lOMoARcPSD| 13728229
lOMoARcPSD| 13728229
,lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
xx xx xx xx xx xx xx xx
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
xx xx xx xx xx xx xx xx xx
MULTIPLE CHOICE xx
1. Which is a judgement about a particular patient‘s potential need or problem?
xx xx xx xx xx xx xx xx xx xx xx
a. A goal xx
b. An assessment xx
c. Subjective data xx
d. A nursing diagnosisxx xx
ANS: D xx
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made abo
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
o heath conditions and life processes or vulnerability for that response.
xx xx xx xx xx xx xx xx xx xx
DIF: Cognitive Level: Knowledge xx xx
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable t
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
ake medication orally, as ordered. The nurse needs to contact the physician. What type of problem i
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
a. A ―right time‖ problem
xx xx xx
b. A ―right dose‖ problem
xx xx xx
c. A ―right route‖ problem
xx xx xx
d. A ―right medication‖ problem
xx xx xx
ANS: C xx
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with th
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
right time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ probl
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
related to an inability to swallow. This is not a ―right medication‖ problem because the medication
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
t the route.
xx xx
DIF: Cognitive Level: Application xx xx
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose an
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
gns of possible adverse effects. What nursing process phase is the nurse practising?
xx xx xx xx xx xx xx xx xx xx xx xx
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis xx
ANS: B xx
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nurs
xx xx xx xx xx xx xx xx xx xx xx xx xx
ated by this example.
xx xx xx
DIF: Cognitive Level: Application xx xx
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
s an outcome criterion for this patient?
xx xx xx xx xx xx
a. The patient will follow instructions.
xx xx xx xx
b. The patient will not experience complications.
xx xx xx xx xx
c. The patient adheres to the new insulin treatment regimen.
xx xx xx xx xx xx xx xx
d. The patient demonstrates safe insulin self-administration technique.
xx xx xx xx xx xx
ANS: D xx
Having the patient demonstrate safe insulin self-
xx xx xx xx xx xx
administration technique is a specific and measurable outcome criterion. Following instructions and
xx xx xx xx xx xx xx xx xx xx xx xx
not specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
DIF: Cognitive Level: Application xx xx
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the n
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
over the telephone, but the nurse does not recall the route. What is the best way for the nurse to avo
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
a. Recopy the order neatly on the order sheet, with the most common route indicated
xx xx xx xx xx xx xx xx xx xx xx xx xx
b. Consult with the pharmacist for clarification about the most common route
xx xx xx xx xx xx xx xx xx xx
c. Call the health care provider to clarify the route of administration
xx xx xx xx xx xx xx xx xx xx
d. Withhold the drug until the health care provider visits the patient
xx xx xx xx xx xx xx xx xx xx
ANS: C xx
If a medication order does not include the route, the nurse must ask the health care provider to clarif
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
administration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
xx xx xx xx xx xx
7. Which constitutes the traditional Five Rights of medication administration?
xx xx xx xx xx xx xx xx
a. Right drug, right route, right dose, right time, and right patient
xx xx xx xx xx xx xx xx xx xx
b. Right drug, the right effect, the right route, the right time, and the right patient
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
c. Right patient, right strength, right diagnosis, right drug, and right route
xx xx xx xx xx xx xx xx xx xx
d. Right patient, right diagnosis, right drug, right route, and right time
xx xx xx xx xx xx xx xx xx xx
ANS: A xx
The traditional Five Rights of medication administration were considered to be Right drug, Right rou
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rig
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
DIF: Cognitive Level: Comprehension xx xx
8. What correctly describes the nursing process?
xx xx xx xx xx
a. Diagnosing, planning, assessing, implementing, and finally evaluating
xx xx xx xx xx xx
b. Assessing, then diagnosing, implementing, and ending with evaluating
xx xx xx xx xx xx xx
c. A linear direction that begins with assessing and continues through diagnosin
xx xx xx xx xx xx xx xx xx xx
g, planning, and finally implementing
xx xx xx xx
d. An ongoing process that begins with assessing and continues with diagnosin
xx xx xx xx xx xx xx xx xx xx
g, planning, implementing, and evaluating
xx xx xx xx
ANS: D xx
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
xx xx xx xx xx xx xx xx xx xx
step process that begins with assessing and continues through diagnosing, planning, implementing, a
xx xx xx xx xx xx xx xx xx xx xx xx
h may then lead back to any of the other phases.
xx xx xx xx xx xx xx xx xx xx
DIF: Cognitive Level: Application xx xx
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
a. The patient‘s identification xx xx
b. The patient‘s weight xx xx
c. The patient‘s last meal xx xx xx
d. Any drug or food allergies xx xx xx xx
ANS: C xx
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allerg
xx xx xx xx xx xx xx xx xx xx xx xx xx
‘s timing.
xx
DIF: Cognitive Level: Application xx xx
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her n
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
a. Anxiety
b. Anxiety related to new drug therapy xx xx xx xx xx
c. Anxiety related to anxious feelings about drug therapy, as evidenced b
xx xx xx xx xx xx xx xx xx xx
y statements such as ―I‘m upset about having to give myself shots‖
xx xx xx xx xx xx xx xx xx xx xx
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘
xx xx xx xx xx xx xx xx xx xx xx xx
m upset about having to give myself shots‖
xx xx xx xx xx xx xx
lOMoARcPSD| 13728229
,lOMoARcPSD| 13728229
, lOMoARcPSD| 13728229
Chapter 01: Nursing Practice in Canada and Drug Therapy
xx xx xx xx xx xx xx xx
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
xx xx xx xx xx xx xx xx xx
MULTIPLE CHOICE xx
1. Which is a judgement about a particular patient‘s potential need or problem?
xx xx xx xx xx xx xx xx xx xx xx
a. A goal xx
b. An assessment xx
c. Subjective data xx
d. A nursing diagnosisxx xx
ANS: D xx
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made abo
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
o heath conditions and life processes or vulnerability for that response.
xx xx xx xx xx xx xx xx xx xx
DIF: Cognitive Level: Knowledge xx xx
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable t
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
ake medication orally, as ordered. The nurse needs to contact the physician. What type of problem i
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
a. A ―right time‖ problem
xx xx xx
b. A ―right dose‖ problem
xx xx xx
c. A ―right route‖ problem
xx xx xx
d. A ―right medication‖ problem
xx xx xx
ANS: C xx
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with th
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
right time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ probl
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
related to an inability to swallow. This is not a ―right medication‖ problem because the medication
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
t the route.
xx xx
DIF: Cognitive Level: Application xx xx
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose an
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
gns of possible adverse effects. What nursing process phase is the nurse practising?
xx xx xx xx xx xx xx xx xx xx xx xx
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis xx
ANS: B xx
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nurs
xx xx xx xx xx xx xx xx xx xx xx xx xx
ated by this example.
xx xx xx
DIF: Cognitive Level: Application xx xx
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
s an outcome criterion for this patient?
xx xx xx xx xx xx
a. The patient will follow instructions.
xx xx xx xx
b. The patient will not experience complications.
xx xx xx xx xx
c. The patient adheres to the new insulin treatment regimen.
xx xx xx xx xx xx xx xx
d. The patient demonstrates safe insulin self-administration technique.
xx xx xx xx xx xx
ANS: D xx
Having the patient demonstrate safe insulin self-
xx xx xx xx xx xx
administration technique is a specific and measurable outcome criterion. Following instructions and
xx xx xx xx xx xx xx xx xx xx xx xx
not specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
DIF: Cognitive Level: Application xx xx
, lOMoARcPSD| 13728229
6. The nurse is working during a very busy night shift, and the health care provider has just given the n
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
over the telephone, but the nurse does not recall the route. What is the best way for the nurse to avo
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
a. Recopy the order neatly on the order sheet, with the most common route indicated
xx xx xx xx xx xx xx xx xx xx xx xx xx
b. Consult with the pharmacist for clarification about the most common route
xx xx xx xx xx xx xx xx xx xx
c. Call the health care provider to clarify the route of administration
xx xx xx xx xx xx xx xx xx xx
d. Withhold the drug until the health care provider visits the patient
xx xx xx xx xx xx xx xx xx xx
ANS: C xx
If a medication order does not include the route, the nurse must ask the health care provider to clarif
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
administration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
xx xx xx xx xx xx
7. Which constitutes the traditional Five Rights of medication administration?
xx xx xx xx xx xx xx xx
a. Right drug, right route, right dose, right time, and right patient
xx xx xx xx xx xx xx xx xx xx
b. Right drug, the right effect, the right route, the right time, and the right patient
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
c. Right patient, right strength, right diagnosis, right drug, and right route
xx xx xx xx xx xx xx xx xx xx
d. Right patient, right diagnosis, right drug, right route, and right time
xx xx xx xx xx xx xx xx xx xx
ANS: A xx
The traditional Five Rights of medication administration were considered to be Right drug, Right rou
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rig
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
DIF: Cognitive Level: Comprehension xx xx
8. What correctly describes the nursing process?
xx xx xx xx xx
a. Diagnosing, planning, assessing, implementing, and finally evaluating
xx xx xx xx xx xx
b. Assessing, then diagnosing, implementing, and ending with evaluating
xx xx xx xx xx xx xx
c. A linear direction that begins with assessing and continues through diagnosin
xx xx xx xx xx xx xx xx xx xx
g, planning, and finally implementing
xx xx xx xx
d. An ongoing process that begins with assessing and continues with diagnosin
xx xx xx xx xx xx xx xx xx xx
g, planning, implementing, and evaluating
xx xx xx xx
ANS: D xx
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
xx xx xx xx xx xx xx xx xx xx
step process that begins with assessing and continues through diagnosing, planning, implementing, a
xx xx xx xx xx xx xx xx xx xx xx xx
h may then lead back to any of the other phases.
xx xx xx xx xx xx xx xx xx xx
DIF: Cognitive Level: Application xx xx
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
a. The patient‘s identification xx xx
b. The patient‘s weight xx xx
c. The patient‘s last meal xx xx xx
d. Any drug or food allergies xx xx xx xx
ANS: C xx
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allerg
xx xx xx xx xx xx xx xx xx xx xx xx xx
‘s timing.
xx
DIF: Cognitive Level: Application xx xx
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her n
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
a. Anxiety
b. Anxiety related to new drug therapy xx xx xx xx xx
c. Anxiety related to anxious feelings about drug therapy, as evidenced b
xx xx xx xx xx xx xx xx xx xx
y statements such as ―I‘m upset about having to give myself shots‖
xx xx xx xx xx xx xx xx xx xx xx
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘
xx xx xx xx xx xx xx xx xx xx xx xx
m upset about having to give myself shots‖
xx xx xx xx xx xx xx
