lOMoARcPSD|13728229
lOMoARcPSD|13728229
Complete Test Bank Lilleys Pharmacol
Canadian Health Care Practice 4th Editio
Questions & Verified Answers with rat
(Chapter 1-58) Updated 2023/202
Lilleys Pharmacology for Canadian Health Care
4thEdition Sealock Test Bank
Professionhood and the Knowledge of Nursing I
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Chapter 01: C Nursing Practice in Canada and Drug Therapy
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
MULTIPLE CHOICE
1. Which is a judgement about a particular patient’s potential need or problem?
a. A goal
b. An assessment
c. Subjective data
d. A nursing diagnosis
ANS: D
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made a
responds to heath conditions and life processes or vulnerability for that response.
DIF: Cognitive Level: Knowledge
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is unabl
cannot take medication orally, as ordered. The nurse needs to contact the physician. What type o
a. A “right time” problem
b. A “right dose” problem
c. A “right route” problem
d. A “right medication” problem
ANS: C
This is a “right route” problem: the nurse cannot assume the route and must clarify the route w
not a “right time” problem because the ordered frequency has not changed. This is not a “right
dose is not related to an inability to swallow. This is not a “right medication” problem because t
not change, just the route.
DIF: Cognitive Level: Application
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dos
documenting signs of possible adverse effects. What nursing process phase is the nurse practising
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis
ANS: B
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and
diagnosis are not illustrated by this example.
DIF: Cognitive Level: Application
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Wh
illustrates an outcome criterion for this patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient adheres to the new insulin treatment regimen.
d. The patient demonstrates safe insulin self-administration technique.
ANS: D
Having the patient demonstrate safe insulin self-administration technique is a specific and measu
Following instructions and avoiding complications are not specific criteria. Adherence to the new
is not objective and would be difficult to measure.
DIF: Cognitive Level: Application
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6. The nurse is working during a very busy night shift, and the health care provider has just given t
order over the telephone, but the nurse does not recall the route. What is the best way for the nu
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 health care provider to clarify the route of administration
d. Withhold the drug until the health care provider visits the patient
ANS: C
If a medication order does not include the route, the nurse must ask the health care provider to c
route of administration.
DIF: Cognitive Level: Application | Cognitive Level: Analysis
7. Which constitutes the traditional Five Rights of medication administration?
a. Right drug, right route, right dose, right time, and right patient
b. Right drug, the right effect, the right route, the right time, and the right patient
c. Right patient, right strength, right diagnosis, right drug, and right route
d. Right patient, right diagnosis, right drug, right route, and right time
ANS: A
The traditional Five Rights of medication administration were considered to be Right drug, Righ
time, and Right patient. Right effect, right strength, and right diagnosis are not part of the tradit
DIF: Cognitive Level: Comprehension
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
ANS: D
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begin
continues through diagnosing, planning, implementing, and finally evaluating, which may then le
other phases.
DIF: Cognitive Level: Application
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
a. The patient’s identification
b. The patient’s weight
c. The patient’s last meal
d. Any drug or food allergies
ANS: C
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with rega
interactions or compatibility issues. The patient’s identification, weight, and drug or food allergi
drug’s timing.
DIF: Cognitive Level: Application
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for h
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”
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DIF: Cognitive Level: Analysis
