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ANS: C o
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the p
o o o o o o o o o o o o o o o o o o o
time” problem because the ordered frequency has not changed. This is not a “right dose” problem beca
o o o o o o o o o o o o o o o o o
oan inability to swallow. This is not a “right medication” problem because the medication ordered will
o o o o o o o o o o o o o o o o
DIF: Cognitive Level: Application o o
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and
o o o o o o o o o o o o o o o o o o
of possible adverse effects. What nursing process phase is the nurse practising?
o o o o o o o o o o o o
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis o
ANS: B o
Monitoring the patient’s progress is part of the evaluation phase. Planning, implementation, and nursin
o o o o o o o o o o o o o
illustrated by this example.
o o o o
DIF: Cognitive Level: Application o o
4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus. Which st
o o o o o o o o o o o o o o o o o o
outcome criterion for this patient?
o o o o o
a. The patient will follow instructions.o o o o
b. The patient will not experience complications.
o o o o o
c. The patient adheres to the new insulin treatment regimen.
o o o o o o o o
d. The patient demonstrates safe insulin self-administration technique.
o o o o o o
ANS: D o
Having the patient demonstrate safe insulin self-administration technique is a specific and measurable
o o o o o o o o o o o o o
instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatmen
o o o o o o o o o o o o o o
oand would be difficult to measure.
o o o o o
DIF: Cognitive Level: Application o o
5. Which activity best reflects the implementation phase of the nursing process for the patient who is new
o o o o o o o o o o o o o o o o
diabetes mellitus?
o o
a. Providing education regarding self-injection technique o o o o
b. Setting goals and outcome criteria with the patient’s input
o o o o o o o o
c. Recording a history of over-the-counter medications used at home o o o o o o o o
d. Formulating nursing diagnoses regarding knowledge deficits related to the new o o o o o o o o o
treatment regimen
o o
ANS: A o
Education is an intervention that occurs during the implementation phase. Setting goals and outcome c
o o o o o o o o o o o o o o
phase. Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regardin
o o o o o o o o o o o o o
reflects analysis of data as part of the planning phase.
o o o o o o o o o o
DIF: Cognitive Level: Analysis o o
Copyright © 2021, Elsevier Inc. All rights reserved.
o o o o o o o
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6. The nurse is working during a very busy night shift, and the health care provider has just given the nurs
o o o o o o o o o o o o o o o o o o o
the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medic
o o o o o o o o o o o o o o o o o o o o o
a. Recopy the order neatly on the order sheet, with the most common route indicated
o o o o o o o o o o o o o
b. Consult with the pharmacist for clarification about the most common route
o o o o o o o o o o
c. Call the health care provider to clarify the route of administration
o o o o o o o o o o
d. Withhold the drug until the health care provider visits the patient
o o o o o o o o o o
ANS: C o
If a medication order does not include the route, the nurse must ask the health care provider to clarify i
o o o o o o o o o o o o o o o o o o o
administration.
o
DIF: Cognitive Level: Application | Cognitive Level: Analysis o o o o o o
7. Which constitutes the traditional Five Rights of medication administration?
o o o o o o o o
a. Right drug, right route, right dose, right time, and right patient
o o o o o o o o o o
b. Right drug, the right effect, the right route, the right time, and the right patient
o o o o o o o o o o o o o o
c. Right patient, right strength, right diagnosis, right drug, and right route
o o o o o o o o o o
d. Right patient, right diagnosis, right drug, right route, and right time
o o o o o o o o o o
ANS: A o
The traditional Five Rights of medication administration were considered to be Right drug, Right route
o o o o o o o o o o o o o o
Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights
o o o o o o o o o o o o o o o o o
DIF: Cognitive Level: Comprehension o o
8. What correctly describes the nursing process?
o o o o o
a. Diagnosing, planning, assessing, implementing, and finally evaluating
o o o o o o
b. Assessing, then diagnosing, implementing, and ending with evaluating
o o o o o o o
c. A linear direction that begins with assessing and continues through diagnosing,
o o o o o o o o o o
planning, and finally implementing
o o o o
d. An ongoing process that begins with assessing and continues with diagnosing,
o o o o o o o o o o
planning, implementing, and evaluating
o o o o
ANS: D o
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with
o o o o o o o o o o o o o o
through diagnosing, planning, implementing, and finally evaluating, which may then lead back to any o
o o o o o o o o o o o o o o o
DIF: Cognitive Level: Application o o
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
o o o o o o o o o o o o o o o o
a. The patient’s identification o o
b. The patient’s weight o o
c. The patient’s last meal o o o
d. Any drug or food allergies o o o o
ANS: C o
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to a
o o o o o o o o o o o o o o o
compatibility issues. The patient’s identification, weight, and drug or food allergies are not affected by
o o o o o o o o o o o o o o o
DIF: Cognitive Level: Application o o
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nurs
o o o o o o o o o o o o o o o o o o
a. Anxiety
b. Anxiety related to new drug therapy o o o o o
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
o o o o o o o o o o
statements such as “I’m upset about having to give myself shots”
o o o o o o o o o o o
d. Anxiety related to new drug therapy, as evidenced by statements such as “I’m
o o o o o o o o o o o o
upset about having to give myself shots”
o o o o o o o
ANS: D o
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is “Anxiet
o o o o o o o o o o o o o o
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Chapter 02: Pharmacological Principles
o o o
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
o o o o o o o o o
MULTIPLE CHOICE o
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both abso
o o o o o o o o o o o o o o o o o
identical amounts. Which term best denotes that the drugs have the same absorption rates?
o o o o o o o o o o o o o o
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D o
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same b
o o o o o o o o o o o o o o o o o
bioequivalent. “Equivalent” is incorrect because the term “bioavailability” is used to express the exten
o o o o o o o o o o o o o o
“Synergistic” is incorrect because this term refers to two drugs given together whose resulting effect is
o o o o o o o o o o o o o o o o
effects of each drug given alone. “Compatible” is incorrect because this term is a general term used to
o o o o o o o o o o o o o o o o o o
do not have a chemical reaction when mixed (or given, in the case of drugs) together.
o o o o o o o o o o o o o o o o
DIF: Cognitive Level: Comprehension o o
2. A patient is receiving medication via intravenous injection. Which information should the nurse provid
o o o o o o o o o o o o o
a. The medication will cause fewer adverse effects when given intravenously.
o o o o o o o o o
b. The medication will be absorbed slowly into the tissues over time.
o o o o o o o o o o
c. The medication’s action will begin faster when given intravenously.
o o o o o o o o
d. Most of the drug is inactivated by the liver before it reaches the target area.
o o o o o o o o o o o o o o
ANS: C o
Intravenous injections are the fastest route of absorption. The intravenous route does not affect the num
o o o o o o o o o o o o o o o
intravenous route is not a slow route of absorption, and the intravenous route does not cause inactivatio
o o o o o o o o o o o o o o o o o
obefore it reaches the target area. o o o o o
DIF: Cognitive Level: Comprehension o o
3. Which is true regarding parenteral drugs?
o o o o o
a. They bypass the first-pass effect. o o o o
b. They decrease blood flow to the stomach. o o o o o o
c. They are altered by the presence of food in the stomach.
o o o o o o o o o o
d. They exert their effects while circulating in the bloodstream.
o o o o o o o o
ANS: A o
Drugs given by the parenteral route bypass the first-pass effect, but they still must be absorbed into cell
o o o o o o o o o o o o o o o o o
exert their effects. Enteral drugs (drugs taken orally), not parenteral drugs, decrease blood flow to the s
o o o o o o o o o o o o o o o o o
the presence of food in the stomach. Parenteral drugs must be absorbed into cells and tissues from the
o o o o o o o o o o o o o o o o o o o
exert their effects; they do not exert their effects while circulating in the bloodstream.
o o o o o o o o o o o o o o
DIF: Cognitive Level: Analysis o o
4. A drug’s half-life is best defined as
o o o o o o
a. The time it takes for the drug to elicit half its therapeutic response.
o o o o o o o o o o o o
b. The time it takes one-half of the original amount of a drug to reach the target
o o o o o o o o o o o o o o o
cells.
o
c. The time it takes one-half of the original amount of a drug to be removed from the
o o o o o o o o o o o o o o o o
body.
o
d. The time it takes one-half of the original amount of a drug to be absorbed into the
o o o o o o o o o o o o o o o o
circulation.
o
ANS: C o
A drug’s half-life is the time it takes for one-half of the original amount of a drug to be removed from t
o o o o o o o o o o o o o o o o o o o o o
