TEST BANK for Pharmacology for Canadian He
m m m m m m
alth Care Practice
m m m
3rd Edition Lilley.
m m m
ALL 58 CHAPTERS.
m m m m
,Chapter m01:mNursing mPractice minmCanada mandmDrug mTherapy
Lilley:mPharmacology mformCanadianmHealthmCaremPractice,m3rdmCanadianmEdition
MULTIPLEmCHOICE
1. Whichmismamjudgement mabout mamparticularmpatient’smpotentialmneed mormproblem?
a. Amgoal
b. Anmassessment
c. Subjectivemdata
d. Amnursingmdiagnosis
ANS:m D
Nursingmdiagnosismismthemphasemof mthemnursingmprocessmduringmwhichmamclinicalm judgement mis
mmademabout mhow mampatient mrespondsmtomheathmconditionsmand mlifemprocessesmormvulnerability
mform
that mresponse.
DIF: CognitivemLevel:mKnowledge REF:m p.m11
2. Thempatient mismtomreceivemoralmfurosemidem(Lasix)meverymday;mhowever,mbecausemthempatien
t mismunablemtomswallow,mhemcannot mtakemmedicationmorally,masmordered.mThemnursemneedsmtomc
ontact mthemphysician.mWhat mtypemof mproblemmismthis?
a. Am“right mtime”mproblem
b. Am“right mdose”mproblem
c. Am“right mroute”mproblem
d. Am“right mmedication”mproblem
ANS:m C
Thismismam“right mroute”mproblem:mthemnursemcannot massumemthemroutemand mmust mclarifymthemroutem
withmthemprescriber.mThismismnot mam“right mtime”mproblemmbecausemthemordered mfrequencymhasmnot m
changed.mThismismnot mam“right mdose”mproblemmbecausemthemdosemismnot mrelated mtomanminabilitymtom
swallow.mThismismnot mam“right mmedication”mproblemmbecausemthem medicationmordered mwillmnot mc
hange,mjust mthemroute.
DIF: CognitivemLevel:mApplication REF:m p.m14
3. Themnursemhasmbeenmmonitoringmthempatient’smprogress monmhismnew mdrugmregimenmsincemthemfir
st mdosemand mhasmbeenmdocumentingmsignsmof mpossiblemadversemeffects.mWhat mnursingmprocessm
phasemismthemnursempractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingmdiagnosis
ANS:m B
Monitoringmthempatient’smprogressmismpart mof mthemevaluationmphase.mPlanning,mimplementation
,mand mnursingmdiagnosismaremnot millustrated mbymthismexample.
DIF: CognitivemLevel:mApplication REF:m p.m19
,4. Themnursemismcaringmformampatient mwhomhasmbeenmnewlymdiagnosed mwithmtypem1mdiabetesmmelli
tus.mWhichmstatement mbestmillustratesmanmoutcomemcriterionmformthismpatient?
a. Thempatient mwillmfollow minstructions.
b. Thempatient mwillmnot mexperiencemcomplications.
c. Thempatient madheresmtomthemnew minsulinmtreatment mregimen.
d. Thempatient mdemonstratesmsafeminsulinmself-administrationmtechnique.
ANS:m D
Havingmthempatient mdemonstratemsafeminsulinmself-
administrationmtechniquemismamspecificmand mmeasurablemoutcomemcriterion.mFollowingm instruc
tionsmand mavoidingmcomplicationsmaremnot mspecificmcriteria.mAdherencemtomthemnew minsulinmtre
atment mregimenmismnot mobjectivemand mwould mbemdifficult mtommeasure.
DIF: CognitivemLevel:mApplication REF:m p.m13
5. Whichmactivitymbestmreflectsmthemimplementationmphasemof mthemnursingmprocessmformthempati
ent mwhomismnewlymdiagnosed mwithmtypem1mdiabetesmmellitus?
a. Providingmeducationmregardingmself-injectionmtechnique
b. Settingmgoalsmand moutcomemcriteriamwithmthempatient’sminput
c. Recordingmamhistorymof mover-the-countermmedicationsmused mat mhome
d. Formulatingmnursingmdiagnosesmregardingmknowledgemdeficitsmrelated mtomthemne
wmtreatment mregimen
ANS:m A
Educationmismanminterventionmthat moccursmduringmthemimplementationmphase.mSettingmgoalsman
d moutcomemcriteriamreflectsmthemplanningmphase.mRecordingmamdrugmhistorymreflectsmthemassess
ment mphase.mFormulatingmnursingmdiagnosesmregardingmamknowledgemdeficit mreflectsmanalysism
of mdatamasmpart mof mthemplanningmphase.
DIF: CognitivemLevel:mAnalysis REF:m p.m8 m|mp.m13
6. Themnursemismworkingmduringmamverymbusymnight mshift,mand mthemhealthmcaremprovidermhas mjust m
givenmthemnursemammedicationmordermovermthemtelephone,mbut mthemnursemdoesmnot mrecallmthemro
ute.mWhat mismthembestmwaymformthemnursemtomavoid mmedicationmerrors?
a. Recopymthemordermneatlymonmthemordermsheet,mwithmthemmost mcommonmroutemindicated
b. Consult mwithmthempharmacist mformclarificationmabout mthemmost mcommonmroute
c. Callmthemhealthmcaremprovidermtomclarifymthemroutemof madministration
d. Withhold mthemdrugmuntilmthemhealthmcaremprovidermvisitsmthempatient
ANS:m C
If mammedicationmordermdoesmnot mincludemthemroute,mthemnursemmust maskmthemhealthmcaremprovide
rmtomclarifymit.mNevermassumemthemroutemof madministration.
DIF: CognitivemLevel:mApplication m|mCognitivemLevel:mAnalysisREF:m p.m17
7. WhichmconstitutesmthemtraditionalmFivemRightsmof mmedicationmadministration?
a. Right mdrug,mright mroute,mright mdose,mright mtime,mand mright mpatient
b. Right mdrug,mthemright meffect,mthemright mroute,mthemright mtime,mand mthemright mpatient
c. Right mpatient,mright mstrength,mright mdiagnosis,mright mdrug,mand mright mroute
d. Right mpatient,mright mdiagnosis,mright mdrug,mright mroute,mand mright mtime
ANS:m A
, ThemtraditionalmFivemRightsmof mmedicationmadministrationmweremconsidered mtombemRight mdru
g,mRight mroute,mRight mdose,mRight mtime,mand mRight mpatient.mRight meffect,mright mstrength,mandm
right mdiagnosismaremnot mpart mof mthemtraditionalmFivemRights.
DIF:mmm CognitivemLevel:mComprehension mmmmmm REF:mmmp.m13
8. What mcorrectlymdescribesmthemnursingmprocess?
a. Diagnosing,mplanning,massessing,mimplementing,mand mfinallymevaluating
b. Assessing,mthenmdiagnosing,mimplementing,mand mendingmwithmevaluating
c. Amlinearmdirectionmthat mbeginsmwithmassessingmand mcontinuesmthroughmdiagnosin
g,mplanning,mand mfinallymimplementing
d. Anmongoingmprocessmthat mbeginsmwithmassessingmand mcontinuesmwithmdiagnosin
g,mplanning,mimplementing,mand mevaluating
ANS:m D
Themnursingmprocessmismanmongoing,mflexible,madaptable,mand madjustablemfive-
stepmprocessmthat mbeginsmwithmassessingmand mcontinuesmthroughmdiagnosing,mplanning,mimple
menting,mand mfinallymevaluating,mwhichmmaymthenmlead mbackmtomanymof mthemothermphases.
DIF: CognitivemLevel:mApplication REF:m p.m8
9. Whenmthemnursemismconsideringmthemtimingmof mamdrugmdose,mwhichmismmost mimportant mtomassess?
a. Thempatient’smidentification
b. Thempatient’smweight
c. Thempatient’smlast mmeal
d. Anymdrugmormfood mallergies
ANS:m C
Thempharmacokineticmand mpharmacodynamicmpropertiesmof mthemdrugmneed mtombemassessed mw
ithmregard mtomanymdrug–
food minteractionsmormcompatibilitymissues.mThempatient’smidentification,mweight,mand mdrugmor
mfood mallergiesmaremnot maffected mbymthemdrug’smtiming.
DIF: CognitivemLevel:mApplication REF:m p.m17
10. Themnursemismwritingmnursingmdiagnosesmformamplanmof mcare.mWhichm reflectsmthemcorrect mformat m
formhermnursingmdiagnosis?
a. Anxiety
b. Anxietymrelated mtomnew mdrugmtherapy
c. Anxietymrelated mtomanxiousmfeelingsmabout mdrugmtherapy,masmevidenced mbymstateme
ntsmsuchmasm“I’mmupset mabout mhavingmtomgivemmyself mshots”
d. Anxietymrelated mtomnew mdrugmtherapy,masmevidenced mbymstatementsmsuchmasm“I
’mmupset mabout mhavingmtomgivemmyself mshots”
ANS:m D
m m m m m m
alth Care Practice
m m m
3rd Edition Lilley.
m m m
ALL 58 CHAPTERS.
m m m m
,Chapter m01:mNursing mPractice minmCanada mandmDrug mTherapy
Lilley:mPharmacology mformCanadianmHealthmCaremPractice,m3rdmCanadianmEdition
MULTIPLEmCHOICE
1. Whichmismamjudgement mabout mamparticularmpatient’smpotentialmneed mormproblem?
a. Amgoal
b. Anmassessment
c. Subjectivemdata
d. Amnursingmdiagnosis
ANS:m D
Nursingmdiagnosismismthemphasemof mthemnursingmprocessmduringmwhichmamclinicalm judgement mis
mmademabout mhow mampatient mrespondsmtomheathmconditionsmand mlifemprocessesmormvulnerability
mform
that mresponse.
DIF: CognitivemLevel:mKnowledge REF:m p.m11
2. Thempatient mismtomreceivemoralmfurosemidem(Lasix)meverymday;mhowever,mbecausemthempatien
t mismunablemtomswallow,mhemcannot mtakemmedicationmorally,masmordered.mThemnursemneedsmtomc
ontact mthemphysician.mWhat mtypemof mproblemmismthis?
a. Am“right mtime”mproblem
b. Am“right mdose”mproblem
c. Am“right mroute”mproblem
d. Am“right mmedication”mproblem
ANS:m C
Thismismam“right mroute”mproblem:mthemnursemcannot massumemthemroutemand mmust mclarifymthemroutem
withmthemprescriber.mThismismnot mam“right mtime”mproblemmbecausemthemordered mfrequencymhasmnot m
changed.mThismismnot mam“right mdose”mproblemmbecausemthemdosemismnot mrelated mtomanminabilitymtom
swallow.mThismismnot mam“right mmedication”mproblemmbecausemthem medicationmordered mwillmnot mc
hange,mjust mthemroute.
DIF: CognitivemLevel:mApplication REF:m p.m14
3. Themnursemhasmbeenmmonitoringmthempatient’smprogress monmhismnew mdrugmregimenmsincemthemfir
st mdosemand mhasmbeenmdocumentingmsignsmof mpossiblemadversemeffects.mWhat mnursingmprocessm
phasemismthemnursempractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingmdiagnosis
ANS:m B
Monitoringmthempatient’smprogressmismpart mof mthemevaluationmphase.mPlanning,mimplementation
,mand mnursingmdiagnosismaremnot millustrated mbymthismexample.
DIF: CognitivemLevel:mApplication REF:m p.m19
,4. Themnursemismcaringmformampatient mwhomhasmbeenmnewlymdiagnosed mwithmtypem1mdiabetesmmelli
tus.mWhichmstatement mbestmillustratesmanmoutcomemcriterionmformthismpatient?
a. Thempatient mwillmfollow minstructions.
b. Thempatient mwillmnot mexperiencemcomplications.
c. Thempatient madheresmtomthemnew minsulinmtreatment mregimen.
d. Thempatient mdemonstratesmsafeminsulinmself-administrationmtechnique.
ANS:m D
Havingmthempatient mdemonstratemsafeminsulinmself-
administrationmtechniquemismamspecificmand mmeasurablemoutcomemcriterion.mFollowingm instruc
tionsmand mavoidingmcomplicationsmaremnot mspecificmcriteria.mAdherencemtomthemnew minsulinmtre
atment mregimenmismnot mobjectivemand mwould mbemdifficult mtommeasure.
DIF: CognitivemLevel:mApplication REF:m p.m13
5. Whichmactivitymbestmreflectsmthemimplementationmphasemof mthemnursingmprocessmformthempati
ent mwhomismnewlymdiagnosed mwithmtypem1mdiabetesmmellitus?
a. Providingmeducationmregardingmself-injectionmtechnique
b. Settingmgoalsmand moutcomemcriteriamwithmthempatient’sminput
c. Recordingmamhistorymof mover-the-countermmedicationsmused mat mhome
d. Formulatingmnursingmdiagnosesmregardingmknowledgemdeficitsmrelated mtomthemne
wmtreatment mregimen
ANS:m A
Educationmismanminterventionmthat moccursmduringmthemimplementationmphase.mSettingmgoalsman
d moutcomemcriteriamreflectsmthemplanningmphase.mRecordingmamdrugmhistorymreflectsmthemassess
ment mphase.mFormulatingmnursingmdiagnosesmregardingmamknowledgemdeficit mreflectsmanalysism
of mdatamasmpart mof mthemplanningmphase.
DIF: CognitivemLevel:mAnalysis REF:m p.m8 m|mp.m13
6. Themnursemismworkingmduringmamverymbusymnight mshift,mand mthemhealthmcaremprovidermhas mjust m
givenmthemnursemammedicationmordermovermthemtelephone,mbut mthemnursemdoesmnot mrecallmthemro
ute.mWhat mismthembestmwaymformthemnursemtomavoid mmedicationmerrors?
a. Recopymthemordermneatlymonmthemordermsheet,mwithmthemmost mcommonmroutemindicated
b. Consult mwithmthempharmacist mformclarificationmabout mthemmost mcommonmroute
c. Callmthemhealthmcaremprovidermtomclarifymthemroutemof madministration
d. Withhold mthemdrugmuntilmthemhealthmcaremprovidermvisitsmthempatient
ANS:m C
If mammedicationmordermdoesmnot mincludemthemroute,mthemnursemmust maskmthemhealthmcaremprovide
rmtomclarifymit.mNevermassumemthemroutemof madministration.
DIF: CognitivemLevel:mApplication m|mCognitivemLevel:mAnalysisREF:m p.m17
7. WhichmconstitutesmthemtraditionalmFivemRightsmof mmedicationmadministration?
a. Right mdrug,mright mroute,mright mdose,mright mtime,mand mright mpatient
b. Right mdrug,mthemright meffect,mthemright mroute,mthemright mtime,mand mthemright mpatient
c. Right mpatient,mright mstrength,mright mdiagnosis,mright mdrug,mand mright mroute
d. Right mpatient,mright mdiagnosis,mright mdrug,mright mroute,mand mright mtime
ANS:m A
, ThemtraditionalmFivemRightsmof mmedicationmadministrationmweremconsidered mtombemRight mdru
g,mRight mroute,mRight mdose,mRight mtime,mand mRight mpatient.mRight meffect,mright mstrength,mandm
right mdiagnosismaremnot mpart mof mthemtraditionalmFivemRights.
DIF:mmm CognitivemLevel:mComprehension mmmmmm REF:mmmp.m13
8. What mcorrectlymdescribesmthemnursingmprocess?
a. Diagnosing,mplanning,massessing,mimplementing,mand mfinallymevaluating
b. Assessing,mthenmdiagnosing,mimplementing,mand mendingmwithmevaluating
c. Amlinearmdirectionmthat mbeginsmwithmassessingmand mcontinuesmthroughmdiagnosin
g,mplanning,mand mfinallymimplementing
d. Anmongoingmprocessmthat mbeginsmwithmassessingmand mcontinuesmwithmdiagnosin
g,mplanning,mimplementing,mand mevaluating
ANS:m D
Themnursingmprocessmismanmongoing,mflexible,madaptable,mand madjustablemfive-
stepmprocessmthat mbeginsmwithmassessingmand mcontinuesmthroughmdiagnosing,mplanning,mimple
menting,mand mfinallymevaluating,mwhichmmaymthenmlead mbackmtomanymof mthemothermphases.
DIF: CognitivemLevel:mApplication REF:m p.m8
9. Whenmthemnursemismconsideringmthemtimingmof mamdrugmdose,mwhichmismmost mimportant mtomassess?
a. Thempatient’smidentification
b. Thempatient’smweight
c. Thempatient’smlast mmeal
d. Anymdrugmormfood mallergies
ANS:m C
Thempharmacokineticmand mpharmacodynamicmpropertiesmof mthemdrugmneed mtombemassessed mw
ithmregard mtomanymdrug–
food minteractionsmormcompatibilitymissues.mThempatient’smidentification,mweight,mand mdrugmor
mfood mallergiesmaremnot maffected mbymthemdrug’smtiming.
DIF: CognitivemLevel:mApplication REF:m p.m17
10. Themnursemismwritingmnursingmdiagnosesmformamplanmof mcare.mWhichm reflectsmthemcorrect mformat m
formhermnursingmdiagnosis?
a. Anxiety
b. Anxietymrelated mtomnew mdrugmtherapy
c. Anxietymrelated mtomanxiousmfeelingsmabout mdrugmtherapy,masmevidenced mbymstateme
ntsmsuchmasm“I’mmupset mabout mhavingmtomgivemmyself mshots”
d. Anxietymrelated mtomnew mdrugmtherapy,masmevidenced mbymstatementsmsuchmasm“I
’mmupset mabout mhavingmtomgivemmyself mshots”
ANS:m D
