Latest Test Bank For Liley's
Pharmacology for Canadian Health Care
Practice 4th edition
In which step of the nursing process does the nurse determine the outcome of
medication administration?
a. Planning
b. Assessment
c. Evaluation
d. Implementation Correct Answer c. Evaluation
An intubated, mechanically ventilated patient in the Intensive Care Unit (ICU) is
becoming increasingly restless and anxious. The nurse expects to administer which
intravenous (IV) anaesthetic drug?
a. propofol (Diprivan®)
b. halothane
c. isoflurane (Forane®)
d. nitrous oxide ("laughing gas") Correct Answer a. propofol (Diprivan®)
What should the nurse do postoperatively to help prevent the patient from having
serious complications from general anaesthesia?
a. Place the patient into a semi-Fowler's position.
b. Monitor input and output closely.
,c. Teach the patient to turn, cough, and deep-breathe.
d. Provide a quiet, calm environment. Correct Answer c. Teach the patient to turn,
cough, and deep-breathe.
Postoperative assessment of a patient reveals a sudden elevation of body temperature
to 38.8°C. What will the nurse do in response?
a. Notify the health care provider.
b. Apply a cooling blanket per protocol.
c. Administer acetaminophen as prescribed, and recheck temperature in 1 hour.
d. Assess for signs and symptoms of infection related to the surgical wound. Correct
Answer a. Notify the health care provider.
A patient questions the use of epinephrine for repair of a laceration, stating, "I thought
that was the drug used in the emergency department for someone whose heart is bad."
Which of the following is the best explanation the nurse can provide in response?
a. Epinephrine is used with lidocaine to prevent adverse effects.
b. Epinephrine is metabolized more quickly than lidocaine, so the anaesthetic effect
wears off more quickly after the laceration is sutured.
c. Vasoconstriction caused by epinephrine enhances the duration of action of lidocaine
and minimizes bleeding at the laceration site.
d. The systemic absorption of lidocaine is maximized by the epinephrine, and the
anaesthetic effect is reached more quickly. Correct Answer c. Vasoconstriction caused
,by epinephrine enhances the duration of action of lidocaine and minimizes bleeding at
the laceration site.
A mechanically ventilated patient receiving a neuromuscular blocking drug has tearing
in the eyes and increased heart rate and blood pressure. How does the nurse interpret
this clinical finding?
a. The patient's level of sedation is inadequate.
b. The patient is having an adverse reaction to the medication.
c. The patient's response to the drug is appropriate.
d. The patient's dose of the neuromuscular-blocking drug is insufficient. Correct Answer
a. The patient's level of sedation is inadequate.
While the nurse is taking a patient's history before surgery for a cardiac problem, the
patient says, "I am addicted to cocaine." The nurse notifies the anaesthesiologist of this
finding because use of cocaine can cause which effect when a patient is under
anaesthesia?
a. Immediate withdrawal symptoms
b. Complications during recovery
c. Blood-clotting problems
d. Anaesthesia-induced complications Correct Answer d. Anaesthesia-induced
complications
, A patient is admitted to hospital with a diagnosis of benzodiazepine overdose. The
nurse anticipates that the health care provider will prescribe which antidote for
benzodiazepine overdose?
a. naloxone
b. naltrexone
c. flumazenil
d. nalmefene Correct Answer c. flumazenil
An older adult patient who is prescribed a benzodiazepine for treatment of insomnia
should be monitored for which potential adverse effect?
a. Unsteady gait
b. Red rash
c. Shortness of breath
d. Muscle spasms Correct Answer a. Unsteady gait
A patient is admitted to the emergency department after taking an overdose of a
barbiturate 15 minutes before arrival. The nurse can anticipate that which drug will be
prescribed?
a. Naloxone
b. Charcoal (activated charcoal)
c. Ipecac (syrup)
d. Flumazenil Correct Answer b. Charcoal (activated charcoal)
Pharmacology for Canadian Health Care
Practice 4th edition
In which step of the nursing process does the nurse determine the outcome of
medication administration?
a. Planning
b. Assessment
c. Evaluation
d. Implementation Correct Answer c. Evaluation
An intubated, mechanically ventilated patient in the Intensive Care Unit (ICU) is
becoming increasingly restless and anxious. The nurse expects to administer which
intravenous (IV) anaesthetic drug?
a. propofol (Diprivan®)
b. halothane
c. isoflurane (Forane®)
d. nitrous oxide ("laughing gas") Correct Answer a. propofol (Diprivan®)
What should the nurse do postoperatively to help prevent the patient from having
serious complications from general anaesthesia?
a. Place the patient into a semi-Fowler's position.
b. Monitor input and output closely.
,c. Teach the patient to turn, cough, and deep-breathe.
d. Provide a quiet, calm environment. Correct Answer c. Teach the patient to turn,
cough, and deep-breathe.
Postoperative assessment of a patient reveals a sudden elevation of body temperature
to 38.8°C. What will the nurse do in response?
a. Notify the health care provider.
b. Apply a cooling blanket per protocol.
c. Administer acetaminophen as prescribed, and recheck temperature in 1 hour.
d. Assess for signs and symptoms of infection related to the surgical wound. Correct
Answer a. Notify the health care provider.
A patient questions the use of epinephrine for repair of a laceration, stating, "I thought
that was the drug used in the emergency department for someone whose heart is bad."
Which of the following is the best explanation the nurse can provide in response?
a. Epinephrine is used with lidocaine to prevent adverse effects.
b. Epinephrine is metabolized more quickly than lidocaine, so the anaesthetic effect
wears off more quickly after the laceration is sutured.
c. Vasoconstriction caused by epinephrine enhances the duration of action of lidocaine
and minimizes bleeding at the laceration site.
d. The systemic absorption of lidocaine is maximized by the epinephrine, and the
anaesthetic effect is reached more quickly. Correct Answer c. Vasoconstriction caused
,by epinephrine enhances the duration of action of lidocaine and minimizes bleeding at
the laceration site.
A mechanically ventilated patient receiving a neuromuscular blocking drug has tearing
in the eyes and increased heart rate and blood pressure. How does the nurse interpret
this clinical finding?
a. The patient's level of sedation is inadequate.
b. The patient is having an adverse reaction to the medication.
c. The patient's response to the drug is appropriate.
d. The patient's dose of the neuromuscular-blocking drug is insufficient. Correct Answer
a. The patient's level of sedation is inadequate.
While the nurse is taking a patient's history before surgery for a cardiac problem, the
patient says, "I am addicted to cocaine." The nurse notifies the anaesthesiologist of this
finding because use of cocaine can cause which effect when a patient is under
anaesthesia?
a. Immediate withdrawal symptoms
b. Complications during recovery
c. Blood-clotting problems
d. Anaesthesia-induced complications Correct Answer d. Anaesthesia-induced
complications
, A patient is admitted to hospital with a diagnosis of benzodiazepine overdose. The
nurse anticipates that the health care provider will prescribe which antidote for
benzodiazepine overdose?
a. naloxone
b. naltrexone
c. flumazenil
d. nalmefene Correct Answer c. flumazenil
An older adult patient who is prescribed a benzodiazepine for treatment of insomnia
should be monitored for which potential adverse effect?
a. Unsteady gait
b. Red rash
c. Shortness of breath
d. Muscle spasms Correct Answer a. Unsteady gait
A patient is admitted to the emergency department after taking an overdose of a
barbiturate 15 minutes before arrival. The nurse can anticipate that which drug will be
prescribed?
a. Naloxone
b. Charcoal (activated charcoal)
c. Ipecac (syrup)
d. Flumazenil Correct Answer b. Charcoal (activated charcoal)
