1
LILEY'S PHARMACOLOGY FOR CANADIAN HEALTH CARE
PRACTICE 4TH EDITION LATEST REAL EXAM QUESTIONS &
VERIFIED ANSWERS (2026) – PASS GUARANTEED
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
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
b. Pharmacodynamics
, 2
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
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
a. Metabolism
A drug given by which route is altered by the first-pass effect?
a. Oral
b. Sublingual
c. Intravenous (IV)
d. Subcutaneous
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.
, 3
d. Administering the medication via the Z-track method.
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
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
a. Intravenous (IV)
Patients with renal failure would most likely have problems with which
pharmacokinetic process?
a. Excretion
b. Absorption
c. Distribution
d. Metabolism
a. Excretion
What is the ratio between a drug's therapeutic effects and toxic effects called?
, 4
a. Therapeutic index
b. Cumulative effect
c. Tolerance
d. Affinity
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."
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
b. Interacting with receptors
c. Inhibiting the action of a specific enzyme
LILEY'S PHARMACOLOGY FOR CANADIAN HEALTH CARE
PRACTICE 4TH EDITION LATEST REAL EXAM QUESTIONS &
VERIFIED ANSWERS (2026) – PASS GUARANTEED
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
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
b. Pharmacodynamics
, 2
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
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
a. Metabolism
A drug given by which route is altered by the first-pass effect?
a. Oral
b. Sublingual
c. Intravenous (IV)
d. Subcutaneous
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.
, 3
d. Administering the medication via the Z-track method.
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
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
a. Intravenous (IV)
Patients with renal failure would most likely have problems with which
pharmacokinetic process?
a. Excretion
b. Absorption
c. Distribution
d. Metabolism
a. Excretion
What is the ratio between a drug's therapeutic effects and toxic effects called?
, 4
a. Therapeutic index
b. Cumulative effect
c. Tolerance
d. Affinity
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."
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
b. Interacting with receptors
c. Inhibiting the action of a specific enzyme
