TEST BANK
LILLEY'S PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE
KARA SEALOCK
4th Edition
TEST BANK
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Chapter 01: 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 about h
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 unable to sw
medication orally, as ordered. The nurse 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
ANS: C
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the p
time” problem because the ordered frequency has not changed. This is not a “right dose” problem beca
an inability to swallow. This is not a “right medication” problem because the medication ordered will n
DIF: Cognitive Level: Application
3. The nurse has been monitoring the patient’s progress on his new drug regimen since the first dose and h
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 nursing
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. Which sta
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 measurable o
instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatmen
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 the nurs
the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medic
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 clarify it
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, Right route,
Right patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights
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 begins with
through diagnosing, planning, implementing, and finally evaluating, which may then lead back to any o
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 regard to an
compatibility issues. The patient’s identification, weight, and drug or food allergies are not affected by
DIF: Cognitive Level: Application
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nurs
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”
ANS: D
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is “Anxiet
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Chapter 02: Pharmacological Principles
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
MULTIPLE CHOICE
1. A patient is receiving two different drugs, which, at their current dose forms and dosages, are both abso
identical amounts. Which term best denotes that the drugs have the same absorption rates?
a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D
Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same b
bioequivalent. “Equivalent” is incorrect because the term “bioavailability” is used to express the extent
“Synergistic” is incorrect because this term refers to two drugs given together whose resulting effect is
effects of each drug given alone. “Compatible” is incorrect because this term is a general term used to
do not have a chemical reaction when mixed (or given, in the case of drugs) together.
DIF: Cognitive Level: Comprehension
2. A opatient ois oreceiving omedication ovia ointravenous oinjection. oWhich oinformation oshould othe onurse
a. The omedication owill ocause ofewer oadverse oeffects owhen ogiven ointravenously.
b. The omedication owill obe oabsorbed oslowly ointo othe otissues oover otime.
c. The omedication’s oaction owill obegin ofaster owhen ogiven ointravenously.
d. Most oof othe odrug ois oinactivated oby othe oliver obefore oit oreaches othe otarget oarea.
ANS: o C
Intravenous oinjections oare othe ofastest oroute oof oabsorption. oThe ointravenous oroute odoes onot oaffec
oeffects, othe ointravenous oroute ois onot oa oslow oroute oof oabsorption, oand othe ointravenous oroute odoe
oof othe odrug oby othe oliver obefore oit oreaches othe otarget oarea.
DIF: Cognitive oLevel: oComprehension
3. Which ois otrue oregarding oparenteral odrugs?
a. They obypass othe ofirst-pass oeffect.
b. They odecrease oblood oflow oto othe ostomach.
c. They oare oaltered oby othe opresence oof ofood oin othe ostomach.
d. They oexert otheir oeffects owhile ocirculating oin othe obloodstream.
ANS: o A
Drugs ogiven oby othe oparenteral oroute obypass othe ofirst-pass oeffect, obut othey ostill omust obe oabsorbed
obefore othey ocan oexert otheir oeffects. oEnteral odrugs o(drugs otaken oorally), onot oparenteral odrugs, ode
ostomach oand oare o altered oby othe opresence oof ofood oin othe ostomach. oParenteral odrugs omust obe oab
otissues ofrom othe ocirculation obefore othey ocan oexert otheir oeffects; othey odo onot oexert otheir oeffects
obloodstream.
DIF: Cognitive oLevel: oAnalysis
4. A odrug’s ohalf-life ois obest odefined oas
a. The otime oit otakes ofor othe odrug oto oelicit ohalf oits otherapeutic oresponse.
b. The otime oit otakes oone-half oof othe ooriginal oamount oof oa odrug oto oreach
othe otarget ocells.
c. The otime oit otakes oone-half oof othe ooriginal oamount oof oa odrug oto obe oremoved
ofrom othe obody.
d. The otime oit otakes oone-half oof othe ooriginal oamount oof oa odrug oto obe oabsorbed
ointo othe ocirculation.
ANS: o C
