PHARMACOLOGY FOR CANADIAN HEALTH
tt tt tt
tt CARE PRACTICE 4TH EDITION LILLEY’S TEST
tt tt tt tt tt
BANK/ALL CHS1-58
tt tt t
,CH 01: Nursing Practice in Canada and Drug Therapy
tt tt tt tt tt tt tt tt
Lilley: Pharmacology for Canadian Primary care Practice, 4TH Canadian Edition
tt tt tt tt tt tt tt tt tt
MULTIPLE ttCHOICE
1. Which ttis tta ttjudgment ttabout tta ttparticular tthospital ttclient‘s ttpotential ttneed ttor ttproblem?
a. A ttgoal
b. An ttassessment
c. Subjective ttdata
d. A ttnursing ttdiagnosis
ACCURATE ttANS:- t t D
Reasoning:->>> ttNursing ttdiagnosis ttis ttthe ttphase ttof ttthe ttnursing ttprocess ttduring ttwhich tta
ttclinicaltjudgement tt is tt made tt about tt how tt a tt hospital tt client tt responds tt to tt heath tt conditions
ttand tt life tt processes tt or tt vulnerability tt for ttthat ttresponse.
DIFFICULT: ttCognitive ttLevel: ttKnowledge REF: ttp. tt11
2. The tthospital ttclient ttis ttto ttreceive ttoral ttfurosemide tt(Lasix) ttevery ttday; tthowever,
ttbecause tt the tt hospital tt client tt is tt unable tt to tt swallow, tt he tt cannot tt take tt medication tt orally,
ttas tt ordered. tt The tt nursing tt attendant tt needs ttto ttcontact ttthe ttphysician. tt What tttype tt of
ttproblem ttis ttthis?
a. A tt―right tttime‖ ttproblem
b. A tt―right ttdose‖ ttproblem
c. A tt―right ttroute‖ ttproblem
d. A tt―right ttmedication‖ ttproblem
ACCURATE ttANS:- t t C
Reasoning:->>>This t t is tta t t ―right t t route‖ t t problem: t t the t t nursing ttattendant t t cannot t t assume t t the
t t route t t and tt must ttclarify ttthe ttroute
with t t the t t prescriber. t t This t t is t t not t t a t t ―right t t time‖ t t problem t t because t t the t t ordered
t t frequency tt has t t nottchanged. ttThis ttis ttnot tta tt―right ttdose‖ tt problem ttbecause ttthe ttdose ttis ttnot
ttrelated ttto ttan ttinability tttots wallow. tt This tt is tt not tt a tt ―right tt medication‖ tt problem tt because
ttthe tt medication tt ordered tt will tt nottchange, ttjust tt the ttroute.
DIFFICULT: ttCognitive ttLevel: ttApplication REF: ttp. tt14
3. The ttnursing ttattendant tthas ttbeen ttmonitoring ttthe tthospital ttclient‘s ttprogress tton tthis ttnew
ttdrug tt regimen ttsince tt the ttfirst ttdose ttand tthas ttbeen tt documenting ttsigns ttof ttpossible ttadverse
tteffects. ttWhat ttnursingtp rocess ttphase ttis ttthe ttnursing tt attendant ttpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing ttdiagnosis
ACCURATE ttANS:- tt B
Reasoning:->>>Monitoring ttthe tthospital ttclient‘s ttprogress ttis ttpart ttof ttthe ttevaluation ttphase. ttPlanning,
timplementation, ttand tt nursing ttdiagnosis ttare ttnot tt illustrated tt by ttthis ttexample.
DIFFICULT: ttCognitive ttLevel: ttApplication REF: ttp. tt19
,4. The ttnursing ttattendant ttis ttcaring ttfor tta tthospital ttclient ttwho tthas ttbeen ttnewly ttdiagnosed
ttwith tttype tt1dt iabetes t t mellitus. t t Which t t statement t t best t t illustrates t t an t t outcome
t t criterion t t for t t this t t hospital ttclient?
a. The t t hospital ttclient t t will t t follow t t instructions.
b. The tthospital ttclient ttwill ttnot ttexperience ttcomplications.
c. The tthospital ttclient ttadheres ttto ttthe ttnew ttinsulin tttreatment ttregimen.
d. The t t hospital ttclient t t demonstrates t t safe t t insulin t t self-administration t t technique.
ACCURATE ttANS:- t t D
Reasoning:->>>Having t t the t t hospital ttclient t t demonstrate t t safe t t insulin t t self-
administration t t technique t t is t t a ttspecific ttand ttmeasurable ttoutcome ttcriterion. ttFollowing
ttinstructions tt and tt avoiding ttcomplications t t are t t not t t specific t t criteria. t t Adherence t t to t t the
t t new t t insulin t t treatment t t regimen t t is t t not ttobjective ttand tt would tt be tt Difficult ttto tt measure.
DIFFICULT: ttCognitive ttLevel: ttApplication REF: ttp. tt13
5. Which ttactivity ttbest ttreflects ttthe ttimplementation ttphase ttof ttthe ttnursing ttprocess ttfor ttthe
tthospital ttclienttw ho tt is ttnewly ttdiagnosed tt with tttype tt1 ttdiabetes tt mellitus?
a. Providing t t education t t regarding t t self-injection t t technique
b. Setting ttgoals ttand ttoutcome ttcriteria ttwith ttthe tthospital ttclient‘s ttinput
c. Recording t t a t t history t t of t t over-the-counter t t medications t t used t t at t t home
d. Formulating t t nursing t t diagnoses t t regarding t t knowledge t t deficits t t related t t to
t t the t t new tt treatment ttregimen
ACCURATE ttANS:- t t A
Reasoning:->>>Education ttis ttan ttintervention ttthat ttoccurs ttduring ttthe ttimplementation ttphase.
ttSetting tt goals tt and tt outcome tt criteria tt reflects tt the tt planning tt phase. tt Recording tt a tt drug
tthistory ttreflects ttthe ttassessment ttphase. ttFormulating ttnursing ttdiagnoses ttregarding tta
ttknowledge ttdeficittr eflects ttanalysis tt of ttdata
as ttpart ttof ttthe ttplanning ttphase.
DIFFICULT: ttCognitive ttLevel: ttAnalysis REF: ttp. tt8 tt| ttp. tt13
6. The ttnursing ttattendant ttis ttworking ttduring tta ttvery ttbusy ttnight ttshift, ttand ttthe ttprimary
ttcare tt provider tthas ttjust ttgiven ttthe ttnursing tt attendant tta ttmedication ttorder ttover ttthe
tttelephone, ttbut ttthetn ursing tt attendant tt does tt not tt recall tt the tt route. tt What tt is tt the tt best tt way
ttfor tt the tt nursing tt attendant tt o ttavoid t t medication tt errors?
a. Recopy ttthe t t order t t neatly t t on t t the t t order t t sheet, t t with t t the t t most t t common t t route t t indicated
b. Consult ttwith ttthe ttpharmacist ttfor ttclarification ttabout ttthe ttmost ttcommon ttroute
c. Call ttthe ttprimary ttcare ttprovider ttto ttclarify ttthe ttroute ttof ttadministration
d. Withhold ttthe ttdrug ttuntil ttthe ttprimary ttcare ttprovider ttvisits ttthe tthospital ttclient
ACCURATE ttANS:- tt C
Reasoning:->>>If t t a t t medication t t order t t does t t not t t include t t the t t route, t t the t t nursing
ttattendant t t must tt ask ttthe ttprimary tt care tt provider ttto ttclarify ttit. tt Never ttassume ttthe ttroute ttof
ttadministration.
DIFFICULT: ttCognitive ttLevel: ttApplication tt| tCognitive ttLevel: ttAnalysis t t REF: t t p. tt17
7. Which t t constitutes t t the t t traditional t t Five t t Rights t t of t t medication t t administration?
a. Right ttdrug, ttright ttroute, ttright ttdose, ttright tttime, ttand ttright tthospital ttclient
b. Right ttdrug, ttthe ttright tteffect, ttthe ttright ttroute, ttthe ttright tttime, ttand ttthe ttright tthospital ttclient
c. Right tthospital ttclient, ttright ttstrength, ttright ttdiagnosis, ttright ttdrug, ttand ttright ttroute
d. Right tthospital ttclient, ttright ttdiagnosis, ttright ttdrug, ttright ttroute, ttand ttright tttime
ACCURATE ttANS:- t t A
, The tttraditional ttFive ttRights ttof ttmedication ttadministration ttwere ttconsidered ttto ttbe ttRight
ttdrug, tR ight tt route, tt Right tt dose, tt Right tt time, tt and tt Right tt hospital tt client. tt Right tt effect,
ttright tt strength, tt and ttright tt diagnosis ttare ttnot tt part tt of ttthe tttraditional tt Five tt Rights.
DIFFICULT: ttCognitive ttLevel: ttComprehension REF: tt tt ttp. tt13
8. What t t correctly t t describes t t the t t nursing t t process?
a. Diagnosing, t t planning, t t assessing, t t implementing, t t and t t finally t t evaluating
b. Assessing, ttthen ttdiagnosing, ttimplementing, ttand ttending ttwith ttevaluating
c. A ttlinear ttdirection ttthat ttbegins ttwith ttassessing ttand ttcontinues ttthrough
ttdiagnosing,tp lanning, ttand tt finally ttimplementing
d. An t t ongoing t t process t t that t t begins t t with t t assessing t t and t t continues t t with
t t diagnosing,tp lanning, tt implementing, ttand tt evaluating
ACCURATE ttANS:- t t D
Reasoning:->>>The t t nursing t t process t t is t t an t t ongoing, t t flexible, t t adaptable, t t and
t t adjustable t t five- ttstep t t process t t that t t begins t t with ttassessing t t and t t continues tt through
t t diagnosing, t t planning, ttimplementing, t t and t t finally t t evaluating, t t which t t may t t then t t lead
t t back t t to t t any t t of t t the t t other t t phases.
DIFFICULT: ttCognitive ttLevel: ttApplication REF: ttp. tt8
9. When ttthe ttnursing ttattendant ttis ttconsidering ttthe tttiming ttof tta ttdrug ttdose, ttwhich ttis ttmost
ttimportant tttotassess?
a. The t t hospital ttclient‘s t t identification
b. The tthospital ttclient‘s ttweight
c. The tthospital ttclient‘s ttlast tt meal
d. Any ttdrug ttor ttfood ttallergies
ACCURATE ttANS:- t t C
Reasoning:->>>The ttpharmacokinetic ttand ttpharmacodynamic ttproperties ttof ttthe ttdrug ttneed ttto
ttbetassessed tt with
regard t t to t t any t t drug–food t t interactions t t or t t compatibility t t issues. t t The t t hospital ttclient‘s
t t identification, tt weight, ttand tt drug tt or tt food tt allergies ttare ttnot ttaffected tt by ttthe ttdrug‘s tttiming.
DIFFICULT: ttCognitive ttLevel: ttApplication REF: ttp. tt17
10. The ttnursing ttattendant ttis ttwriting ttnursing ttdiagnoses ttfor tta ttplan ttof ttcare. ttWhich ttreflects
ttthetcorrect t t format t t for tt her tt nursing tt diagnosis?
a. Anxiety
b. Anxiety ttrelated ttto ttnew ttdrug tttherapy
c. Anxiety t t related t t to t t anxious t t feelings t t about t t drug t t therapy, t t as t t evidenced
t t by t t statementsts uch ttas tt―I‘m ttupset ttabout tt having tt to tt give tt myself t t shots‖
d. Anxiety t t related t t to t t new ttdrug tttherapy, ttas t t evidenced t t by t t statements t t such
t t as tt―I‘mtu pset tt about tt having ttto tt give tt myself ttshots‖
ACCURATE ttANS:- t t D
tt tt tt
tt CARE PRACTICE 4TH EDITION LILLEY’S TEST
tt tt tt tt tt
BANK/ALL CHS1-58
tt tt t
,CH 01: Nursing Practice in Canada and Drug Therapy
tt tt tt tt tt tt tt tt
Lilley: Pharmacology for Canadian Primary care Practice, 4TH Canadian Edition
tt tt tt tt tt tt tt tt tt
MULTIPLE ttCHOICE
1. Which ttis tta ttjudgment ttabout tta ttparticular tthospital ttclient‘s ttpotential ttneed ttor ttproblem?
a. A ttgoal
b. An ttassessment
c. Subjective ttdata
d. A ttnursing ttdiagnosis
ACCURATE ttANS:- t t D
Reasoning:->>> ttNursing ttdiagnosis ttis ttthe ttphase ttof ttthe ttnursing ttprocess ttduring ttwhich tta
ttclinicaltjudgement tt is tt made tt about tt how tt a tt hospital tt client tt responds tt to tt heath tt conditions
ttand tt life tt processes tt or tt vulnerability tt for ttthat ttresponse.
DIFFICULT: ttCognitive ttLevel: ttKnowledge REF: ttp. tt11
2. The tthospital ttclient ttis ttto ttreceive ttoral ttfurosemide tt(Lasix) ttevery ttday; tthowever,
ttbecause tt the tt hospital tt client tt is tt unable tt to tt swallow, tt he tt cannot tt take tt medication tt orally,
ttas tt ordered. tt The tt nursing tt attendant tt needs ttto ttcontact ttthe ttphysician. tt What tttype tt of
ttproblem ttis ttthis?
a. A tt―right tttime‖ ttproblem
b. A tt―right ttdose‖ ttproblem
c. A tt―right ttroute‖ ttproblem
d. A tt―right ttmedication‖ ttproblem
ACCURATE ttANS:- t t C
Reasoning:->>>This t t is tta t t ―right t t route‖ t t problem: t t the t t nursing ttattendant t t cannot t t assume t t the
t t route t t and tt must ttclarify ttthe ttroute
with t t the t t prescriber. t t This t t is t t not t t a t t ―right t t time‖ t t problem t t because t t the t t ordered
t t frequency tt has t t nottchanged. ttThis ttis ttnot tta tt―right ttdose‖ tt problem ttbecause ttthe ttdose ttis ttnot
ttrelated ttto ttan ttinability tttots wallow. tt This tt is tt not tt a tt ―right tt medication‖ tt problem tt because
ttthe tt medication tt ordered tt will tt nottchange, ttjust tt the ttroute.
DIFFICULT: ttCognitive ttLevel: ttApplication REF: ttp. tt14
3. The ttnursing ttattendant tthas ttbeen ttmonitoring ttthe tthospital ttclient‘s ttprogress tton tthis ttnew
ttdrug tt regimen ttsince tt the ttfirst ttdose ttand tthas ttbeen tt documenting ttsigns ttof ttpossible ttadverse
tteffects. ttWhat ttnursingtp rocess ttphase ttis ttthe ttnursing tt attendant ttpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing ttdiagnosis
ACCURATE ttANS:- tt B
Reasoning:->>>Monitoring ttthe tthospital ttclient‘s ttprogress ttis ttpart ttof ttthe ttevaluation ttphase. ttPlanning,
timplementation, ttand tt nursing ttdiagnosis ttare ttnot tt illustrated tt by ttthis ttexample.
DIFFICULT: ttCognitive ttLevel: ttApplication REF: ttp. tt19
,4. The ttnursing ttattendant ttis ttcaring ttfor tta tthospital ttclient ttwho tthas ttbeen ttnewly ttdiagnosed
ttwith tttype tt1dt iabetes t t mellitus. t t Which t t statement t t best t t illustrates t t an t t outcome
t t criterion t t for t t this t t hospital ttclient?
a. The t t hospital ttclient t t will t t follow t t instructions.
b. The tthospital ttclient ttwill ttnot ttexperience ttcomplications.
c. The tthospital ttclient ttadheres ttto ttthe ttnew ttinsulin tttreatment ttregimen.
d. The t t hospital ttclient t t demonstrates t t safe t t insulin t t self-administration t t technique.
ACCURATE ttANS:- t t D
Reasoning:->>>Having t t the t t hospital ttclient t t demonstrate t t safe t t insulin t t self-
administration t t technique t t is t t a ttspecific ttand ttmeasurable ttoutcome ttcriterion. ttFollowing
ttinstructions tt and tt avoiding ttcomplications t t are t t not t t specific t t criteria. t t Adherence t t to t t the
t t new t t insulin t t treatment t t regimen t t is t t not ttobjective ttand tt would tt be tt Difficult ttto tt measure.
DIFFICULT: ttCognitive ttLevel: ttApplication REF: ttp. tt13
5. Which ttactivity ttbest ttreflects ttthe ttimplementation ttphase ttof ttthe ttnursing ttprocess ttfor ttthe
tthospital ttclienttw ho tt is ttnewly ttdiagnosed tt with tttype tt1 ttdiabetes tt mellitus?
a. Providing t t education t t regarding t t self-injection t t technique
b. Setting ttgoals ttand ttoutcome ttcriteria ttwith ttthe tthospital ttclient‘s ttinput
c. Recording t t a t t history t t of t t over-the-counter t t medications t t used t t at t t home
d. Formulating t t nursing t t diagnoses t t regarding t t knowledge t t deficits t t related t t to
t t the t t new tt treatment ttregimen
ACCURATE ttANS:- t t A
Reasoning:->>>Education ttis ttan ttintervention ttthat ttoccurs ttduring ttthe ttimplementation ttphase.
ttSetting tt goals tt and tt outcome tt criteria tt reflects tt the tt planning tt phase. tt Recording tt a tt drug
tthistory ttreflects ttthe ttassessment ttphase. ttFormulating ttnursing ttdiagnoses ttregarding tta
ttknowledge ttdeficittr eflects ttanalysis tt of ttdata
as ttpart ttof ttthe ttplanning ttphase.
DIFFICULT: ttCognitive ttLevel: ttAnalysis REF: ttp. tt8 tt| ttp. tt13
6. The ttnursing ttattendant ttis ttworking ttduring tta ttvery ttbusy ttnight ttshift, ttand ttthe ttprimary
ttcare tt provider tthas ttjust ttgiven ttthe ttnursing tt attendant tta ttmedication ttorder ttover ttthe
tttelephone, ttbut ttthetn ursing tt attendant tt does tt not tt recall tt the tt route. tt What tt is tt the tt best tt way
ttfor tt the tt nursing tt attendant tt o ttavoid t t medication tt errors?
a. Recopy ttthe t t order t t neatly t t on t t the t t order t t sheet, t t with t t the t t most t t common t t route t t indicated
b. Consult ttwith ttthe ttpharmacist ttfor ttclarification ttabout ttthe ttmost ttcommon ttroute
c. Call ttthe ttprimary ttcare ttprovider ttto ttclarify ttthe ttroute ttof ttadministration
d. Withhold ttthe ttdrug ttuntil ttthe ttprimary ttcare ttprovider ttvisits ttthe tthospital ttclient
ACCURATE ttANS:- tt C
Reasoning:->>>If t t a t t medication t t order t t does t t not t t include t t the t t route, t t the t t nursing
ttattendant t t must tt ask ttthe ttprimary tt care tt provider ttto ttclarify ttit. tt Never ttassume ttthe ttroute ttof
ttadministration.
DIFFICULT: ttCognitive ttLevel: ttApplication tt| tCognitive ttLevel: ttAnalysis t t REF: t t p. tt17
7. Which t t constitutes t t the t t traditional t t Five t t Rights t t of t t medication t t administration?
a. Right ttdrug, ttright ttroute, ttright ttdose, ttright tttime, ttand ttright tthospital ttclient
b. Right ttdrug, ttthe ttright tteffect, ttthe ttright ttroute, ttthe ttright tttime, ttand ttthe ttright tthospital ttclient
c. Right tthospital ttclient, ttright ttstrength, ttright ttdiagnosis, ttright ttdrug, ttand ttright ttroute
d. Right tthospital ttclient, ttright ttdiagnosis, ttright ttdrug, ttright ttroute, ttand ttright tttime
ACCURATE ttANS:- t t A
, The tttraditional ttFive ttRights ttof ttmedication ttadministration ttwere ttconsidered ttto ttbe ttRight
ttdrug, tR ight tt route, tt Right tt dose, tt Right tt time, tt and tt Right tt hospital tt client. tt Right tt effect,
ttright tt strength, tt and ttright tt diagnosis ttare ttnot tt part tt of ttthe tttraditional tt Five tt Rights.
DIFFICULT: ttCognitive ttLevel: ttComprehension REF: tt tt ttp. tt13
8. What t t correctly t t describes t t the t t nursing t t process?
a. Diagnosing, t t planning, t t assessing, t t implementing, t t and t t finally t t evaluating
b. Assessing, ttthen ttdiagnosing, ttimplementing, ttand ttending ttwith ttevaluating
c. A ttlinear ttdirection ttthat ttbegins ttwith ttassessing ttand ttcontinues ttthrough
ttdiagnosing,tp lanning, ttand tt finally ttimplementing
d. An t t ongoing t t process t t that t t begins t t with t t assessing t t and t t continues t t with
t t diagnosing,tp lanning, tt implementing, ttand tt evaluating
ACCURATE ttANS:- t t D
Reasoning:->>>The t t nursing t t process t t is t t an t t ongoing, t t flexible, t t adaptable, t t and
t t adjustable t t five- ttstep t t process t t that t t begins t t with ttassessing t t and t t continues tt through
t t diagnosing, t t planning, ttimplementing, t t and t t finally t t evaluating, t t which t t may t t then t t lead
t t back t t to t t any t t of t t the t t other t t phases.
DIFFICULT: ttCognitive ttLevel: ttApplication REF: ttp. tt8
9. When ttthe ttnursing ttattendant ttis ttconsidering ttthe tttiming ttof tta ttdrug ttdose, ttwhich ttis ttmost
ttimportant tttotassess?
a. The t t hospital ttclient‘s t t identification
b. The tthospital ttclient‘s ttweight
c. The tthospital ttclient‘s ttlast tt meal
d. Any ttdrug ttor ttfood ttallergies
ACCURATE ttANS:- t t C
Reasoning:->>>The ttpharmacokinetic ttand ttpharmacodynamic ttproperties ttof ttthe ttdrug ttneed ttto
ttbetassessed tt with
regard t t to t t any t t drug–food t t interactions t t or t t compatibility t t issues. t t The t t hospital ttclient‘s
t t identification, tt weight, ttand tt drug tt or tt food tt allergies ttare ttnot ttaffected tt by ttthe ttdrug‘s tttiming.
DIFFICULT: ttCognitive ttLevel: ttApplication REF: ttp. tt17
10. The ttnursing ttattendant ttis ttwriting ttnursing ttdiagnoses ttfor tta ttplan ttof ttcare. ttWhich ttreflects
ttthetcorrect t t format t t for tt her tt nursing tt diagnosis?
a. Anxiety
b. Anxiety ttrelated ttto ttnew ttdrug tttherapy
c. Anxiety t t related t t to t t anxious t t feelings t t about t t drug t t therapy, t t as t t evidenced
t t by t t statementsts uch ttas tt―I‘m ttupset ttabout tt having tt to tt give tt myself t t shots‖
d. Anxiety t t related t t to t t new ttdrug tttherapy, ttas t t evidenced t t by t t statements t t such
t t as tt―I‘mtu pset tt about tt having ttto tt give tt myself ttshots‖
ACCURATE ttANS:- t t D
