses regarding knowledge deficits related to the new treatment regi
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men
ANS: A vb
, Education is an intervention that occurs during the implementation phase. Setting goals and outcome c
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riteria reflects the planning phase. Recording a drug history reflects the assessment phase. Formulating
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nursing diagnoses regarding a knowledge deficit reflects analysis of data as part of the planning phase.
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DIF: Cognitive Level: Analysis vb vb
vb
6.
The nurse is working during a very busy night shift, and the health care provider has just given
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
the nurse a medication order over the telephone, but the nurse does not recall the route. What is the
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
best way for the nurse to avoid medication errors?
vb vb vb vb vb vb vb vb
a. Recopy the order neatly on the order sheet, with the most common route indicated
vb vb vb vb vb vb vb vb vb vb vb vb vb
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 vb
If a medication order does not include the route, the nurse must ask the health care provider to clarify
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
it. Never assume the route of administration.
vb vb vb vb vb vb
DIF: Cognitive Level: Application | Cognitive Level: Analysis
vb vb vb vb vb vb
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
vb vb vb vb vb vb vb vb vb vb
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
vb vb vb vb vb vb vb vb vb vb
ANS: A vb
The traditional Five Rights of medication administration were considered to be Right drug, Right route,
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
Right dose, Right time, and Right patient. Right effect, right strength, and right diagnosis are not part o
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
f the traditional Five Rights.
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DIF: Cognitive Level: Comprehension vb vb
8. What correctly describes the nursing process?
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