TESTBANK j
PHARMACOLOGYjFORjCANADIANjHEALTHjCAREjPRACTICE
LINDAjLANEjLILLEY,jJULIEjS.jSNYDERjANDjSHELLYjRAINFORTHjCOLLINS
3rdjEdition
TESTBANK j
,Chapterj01:jNursingjPracticejinjCanadajandjDrugjTherapy
Lilley:jPharmacologyjforjCanadianjHealthjCarejPractice,j3rdjCanadianjEdition
MULTIPLEjCHOICE
1. Whichjisjajjudgementjaboutjajparticularjpatient‘sjpotentialjneedjorjp
roblem?
a. Ajgoal
b. Anjassessment
c. Subjectivejdata
d. Ajnursingjdiagnosis
ANS:j D
Nursingjdiagnosisjisjthejphasejofjthejnursingjprocessjduringjwhich
ajclinicaljjudgementjisjmadejaboutjhowjajpatientjrespondsjtojheathjconditionsjandjlifejprocesses
jorjvulnerabilityjforthatjresponse.
DIF: CognitivejLevel:jKnowledge REF:jp.j11
2. Thejpatientjisjtojreceivejoraljfurosemidej(Lasix)jeveryjday;jhowever,jbecausejthejpatientjisju
nablejtojswallow,jhejcannotjtakejmedicationjorally,jasjordered.jThejnursejneedsjtojcontactjthe
jphysician.jWhatjtypejofjproblemjisjthis?
a. Aj―rightjtime‖jproblem
b. Aj―rightj dose‖jproblem
c. Aj―rightjroute‖jproblem
d. Aj―rightjmedication‖jproblem
ANS:j C
Thisjisjaj―rightjroute‖jproblem:jthejnursejcannotjassumejthejroutejandjmustjclarifyjthejroute
withjthejprescriber.jThisjisjnotjaj―rightjtime‖jproblemjbecausejthejorderedjfrequencyjhasjnotjch
anged.jThisjisjnotjaj―rightjdose‖jproblemjbecausejthejdosejisjnotjrelatedjtojanjinabilityjtojswall
ow.jThisjisjnotjaj―rightjmedication‖jproblemjbecausejthejmedicationjorderedjwilljnotjchange,jj
ustjthejroute.
DIF: CognitivejLevel:jApplication REF:j p.j14
3. Thejnursejhasjbeenjmonitoringjthejpatient‘sjprogressjonjhisjnewjdrugjregimenjsincejthejfirstjdo
sejandjhasjbeenjdocumentingjsignsjofjpossiblejadversejeffects.jWhatjnursingjprocessjphasejisjth
ejnursejpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingjdiagnosis
ANS:j B
Monitoringjthejpatient‘sjprogressjisjpartjofjthejevaluationjphase.jPlanning,jimplementation,jand
jnursingjdiagnosisjarejnotjillustratedjbyjthisjexample.
DIF: CognitivejLevel:jApplication REF:jp.j19
,4. Thejnursejisjcaringjforjajpatientjwhojhasjbeenjnewlyjdiagnosedjwithjtypej1jdiabetesjmellitus.jW
hichjstatementjbestjillustratesjanjoutcomejcriterionjforjthisjpatient?
a. Thejpatientjwilljfollowjinstructions.
b. Thejpatientjwilljnotjexperiencejcomplications.
c. Thejpatientjadheresjtojthejnewjinsulinjtreatmentjregimen.
d. Thejpatientjdemonstratesjsafejinsulinjself-administrationjtechnique.
ANS:j D
Havingjthejpatientjdemonstratejsafejinsulinjself-
administrationjtechniquejisjajspecificjandjmeasurablejoutcomejcriterion.jFollowingjinstruction
sjandjavoidingjcomplicationsjarejnotjspecificjcriteria.jAdherencejtojthejnewjinsulinjtreatmentjre
gimenjisjnotjobjectivejandjwouldjbejdifficultjtojmeasure.
DIF: CognitivejLevel:jApplication REF:jp.j13
5. Whichjactivityjbestjreflectsjthejimplementationjphasejofjthejnursingjprocessjforjthejpatientjw
hojisjnewlyjdiagnosedjwithjtypej1jdiabetesjmellitus?
a. Providingjeducationjregardingjself-injectionjtechnique
b. Settingjgoalsjandjoutcomejcriteriajwithjthejpatient‘sjinput
c. Recordingjajhistoryjofjover-the-counterjmedicationsjusedjatjhome
d. Formulatingjnursingjdiagnosesjregardingjknowledgejdeficitsjrelatedjtojthejnewjt
reatmentjregimen
ANS:j A
Educationjisjanjinterventionjthatjoccursjduringjthejimplementationjphase.jSettingjgoalsjandjout
comejcriteriajreflectsjthejplanningjphase.jRecordingjajdrugjhistoryjreflectsjthejassessmentjphase
.jFormulatingjnursingjdiagnosesjregardingjajknowledgejdeficitjreflectsjanalysisjofjdatajasjpartjo
fjthejplanningjphase.N
DIF: CognitivejLevel:jAnalysis REF:j p.j8j|jp.j13
6. Thejnursejisjworkingjduringjajveryjbusyjnightjshift,jandjthejhealthjcarejproviderjhasjjustjgivenj
thejnursejajmedicationjorderjoverjthejtelephone,jbutjthejnursejdoesjnotjrecalljthejroute.jWhatjisj
thejbestjwayjforjthejnursejtojavoidjmedicationjerrors?
a. Recopyjthejorderjneatlyjonjthejorderjsheet,jwithjthejmostjcommonjroutejindicated
b. Consultjwithjthejpharmacistjforjclarificationjaboutjthejmostjcommonjroute
c. Calljthejhealthjcarejproviderjtojclarifyjthejroutejofjadministration
d. Withholdjthejdrugjuntiljthejhealthjcarejproviderjvisitsjthejpatient
ANS:j C
Ifjajmedicationjorderjdoesjnotjincludejthejroute,jthejnursejmustjaskjthejhealthjcarejproviderjtojcla
rifyjit.jNeverjassumejthejroutejofjadministration.
DIF: CognitivejLevel:jApplicationj|jCognitivejLevel:jAnalysisj REF:j p.j17
7. WhichjconstitutesjthejtraditionaljFivejRightsjofjmedicationjadministration?
a. Rightjdrug,jrightjroute,jrightjdose,jrightjtime,jandjrightjpatient
b. Rightjdrug,jthejrightjeffect,jthejrightjroute,jthejrightjtime,jandjthejrightjpatient
c. Rightjpatient,jrightjstrength,jrightjdiagnosis,jrightjdrug,jandjrightjroute
d. Rightjpatient,jrightjdiagnosis,jrightjdrug,jrightjroute,jandjrightjtime
ANS:j A
, ThejtraditionaljFivejRightsjofjmedicationjadministrationjwerejconsideredjtojbejRightjdrug,jR
ightjroute,jRightjdose,jRightjtime,jandjRightjpatient.jRightjeffect,jrightjstrength,jandjrightjdia
gnosisjarejnotjpartjofjthejtraditionaljFivejRights.
DIF:j j CognitivejLevel:jComprehensionj j j REF:j p.j13
8. Whatjcorrectlyjdescribesj thejnursingjprocess?
a. Diagnosing,jplanning,jassessing,jimplementing,jandjfinallyjevaluating
b. Assessing,jthenjdiagnosing,jimplementing,jandjendingjwithjevaluating
c. Ajlinearjdirectionjthatjbeginsjwithjassessingjandjcontinuesjthroughjdiagnosing,jp
lanning,jandjfinallyjimplementing
d. Anjongoingjprocessjthatjbeginsjwithjassessingjandjcontinuesjwithjdiagnosing,jp
lanning,jimplementing,jandjevaluating
ANS:j D
Thejnursingjprocessjisjanjongoing,jflexible,jadaptable,jandjadjustablejfive-
stepjprocessjthatjbeginsjwithjassessingjandjcontinuesjthroughjdiagnosing,jplanning,jimplementi
ng,jandjfinallyjevaluating,jwhichjmayjthenjleadjbackjtojanyjofjthejotherjphases.
DIF: CognitivejLevel:jApplication REF:jp.j8
9. Whenjthejnursejisjconsideringjthejtimingjofjajdrugjdose,jwhichjisjmostjimportantjtojassess?
a. Thejpatient‘sjidentification
b. Thejpatient‘sjweight
c. Thejpatient‘sjlastjmeal
d. Anyjdrugjorjfoodjallergies
ANS:j C
Thejpharmacokineticjandjpharmacodynamicjpropertiesjofjthejdrugjneedjtojbejassessedjwith
regardjtojanyjdrug–
foodjinteractionsjorjcompatibilityjissues.jThejpatient‘sjidentification,jweight,jandjdrugjorjfoodj
allergiesjarejnotjaffectedjbyjthejdrug‘sjtiming.
DIF: CognitivejLevel:jApplication REF:jp.j17
10. Thejnursejisjwritingjnursingjdiagnosesjforjajplanjofjcare.jWhichjreflectsjthejcorrectjformatjforjhe
rjnursingjdiagnosis?
a. Anxiety
b. Anxietyjrelatedjtojnewjdrugjtherapy
c. Anxietyjrelatedjtojanxiousjfeelingsjaboutjdrugjtherapy,jasjevidencedjbyjstatementsjs
uchjasj―I‘mjupsetjaboutjhavingjtojgivejmyselfjshots‖
d. Anxietyjrelatedjtojnewjdrugjtherapy,jasjevidencedjbyjstatementsjsuchjasj―I‘mju
psetjaboutjhavingjtojgivejmyselfjshots‖
ANS:j D
PHARMACOLOGYjFORjCANADIANjHEALTHjCAREjPRACTICE
LINDAjLANEjLILLEY,jJULIEjS.jSNYDERjANDjSHELLYjRAINFORTHjCOLLINS
3rdjEdition
TESTBANK j
,Chapterj01:jNursingjPracticejinjCanadajandjDrugjTherapy
Lilley:jPharmacologyjforjCanadianjHealthjCarejPractice,j3rdjCanadianjEdition
MULTIPLEjCHOICE
1. Whichjisjajjudgementjaboutjajparticularjpatient‘sjpotentialjneedjorjp
roblem?
a. Ajgoal
b. Anjassessment
c. Subjectivejdata
d. Ajnursingjdiagnosis
ANS:j D
Nursingjdiagnosisjisjthejphasejofjthejnursingjprocessjduringjwhich
ajclinicaljjudgementjisjmadejaboutjhowjajpatientjrespondsjtojheathjconditionsjandjlifejprocesses
jorjvulnerabilityjforthatjresponse.
DIF: CognitivejLevel:jKnowledge REF:jp.j11
2. Thejpatientjisjtojreceivejoraljfurosemidej(Lasix)jeveryjday;jhowever,jbecausejthejpatientjisju
nablejtojswallow,jhejcannotjtakejmedicationjorally,jasjordered.jThejnursejneedsjtojcontactjthe
jphysician.jWhatjtypejofjproblemjisjthis?
a. Aj―rightjtime‖jproblem
b. Aj―rightj dose‖jproblem
c. Aj―rightjroute‖jproblem
d. Aj―rightjmedication‖jproblem
ANS:j C
Thisjisjaj―rightjroute‖jproblem:jthejnursejcannotjassumejthejroutejandjmustjclarifyjthejroute
withjthejprescriber.jThisjisjnotjaj―rightjtime‖jproblemjbecausejthejorderedjfrequencyjhasjnotjch
anged.jThisjisjnotjaj―rightjdose‖jproblemjbecausejthejdosejisjnotjrelatedjtojanjinabilityjtojswall
ow.jThisjisjnotjaj―rightjmedication‖jproblemjbecausejthejmedicationjorderedjwilljnotjchange,jj
ustjthejroute.
DIF: CognitivejLevel:jApplication REF:j p.j14
3. Thejnursejhasjbeenjmonitoringjthejpatient‘sjprogressjonjhisjnewjdrugjregimenjsincejthejfirstjdo
sejandjhasjbeenjdocumentingjsignsjofjpossiblejadversejeffects.jWhatjnursingjprocessjphasejisjth
ejnursejpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingjdiagnosis
ANS:j B
Monitoringjthejpatient‘sjprogressjisjpartjofjthejevaluationjphase.jPlanning,jimplementation,jand
jnursingjdiagnosisjarejnotjillustratedjbyjthisjexample.
DIF: CognitivejLevel:jApplication REF:jp.j19
,4. Thejnursejisjcaringjforjajpatientjwhojhasjbeenjnewlyjdiagnosedjwithjtypej1jdiabetesjmellitus.jW
hichjstatementjbestjillustratesjanjoutcomejcriterionjforjthisjpatient?
a. Thejpatientjwilljfollowjinstructions.
b. Thejpatientjwilljnotjexperiencejcomplications.
c. Thejpatientjadheresjtojthejnewjinsulinjtreatmentjregimen.
d. Thejpatientjdemonstratesjsafejinsulinjself-administrationjtechnique.
ANS:j D
Havingjthejpatientjdemonstratejsafejinsulinjself-
administrationjtechniquejisjajspecificjandjmeasurablejoutcomejcriterion.jFollowingjinstruction
sjandjavoidingjcomplicationsjarejnotjspecificjcriteria.jAdherencejtojthejnewjinsulinjtreatmentjre
gimenjisjnotjobjectivejandjwouldjbejdifficultjtojmeasure.
DIF: CognitivejLevel:jApplication REF:jp.j13
5. Whichjactivityjbestjreflectsjthejimplementationjphasejofjthejnursingjprocessjforjthejpatientjw
hojisjnewlyjdiagnosedjwithjtypej1jdiabetesjmellitus?
a. Providingjeducationjregardingjself-injectionjtechnique
b. Settingjgoalsjandjoutcomejcriteriajwithjthejpatient‘sjinput
c. Recordingjajhistoryjofjover-the-counterjmedicationsjusedjatjhome
d. Formulatingjnursingjdiagnosesjregardingjknowledgejdeficitsjrelatedjtojthejnewjt
reatmentjregimen
ANS:j A
Educationjisjanjinterventionjthatjoccursjduringjthejimplementationjphase.jSettingjgoalsjandjout
comejcriteriajreflectsjthejplanningjphase.jRecordingjajdrugjhistoryjreflectsjthejassessmentjphase
.jFormulatingjnursingjdiagnosesjregardingjajknowledgejdeficitjreflectsjanalysisjofjdatajasjpartjo
fjthejplanningjphase.N
DIF: CognitivejLevel:jAnalysis REF:j p.j8j|jp.j13
6. Thejnursejisjworkingjduringjajveryjbusyjnightjshift,jandjthejhealthjcarejproviderjhasjjustjgivenj
thejnursejajmedicationjorderjoverjthejtelephone,jbutjthejnursejdoesjnotjrecalljthejroute.jWhatjisj
thejbestjwayjforjthejnursejtojavoidjmedicationjerrors?
a. Recopyjthejorderjneatlyjonjthejorderjsheet,jwithjthejmostjcommonjroutejindicated
b. Consultjwithjthejpharmacistjforjclarificationjaboutjthejmostjcommonjroute
c. Calljthejhealthjcarejproviderjtojclarifyjthejroutejofjadministration
d. Withholdjthejdrugjuntiljthejhealthjcarejproviderjvisitsjthejpatient
ANS:j C
Ifjajmedicationjorderjdoesjnotjincludejthejroute,jthejnursejmustjaskjthejhealthjcarejproviderjtojcla
rifyjit.jNeverjassumejthejroutejofjadministration.
DIF: CognitivejLevel:jApplicationj|jCognitivejLevel:jAnalysisj REF:j p.j17
7. WhichjconstitutesjthejtraditionaljFivejRightsjofjmedicationjadministration?
a. Rightjdrug,jrightjroute,jrightjdose,jrightjtime,jandjrightjpatient
b. Rightjdrug,jthejrightjeffect,jthejrightjroute,jthejrightjtime,jandjthejrightjpatient
c. Rightjpatient,jrightjstrength,jrightjdiagnosis,jrightjdrug,jandjrightjroute
d. Rightjpatient,jrightjdiagnosis,jrightjdrug,jrightjroute,jandjrightjtime
ANS:j A
, ThejtraditionaljFivejRightsjofjmedicationjadministrationjwerejconsideredjtojbejRightjdrug,jR
ightjroute,jRightjdose,jRightjtime,jandjRightjpatient.jRightjeffect,jrightjstrength,jandjrightjdia
gnosisjarejnotjpartjofjthejtraditionaljFivejRights.
DIF:j j CognitivejLevel:jComprehensionj j j REF:j p.j13
8. Whatjcorrectlyjdescribesj thejnursingjprocess?
a. Diagnosing,jplanning,jassessing,jimplementing,jandjfinallyjevaluating
b. Assessing,jthenjdiagnosing,jimplementing,jandjendingjwithjevaluating
c. Ajlinearjdirectionjthatjbeginsjwithjassessingjandjcontinuesjthroughjdiagnosing,jp
lanning,jandjfinallyjimplementing
d. Anjongoingjprocessjthatjbeginsjwithjassessingjandjcontinuesjwithjdiagnosing,jp
lanning,jimplementing,jandjevaluating
ANS:j D
Thejnursingjprocessjisjanjongoing,jflexible,jadaptable,jandjadjustablejfive-
stepjprocessjthatjbeginsjwithjassessingjandjcontinuesjthroughjdiagnosing,jplanning,jimplementi
ng,jandjfinallyjevaluating,jwhichjmayjthenjleadjbackjtojanyjofjthejotherjphases.
DIF: CognitivejLevel:jApplication REF:jp.j8
9. Whenjthejnursejisjconsideringjthejtimingjofjajdrugjdose,jwhichjisjmostjimportantjtojassess?
a. Thejpatient‘sjidentification
b. Thejpatient‘sjweight
c. Thejpatient‘sjlastjmeal
d. Anyjdrugjorjfoodjallergies
ANS:j C
Thejpharmacokineticjandjpharmacodynamicjpropertiesjofjthejdrugjneedjtojbejassessedjwith
regardjtojanyjdrug–
foodjinteractionsjorjcompatibilityjissues.jThejpatient‘sjidentification,jweight,jandjdrugjorjfoodj
allergiesjarejnotjaffectedjbyjthejdrug‘sjtiming.
DIF: CognitivejLevel:jApplication REF:jp.j17
10. Thejnursejisjwritingjnursingjdiagnosesjforjajplanjofjcare.jWhichjreflectsjthejcorrectjformatjforjhe
rjnursingjdiagnosis?
a. Anxiety
b. Anxietyjrelatedjtojnewjdrugjtherapy
c. Anxietyjrelatedjtojanxiousjfeelingsjaboutjdrugjtherapy,jasjevidencedjbyjstatementsjs
uchjasj―I‘mjupsetjaboutjhavingjtojgivejmyselfjshots‖
d. Anxietyjrelatedjtojnewjdrugjtherapy,jasjevidencedjbyjstatementsjsuchjasj―I‘mju
psetjaboutjhavingjtojgivejmyselfjshots‖
ANS:j D
