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