COMPLETE TEST BANK LILLEYS PHARMACOLOGY FOR
CANADIAN HEALTH CARE PRACTICE 4TH EDITION
SEALOCK QUESTIONS & ANSWERS WITH RATIONALES
(CHAPTER 1-58)
When giving Ca intravenously, knowing rapid intravenous administration of Ca can
lead to?
A) ototoxicity
B) kidney damage
C) tetany
D) cardiac dysrhythmias - ANSWER: d
The nurse will assess the results of which lab test before administering vit K?
A) prothrombin time and INR
B) RBC count and WBC count
C) phosphorus and calcium levels
D) Total protein and albumin levels - ANSWER: a
Patient has severe GI malabsorption, which Vit should the nurse assume she is def
with?
A) Vit A
B) Vit B12
C) Vit B6
D) Vit E - ANSWER: b
The nurse is providing wound care for a pressure ulcer, which supplement will assist
with healing?
A) Vit K
B) Vit B1
C) Zinc
D) Calcium - ANSWER: c
With alcoholism, which Vit do you need to incorporate?
A) Vit B1
B) Vit B6
C) Vit C
D) Vit A - ANSWER: a
When administering Vit and Min supplements, what are the correct interventions?
Select all
A) not administering oral calcium tabs with oral tetracyclines
B) administering intravenous Ca via a rapid intra push
C) monitoring the hearth rhythm of a patient receiving magnesium IV push
D) giving oral niacin with milk or food to decrease GI upset
E) monitoring kidney stones with large doses of Vit C - ANSWER: a, c, d, e
,The nurse would question a health care provider's prescription for vitamin D for a
patient with which condition?
A Graves' disease
B Hypothyroidism
C Chronic renal failure
D Hyperparathyroidism - ANSWER: d
Which statement by the patient indicates an understanding of discharge teaching
about alendronate sodium (Fosamax®)?
A "I need to decrease my intake of dairy products to prevent hypercalcemia."
B "This medication will help relieve the bone pain I have from my osteoporosis."
C "I need to take this medication with food to prevent damage to my esophagus
caused by reflux of stomach acid."
D "I will take the medication in the morning before I eat, with 8 oz of water, and
remain upright for 30 minutes." - ANSWER: d
An elderly female client is being treated with a selective estrogen receptor
modulator (SERM) for osteoporosis. Which condition would alert the nurse as a
contraindication for SERM medication?
A Hypertension
B Hypercalcemia
C Deep vein thrombosis
D Coronary heart disease - ANSWER: c
2. The nurse is educating a patient on vitamin supplementation. The patient states, "I
take a lot of vitamins every day to stay healthy." Based on a knowledge and
understanding of vitamin supplements, what is the nurse's best response?
A. "That's good. You do not want to get sick from nutrient deficiencies."
B. "You need to make certain that is okay with your health care provider."
C. "Keep taking these vitamin pills, because they are essential to any diet."
D. "Can you tell me what vitamins you take and how many and how often?" -
ANSWER: d
3. What vitamin can be synthesized by the skin when skin is exposed to sunlight but
can also be supplemented as needed?
A. Vitamin C
B. Vitamin K
C. Vitamin D
D. Vitamin B complex - ANSWER: c
4. What vitamins are most likely to lead to toxic levels (hypervitaminosis) when
administered in megadoses? (Select all that apply.)
A. Vitamin A
B. Vitamin C
C. Vitamin D
D. Vitamin K
, E. Vitamin B complex - ANSWER: a, c, d
Prior colonostomy, which do they use to prep?
A) methylcellulose
B) docusate sodium
C) PEG 3350
D) glycerin - ANSWER: c
The nurse is administering methylcellulose, possible concern?
A) dehydration
B) tarry stools
C) kindey calculi
D) obstruction - ANSWER: d
When taking bisacodyl (stimulant laxative), which instruction is correct?
A) take med on empty stomach
B) chew for quicker onset of action
C) take with juice or milk
D) take with an antacid - ANSWER: a
Potential adverse effects of methylcellulose (bulk forming) laxatives? Select all
A) fluid/electrolyte disturbances
B) decreased vit absorbtion
C) gas formation
D) darkened stools
E) discoloured urine - ANSWER: a, c
1. To avoid fecal impaction, psyllium (Metamucil®) should be administered with at
least how many ounces of fluid?
A. 4 oz
B. 6 oz
C. 8 oz
D. 10 oz - ANSWER: c
2. How does magnesium hydroxide (Phillips Milk of Magnesia®) alleviate
constipation?
A. It causes water absorption into the colon.
B. It directly irritates intestinal mucosa.
C. It allows more fat to be absorbed into the stool.
D. It absorbs water to increase bulk within the colon. - ANSWER: a
3. Related to its mechanism of action, what is an additive effect of lactulose?
A. Reducing ammonia levels
B. Decreasing cerebral edema
C. Correcting sodium imbalances
D. Alleviating galactose intolerance - ANSWER: a
CANADIAN HEALTH CARE PRACTICE 4TH EDITION
SEALOCK QUESTIONS & ANSWERS WITH RATIONALES
(CHAPTER 1-58)
When giving Ca intravenously, knowing rapid intravenous administration of Ca can
lead to?
A) ototoxicity
B) kidney damage
C) tetany
D) cardiac dysrhythmias - ANSWER: d
The nurse will assess the results of which lab test before administering vit K?
A) prothrombin time and INR
B) RBC count and WBC count
C) phosphorus and calcium levels
D) Total protein and albumin levels - ANSWER: a
Patient has severe GI malabsorption, which Vit should the nurse assume she is def
with?
A) Vit A
B) Vit B12
C) Vit B6
D) Vit E - ANSWER: b
The nurse is providing wound care for a pressure ulcer, which supplement will assist
with healing?
A) Vit K
B) Vit B1
C) Zinc
D) Calcium - ANSWER: c
With alcoholism, which Vit do you need to incorporate?
A) Vit B1
B) Vit B6
C) Vit C
D) Vit A - ANSWER: a
When administering Vit and Min supplements, what are the correct interventions?
Select all
A) not administering oral calcium tabs with oral tetracyclines
B) administering intravenous Ca via a rapid intra push
C) monitoring the hearth rhythm of a patient receiving magnesium IV push
D) giving oral niacin with milk or food to decrease GI upset
E) monitoring kidney stones with large doses of Vit C - ANSWER: a, c, d, e
,The nurse would question a health care provider's prescription for vitamin D for a
patient with which condition?
A Graves' disease
B Hypothyroidism
C Chronic renal failure
D Hyperparathyroidism - ANSWER: d
Which statement by the patient indicates an understanding of discharge teaching
about alendronate sodium (Fosamax®)?
A "I need to decrease my intake of dairy products to prevent hypercalcemia."
B "This medication will help relieve the bone pain I have from my osteoporosis."
C "I need to take this medication with food to prevent damage to my esophagus
caused by reflux of stomach acid."
D "I will take the medication in the morning before I eat, with 8 oz of water, and
remain upright for 30 minutes." - ANSWER: d
An elderly female client is being treated with a selective estrogen receptor
modulator (SERM) for osteoporosis. Which condition would alert the nurse as a
contraindication for SERM medication?
A Hypertension
B Hypercalcemia
C Deep vein thrombosis
D Coronary heart disease - ANSWER: c
2. The nurse is educating a patient on vitamin supplementation. The patient states, "I
take a lot of vitamins every day to stay healthy." Based on a knowledge and
understanding of vitamin supplements, what is the nurse's best response?
A. "That's good. You do not want to get sick from nutrient deficiencies."
B. "You need to make certain that is okay with your health care provider."
C. "Keep taking these vitamin pills, because they are essential to any diet."
D. "Can you tell me what vitamins you take and how many and how often?" -
ANSWER: d
3. What vitamin can be synthesized by the skin when skin is exposed to sunlight but
can also be supplemented as needed?
A. Vitamin C
B. Vitamin K
C. Vitamin D
D. Vitamin B complex - ANSWER: c
4. What vitamins are most likely to lead to toxic levels (hypervitaminosis) when
administered in megadoses? (Select all that apply.)
A. Vitamin A
B. Vitamin C
C. Vitamin D
D. Vitamin K
, E. Vitamin B complex - ANSWER: a, c, d
Prior colonostomy, which do they use to prep?
A) methylcellulose
B) docusate sodium
C) PEG 3350
D) glycerin - ANSWER: c
The nurse is administering methylcellulose, possible concern?
A) dehydration
B) tarry stools
C) kindey calculi
D) obstruction - ANSWER: d
When taking bisacodyl (stimulant laxative), which instruction is correct?
A) take med on empty stomach
B) chew for quicker onset of action
C) take with juice or milk
D) take with an antacid - ANSWER: a
Potential adverse effects of methylcellulose (bulk forming) laxatives? Select all
A) fluid/electrolyte disturbances
B) decreased vit absorbtion
C) gas formation
D) darkened stools
E) discoloured urine - ANSWER: a, c
1. To avoid fecal impaction, psyllium (Metamucil®) should be administered with at
least how many ounces of fluid?
A. 4 oz
B. 6 oz
C. 8 oz
D. 10 oz - ANSWER: c
2. How does magnesium hydroxide (Phillips Milk of Magnesia®) alleviate
constipation?
A. It causes water absorption into the colon.
B. It directly irritates intestinal mucosa.
C. It allows more fat to be absorbed into the stool.
D. It absorbs water to increase bulk within the colon. - ANSWER: a
3. Related to its mechanism of action, what is an additive effect of lactulose?
A. Reducing ammonia levels
B. Decreasing cerebral edema
C. Correcting sodium imbalances
D. Alleviating galactose intolerance - ANSWER: a
