,Chapter 01: Nursing Practice in Canada and Drug Therapy
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Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
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MULTIPLE CHOICE vr
1. Which is a judgement about a particular patient‘s potential need or
vr vr vr vr vr vr vr vr vr vr
problem?
vr
a. A goal vr
b. An assessment vr
c. Subjective data vr
d. A nursing diagnosis vr vr
ANS: D v r
Nursing diagnosis is the phase of the nursing process during which vr vr vr vr vr vr vr vr vr vr
a clinical judgement is made about how a patient responds to heath conditions and life processes
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or vulnerability forthat response.
vr vr vr vr
DIF: Cognitive Level: Knowledge vr vr REF: p. 11 vr vr
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is
vr vr vr vr vr vr vr vr vr vr vr vr vr vr
unable to swallow, he cannot take medication orally, as ordered. The nurse needs to contact
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
the physician. What type of problem is this?
vr vr vr vr vr vr vr vr
a. A ―right time‖ problem vr vr vr
b. A ―right dose‖ problem vr vr vr
c. A ―right route‖ problem vr vr vr
d. A ―right medication‖ problem vr vr vr
ANS: v r C
This is a ―right route‖ problem: the nurse cannot assume the route and must clarifythe route
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
withthe prescriber. This is not a ―right time‖ problem because the ordered frequency has not
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
changed. This is not a ―right dose‖ problem because the dose is not related to an inabilityto
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
swallow. This is not a ―right medication‖ problem because the medication ordered will not
vr vr vr vr vr vr vr vr vr vr vr vr vr vr
change, just the route.
vr vr vr vr
DIF: Cognitive Level: Application vr vr REF: v r p. 14 vr
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
dose and has been documenting signs of possible adverse effects. What nursing process phase is
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
the nurse practising?
vr vr vr
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis vr
ANS: B v r
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and
vr vr vr vr vr vr vr vr vr vr vr vr
nursing diagnosis are not illustrated by this example.
vr vr vr vr vr vr vr vr
DIF: Cognitive Level: Application vr vr REF: p. 19 vr vr
,4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus.
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
Which statement best illustrates an outcome criterion for this patient?
vr vr vr vr vr vr vr vr vr vr
a. The patient will follow instructions. vr vr vr vr
b. The patient will not experience complications.
vr vr vr vr vr
c. The patient adheres to the new insulin treatment regimen.
vr vr vr vr vr vr vr vr
d. The patient demonstrates safe insulin self-administration technique.
vr vr vr vr vr vr
ANS: D v r
Having the patient demonstrate safe insulin self-administration technique is a specific and
vr vr vr vr vr vr vr vr vr vr vr
measurable outcome criterion. Following instructions and avoiding complications are not
vr vr vr vr vr vr vr vr vr vr
specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
difficult to measure.
vr vr vr
DIF: Cognitive Level: Application vr vr REF: p. 13 vr vr
5. Which activity best reflects the implementation phase of the nursing process for the patient
vr vr vr vr vr vr vr vr vr vr vr vr vr
vr who is newly diagnosed with type 1 diabetes mellitus?
vr vr vr vr vr vr vr vr
a. Providing education regarding self-injection technique vr vr vr vr
b. Setting goals and outcome criteria with the patient‘s input vr vr vr vr vr vr vr vr
c. Recording a history of over-the-counter medications used at home vr vr vr vr vr vr vr vr
d. Formulating nursing diagnoses regarding knowledge deficits related to the new vr vr vr vr vr vr vr vr vr
treatment regimen
vr vr
ANS: A v r
Education is an intervention that occurs during the implementation phase. Setting goals and
vr vr vr vr vr vr vr vr vr vr vr vr
outcome criteria reflects the planning phase. Recording a drug history reflects the assessment
vr vr vr vr vr vr vr vr vr vr vr vr vr
phase. Formulating nursing diagnoses regarding a knowledge deficit reflects analysis of data as
vr vr vr vr vr vr vr vr vr vr vr vr vr
part of the planning phase.N
vr vr vr vr vr
DIF: Cognitive Level: Analysis vr vr REF: p. 8 | p. 13 vr vr vr vr vr
6. The nurse is working during a very busy night shift, and the health care provider has just given
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
the nurse a medication order over the telephone, but the nurse does not recall the route. What is
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
the best way for the nurse to avoid medication errors?
vr vr vr vr vr vr vr vr vr vr
a. Recopy the order neatly on the order sheet, with the most common route indicated vr vr vr vr vr vr vr vr vr vr vr vr vr
b. Consult with the pharmacist for clarification about the most common route vr vr vr vr vr vr vr vr vr vr
c. Call the health care provider to clarifythe route of administration
vr vr vr vr vr vr vr vr vr vr
d. Withhold the drug until the health care provider visits the patient vr vr vr vr vr vr vr vr vr vr
ANS: C v r
If a medication order does not include the route, the nurse must ask the health care provider to
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
clarify it. Never assume the route of administration.
vr vr vr vr vr vr vr vr
DIF: Cognitive Level: Application |Cognitive Level: Analysis REF: vr vr vr vr vr vr v r v r p. 17 vr
7. Which constitutes the traditional Five Rights of medication administration?
vr vr vr vr vr vr vr vr
a. Right drug, right route, right dose, right time, and right patient vr vr vr vr vr vr vr vr vr vr
b. Right drug, the right effect, the right route, the right time, and the right patient
vr vr vr vr vr vr vr vr vr vr vr vr vr vr
c. Right patient, right strength, right diagnosis, right drug, and right route
vr vr vr vr vr vr vr vr vr vr
d. Right patient, right diagnosis, right drug, right route, and right time
vr vr vr vr vr vr vr vr vr vr
ANS: A v r
, The traditional Five Rights of medication administration were considered to be Right drug,
vr vr vr vr vr vr vr vr vr vr vr vr
Right route, Right dose, Right time, and Right patient. Right effect, right strength, and right
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
diagnosis are not part of the traditional Five Rights.
vr vr vr vr vr vr vr vr vr
DIF: v r v r Cognitive Level: Comprehension vr vr v r v r v r REF: v r p. 13 vr
8. What correctly describes the nursing process?
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a. Diagnosing, planning, assessing, implementing, and finally evaluating vr vr vr vr vr vr
b. Assessing, then diagnosing, implementing, and ending with evaluating vr vr vr vr vr vr vr
c. A linear direction that begins with assessing and continues through diagnosing,
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vr planning, and finally implementing vr vr vr
d. An ongoing process that begins with assessing and continues with diagnosing,
vr vr vr vr vr vr vr vr vr vr
vr planning, implementing, and evaluating vr vr vr
ANS: D v r
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that
vr vr vr vr vr vr vr vr vr vr vr vr
begins with assessing and continues through diagnosing, planning, implementing, and finally
vr vr vr vr vr vr vr vr vr vr vr
evaluating, which may then lead back to any of the other phases.
vr vr vr vr vr vr vr vr vr vr vr vr
DIF: Cognitive Level: Application vr vr REF: p. 8 vr vr
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
a. The patient‘s identification vr vr
b. The patient‘s weight vr vr
c. The patient‘s last meal vr vr vr
d. Any drug or food allergies vr vr vr vr
ANS: v r C
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with
vr vr vr vr vr vr vr vr vr vr vr vr
regard to any drug–food interactions or compatibility issues. The patient‘s identification,
vr vr vr vr vr vr vr vr vr vr
weight, and drug or food allergies are not affected by the drug‘s timing.
vr vr vr vr vr vr vr vr vr vr vr vr vr
DIF: Cognitive Level: Application vr vr REF: p. 17 vr vr
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
vr nursing diagnosis? vr
a. Anxiety
b. Anxiety related to new drug therapy vr vr vr vr vr
c. Anxietyrelated to anxious feelings about drug therapy, as evidenced bystatements
vr vr vr vr vr vr vr vr vr vr vr
vr such as ―I‘m upset about having to give myself shots‖
vr vr vr vr vr vr vr vr vr
d. Anxietyrelated tonew drugtherapy, asevidenced bystatementssuch as―I‘mvr vr vr vr vr vr vr vr vr vr vr vr
vr upset about having to give myself shots‖ vr vr vr vr vr vr
ANS: D v r
vr vr vr vr vr vr vr vr
Lilley: Pharmacology for Canadian Health Care Practice, 3rd Canadian Edition
vr vr vr vr vr vr vr vr vr
MULTIPLE CHOICE vr
1. Which is a judgement about a particular patient‘s potential need or
vr vr vr vr vr vr vr vr vr vr
problem?
vr
a. A goal vr
b. An assessment vr
c. Subjective data vr
d. A nursing diagnosis vr vr
ANS: D v r
Nursing diagnosis is the phase of the nursing process during which vr vr vr vr vr vr vr vr vr vr
a clinical judgement is made about how a patient responds to heath conditions and life processes
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
or vulnerability forthat response.
vr vr vr vr
DIF: Cognitive Level: Knowledge vr vr REF: p. 11 vr vr
2. The patient is to receive oral furosemide (Lasix) every day; however, because the patient is
vr vr vr vr vr vr vr vr vr vr vr vr vr vr
unable to swallow, he cannot take medication orally, as ordered. The nurse needs to contact
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
the physician. What type of problem is this?
vr vr vr vr vr vr vr vr
a. A ―right time‖ problem vr vr vr
b. A ―right dose‖ problem vr vr vr
c. A ―right route‖ problem vr vr vr
d. A ―right medication‖ problem vr vr vr
ANS: v r C
This is a ―right route‖ problem: the nurse cannot assume the route and must clarifythe route
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
withthe prescriber. This is not a ―right time‖ problem because the ordered frequency has not
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
changed. This is not a ―right dose‖ problem because the dose is not related to an inabilityto
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
swallow. This is not a ―right medication‖ problem because the medication ordered will not
vr vr vr vr vr vr vr vr vr vr vr vr vr vr
change, just the route.
vr vr vr vr
DIF: Cognitive Level: Application vr vr REF: v r p. 14 vr
3. The nurse has been monitoring the patient‘s progress on his new drug regimen since the first
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
dose and has been documenting signs of possible adverse effects. What nursing process phase is
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
the nurse practising?
vr vr vr
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis vr
ANS: B v r
Monitoring the patient‘s progress is part of the evaluation phase. Planning, implementation, and
vr vr vr vr vr vr vr vr vr vr vr vr
nursing diagnosis are not illustrated by this example.
vr vr vr vr vr vr vr vr
DIF: Cognitive Level: Application vr vr REF: p. 19 vr vr
,4. The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes mellitus.
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
Which statement best illustrates an outcome criterion for this patient?
vr vr vr vr vr vr vr vr vr vr
a. The patient will follow instructions. vr vr vr vr
b. The patient will not experience complications.
vr vr vr vr vr
c. The patient adheres to the new insulin treatment regimen.
vr vr vr vr vr vr vr vr
d. The patient demonstrates safe insulin self-administration technique.
vr vr vr vr vr vr
ANS: D v r
Having the patient demonstrate safe insulin self-administration technique is a specific and
vr vr vr vr vr vr vr vr vr vr vr
measurable outcome criterion. Following instructions and avoiding complications are not
vr vr vr vr vr vr vr vr vr vr
specific criteria. Adherence to the new insulin treatment regimen is not objective and would be
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
difficult to measure.
vr vr vr
DIF: Cognitive Level: Application vr vr REF: p. 13 vr vr
5. Which activity best reflects the implementation phase of the nursing process for the patient
vr vr vr vr vr vr vr vr vr vr vr vr vr
vr who is newly diagnosed with type 1 diabetes mellitus?
vr vr vr vr vr vr vr vr
a. Providing education regarding self-injection technique vr vr vr vr
b. Setting goals and outcome criteria with the patient‘s input vr vr vr vr vr vr vr vr
c. Recording a history of over-the-counter medications used at home vr vr vr vr vr vr vr vr
d. Formulating nursing diagnoses regarding knowledge deficits related to the new vr vr vr vr vr vr vr vr vr
treatment regimen
vr vr
ANS: A v r
Education is an intervention that occurs during the implementation phase. Setting goals and
vr vr vr vr vr vr vr vr vr vr vr vr
outcome criteria reflects the planning phase. Recording a drug history reflects the assessment
vr vr vr vr vr vr vr vr vr vr vr vr vr
phase. Formulating nursing diagnoses regarding a knowledge deficit reflects analysis of data as
vr vr vr vr vr vr vr vr vr vr vr vr vr
part of the planning phase.N
vr vr vr vr vr
DIF: Cognitive Level: Analysis vr vr REF: p. 8 | p. 13 vr vr vr vr vr
6. The nurse is working during a very busy night shift, and the health care provider has just given
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
the nurse a medication order over the telephone, but the nurse does not recall the route. What is
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
the best way for the nurse to avoid medication errors?
vr vr vr vr vr vr vr vr vr vr
a. Recopy the order neatly on the order sheet, with the most common route indicated vr vr vr vr vr vr vr vr vr vr vr vr vr
b. Consult with the pharmacist for clarification about the most common route vr vr vr vr vr vr vr vr vr vr
c. Call the health care provider to clarifythe route of administration
vr vr vr vr vr vr vr vr vr vr
d. Withhold the drug until the health care provider visits the patient vr vr vr vr vr vr vr vr vr vr
ANS: C v r
If a medication order does not include the route, the nurse must ask the health care provider to
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
clarify it. Never assume the route of administration.
vr vr vr vr vr vr vr vr
DIF: Cognitive Level: Application |Cognitive Level: Analysis REF: vr vr vr vr vr vr v r v r p. 17 vr
7. Which constitutes the traditional Five Rights of medication administration?
vr vr vr vr vr vr vr vr
a. Right drug, right route, right dose, right time, and right patient vr vr vr vr vr vr vr vr vr vr
b. Right drug, the right effect, the right route, the right time, and the right patient
vr vr vr vr vr vr vr vr vr vr vr vr vr vr
c. Right patient, right strength, right diagnosis, right drug, and right route
vr vr vr vr vr vr vr vr vr vr
d. Right patient, right diagnosis, right drug, right route, and right time
vr vr vr vr vr vr vr vr vr vr
ANS: A v r
, The traditional Five Rights of medication administration were considered to be Right drug,
vr vr vr vr vr vr vr vr vr vr vr vr
Right route, Right dose, Right time, and Right patient. Right effect, right strength, and right
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
diagnosis are not part of the traditional Five Rights.
vr vr vr vr vr vr vr vr vr
DIF: v r v r Cognitive Level: Comprehension vr vr v r v r v r REF: v r p. 13 vr
8. What correctly describes the nursing process?
vr vr vr vr vr
a. Diagnosing, planning, assessing, implementing, and finally evaluating vr vr vr vr vr vr
b. Assessing, then diagnosing, implementing, and ending with evaluating vr vr vr vr vr vr vr
c. A linear direction that begins with assessing and continues through diagnosing,
vr vr vr vr vr vr vr vr vr vr
vr planning, and finally implementing vr vr vr
d. An ongoing process that begins with assessing and continues with diagnosing,
vr vr vr vr vr vr vr vr vr vr
vr planning, implementing, and evaluating vr vr vr
ANS: D v r
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that
vr vr vr vr vr vr vr vr vr vr vr vr
begins with assessing and continues through diagnosing, planning, implementing, and finally
vr vr vr vr vr vr vr vr vr vr vr
evaluating, which may then lead back to any of the other phases.
vr vr vr vr vr vr vr vr vr vr vr vr
DIF: Cognitive Level: Application vr vr REF: p. 8 vr vr
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
a. The patient‘s identification vr vr
b. The patient‘s weight vr vr
c. The patient‘s last meal vr vr vr
d. Any drug or food allergies vr vr vr vr
ANS: v r C
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with
vr vr vr vr vr vr vr vr vr vr vr vr
regard to any drug–food interactions or compatibility issues. The patient‘s identification,
vr vr vr vr vr vr vr vr vr vr
weight, and drug or food allergies are not affected by the drug‘s timing.
vr vr vr vr vr vr vr vr vr vr vr vr vr
DIF: Cognitive Level: Application vr vr REF: p. 17 vr vr
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her
vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr vr
vr nursing diagnosis? vr
a. Anxiety
b. Anxiety related to new drug therapy vr vr vr vr vr
c. Anxietyrelated to anxious feelings about drug therapy, as evidenced bystatements
vr vr vr vr vr vr vr vr vr vr vr
vr such as ―I‘m upset about having to give myself shots‖
vr vr vr vr vr vr vr vr vr
d. Anxietyrelated tonew drugtherapy, asevidenced bystatementssuch as―I‘mvr vr vr vr vr vr vr vr vr vr vr vr
vr upset about having to give myself shots‖ vr vr vr vr vr vr
ANS: D v r
