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