, CompleteTestBankLILLEYSPharmacologyforCanadian Healt yd yd yd dy dy
hCarePractice 5th EditionSEALOCKChapter1-58
yd yd dy dy yd yd yd
Chapter01: Nursing Practice inCanada and Drug Therapy
dy dy dy dy dy dy dy dy
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
dy dy dy dy dy dy dy dy dy
MULTIPLE CHOICE dy
1. Which is a judgement about a particular patient‘s potential need or problem?
dy dy dy dy dy dy dy dy dy dy dy
a. A goal dy
b. An assessment dy
c. Subjective data dy
d. A nursing diagnosis dy f6
ANS: D d y
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient responds to h ea
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
th conditions and life processes or vulnerability for that response.
dy dy dy dy dy dy dy dy dy
DIF: Cognitive Level: Knowledge dy dy
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot take
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
a. A ―right time‖ problem dy dy dy
b. A ―right dose‖ problem dy dy dy
c. A ―right route‖ problem dy dy dy
d. A ―right medication‖ problem
dy dy dy
ANS: C d y
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a ―righ t
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem because the dose is not related to
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yan inability to swallow. This is not a ―right medication‖ problem because the medication ordered will not change, just the route
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
.
DIF: Cognitive Level: Application dy dy
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has been documenting signs o
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
f possible adverse effects. What nursing process phase is the nurse practising?
dy dy dy dy dy dy dy dy dy dy dy
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis dy
ANS: B d y
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrate d
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
by this example.
dy dy
DIF: Cognitive Level: Application dy dy
4. The nurse is caring for a patient who has been newlydiagnosed with type 1 diabetes mellitus. Which statement best illustrates an o
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
utcome criterion for this patient? dy dy dy dy
a. The patient will follow instructions. dy dy dy dy
b. The patient will not experience complications.dy dy dy dy dy
c. The patient adheres to the new insulin treatment regimen.
dy dy dy dy dy dy dy dy
d. Thepatient demonstrates safe insulin self-administration technique.
dy dy dy dy dy dy
ANS: D d y
Having the patient demonstrate safe insulin self-
dy dy dy dy dy dy
administration technique is a specific and measurable outcome criterion. Following instructions and avoiding complications are not specifi
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
c criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
DIF: Cognitive Level: Application dy dy
5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with type 1
dy dy dy dy dy dy dy dy dy f6 dy dy dy dy dy dy dy dy fdy dy dy
diabetes mellitus? dy
a. Providing education regarding self-injection technique dy dy dy dy
b. Setting goals and outcome criteria with the patient‘s input dy dy dy dy dy dy dy dy
c. Recording a history of over-the-counter medications used at home dy dy dy dy dy dy dy dy
d. Formulating nursing diagnoses regarding knowledge deficits related to the new t dy dy dy dy dy dy dy dy dy dy
reatment regimen dy
ANS: A d y
Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the planning p h
dy dy f6 dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
ase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit refle ct
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
s analysis of data as part of the planning phase.
dy dy dy dy dy dy dy dy f6
DIF: Cognitive Level: Analysis dy dy
1
, 6. The nurse is working during a verybusy night shift, and the health care provider has just given the nurse a medication order over th
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
e telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
a. Recopythe order neatly on the order sheet, with the most common route indicated
dy dy dy dy dy dy dy dy dy dy dy dy dy
b. Consult with the pharmacist for clarification about the most common route
dy dy dy dy dy dy dy dy dy dy
c. Call the health care provider to clarify the route of administration
dy dy dy dy dy dy dy dy dy dy
d. Withhold the drug until the health care provider visits the patient dy dy dy dy dy dy dy dy dy dy
ANS: C d y
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Never assume the route of administr ation.
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
DIF: d y d y Cognitive Level: Application | Cognitive Level: Analysis f6 dy dy dy dy dy
7. Which constitutes the traditional Five Rights of medication administration?
dy dy dy dy dy dy dy dy
a. Right drug, right route, right dose, right time, and right patient
dy dy dy dy dy dy dy dy dy dy
b. Right drug, the right effect, the right route, the right time, and the right patient
dy dy dy dy dy dy dy dy dy dy dy dy dy dy
c. Right patient, right strength, right diagnosis, right drug, and right route
dy dy dy dy dy dy dy dy dy dy
d. Right patient, right diagnosis, right drug, right route, and right time
dy dy dy dy dy dy dy dy dy dy
ANS: A d y
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose, Right time, and R
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
ight patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
DIF: d y d y Cognitive Level: Comprehension dy dy
8. What correctly describes the nursing process?
dy dy dy dy dy
a. Diagnosing, planning, assessing, implementing, and finally evaluating dy dy dy dy dy dy
b. Assessing, then diagnosing, implementing, and ending with evaluating dy dy dy dy dy dy dy
c. A linear direction that begins with assessing and continues through diagnosing, p
dy dy dy dy dy dy dy dy dy dy dy
lanning, and finally implementing dy dy dy
d. An ongoing process that begins with assessing and continues with diagnosing,
dy f6 dy dy dy dy dy dy dy dy dy
planning, implementing, and evaluating dy dy dy
ANS: D d y
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
dy dy dy dy dy dy dy dy dy dy
step process that begins with assessing and continues through diagnosing, planning, implementing, and finally evaluating, which m
dy dy dy dy dy f6 dy dy dy dy dy dy dy dy dy dy
ay then lead back to any of the other phases.
dy dy dy dy dy dy dy dy dy
DIF: d y d y Cognitive Level: Application dy dy
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
a. The patient‘s identification dy dy
b. The patient‘s weight dy dy
c. The patient‘s last meal dy dy dy
d. Any drug or food allergies dy f6 dy dy
ANS: C d y
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any drug–
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the drug‘s timi
f6 dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
ng.
DIF: d y d y Cognitive Level: Application dy dy
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
a. Anxiety
b. Anxiety related to new drug therapy dy dy dy dy dy
c. Anxietyrelated to anxious feelings about drug therapy, as evidenced by s dy dy dy dy f6 dy dy dy dy dy
tatements such as ―I‘m upset about having to give myself shots‖ dy dy dy dy dy dy dy dy dy dy
d. Anxietyrelated to new drug therapy, as evidenced bystatements such as ―I‘m dy dy dy f6 dy dy dy dy dy dy dy
upset about having to give myself shots‖dy dy dy dy dy dy
ANS: D d y
Formulation of nursing diagnoses is usually a three- dy dy dy dy dy dy dy
step process. The only complete answer is ―Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset a
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
bout having to give myself shots.‘‖ The answer ―Anxiety‖ is missing the ―related to‖ and ―as evidenced by‖ portions. The answer
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
―Anxiety related to new drug therapy‖ is missing the ―as evidenced by‖ portion of defining characteristics. The ―related to‖ sectio n i
dy dy dy dy dy dy dy f6 dy dy dy dy dy dy dy dy dy dy dy dy dy
n ―Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as ‗I‘m upset about having to give m ysel
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
f shots‘‖ is simply a restatement of the problem ―anxiety,‖ not a separate factor related to the response.
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
DIF: d y d y Cognitive Level: Analysis dy dy
OTHER
1. Place the phases of the nursing process in the correct order, starting with the first phase.
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
dy dy dy dy
DIF: d y d y Cognitive Level: Analysis dy dy
2
, Chapter 02: Pharmacological Principles
dy dy dy
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
dy dy dy dy dy dy dy dy dy
MULTIPLE CHOICE dy
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed into the circulation in i
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy fd y
dentical amounts. Which term best denotes that the drugs have the same absorption rates?
dy dy dy dy dy dy dy dy dy dy dy dy dy
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D d y
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioavailability; thus, they are
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent of drug absorption.
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of th
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
e effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indicate that two substanc
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
es do not have a chemical reaction when mixed (or given, in the case of drugs) together.
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
DIF: d y d y Cognitive Level: Comprehension f6 dy
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for patient education?
dy dy dy dy dy dy dy dy dy dy f6 dy dy dy dy dy
a. The medication will cause fewer adverse effects when given intravenously.
dy dy dy dy dy dy dy dy dy
b. The medication will be absorbed slowly into the tissues over time.
dy dy dy dy dy dy dy dy dy dy
c. Themedication‘s action will begin faster when given intravenously.
dy dy dy dy dy dy dy dy
d. Most of the drug is inactivated by the liver before it reaches the target area.
dy dy dy dy dy dy dy dy dy dy dy dy dy dy
ANS: C d y
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of adverse effects, the i
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
ntravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug by the liv
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy d y
er before it reaches the target area.
dy dy dy dy dy dy
DIF: d y d y Cognitive Level: Comprehension f6 dy
3. Which is true regarding parenteral drugs?
dy dy dy dy dy
a. They bypass the first-pass effect. dy dy dy dy
b. They decrease blood flow to the stomach. dy dy dy dy dy dy
c. They are altered by the presence of food in the stomach.dy dy dy dy dy dy dy dy dy dy
d. They exert their effects while circulating in the bloodstream.
dy dy dy dy dy dy dy dy
ANS: A d y
Drugs given bythe parenteral route bypass the first-
dy dy dy dy dy dy dy dy
pass effect, but theystill must be absorbed into cells and tissues before they can exert their effects. Enteral drugs (drugs taken orall
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
y), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral dr
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
ugs must be absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their effects
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
while circulating in the bloodstream.
dy dy dy dy
DIF: Cognitive Level: Analysis f6 dy
4. A drug‘s half-life is best defined as
dy dy dy dy dy dy
a. The time it takes for the drug to elicit half its therapeutic response.
dy dy dy dy dy dy dy dy dy dy dy dy
b. The time it takes one- dy dy dy dy
half of the original amount of a drug to reach the target cells.
dy dy dy dy dy dy f6 dy dy dy dy dy
c. The time it takes one- dy dy dy dy
half of the original amount of a drug to be removed from the body.
dy dy dy dy dy dy dy dy dy dy dy dy dy
d. The time it takes one- dy dy dy dy
half of the original amount of a drug to be absorbed into the circulation.
dy dy dy dy dy dy dy f6 dy dy dy f6 dy
ANS: C d y
A drug‘s half-life is the time it takes for one-
dy dy dy dy dy dy dy dy dy
half of the original amount of a drug to be removed from the body. It is a measure of the rate at which drugs are removed from th e
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
body. Answers A, B, and D are not correct definitions of a drug‘s half-life.
dy dy dy dy dy f6 dy dy dy dy dy dy dy dy
DIF: Cognitive Level: Comprehension f6 dy
5. The term ―duration of action‖ is best defined as
dy dy dy dy dy dy dy dy
a. The time it takes for the drug to elicit a therapeutic response.
dy dy dy dy dy dy dy dy dy dy dy
b. The time it takes a drug to reach its maximum therapeutic response.
dy dy dy dy dy dy dy dy dy dy dy
c. The length of time it takes to remove a drug from circulation.
dy dy dy dy dy dy dy dy dy dy dy
d. The time during which drug concentration is sufficient to elicit a therapeutic r
dy dy dy dy f6 dy dy dy dy dy dy dy
esponse.
ANS: D d y
Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes for
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy d
ya drug to elicit a therapeutic response is the drug‘s ―onset of action.‖ The time it takes a drug to reach its maximum therapeutic
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
response is a drug‘s ―peak effect.‖ ―The length of time it takes to remove a drug from circulation‖ defines a drug‘s elimination and d
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
oes not correctly define a drug‘s duration of action.
dy dy dy dy dy dy dy dy
DIF: Cognitive Level: Comprehension f6 dy
1
hCarePractice 5th EditionSEALOCKChapter1-58
yd yd dy dy yd yd yd
Chapter01: Nursing Practice inCanada and Drug Therapy
dy dy dy dy dy dy dy dy
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
dy dy dy dy dy dy dy dy dy
MULTIPLE CHOICE dy
1. Which is a judgement about a particular patient‘s potential need or problem?
dy dy dy dy dy dy dy dy dy dy dy
a. A goal dy
b. An assessment dy
c. Subjective data dy
d. A nursing diagnosis dy f6
ANS: D d y
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about how a patient responds to h ea
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
th conditions and life processes or vulnerability for that response.
dy dy dy dy dy dy dy dy dy
DIF: Cognitive Level: Knowledge dy dy
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unable to swallow, he cannot take
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
a. A ―right time‖ problem dy dy dy
b. A ―right dose‖ problem dy dy dy
c. A ―right route‖ problem dy dy dy
d. A ―right medication‖ problem
dy dy dy
ANS: C d y
This is a ―right route‖ problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a ―righ t
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
time‖ problem because the ordered frequency has not changed. This is not a ―right dose‖ problem because the dose is not related to
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy d
yan inability to swallow. This is not a ―right medication‖ problem because the medication ordered will not change, just the route
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
.
DIF: Cognitive Level: Application dy dy
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first dose and has been documenting signs o
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
f possible adverse effects. What nursing process phase is the nurse practising?
dy dy dy dy dy dy dy dy dy dy dy
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis dy
ANS: B d y
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and nursing diagnosis are not illustrate d
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
by this example.
dy dy
DIF: Cognitive Level: Application dy dy
4. The nurse is caring for a patient who has been newlydiagnosed with type 1 diabetes mellitus. Which statement best illustrates an o
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
utcome criterion for this patient? dy dy dy dy
a. The patient will follow instructions. dy dy dy dy
b. The patient will not experience complications.dy dy dy dy dy
c. The patient adheres to the new insulin treatment regimen.
dy dy dy dy dy dy dy dy
d. Thepatient demonstrates safe insulin self-administration technique.
dy dy dy dy dy dy
ANS: D d y
Having the patient demonstrate safe insulin self-
dy dy dy dy dy dy
administration technique is a specific and measurable outcome criterion. Following instructions and avoiding complications are not specifi
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
c criteria. Adherence to the new insulin treatment regimen is not objective and would be difficult to measure.
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
DIF: Cognitive Level: Application dy dy
5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with type 1
dy dy dy dy dy dy dy dy dy f6 dy dy dy dy dy dy dy dy fdy dy dy
diabetes mellitus? dy
a. Providing education regarding self-injection technique dy dy dy dy
b. Setting goals and outcome criteria with the patient‘s input dy dy dy dy dy dy dy dy
c. Recording a history of over-the-counter medications used at home dy dy dy dy dy dy dy dy
d. Formulating nursing diagnoses regarding knowledge deficits related to the new t dy dy dy dy dy dy dy dy dy dy
reatment regimen dy
ANS: A d y
Education is an intervention that occurs during the implementation phase. Setting goals and outcome criteria reflects the planning p h
dy dy f6 dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
ase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit refle ct
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
s analysis of data as part of the planning phase.
dy dy dy dy dy dy dy dy f6
DIF: Cognitive Level: Analysis dy dy
1
, 6. The nurse is working during a verybusy night shift, and the health care provider has just given the nurse a medication order over th
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
e telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
a. Recopythe order neatly on the order sheet, with the most common route indicated
dy dy dy dy dy dy dy dy dy dy dy dy dy
b. Consult with the pharmacist for clarification about the most common route
dy dy dy dy dy dy dy dy dy dy
c. Call the health care provider to clarify the route of administration
dy dy dy dy dy dy dy dy dy dy
d. Withhold the drug until the health care provider visits the patient dy dy dy dy dy dy dy dy dy dy
ANS: C d y
If a medication order does not include the route, the nurse must ask the health care provider to clarify it. Never assume the route of administr ation.
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
DIF: d y d y Cognitive Level: Application | Cognitive Level: Analysis f6 dy dy dy dy dy
7. Which constitutes the traditional Five Rights of medication administration?
dy dy dy dy dy dy dy dy
a. Right drug, right route, right dose, right time, and right patient
dy dy dy dy dy dy dy dy dy dy
b. Right drug, the right effect, the right route, the right time, and the right patient
dy dy dy dy dy dy dy dy dy dy dy dy dy dy
c. Right patient, right strength, right diagnosis, right drug, and right route
dy dy dy dy dy dy dy dy dy dy
d. Right patient, right diagnosis, right drug, right route, and right time
dy dy dy dy dy dy dy dy dy dy
ANS: A d y
The traditional Five Rights of medication administration were considered to be Right drug, Right route, Right dose, Right time, and R
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
ight patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
DIF: d y d y Cognitive Level: Comprehension dy dy
8. What correctly describes the nursing process?
dy dy dy dy dy
a. Diagnosing, planning, assessing, implementing, and finally evaluating dy dy dy dy dy dy
b. Assessing, then diagnosing, implementing, and ending with evaluating dy dy dy dy dy dy dy
c. A linear direction that begins with assessing and continues through diagnosing, p
dy dy dy dy dy dy dy dy dy dy dy
lanning, and finally implementing dy dy dy
d. An ongoing process that begins with assessing and continues with diagnosing,
dy f6 dy dy dy dy dy dy dy dy dy
planning, implementing, and evaluating dy dy dy
ANS: D d y
The nursing process is an ongoing, flexible, adaptable, and adjustable five-
dy dy dy dy dy dy dy dy dy dy
step process that begins with assessing and continues through diagnosing, planning, implementing, and finally evaluating, which m
dy dy dy dy dy f6 dy dy dy dy dy dy dy dy dy dy
ay then lead back to any of the other phases.
dy dy dy dy dy dy dy dy dy
DIF: d y d y Cognitive Level: Application dy dy
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
a. The patient‘s identification dy dy
b. The patient‘s weight dy dy
c. The patient‘s last meal dy dy dy
d. Any drug or food allergies dy f6 dy dy
ANS: C d y
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to any drug–
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
food interactions or compatibility issues. The patient‘s identification, weight, and drug or food allergies are not affected by the drug‘s timi
f6 dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
ng.
DIF: d y d y Cognitive Level: Application dy dy
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
a. Anxiety
b. Anxiety related to new drug therapy dy dy dy dy dy
c. Anxietyrelated to anxious feelings about drug therapy, as evidenced by s dy dy dy dy f6 dy dy dy dy dy
tatements such as ―I‘m upset about having to give myself shots‖ dy dy dy dy dy dy dy dy dy dy
d. Anxietyrelated to new drug therapy, as evidenced bystatements such as ―I‘m dy dy dy f6 dy dy dy dy dy dy dy
upset about having to give myself shots‖dy dy dy dy dy dy
ANS: D d y
Formulation of nursing diagnoses is usually a three- dy dy dy dy dy dy dy
step process. The only complete answer is ―Anxiety related to new drug therapy, as evidenced by statements such as ‗I‘m upset a
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
bout having to give myself shots.‘‖ The answer ―Anxiety‖ is missing the ―related to‖ and ―as evidenced by‖ portions. The answer
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
―Anxiety related to new drug therapy‖ is missing the ―as evidenced by‖ portion of defining characteristics. The ―related to‖ sectio n i
dy dy dy dy dy dy dy f6 dy dy dy dy dy dy dy dy dy dy dy dy dy
n ―Anxiety related to anxious feelings about drug therapy, as evidenced by statements such as ‗I‘m upset about having to give m ysel
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
f shots‘‖ is simply a restatement of the problem ―anxiety,‖ not a separate factor related to the response.
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
DIF: d y d y Cognitive Level: Analysis dy dy
OTHER
1. Place the phases of the nursing process in the correct order, starting with the first phase.
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing
ANS:
C, E, A, D, B
dy dy dy dy
DIF: d y d y Cognitive Level: Analysis dy dy
2
, Chapter 02: Pharmacological Principles
dy dy dy
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
dy dy dy dy dy dy dy dy dy
MULTIPLE CHOICE dy
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both absorbed into the circulation in i
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy fd y
dentical amounts. Which term best denotes that the drugs have the same absorption rates?
dy dy dy dy dy dy dy dy dy dy dy dy dy
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D d y
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioavailability; thus, they are
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
bioequivalent. ―Equivalent‖ is incorrect because the term ―bioavailability‖ is used to express the extent of drug absorption.
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
―Synergistic‖ is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of th
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
e effects of each drug given alone. ―Compatible‖ is incorrect because this term is a general term used to indicate that two substanc
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es do not have a chemical reaction when mixed (or given, in the case of drugs) together.
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DIF: d y d y Cognitive Level: Comprehension f6 dy
2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for patient education?
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a. The medication will cause fewer adverse effects when given intravenously.
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b. The medication will be absorbed slowly into the tissues over time.
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c. Themedication‘s action will begin faster when given intravenously.
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d. Most of the drug is inactivated by the liver before it reaches the target area.
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ANS: C d y
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of adverse effects, the i
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ntravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug by the liv
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er before it reaches the target area.
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DIF: d y d y Cognitive Level: Comprehension f6 dy
3. Which is true regarding parenteral drugs?
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a. They bypass the first-pass effect. dy dy dy dy
b. They decrease blood flow to the stomach. dy dy dy dy dy dy
c. They are altered by the presence of food in the stomach.dy dy dy dy dy dy dy dy dy dy
d. They exert their effects while circulating in the bloodstream.
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ANS: A d y
Drugs given bythe parenteral route bypass the first-
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pass effect, but theystill must be absorbed into cells and tissues before they can exert their effects. Enteral drugs (drugs taken orall
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y), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food in the stomach. Parenteral dr
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ugs must be absorbed into cells and tissues from the circulation before they can exert their effects; they do not exert their effects
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while circulating in the bloodstream.
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DIF: Cognitive Level: Analysis f6 dy
4. A drug‘s half-life is best defined as
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a. The time it takes for the drug to elicit half its therapeutic response.
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b. The time it takes one- dy dy dy dy
half of the original amount of a drug to reach the target cells.
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c. The time it takes one- dy dy dy dy
half of the original amount of a drug to be removed from the body.
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d. The time it takes one- dy dy dy dy
half of the original amount of a drug to be absorbed into the circulation.
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ANS: C d y
A drug‘s half-life is the time it takes for one-
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half of the original amount of a drug to be removed from the body. It is a measure of the rate at which drugs are removed from th e
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body. Answers A, B, and D are not correct definitions of a drug‘s half-life.
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DIF: Cognitive Level: Comprehension f6 dy
5. The term ―duration of action‖ is best defined as
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a. The time it takes for the drug to elicit a therapeutic response.
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b. The time it takes a drug to reach its maximum therapeutic response.
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c. The length of time it takes to remove a drug from circulation.
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d. The time during which drug concentration is sufficient to elicit a therapeutic r
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esponse.
ANS: D d y
Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes for
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ya drug to elicit a therapeutic response is the drug‘s ―onset of action.‖ The time it takes a drug to reach its maximum therapeutic
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response is a drug‘s ―peak effect.‖ ―The length of time it takes to remove a drug from circulation‖ defines a drug‘s elimination and d
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oes not correctly define a drug‘s duration of action.
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DIF: Cognitive Level: Comprehension f6 dy
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