PHARMACOLOGY FOR CANADIAN HEALTH CARE
bt bt bt bt
bt PRACTICE 4TH EDITION LILLEY’S TEST BANK/ALL CHS
bt bt bt bt bt bt
1-58 b
t
,CH 01: Nursing Practice inCanada and Drug Therapy
bt bt bt bt bt bt bt bt
Lilley: Pharmacology for Canadian Primary care Practice, 4TH Canadian Edition
bt bt bt bt bt bt bt bt bt
MULTIPLE CHOICE bt
1. Which is a judgment about a particular hospital client‘s potential need or problem?
bt bt bt bt bt bt bt bt bt bt bt bt
a. A goal bt
b. An assessment bt
c. Subjective data bt
d. A nursing diagnosis bt bt
ACCURATE ANS:- D bt b t
Reasoning:->>> Nursing diagnosis is the phase of the nursing process during which a clinical bt bt bt bt bt bt bt bt bt bt bt bt bt
judgement is made about how a hospital client responds to heath conditions and life processes
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
or vulnerability for that response.
bt bt bt bt bt
DIFFICULT: CognitiveLevel: Knowledge bt bt bt REF: p. 11 bt bt
2. The hospital client is to receive oral furosemide (Lasix) every day; however, because the
bt bt bt bt bt bt bt bt bt bt bt bt bt
hospital client is unable to swallow, he cannot take medication orally, as ordered. The
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
nursing attendant needs to contact the physician. What type of problem is this?
bt bt bt bt bt bt bt bt bt bt bt bt bt
a. A―right time‖ problem bt bt bt
b. A―right dose‖ problem bt bt bt
c. A―right route‖ problem bt bt bt
d. A―right medication‖ problem bt bt bt
ACCURATE ANS:- C bt bt
Reasoning:->>>This is a ―right route‖ problem: the nursing attendant cannot assume the route and b t bt bt b t b t b t bt bt b t b t bt bt bt
must clarify the route
bt bt bt bt
with the prescriber. This is not a ―right time‖ problem because the ordered frequency has
bt bt bt bt bt bt bt b t b t bt bt bt bt bt
notchanged. This is not a ―right dose‖ problem because the dose is not related to an inability to
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
swallow. This is not a ―right medication‖ problem because the medication ordered will not
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
change, just the route.
bt bt bt bt
DIFFICULT: CognitiveLevel: Application REF: p. 14 bt bt bt bt bt
3. The nursing attendant has been monitoring the hospital client‘s progress on his new drug
bt bt bt bt bt bt bt bt bt bt bt bt bt
regimen since the first dose and has been documenting signs of possible adverse effects. What
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
nursingprocess phase is the nursing attendant practising?
bt t
b bt bt bt bt bt bt
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis bt
ACCURATE ANS:- B bt bt
Reasoning:->>>Monitoring the hospital client‘s progress is part of the evaluation phase. Planning, bt bt bt bt bt bt bt bt bt bt bt
implementation, and nursing diagnosis are not illustrated by this example.
bt bt bt bt bt bt bt bt bt bt
DIFFICULT: CognitiveLevel: Application REF: p. 19 bt bt bt bt bt
,4. The nursing attendant is caring for a hospital client who has been newly diagnosed with
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
type 1diabetes mellitus. Which statement best illustrates an outcome criterion for
bt bt t
b b t b t b t b t b t bt b t b t b t
this hospital client?
b t b t bt
a. The hospital client will follow instructions. bt bt b t b t bt
b. The hospital client will not experience complications.
bt bt bt bt bt bt
c. The hospital client adheres to the new insulin treatment regimen.
bt bt bt bt bt bt bt bt bt
d. The hospital client demonstrates safe insulin self-administration technique.
b t bt b t b t b t b t b t
ACCURATE ANS:- D bt b t
Reasoning:->>>Having the hospital client demonstrate safe insulin self-administration b t b t bt b t b t b t b t
technique is a specific and measurable outcome criterion. Following instructions and
b t b t b t bt bt bt bt bt bt bt bt
avoiding complications are not specific criteria. Adherence to the new insulin treatment
bt bt bt b t b t b t b t b t b t bt b t b t
regimen is not objective and would be Difficult to measure.
b t b t b t bt bt bt bt bt bt bt
DIFFICULT: CognitiveLevel: Application REF: p. 13 bt bt bt bt bt
5. Which activity best reflects the implementation phase of the nursing process for the hospital
bt bt bt bt bt bt bt bt bt bt bt bt bt
clientwho is newly diagnosed with type 1 diabetes mellitus?
bt t
b bt bt bt bt bt bt bt bt
a. Providing education regarding self-injection technique b t b t b t b t
b. Setting goals and outcome criteria with the hospital client‘s input bt bt bt bt bt bt bt bt bt
c. Recording a history of over-the-counter medications used at home bt b t bt b t b t bt b t b t
d. Formulating nursing diagnoses regarding knowledge deficits related to the b t b t b t bt b t b t b t b t
new treatment regimen
b t bt bt
ACCURATE ANS:- A bt b t
Reasoning:->>>Education is an intervention that occurs during the implementation phase. Setting bt bt bt bt bt bt bt bt bt bt
goals and outcome criteria reflects the planning phase. Recording a drug history reflects the
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
assessment phase. Formulating nursing diagnoses regarding a knowledge deficitreflects analysis
bt bt bt bt bt bt bt bt bt bt bt
of data
bt bt
as part of the planning phase.
bt bt bt bt bt
DIFFICULT: CognitiveLevel: Analysis REF: p. 8 |p. 13 bt bt bt bt bt bt bt bt
6. The nursing attendant is working during a very busy night shift, and the primary care
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
provider has just given the nursing attendant a medication order over the telephone, but the
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
nursing attendant does not recall the route. What is the best way for the nursing attendantto
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
avoid medication errors?
bt bt bt
a. Recopy the order neatly on the order sheet, with the most common route indicated bt b t b t b t b t b t b t b t b t b t b t b t bt
b. Consult with the pharmacist for clarification about the most common route bt bt bt bt bt bt bt bt bt bt
c. Call the primary care provider to clarify the route of administration
bt bt bt bt bt bt bt bt bt bt
d. Withhold the drug until the primary care provider visits the hospital client bt bt bt bt bt bt bt bt bt bt bt
ACCURATE ANS:- C bt bt
Reasoning:->>>If a medication order does not include the route, the nursing attendant bt b t b t b t bt b t b t bt b t bt bt
must ask the primary care provider to clarify it. Never assume the route of administration.
b t bt bt bt bt bt bt bt bt bt bt bt bt bt bt
DIFFICULT: Cognitive Level: Application |Cognitive Level: Analysis REF: bt bt bt bt bt bt bt b t b t p. 17 bt
7. Which constitutes the traditional Five Rights of medication administration?
b t b t b t b t b t b t b t b t
a. Right drug, right route, right dose, right time, and right hospital client
bt bt bt bt bt bt bt bt bt bt bt
b. Right drug, the right effect, the right route, the right time, and the right hospital client
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
c. Right hospital client, right strength, right diagnosis, right drug, and right route
bt bt bt bt bt bt bt bt bt bt bt
d. Right hospital client, right diagnosis, right drug, right route, and right time
bt bt bt bt bt bt bt bt bt bt bt
ACCURATE ANS:- A bt b t
, The traditional Five Rights of medication administration were considered to be Right drug,
bt bt bt bt bt bt bt bt bt bt bt bt
Right route, Right dose, Right time, and Right hospital client. Right effect, right strength, and
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
right diagnosis are not part of the traditional Five Rights.
bt bt bt bt bt bt bt bt bt bt
DIFFICULT: Cognitive Level: Comprehension REF: p. 13 bt bt bt bt bt bt bt
8. What correctly describes the nursing process?
b t b t b t bt b t
a. Diagnosing, planning, assessing, implementing, and finally evaluating b t b t b t b t b t b t
b. Assessing, then diagnosing, implementing, and ending with evaluating bt bt bt bt bt bt bt
c. A linear direction that begins with assessing and continues through diagnosing,
bt bt bt bt bt bt bt bt bt bt
planning, and finally implementing
bt bt bt bt
d. An ongoing process that begins with assessing and continues with
b t b t b t b t b t b t bt b t b t
diagnosing,planning, implementing, and evaluating
b t t
b bt bt bt
ACCURATE ANS:- D bt b t
Reasoning:->>>The nursing process is an ongoing, flexible, adaptable, and adjustable b t b t b t bt b t b t b t b t b t
five- step process that begins with assessing and continues through diagnosing, planning,
b t bt bt bt bt bt bt bt bt bt b t b t
implementing, and finally evaluating, which may then lead back to any of the other
bt b t b t b t b t b t b t bt b t b t bt b t bt b t
phases.
b t
DIFFICULT: CognitiveLevel: Application REF: p. 8 bt bt bt bt bt
9. When the nursing attendant is considering the timing of a drug dose, which is most important to
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
assess?
bt
a. The hospital client‘s identification bt bt bt
b. The hospital client‘s weight bt bt bt
c. The hospital client‘s last meal bt bt bt bt
d. Any drug or food allergies bt bt bt bt
ACCURATE ANS:- C bt bt
Reasoning:->>>The pharmacokinetic and pharmacodynamic properties of the drug need to be bt bt bt bt bt bt bt bt bt bt
assessed with
bt bt
regard to any drug–food interactions or compatibility issues. The hospital client‘s
b t b t b t b t b t b t bt b t b t bt
identification, weight, and drug or food allergies are not affected by the drug‘s timing.
b t bt bt bt bt bt bt bt bt bt bt bt bt bt
DIFFICULT: CognitiveLevel: Application REF: p. 17 bt bt bt bt bt
10. The nursing attendant is writing nursing diagnoses for a plan of care. Which reflects the
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
correct format for her nursing diagnosis?
bt bt bt bt bt bt
a. Anxiety
b. Anxiety related to new drug therapy bt bt bt bt bt
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
b t b t b t b t bt b t bt b t b t b t
statementssuch as ―I‘m upset about having to give myself shots‖
b t t
b bt bt bt bt bt bt bt bt bt
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
bt bt bt bt bt bt b t bt bt bt bt bt
upset about having to give myself shots‖
bt bt bt bt bt bt bt
ACCURATE ANS:- D bt b t
bt bt bt bt
bt PRACTICE 4TH EDITION LILLEY’S TEST BANK/ALL CHS
bt bt bt bt bt bt
1-58 b
t
,CH 01: Nursing Practice inCanada and Drug Therapy
bt bt bt bt bt bt bt bt
Lilley: Pharmacology for Canadian Primary care Practice, 4TH Canadian Edition
bt bt bt bt bt bt bt bt bt
MULTIPLE CHOICE bt
1. Which is a judgment about a particular hospital client‘s potential need or problem?
bt bt bt bt bt bt bt bt bt bt bt bt
a. A goal bt
b. An assessment bt
c. Subjective data bt
d. A nursing diagnosis bt bt
ACCURATE ANS:- D bt b t
Reasoning:->>> Nursing diagnosis is the phase of the nursing process during which a clinical bt bt bt bt bt bt bt bt bt bt bt bt bt
judgement is made about how a hospital client responds to heath conditions and life processes
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
or vulnerability for that response.
bt bt bt bt bt
DIFFICULT: CognitiveLevel: Knowledge bt bt bt REF: p. 11 bt bt
2. The hospital client is to receive oral furosemide (Lasix) every day; however, because the
bt bt bt bt bt bt bt bt bt bt bt bt bt
hospital client is unable to swallow, he cannot take medication orally, as ordered. The
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
nursing attendant needs to contact the physician. What type of problem is this?
bt bt bt bt bt bt bt bt bt bt bt bt bt
a. A―right time‖ problem bt bt bt
b. A―right dose‖ problem bt bt bt
c. A―right route‖ problem bt bt bt
d. A―right medication‖ problem bt bt bt
ACCURATE ANS:- C bt bt
Reasoning:->>>This is a ―right route‖ problem: the nursing attendant cannot assume the route and b t bt bt b t b t b t bt bt b t b t bt bt bt
must clarify the route
bt bt bt bt
with the prescriber. This is not a ―right time‖ problem because the ordered frequency has
bt bt bt bt bt bt bt b t b t bt bt bt bt bt
notchanged. This is not a ―right dose‖ problem because the dose is not related to an inability to
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
swallow. This is not a ―right medication‖ problem because the medication ordered will not
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
change, just the route.
bt bt bt bt
DIFFICULT: CognitiveLevel: Application REF: p. 14 bt bt bt bt bt
3. The nursing attendant has been monitoring the hospital client‘s progress on his new drug
bt bt bt bt bt bt bt bt bt bt bt bt bt
regimen since the first dose and has been documenting signs of possible adverse effects. What
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
nursingprocess phase is the nursing attendant practising?
bt t
b bt bt bt bt bt bt
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis bt
ACCURATE ANS:- B bt bt
Reasoning:->>>Monitoring the hospital client‘s progress is part of the evaluation phase. Planning, bt bt bt bt bt bt bt bt bt bt bt
implementation, and nursing diagnosis are not illustrated by this example.
bt bt bt bt bt bt bt bt bt bt
DIFFICULT: CognitiveLevel: Application REF: p. 19 bt bt bt bt bt
,4. The nursing attendant is caring for a hospital client who has been newly diagnosed with
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
type 1diabetes mellitus. Which statement best illustrates an outcome criterion for
bt bt t
b b t b t b t b t b t bt b t b t b t
this hospital client?
b t b t bt
a. The hospital client will follow instructions. bt bt b t b t bt
b. The hospital client will not experience complications.
bt bt bt bt bt bt
c. The hospital client adheres to the new insulin treatment regimen.
bt bt bt bt bt bt bt bt bt
d. The hospital client demonstrates safe insulin self-administration technique.
b t bt b t b t b t b t b t
ACCURATE ANS:- D bt b t
Reasoning:->>>Having the hospital client demonstrate safe insulin self-administration b t b t bt b t b t b t b t
technique is a specific and measurable outcome criterion. Following instructions and
b t b t b t bt bt bt bt bt bt bt bt
avoiding complications are not specific criteria. Adherence to the new insulin treatment
bt bt bt b t b t b t b t b t b t bt b t b t
regimen is not objective and would be Difficult to measure.
b t b t b t bt bt bt bt bt bt bt
DIFFICULT: CognitiveLevel: Application REF: p. 13 bt bt bt bt bt
5. Which activity best reflects the implementation phase of the nursing process for the hospital
bt bt bt bt bt bt bt bt bt bt bt bt bt
clientwho is newly diagnosed with type 1 diabetes mellitus?
bt t
b bt bt bt bt bt bt bt bt
a. Providing education regarding self-injection technique b t b t b t b t
b. Setting goals and outcome criteria with the hospital client‘s input bt bt bt bt bt bt bt bt bt
c. Recording a history of over-the-counter medications used at home bt b t bt b t b t bt b t b t
d. Formulating nursing diagnoses regarding knowledge deficits related to the b t b t b t bt b t b t b t b t
new treatment regimen
b t bt bt
ACCURATE ANS:- A bt b t
Reasoning:->>>Education is an intervention that occurs during the implementation phase. Setting bt bt bt bt bt bt bt bt bt bt
goals and outcome criteria reflects the planning phase. Recording a drug history reflects the
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
assessment phase. Formulating nursing diagnoses regarding a knowledge deficitreflects analysis
bt bt bt bt bt bt bt bt bt bt bt
of data
bt bt
as part of the planning phase.
bt bt bt bt bt
DIFFICULT: CognitiveLevel: Analysis REF: p. 8 |p. 13 bt bt bt bt bt bt bt bt
6. The nursing attendant is working during a very busy night shift, and the primary care
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
provider has just given the nursing attendant a medication order over the telephone, but the
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
nursing attendant does not recall the route. What is the best way for the nursing attendantto
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
avoid medication errors?
bt bt bt
a. Recopy the order neatly on the order sheet, with the most common route indicated bt b t b t b t b t b t b t b t b t b t b t b t bt
b. Consult with the pharmacist for clarification about the most common route bt bt bt bt bt bt bt bt bt bt
c. Call the primary care provider to clarify the route of administration
bt bt bt bt bt bt bt bt bt bt
d. Withhold the drug until the primary care provider visits the hospital client bt bt bt bt bt bt bt bt bt bt bt
ACCURATE ANS:- C bt bt
Reasoning:->>>If a medication order does not include the route, the nursing attendant bt b t b t b t bt b t b t bt b t bt bt
must ask the primary care provider to clarify it. Never assume the route of administration.
b t bt bt bt bt bt bt bt bt bt bt bt bt bt bt
DIFFICULT: Cognitive Level: Application |Cognitive Level: Analysis REF: bt bt bt bt bt bt bt b t b t p. 17 bt
7. Which constitutes the traditional Five Rights of medication administration?
b t b t b t b t b t b t b t b t
a. Right drug, right route, right dose, right time, and right hospital client
bt bt bt bt bt bt bt bt bt bt bt
b. Right drug, the right effect, the right route, the right time, and the right hospital client
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
c. Right hospital client, right strength, right diagnosis, right drug, and right route
bt bt bt bt bt bt bt bt bt bt bt
d. Right hospital client, right diagnosis, right drug, right route, and right time
bt bt bt bt bt bt bt bt bt bt bt
ACCURATE ANS:- A bt b t
, The traditional Five Rights of medication administration were considered to be Right drug,
bt bt bt bt bt bt bt bt bt bt bt bt
Right route, Right dose, Right time, and Right hospital client. Right effect, right strength, and
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
right diagnosis are not part of the traditional Five Rights.
bt bt bt bt bt bt bt bt bt bt
DIFFICULT: Cognitive Level: Comprehension REF: p. 13 bt bt bt bt bt bt bt
8. What correctly describes the nursing process?
b t b t b t bt b t
a. Diagnosing, planning, assessing, implementing, and finally evaluating b t b t b t b t b t b t
b. Assessing, then diagnosing, implementing, and ending with evaluating bt bt bt bt bt bt bt
c. A linear direction that begins with assessing and continues through diagnosing,
bt bt bt bt bt bt bt bt bt bt
planning, and finally implementing
bt bt bt bt
d. An ongoing process that begins with assessing and continues with
b t b t b t b t b t b t bt b t b t
diagnosing,planning, implementing, and evaluating
b t t
b bt bt bt
ACCURATE ANS:- D bt b t
Reasoning:->>>The nursing process is an ongoing, flexible, adaptable, and adjustable b t b t b t bt b t b t b t b t b t
five- step process that begins with assessing and continues through diagnosing, planning,
b t bt bt bt bt bt bt bt bt bt b t b t
implementing, and finally evaluating, which may then lead back to any of the other
bt b t b t b t b t b t b t bt b t b t bt b t bt b t
phases.
b t
DIFFICULT: CognitiveLevel: Application REF: p. 8 bt bt bt bt bt
9. When the nursing attendant is considering the timing of a drug dose, which is most important to
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
assess?
bt
a. The hospital client‘s identification bt bt bt
b. The hospital client‘s weight bt bt bt
c. The hospital client‘s last meal bt bt bt bt
d. Any drug or food allergies bt bt bt bt
ACCURATE ANS:- C bt bt
Reasoning:->>>The pharmacokinetic and pharmacodynamic properties of the drug need to be bt bt bt bt bt bt bt bt bt bt
assessed with
bt bt
regard to any drug–food interactions or compatibility issues. The hospital client‘s
b t b t b t b t b t b t bt b t b t bt
identification, weight, and drug or food allergies are not affected by the drug‘s timing.
b t bt bt bt bt bt bt bt bt bt bt bt bt bt
DIFFICULT: CognitiveLevel: Application REF: p. 17 bt bt bt bt bt
10. The nursing attendant is writing nursing diagnoses for a plan of care. Which reflects the
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
correct format for her nursing diagnosis?
bt bt bt bt bt bt
a. Anxiety
b. Anxiety related to new drug therapy bt bt bt bt bt
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
b t b t b t b t bt b t bt b t b t b t
statementssuch as ―I‘m upset about having to give myself shots‖
b t t
b bt bt bt bt bt bt bt bt bt
d. Anxiety related to new drug therapy, as evidenced by statements such as ―I‘m
bt bt bt bt bt bt b t bt bt bt bt bt
upset about having to give myself shots‖
bt bt bt bt bt bt bt
ACCURATE ANS:- D bt b t
