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Test Bank for Lilleys Pharmacology for Canadian Health Care
Practice 4th Edition Sealock |9780323694803 | Chapter 1-58 |
All Chapters with Answers and Rationals
In which step of the nursing process does the nurse determine the outcome of medication
administration?
a. Planning
b. Assessment
c. Evaluation
d. Implementation - ANSWER: c. Evaluation
The nurse plans care for a male patient who is 80 years of age. The nursing diagnosis is nonadherence
with the medication regimen related to living alone, as evidenced by uncontrolled blood pressure.
What should the nurse do next?
a. Assess the impact of home self-management of medications.
b. Collaborate with the health care provider on a new medication regimen.
c. Enlist the help of a home care nurse for pharmacotherapy.
d. Examine the results of nursing help with the medications. - ANSWER: c. Enlist the help of a home
care nurse for pharmacotherapy.
Which statement is an example of objective data? (Select all that apply.)
a. The patient says that she has felt tired for almost a week.
b. The patient says that she feels like someone is touching her arm.
c. The patient has had a fever for 5 days.
d. The patient has clear urine.
e. The patient states that she has a headache. - ANSWER: c. The patient has had a fever for 5 days.
d. The patient has clear urine.
What should the nurse check when reviewing a prescription with a patient? (Select all that apply.)
a. The patient's emergency contact
b. The patient's home address
c. The route of administration
d. The age of the patient
e. The signature of the prescriber - ANSWER: c. The route of administration
e. The signature of the prescriber
What information should the nurse chart when documenting medication administration? (Select all
that apply.)
a. The dosage of medication administered
b. The time of administration
c. Information about an "incident report" in the patient's chart
d. The patient's age
e. The route of administration - ANSWER: a. The dosage of medication administered
b. The time of administration
e. The route of administration
What is the study of physiochemical properties of drugs and how drugs influence the body called?
a. Pharmacology
b. Pharmacodynamics
c. Pharmacokinetics
d. Pharmacotherapeutics - ANSWER: b. Pharmacodynamics
Which statement best describes pharmacokinetics?
a. Adverse effects and toxic reactions to medications
,b. Conversion of medication into its active chemical substance
c. What the body does to the drug after it is administered
d. Physiologic interaction between a drug and body cells - ANSWER: c. What the body does to the
drug after it is administered
What is another term for biotransformation of a drug?
a. Metabolism
b. Absorption
c. Excretion
d. Dilution - ANSWER: a. Metabolism
A drug given by which route is altered by the first-pass effect?
a. Oral
b. Sublingual
c. Intravenous (IV)
d. Subcutaneous - ANSWER: a. Oral
Which nursing action will increase the absorption of a medication administered intramuscularly?
a. Massaging the site after injection.
b. Lowering the extremity below the level of the heart.
c. Applying ice packs to the injection site.
d. Administering the medication via the Z-track method. - ANSWER: a. Massaging the site after
injection.
When administering two medications that are highly protein bound, the nurse understands to
monitor the patient carefully for which effect?
a. A short duration of medication action
b. Immediate improvement in the patient's condition
c. Increase in the risk of drug-drug interactions
d. Hypovolemic shock caused by a low albumin level - ANSWER: c. Increase in the risk of drug-drug
interactions
To achieve the most rapid onset of action, the health care provider will prescribe the medication to be
administered by which route?
a. Intravenous (IV)
b. Subcutaneous (SC)
c. Intramuscular (IM)
d. Intrathecally - ANSWER: a. Intravenous (IV)
Patients with renal failure would most likely have problems with which pharmacokinetic process?
a. Excretion
b. Absorption
c. Distribution
d. Metabolism - ANSWER: a. Excretion
What is the ratio between a drug's therapeutic effects and toxic effects called?
a. Therapeutic index
b. Cumulative effect
c. Tolerance
d. Affinity - ANSWER: a. Therapeutic index
A patient asks the nurse why the dose of IV pain medication being given is lower than that of the
patient's previous oral medication. What is the nurse's best response to the patient?
a. "Medications given intravenously are not affected by the first-pass effect."
b. "Medications given orally bypass the portal circulatory system."
c. "Drugs administered intravenously enter the portal system before systemic distribution."
d. "Drugs administered intravenously enter the portal system before systemic distribution."
,e. "Drugs administered intravenously enter the portal system before systemic distribution." -
ANSWER: a. "Medications given intravenously are not affected by the first-pass effect."
The nurse understands that drugs exert their actions on the body by what process? (Select all that
apply.)
a. Making the cell perform a new function
b. Interacting with receptors
c. Inhibiting the action of a specific enzyme
d. Altering metabolic chemical processes - ANSWER: b. Interacting with receptors
c. Inhibiting the action of a specific enzyme
d. Altering metabolic chemical processes
The nurse knows that which factors will affect the absorption of orally administered medications?
(Select all that apply.)
a. pH of the stomach
b. Form of drug preparation
c. Patient in high Fowler's position
d. Time of day
e. Presence of food in the stomach - ANSWER: a. pH of the stomach
b. Form of drug preparation
d. Time of day
e. Presence of food in the stomach
Drug's half-life is defined as the amount of time required for 50% of a drug to
a. be absorbed by the body.
b. reach a therapeutic level.
c. exert a response.
d. be eliminated by the body. - ANSWER: d. be eliminated by the body.
What is the nurse's role in the development of new and investigational drugs?
a. To identify patients who receive a placebo drug during Phase III studies
b. To inform patients of the specific drug they will receive during phase II studies
c. To monitor and report any adverse effects observed during Phase IV studies
d. To select healthy older adult patients to participate in Phase I studies - ANSWER: c. To monitor and
report any adverse effects observed during Phase IV studies
It is the professional responsibility of the nurse to do which of the following?
a. Use beneficence (the duty to do no harm to the patient).
b. Transfer the care of a patient to another professional nurse if caring for the patient would violate
personal ethical principles.
c. Impose personal values on the patient when doing so would help the patient.
d. Withhold information from the patient as requested by the family. - ANSWER: b. Transfer the care
of a patient to another professional nurse if caring for the patient would violate personal ethical
principles.
Which of the following, in respect to the patient's cultural practices, must the nurse keep in mind
when providing drug therapy and other health practices?
a. Dietary habits and practices can be of little value to the care of a sick adult.
b. Most cultures are fairly standard in regard to the use of medication during illness.
c. The use of some drugs elicits varied responses depending on the patient's cultural practice.
d. Regardless of the patient's cultural background, it is crucial to adhere to recommended medical
practices. - ANSWER: c. The use of some drugs elicits varied responses depending on the patient's
cultural practice.
New drugs must go through extensive research and testing before approval for use in humans. The
nurse knows that the average length of time a medication is researched before being prescribed for
humans is how many years?
, a. 2 to 4
b. 10 to 12
c. 14 to 16
d. 6 to 8 - ANSWER: b. 10 to 12
What federal law governs the collection, use, and disclosure of personal information?
a. Personal Health Information Protection Act
b. Personal Information Protection and Electronic Documents Act
c. Privacy and Confidentiality Act
d. Personal Health Information Access and Protection of Privacy Act - ANSWER: b. Personal
Information Protection and Electronic Documents Act
There are multiple factors that the nurse must be respectful of and unrestricted by when providing
care. Which factors must the nurse consider? (Select all that apply.)
a. Age
b. Sexual orientation
c. Disability
d. Colour
e. Social status
f. Culture
g. Politics - ANSWER: a. Age
b. Sexual orientation
c. Disability
e. Social status
f. Culture
g. Politics
A pharmaceutical company is voluntarily conducting a postmarketing study to obtain further proof of
the therapeutic effects of a new drug. What phase of drug study is this considered to be?
a. Phase III
b. Phase I
c. Phase II
d. Phase IV - ANSWER: d. Phase IV
The nurse is teaching a pregnant patient about the effects of medication on fetal development. The
nurse understands that the greatest risk for medication effects on the developing fetus occurs during
which time period?
a. First trimester
b. Third trimester
c. Birthing process
d. Second trimester - ANSWER: a. First trimester
Knowing that the albumin in neonates and infants has a lower binding capacity for medications, the
nurse anticipates the health care provider to perform which action to minimize the risk of toxicity?
a. Increase the amount of drug given
b. Decrease the amount of drug given
c. Shorten the time interval between doses
d. Administer the medication intravenously - ANSWER: b. Decrease the amount of drug given
The physiological changes that normally occur in older adult patients have which implication for drug
response?
a. Drug elimination is faster.
b. Drug half-life is lengthened.
c. Protein binding is more efficient.
d. Drug metabolism is quicker. - ANSWER: b. Drug half-life is lengthened.
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