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PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE 4TH EDITION LILLEY’S TEST BANK/ALL CHS 1-58
PHARMACOLOGY FOR CANADIAN HEALTH CARE PRACTICE 4TH EDITION LILLEY’S TEST BANK/ALL CHS 1-58
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PHARMACOLOGY FOR CANADIAN HEALTH CAREPRACTICE 4TH EDITION LILLEY’S TEST BANK/ALL CHS
1-58
,CH 01: Nursing Practice in Canada and Drug Therapy
Lilley: Pharmacology for Canadian Health Care Practice, 4TH Canadian Edition
MULTIPLE CHOICE
1. Which is a judgement about a particular client‘s potential need or problem?
a. A goal
b. An assessment
c. Subjective data
d. A nursing diagnosis
RIGHT CHOICE:- D
Rationale :->>>Nursing diagnosis is the phase of the nursing process during which a clinical
judgement is made about how a client responds to heath conditions and life processes or
vulnerability for that response.
DIF: Cognitive Level: Knowledge REF: p. 11
2. The client is to receive oral furosemide (Lasix) every day; however, because the client is
unable to swallow, he cannot take medication orally, as ordered. The professional 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
RIGHT CHOICE:- C
Rationale :->>>This is a ―right route‖ problem: the professional nurse 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.
DIF: Cognitive Level: Application REF: p. 14
3. The professional nurse has been monitoring the client‘s progress on his new drug regimen
since the first dose and has been documenting signs of possible adverse effects. What nursing
process phase is the professional nurse practising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis
RIGHT CHOICE:- B
Rationale :->>>Monitoring the client‘s progress is part of the evaluation phase. Planning,
implementation, and nursing diagnosis are not illustrated by this example.
DIF: Cognitive Level: Application REF: p. 19
,4. The professional nurse is caring for a client who has been newly diagnosed with type 1
diabetes mellitus. Which statement best illustrates an outcome criterion for this client?
a. The client will follow instructions.
b. The client will not experience complications.
c. The client adheres to the new insulin treatment regimen.
d. The client demonstrates safe insulin self-administration technique.
RIGHT CHOICE:- D
Rationale :->>>Having the 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.
DIF: Cognitive Level: Application REF: p. 13
5. Which activity best reflects the implementation phase of the nursing process for the 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 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
RIGHT CHOICE:- A
Rationale :->>>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.
DIF: Cognitive Level: Analysis REF: p. 8 | p. 13
6. The professional nurse is working during a very busy night shift, and the health care
provider has just given the professional nurse a medication order over the telephone, but the
professional nurse does not recall the route. What is the best way for the professional nurse
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 health care provider to clarify the route of administration
d. Withhold the drug until the health care provider visits the client
RIGHT CHOICE:- C
Rationale :->>>If a medication order does not include the route, the professional nurse must
ask the health care provider to clarify it. Never assume the route of administration.
DIF: 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 client
b. Right drug, the right effect, the right route, the right time, and the right client
c. Right client, right strength, right diagnosis, right drug, and right route
d. Right client, right diagnosis, right drug, right route, and right time
RIGHT CHOICE:- A
, The traditional Five Rights of medication administration were considered to be Right drug,
Right route, Right dose, Right time, and Right client. Right effect, right strength, and right
diagnosis are not part of the traditional Five Rights.
DIF: 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
RIGHT CHOICE:- D
Rationale :->>>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.
DIF: Cognitive Level: Application REF: p. 8
9. When the professional nurse is considering the timing of a drug dose, which is most important to
assess?
a. The client‘s identification
b. The client‘s weight
c. The client‘s last meal
d. Any drug or food allergies
RIGHT CHOICE:- C
Rationale :->>>The pharmacokinetic and pharmacodynamic properties of the drug need to be
assessed with
regard to any drug–food interactions or compatibility issues. The client‘s identification,
weight, and drug or food allergies are not affected by the drug‘s timing.
DIF: Cognitive Level: Application REF: p. 17
10. The professional nurse 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‖
RIGHT CHOICE:- D
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