Updated/Latest Lilley’s Pharmacology for Canadian Health Care Practice 4th Edition Sealock Complete Test Bank with Answers Chapters 1–58 Comprehensive Examination Questions and Answers Study Guide for Nursing Pharmacology Drug Therapy Medication Safety Ca

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Complete Tes Bank LILLEYS Pharmacology for Canadian J




Health Care Practice 4th Edition SEALOCK Chapter 1-58
Chapter 01: Nursing Practice in Canada and Drug Therapy
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition


MULTIPLE CHOICE

1. Which is a judgement about a particular patient’s potential need or problem? J J J J J J J J




a. A goal J




b. An assessment J




c. Subjectivedata J




d. A nursing diagnosisJ J




ANS: D J




Nursing diagnosis is the phase ofthe nursingprocess duringwhich a clinical judgement is made about howapatient responds to heath
J J J J J J J J J J J J J J J J J J J J J J J




conditions and life processes or vulnerability for that response.
J J J J J J J J




DIF: Cognitive Level: Knowledge J J




2. The patient is to receive oral furosemide (Lasix) everyday; however, because the patient is unable to swallow, he cannot take
J J J J J J J J J J J J J J J J J J J J J




medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
J J J J J J J J J J J J J J J J




a. A “right time” problem
J J J




b. A “right dose” problem
J J J




c. A “right route” problem
J J J




d. A “right medication” problem
J J J




ANS: C J




This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the prescriber. This is not a “right time”
J J J J J J J J J J J J J J J J J J J J J J J J J J




problem because the ordered frequency has not changed. This is not a “right dose” problem because the dose is not related to an inability to
J J J J J J J J J J J J J J J J J J J J J J J J J




swallow. This is not a “right medication” problem because the medication ordered will not change, just the route.
J J J J J J J J J J J J J J J J J




DIF: Cognitive Level: Application J J




3. The nurse has been monitoring the patient’s progress on his new drugregimen since the first doseand has been documenting signs of
J J J J J J J J J J J J J J J J J J J J J J J




possible adverse effects. What nursing process phase is the nurse practising?
J J J J J J J J J J




a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis J




ANS: B J




Monitoringthepatient’s progress is part oftheevaluation phase. Planning, implementation, and nursingdiagnosis are not illustrated by
J J J J J J J J J J J J J J J J J J J




this example.
J




DIF: CognitiveLevel: Application J J




4. The nurse is caring for a patient who has been newlydiagnosed with type 1 diabetes mellitus. Which statement best illustrates an outcome
J J J J J J J J J J J J J J J J J J J J J J J




criterion for this patient? J J J




a. The patient will follow instructions.
J J J J




b. The patient will not experience complications.
J J J J J




c. Thepatient adheres to the new insulin treatment regimen.
J J J J J J J J




d. Thepatient demonstrates safe insulin self-administration technique.
J J J J J J




ANS: D J




Having the patient demonstrate safe insulin self-administration technique is aspecific and measurable outcomecriterion. Following
J J J J J J J J J J J J J J J J




instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatment regimen is not objective and
J J J J J J J J J J J J J J J J J J J




would be difficult to measure.
J J J J




DIF: CognitiveLevel: Application J J




5. Which activitybest reflects the implementation phase ofthe nursingprocess for the patient who is newlydiagnosed with type 1 diabetes
J J J J J J J J J J J J J J J J J J J J J J




mellitus?
a. Providingeducation regarding self-injection technique J J J J




b. Setting goals and outcome criteria with the patient’s input J J J J J J J J




c. Recording a historyofover-the-counter medications used at home J J J J J J J J




d. Formulatingnursingdiagnosesregardingknowledge deficitsrelatedtothenew J J J J J J J J J J




treatment regimen J




ANS: A J




Education is anintervention that occursduringthe implementation phase. Settinggoals and outcome criteria reflects theplanning phase.
J J J J J J J J J J J J J J J J J J J




Recording a drug history reflects the assessment phase. Formulating nursing diagnoses regarding a knowledge deficit reflects analysis
J J J J J J J J J J J J J J J J J




of data as part of the planning phase.
J J J J J J J




DIF: CognitiveLevel: Analysis J J




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6. The nurse is working during a verybusynight shift, and the health care provider has just given the nurse a medication order over the
J J J J J J J J J J J J J J J J J J J J J J J J J




telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medication errors?
J J J J J J J J J J J J J J J J J J J J




a. Recopythe order neatly on the order sheet, with the most common route indicated J J J J J J J J J J J J J




b. Consult with the pharmacist for clarification about the most common route J J J J J J J J J J




c. Callthe health care provider to clarifythe route of administration
J J J J J J J J J J




d. Withholdthe drug until the health care provider visits the patient J J J J J J J J J J




ANS: C J




If a medication order does not include the route, the nurse must ask the health care provider toclarifyit. Never assume the routeof administration.
J J J J J J J J J J J J J J J J J J J J J J J J J




DIF: CognitiveLevel: Application |Cognitive Level: Analysis J J J J J J




7. Whichconstitutes the traditional Five Rights of medication administration?
J J J J J J J J




a. Right drug, right route, right dose, right time, and right patient J J J J J J J J J J




b. Right drug, the right effect, the right route, the right time, and the right patient
J J J J J J J J J J J J J J




c. Right patient, right strength, right diagnosis, right drug, and right route
J J J J J J J J J J




d. Right patient, right diagnosis, right drug, right route, and right time
J J J J J J J J J J




ANS: A J




Thetraditional Five Rights ofmedication administrationwereconsidered to beRight drug, Right route, Right dose, Right time, and Right
J J J J J J J J J J J J J J J J J J J J J




patient. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
J J J J J J J J J J J J J J J




DIF: Cognitive Level: Comprehension J J




8. What correctlydescribes the nursing process?
J J J J J




a. Diagnosing,planning, assessing, implementing, and finallyevaluating J J J J J J




b. Assessing,then diagnosing, implementing, and endingwith evaluating J J J J J J J




c. Alineardirectionthatbeginswithassessingandcontinuesthroughdiagnosing,
J J J J J J J J J J J




planning, and finally implementing J J J




d. Anongoingprocessthat beginswithassessingandcontinueswithdiagnosing,
J J J J J J J J J J J




planning, implementing, and evaluating J J J




ANS: D J




The nursingprocess isan ongoing, flexible, adaptable, and adjustable five-step process that begins withassessingand continues through
J J J J J J J J J J J J J J J J J J J




diagnosing, planning, implementing, and finally evaluating, which may then lead back to any of the other phases.
J J J J J J J J J J J J J J J J




DIF: CognitiveLevel: Application J J




9. Whenthe nurse is considering the timing of a drug dose, which is most important to assess?
J J J J J J J J J J J J J J J J




a. Thepatient’s identification J J




b. Thepatient’s weight J J




c. Thepatient’s last meal J J J




d. Anydrug or food allergies J J J J




ANS: C J




Thepharmacokinetic and pharmacodynamic properties ofthedrug need to beassessed with regardto anydrug–food interactions or compatibility
J J J J J J J J J J J J J J J J J J J J




issues. The patient’s identification, weight, and drug or food allergies are not affected by the drug’s timing.
J J J J J J J J J J J J J J J J




DIF: CognitiveLevel: Application J J




10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nursing diagnosis?
J J J J J J J J J J J J J J J J J J J




a. Anxiety
b. Anxietyrelated to new drug therapy J J J J J




c. Anxietyrelatedtoanxiousfeelingsaboutdrugtherapy, asevidenced by J J J J J J J J J J J




statements such as “I’m upset about having to give myself shots” J J J J J J J J J J




d. Anxietyrelatedto newdrugtherapy, as evidenced bystatementssuch as “I’m upset J J J J J J J J J J J J J J




about having to give myself shots” J J J J J




ANS: D J




Formulation of nursing diagnoses is usually a three-step process. The only complete answer is “Anxiety related to new drug therapy, as
J J J J J J J J J J J J J J J J J J J J J




evidenced by statements such as ‘I’m upset about having to give myself shots.’” The answer “Anxiety” is missing the “related to” and “as
J J J J J J J J J J J J J J J J J J J J J J J




evidenced by” portions. The answer “Anxiety related to new drug therapy” is missing the “as evidenced by” portionofdefining
J J J J J J J J J J J J J J J J J J J J




characteristics. The “related to”section in “Anxietyrelated to anxious feelings about drugtherapy, as evidenced by statements such as ‘I’m
J J J J J J J J J J J J J J J J J J J J J




upset about having to give myself shots’” is simply a restatement of the problem “anxiety,” not a separate factor related to the response.
J J J J J J J J J J J J J J J J J J J J J J




DIF: CognitiveLevel: Analysis J J




OTHER

1. Place the phases of the nursing process in the correct order, starting with the first phase.
J J J J J J J J J J J J J J J




a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Diagnosing

ANS:
C, E, A, D, B
J J J J




DIF: CognitiveLevel: Analysis J J




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Chapter02:PharmacologicalPrinciples
J J J




Sealock:Lilley’s Pharmacology for Canadian Health Care Practice, 4th Edition
J J J J J J J J J




MULTIPLE CHOICE J




1. A patient isreceivingtwo different drugs, which, at their current dose forms and dosages, are bothabsorbed into the circulation in identical
J J J J J J J J J J J J J J J J J J J J J J J




amounts. Which term best denotes that the drugs have the same absorption rates?
J J J J J J J J J J J J




a. Equivalent
b. Synergistic
c. Compatible
d. Bioequivalent
ANS: D J




Two drugs absorbed into the circulation at the same amount (in specific dosage forms) have the same bioavailability; thus, they are
J J J J J J J J J J J J J J J J J J J J J




bioequivalent. “Equivalent” is incorrect because the term “bioavailability” is used to express the extent of drug absorption.
J J J J J J J J J J J J J J J J




“Synergistic” is incorrect because this term refers to two drugs given together whose resulting effect is greater than the sum of the effects
J J J J J J J J J J J J J J J J J J J J J J J




of each drug given alone. “Compatible” is incorrect because this term is a general term used to indicate that two substances do not have a
J J J J J J J J J J J J J J J J J J J J J J J J J




chemical reaction when mixed (or given, in the case of drugs) together. J J J J J J J J J J J




DIF: J J CognitiveLevel:Comprehension J J




2. A patient is receiving medication via intravenous injection. Which information should the nurse provide for patient education?
J J J J J J J J J J J J J J J J




a. Themedication will cause fewer adverse effects when given intravenously.
J J J J J J J J J




b. Themedication will be absorbed slowlyinto the tissues over time.
J J J J J J J J J J




c. Themedication’s action will begin faster when given intravenously.
J J J J J J J J




d. Mostofthe drug is inactivated bythe liver before it reaches the target area.
J J J J J J J J J J J J J J




ANS: C J




Intravenous injections are the fastest route of absorption. The intravenous route does not affect the number of adverse effects, the
J J J J J J J J J J J J J J J J J J J J




intravenous route is not a slow route of absorption, and the intravenous route does not cause inactivation of the drug bythe liver before it
J J J J J J J J J J J J J J J J J J J J J J J J J




reaches the target area. J J J




DIF: J J CognitiveLevel:Comprehension J J




3. Which is true regarding parenteral drugs? J J J J J




a. Theybypass the first-pass effect. J J J J




b. Theydecrease blood flow to the stomach. J J J J J J




c. Theyare altered bythe presence of food in the stomach. J J J J J J J J J J




d. Theyexert their effects while circulating in the bloodstream. J J J J J J J J




ANS: A J




Drugs givenbythe parenteral routebypass the first-pass effect, but theystill must be absorbed intocells and tissues before theycan exert their
J J J J J J J J J J J J J J J J J J J J J J J J J




effects. Enteral drugs (drugs taken orally), not parenteral drugs, decrease blood flow to the stomach and are altered by the presence of food
J J J J J J J J J J J J J J J J J J J J J J J




in the stomach. Parenteral drugs must be absorbed into cells and tissues from the circulation before they can exert their effects; they do not
J J J J J J J J J J J J J J J J J J J J J J J J




exert their effects while circulating in the bloodstream.
J J J J J J J




DIF: J J CognitiveLevel:Analysis J J




4. A drug’s half-life is best defined as
J J J J J J




a. Thetime it takes for the drug to elicit half its therapeutic response.
J J J J J J J J J J J J




b. Thetime it takesone-half oftheoriginal amount ofadrugto reachthetarget cells.
J J J J J J J J J J J J J J J J




c. Thetime it takes one-half ofthe original amount ofadrugto be removed fromthe body.
J J J J J J J J J J J J J J J J J




d. Thetime it takes one-half oftheoriginal amount ofadrugto be absorbed into the
J J J J J J J J J J J J J J J J J




circulation.
ANS: C J




A drug’s half-life is the time it takes forone-half ofthe original amount ofa drug tobe removed from the body. It is a measure of the rate at
J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J




which drugs are removed from the body. Answers A, B, and D are not correct definitions of a drug’s half-life.
J J J J J J J J J J J J J J J J J J J




DIF: J J CognitiveLevel:Comprehension J J




5. Theterm “duration ofaction” is best defined as
J J J J J J J J




a. Thetime it takes for the drug to elicit a therapeutic response.
J J J J J J J J J J J




b. Thetime it takes a drug to reach its maximum therapeutic response.
J J J J J J J J J J J




c. The length oftime it takes to remove a drug from circulation.
J J J J J J J J J J J




d. Thetimeduringwhich drugconcentration is sufficient toelicit atherapeutic
J J J J J J J J J J J J




response.
ANS: D J




Duration of action is the time during which drug concentration is sufficient to elicit a therapeutic response. The time it takes for a drug to
J J J J J J J J J J J J J J J J J J J J J J J J J




elicit a therapeutic response is the drug’s “onset of action.” The time it takes a drug to reach its maximum therapeutic response is a drug’s
J J J J J J J J J J J J J J J J J J J J J J J J J




“peak effect.” “The length of time it takes to remove a drug fromcirculation” defines a drug’s eliminationand does not correctly define a
J J J J J J J J J J J J J J J J J J J J J J J J




drug’s duration of action. J J J




DIF: J J CognitiveLevel:Comprehension J J




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