lOMoARcPSD| 13728229
lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
h3 h3 h3 h3 h3 h3 h3 h3
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
h3 h3 h3 h3 h3 h3 h3 h3 h3
MULTIPLE CHOICE h3
1. Which is a judgement about a particular patient‘s potential need or problem?
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a. A goal h3
b. An assessment h3
c. Subjective data h3
d. A nursing diagnosis
h3 h3
ANS: D h3
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made abo
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o heath conditions and life processes or vulnerability for that response.
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
DIF: Cognitive Level: Knowledge h3 h3
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable t
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
ake medication orally, as ordered. The nurse needs to contact the physician. What type of problem i
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
a. A ―right time‖ problem
h3 h3 h3
b. A ―right dose‖ problem
h3 h3 h3
c. A ―right route‖ problem
h3 h3 h3
d. A ―right medication‖ problem
h3 h3 h3
ANS: C h3
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with th
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
right time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ probl
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
related to an inability to swallow. This is not a ―right medication‖ problem because the medication
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
t the route.
h3 h3
DIF: Cognitive Level: Application h3 h3
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose an
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
gns of possible adverse effects. What nursing process phase is the nurse practising?
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis h3
ANS: B h3
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nurs
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
ated by this example.
h3 h3 h3
DIF: Cognitive Level: Application h3 h3
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
s an outcome criterion for this patient?
h3 h3 h3 h3 h3 h3
a. The patient will follow instructions.
h3 h3 h3 h3
b. The patient will not experience complications.
h3 h3 h3 h3 h3
c. The patient adheres to the new insulin treatment regimen.
h3 h3 h3 h3 h3 h3 h3 h3
d. The patient demonstrates safe insulin self-administration technique.
h3 h3 h3 h3 h3 h3
ANS: D h3
Having the patient demonstrate safe insulin self-
h3 h3 h3 h3 h3 h3
administration technique is a specific and measurable outcome criterion. Following instructions and
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
not specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
DIF: Cognitive Level: Application h3 h3
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the n
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
over the telephone, but the nurse does not recall the route. What is the best way for the nurse to avo
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
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
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
d. Withhold the drug until the health care provider visits the patient
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
ANS: C h3
If a medication order does not include the route, the nurse must ask the health care provider to clarif
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
administration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
h3 h3 h3 h3 h3 h3
7. Which constitutes the traditional Five Rights of medication administration?
h3 h3 h3 h3 h3 h3 h3 h3
a. Right drug, right route, right dose, right time, and right patient
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
b. Right drug, the right effect, the right route, the right time, and the right patient
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
c. Right patient, right strength, right diagnosis, right drug, and right route
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
d. Right patient, right diagnosis, right drug, right route, and right time
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
ANS: A h3
The traditional Five Rights of medication administration were considered to be Right drug, Right rou
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rig
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
DIF: Cognitive Level: Comprehension h3 h3
8. What correctly describes the nursing process?
h3 h3 h3 h3 h3
a. Diagnosing, planning, assessing, implementing, and finally evaluating
h3 h3 h3 h3 h3 h3
b. Assessing, then diagnosing, implementing, and ending with evaluating
h3 h3 h3 h3 h3 h3 h3
c. A linear direction that begins with assessing and continues through diagnosin
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
g, planning, and finally implementing
h3 h3 h3 h3
d. An ongoing process that begins with assessing and continues with diagnosin
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
g, planning, implementing, and evaluating
h3 h3 h3 h3
ANS: D h3
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
step process that begins with assessing and continues through diagnosing, planning, implementing, a
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
h may then lead back to any of the other phases.
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
DIF: Cognitive Level: Application h3 h3
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
a. The patient‘s identification h3 h3
b. The patient‘s weight h3 h3
c. The patient‘s last meal h3 h3 h3
d. Any drug or food allergies h3 h3 h3 h3
ANS: C h3
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allerg
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
‘s timing.
h3
DIF: Cognitive Level: Application h3 h3
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her n
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
a. Anxiety
b. Anxiety related to new drug therapy h3 h3 h3 h3 h3
c. Anxiety related to anxious feelings about drug therapy, as evidenced b
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
y statements such as ―I‘m upset about having to give myself shots‖
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
m upset about having to give myself shots‖
h3 h3 h3 h3 h3 h3 h3
, lOMoARcPSD| 13728229
Chapter 02: Pharmacological Principles
h3 h3 h3
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
h3 h3 h3 h3 h3 h3 h3 h3 h3
MULTIPLE CHOICE h3
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both a
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
n in identical amounts. Which term best denotes that the drugs have the same absorption rates?
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D h3
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the sam
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
are bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effec
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
the effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term u
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
stances do not have a chemical reaction when mixed (or given, in the case of drugs) together.
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
DIF: Cognitive Level: Comprehension h3 h3
2. A patient is receiving medication via intravenous injection. Which information should the nurse prov
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
a. The medication will cause fewer adverse effects when given intravenously.
h3 h3 h3 h3 h3 h3 h3 h3 h3
b. The medication will be absorbed slowly into the tissues over time.
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
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 h3
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the n
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
he intravenous route is not a slow route of absorption, and the intravenous route does not cause inac
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
liver before it reaches the target area.
h3 h3 h3 h3 h3 h3 h3
DIF: Cognitive Level: Comprehension h3 h3
3. Which is true regarding parenteral drugs?
h3 h3 h3 h3 h3
a. They bypass the first-pass effect. h3 h3 h3 h3
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.
h3 h3 h3 h3 h3 h3 h3 h3
ANS: A h3
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. E
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rally), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of f
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ral drugs must be absorbed into cells and tissues from the circulation before they can exert their eff
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effects while circulating in the bloodstream.
h3 h3 h3 h3 h3
DIF: Cognitive Level: Analysis h3 h3
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- h3 h3 h3 h3
half of the original amount of a drug to reach the target cells.
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
c. The time it takes one-
h3 h3 h3 h3
half of the original amount of a drug to be removed from the body.
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
d. The time it takes one-
h3 h3 h3 h3
half of the original amount of a drug to be absorbed into the circulation.
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
ANS: C h3
lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
h3 h3 h3 h3 h3 h3 h3 h3
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
h3 h3 h3 h3 h3 h3 h3 h3 h3
MULTIPLE CHOICE h3
1. Which is a judgement about a particular patient‘s potential need or problem?
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
a. A goal h3
b. An assessment h3
c. Subjective data h3
d. A nursing diagnosis
h3 h3
ANS: D h3
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made abo
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
o heath conditions and life processes or vulnerability for that response.
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
DIF: Cognitive Level: Knowledge h3 h3
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable t
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
ake medication orally, as ordered. The nurse needs to contact the physician. What type of problem i
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
a. A ―right time‖ problem
h3 h3 h3
b. A ―right dose‖ problem
h3 h3 h3
c. A ―right route‖ problem
h3 h3 h3
d. A ―right medication‖ problem
h3 h3 h3
ANS: C h3
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with th
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
right time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ probl
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
related to an inability to swallow. This is not a ―right medication‖ problem because the medication
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
t the route.
h3 h3
DIF: Cognitive Level: Application h3 h3
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose an
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
gns of possible adverse effects. What nursing process phase is the nurse practising?
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis h3
ANS: B h3
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nurs
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
ated by this example.
h3 h3 h3
DIF: Cognitive Level: Application h3 h3
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
s an outcome criterion for this patient?
h3 h3 h3 h3 h3 h3
a. The patient will follow instructions.
h3 h3 h3 h3
b. The patient will not experience complications.
h3 h3 h3 h3 h3
c. The patient adheres to the new insulin treatment regimen.
h3 h3 h3 h3 h3 h3 h3 h3
d. The patient demonstrates safe insulin self-administration technique.
h3 h3 h3 h3 h3 h3
ANS: D h3
Having the patient demonstrate safe insulin self-
h3 h3 h3 h3 h3 h3
administration technique is a specific and measurable outcome criterion. Following instructions and
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
not specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
DIF: Cognitive Level: Application h3 h3
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the n
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
over the telephone, but the nurse does not recall the route. What is the best way for the nurse to avo
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
a. Recopy the order neatly on the order sheet, with the most common route indicated
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
b. Consult with the pharmacist for clarification about the most common route
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
c. Call the health care provider to clarify the route of administration
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
d. Withhold the drug until the health care provider visits the patient
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
ANS: C h3
If a medication order does not include the route, the nurse must ask the health care provider to clarif
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
administration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
h3 h3 h3 h3 h3 h3
7. Which constitutes the traditional Five Rights of medication administration?
h3 h3 h3 h3 h3 h3 h3 h3
a. Right drug, right route, right dose, right time, and right patient
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
b. Right drug, the right effect, the right route, the right time, and the right patient
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
c. Right patient, right strength, right diagnosis, right drug, and right route
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
d. Right patient, right diagnosis, right drug, right route, and right time
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
ANS: A h3
The traditional Five Rights of medication administration were considered to be Right drug, Right rou
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rig
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
DIF: Cognitive Level: Comprehension h3 h3
8. What correctly describes the nursing process?
h3 h3 h3 h3 h3
a. Diagnosing, planning, assessing, implementing, and finally evaluating
h3 h3 h3 h3 h3 h3
b. Assessing, then diagnosing, implementing, and ending with evaluating
h3 h3 h3 h3 h3 h3 h3
c. A linear direction that begins with assessing and continues through diagnosin
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
g, planning, and finally implementing
h3 h3 h3 h3
d. An ongoing process that begins with assessing and continues with diagnosin
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
g, planning, implementing, and evaluating
h3 h3 h3 h3
ANS: D h3
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
step process that begins with assessing and continues through diagnosing, planning, implementing, a
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
h may then lead back to any of the other phases.
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
DIF: Cognitive Level: Application h3 h3
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
a. The patient‘s identification h3 h3
b. The patient‘s weight h3 h3
c. The patient‘s last meal h3 h3 h3
d. Any drug or food allergies h3 h3 h3 h3
ANS: C h3
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allerg
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
‘s timing.
h3
DIF: Cognitive Level: Application h3 h3
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her n
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
a. Anxiety
b. Anxiety related to new drug therapy h3 h3 h3 h3 h3
c. Anxiety related to anxious feelings about drug therapy, as evidenced b
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
y statements such as ―I‘m upset about having to give myself shots‖
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
m upset about having to give myself shots‖
h3 h3 h3 h3 h3 h3 h3
, lOMoARcPSD| 13728229
Chapter 02: Pharmacological Principles
h3 h3 h3
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
h3 h3 h3 h3 h3 h3 h3 h3 h3
MULTIPLE CHOICE h3
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both a
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
n in identical amounts. Which term best denotes that the drugs have the same absorption rates?
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D h3
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the sam
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
are bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effec
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
the effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term u
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
stances do not have a chemical reaction when mixed (or given, in the case of drugs) together.
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
DIF: Cognitive Level: Comprehension h3 h3
2. A patient is receiving medication via intravenous injection. Which information should the nurse prov
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
a. The medication will cause fewer adverse effects when given intravenously.
h3 h3 h3 h3 h3 h3 h3 h3 h3
b. The medication will be absorbed slowly into the tissues over time.
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
c. The medication‘s action will begin faster when given intravenously.
h3 h3 h3 h3 h3 h3 h3 h3
d. Most of the drug is inactivated by the liver before it reaches the target area.
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
ANS: C h3
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the n
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
he intravenous route is not a slow route of absorption, and the intravenous route does not cause inac
h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3 h3
liver before it reaches the target area.
h3 h3 h3 h3 h3 h3 h3
DIF: Cognitive Level: Comprehension h3 h3
3. Which is true regarding parenteral drugs?
h3 h3 h3 h3 h3
a. They bypass the first-pass effect. h3 h3 h3 h3
b. They decrease blood flow to the stomach.
h3 h3 h3 h3 h3 h3
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.
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ANS: A h3
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. E
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rally), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of f
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ral drugs must be absorbed into cells and tissues from the circulation before they can exert their eff
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effects while circulating in the bloodstream.
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DIF: Cognitive Level: Analysis h3 h3
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- h3 h3 h3 h3
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 h3
