TEST BANK j
PharmacologyjforjCanadianjHealthjCarejPracticej3rdjEditionjLilley
Nursedocs@2024
, Chapterj01:jNursingjPracticejinjCanadajandjDrugjTherapy
Lilley:jPharmacologyjforjCanadianjHealthjCarejPractice,j3rdjCanadianjEdition
MULTIPLEjCHOICE
1. Whichjisjajjudgementjaboutjajparticularjpatientj‘sjpotentialjneedjor
problem?
a. Ajgoal
b. Anjassessment
c. Subjectivejdata
d. Ajnursingjdiagnosis
ANS:j D
Nursingjdiagnosisjisjthejphasejofjthejnursingjprocessjduringjwhich
ajclinicaljjudgementjisjmadejaboutjhowjajpatientjrespondsjtojheathjconditionsjandjlifejprocessesj
orjvulnerabilityjforjthatjresponse.
DIF: CognitivejLevel:jKnowledge REF:j p.j11
2. Thejpatientjisjtojreceivejoraljfurosemidej(Lasix)jeveryjday;jhowever,jbecausejthejpatientjisjun
ablejtojswallow,jhejcannotjtakejmedicationjorally,jasjordered.jThejnursejneedsjtojcontactjthejp
hysician.jWhatjtypejofjproblemjisjthis?
a. Aj―rightjtime‖jproblem
b. Aj―rightj dose‖jproblem
c. Aj―rightjroute‖jproblem
d. Aj ―rightj medication‖j problem
ANS:j C
Thisjisjaj―rightjroute‖jproblem:jthejnursejcannotjassumejthejroutejandjmustjclarifyjthejroute
withjthejprescriber.jThisjisjnotjaj―rightjtime‖jproblemjbecausejthejorderedjfrequencyjhasjnotjchang
ed.jThisjisjnotjaj―rightjdose‖jproblemjbecausejthejdosejisjnotjrelatedjtojanjinabilityjtojswallow.jThi
sjisjnotjaj―rightjmedication‖jproblemjbecausejthejmedicationjorderedjwilljnotjchange,jjustjthejrou
te.
DIF: CognitivejLevel:jApplication REF:j p.j14
3. Thejnursejhasjbeenjmonitoringjthejpatient‘sjprogressjonjhisjnewjdrugjregimenjsincejthejfirstjdos
ejandjhasjbeenjdocumentingjsignsjofjpossiblejadversejeffects.jWhatjnursingjprocessjphasejisjthej
nursejpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingjdiagnosis
ANS:j B
Monitoringjthejpatient‘sjprogressjisjpartjofjthejevaluationjphase.jPlanning,jimplementation,jand
jnursingjdiagnosisjarejnotjillustratedjbyjthisjexample.
DIF: CognitivejLevel:jApplication REF:j p.j19
Nursedocs@2024
, 4. Thejnursejisjcaringjforjajpatientjwhojhasjbeenjnewlyjdiagnosedjwithjtypej1jdiabetesjmellitus.jWh
ichjstatementjbestjillustratesjanjoutcomejcriterionjforjthisjpatient?
a. Thejpatientjwilljfollowjinstructions.
b. Thejpatientjwilljnotjexperiencejcomplications.
c. Thejpatientjadheresjtojthejnewjinsulinjtreatmentjregimen.
d. Thejpatientjdemonstratesjsafejinsulinjself-administrationjtechnique.
ANS:j D
Havingjthejpatientjdemonstratejsafejinsulinjself-
administrationjtechniquejisjajspecificjandjmeasurablejoutcomejcriterion.jFollowingjinstruction
sjandjavoidingjcomplicationsjarejnotjspecificjcriteria.jAdherencejtojthejnewjinsulinjtreatmentjre
gimenjisjnotjobjectivejandjwouldjbejdifficultjtojmeasure.
DIF: CognitivejLevel:jApplication REF:j p.j13
5. Whichjactivityjbestjreflectsjthejimplementationjphasejofjthejnursingjprocessjforjthejpatientjw
hojisjnewlyjdiagnosedjwithjtypej1jdiabetesjmellitus?
a. Providingjeducationjregardingjself-injectionjtechnique
b. Settingjgoalsjandjoutcomejcriteriajwithjthejpatient‘sjinput
c. Recordingjajhistoryjofjover-the-counterjmedicationsjusedjatjhome
d. Formulatingjnursingjdiagnosesjregardingjknowledgejdeficitsjrelatedjtojthejnewjtr
eatmentjregimen
ANS:j A
Educationjisjanjinterventionjthatjoccursjduringjthejimplementationjphase.jSettingjgoalsjandjout
comejcriteriajreflectsjthejplanningjphase.jRecordingjajdrugjhistoryjreflectsjthejassessmentjphase
.jFormulatingjnursingjdiagnosesjregardingjajknowledgejdeficitjreflectsjanalysisjofjdatajasjpartjo
fjthejplanningjphase.N
DIF: CognitivejLevel:jAnalysis REF:j p.j8j|jp.j13
6. Thejnursejisjworkingjduringjajveryjbusyjnightjshift,jandjthejhealthjcarejproviderjhasjjustjgivenjt
hejnursejajmedicationjorderjoverjthejtelephone,jbutjthejnursejdoesjnotjrecalljthejroute.jWhatjisjth
ejbestjwayjforjthejnursejtojavoidjmedicationjerrors?
a. Recopyjthejorderjneatlyjonjthejorderjsheet,jwithjthejmostjcommonjroutejindicated
b. Consultjwithjthejpharmacistjforjclarificationjaboutjthejmostjcommonjroute
c. Calljthejhealthjcarejproviderjtojclarifyjthejroutejofjadministration
d. Withholdjthejdrugjuntiljthejhealthjcarejproviderjvisitsjthejpatient
ANS:j C
Ifjajmedicationjorderjdoesjnotjincludejthejroute,jthejnursejmustjaskjthejhealthjcarejproviderjtojclar
ifyjit.jNeverjassumejthejroutejofjadministration.
DIF: CognitivejLevel:jApplicationj|jCognitivejLevel:jAnalysisj REF:j p.j17
7. WhichjconstitutesjthejtraditionaljFivejRightsjofjmedicationjadministration?
a. Rightjdrug,jrightjroute,jrightjdose,jrightjtime,jandjrightjpatient
b. Rightjdrug,jthejrightjeffect,jthejrightjroute,jthejrightjtime,jandjthejrightjpatient
c. Rightjpatient,jrightjstrength,jrightjdiagnosis,jrightjdrug,jandjrightjroute
d. Rightjpatient,jrightjdiagnosis,jrightjdrug,jrightjroute,jandjrightjtime
ANS:j A
Nursedocs@2024
, ThejtraditionaljFivejRightsjofjmedicationjadministrationjwerejconsideredjtojbejRightjdrug,jRi
ghtjroute,jRightjdose,jRightjtime,jandjRightjpatient.jRightjeffect,jrightjstrength,jandjrightjdiag
nosisjarejnotjpartjofjthejtraditionaljFivejRights.
DIF:j j CognitivejLevel:jComprehensionj j REF:j p.j13
8. Whatjcorrectlyjdescribesj thejnursingjprocess?
a. Diagnosing,jplanning,jassessing,jimplementing,jandjfinallyjevaluating
b. Assessing,jthenjdiagnosing,jimplementing,jandjendingjwithjevaluating
c. Ajlinearjdirectionjthatjbeginsjwithjassessingjandjcontinuesjthroughjdiagnosing,jpl
anning,jandjfinallyjimplementing
d. Anjongoingjprocessjthatjbeginsjwithjassessingjandjcontinuesjwithjdiagnosing,jpl
anning,jimplementing,jandjevaluating
ANS:j D
Thejnursingjprocessjisjanjongoing,jflexible,jadaptable,jandjadjustablejfive-
stepjprocessjthatjbeginsjwithjassessingjandjcontinuesjthroughjdiagnosing,jplanning,jimplementin
g,jandjfinallyjevaluating,jwhichjmayjthenjleadjbackjtojanyjofjthejotherjphases.
DIF: CognitivejLevel:jApplication REF:j p.j8
9. Whenjthejnursejisjconsideringjthejtimingjofjajdrugjdose,jwhichjisjmostjimportantjtojassess?
a. Thejpatient‘sjidentification
b. Thejpatient‘sjweight
c. Thejpatient‘sjlastjmeal
d. Anyjdrugjorjfoodjallergies
ANS:j C
Thejpharmacokineticjandjpharmacodynamicjpropertiesjofjthejdrugjneedjtojbejassessedjwithjregard
jtojanyjdrug–foodjinteractionsjorjcompatibilityjissues.jThejpatient‘sjidentification,
weight,jandjdrugjorjfoodj allergiesjarejnotjaffectedjbyjthejdrug‘sjtiming.
DIF: CognitivejLevel:jApplication REF:j p.j17
10. Thejnursejisjwritingjnursingjdiagnosesjforjajplanjofjcare.jWhichjreflectsjthejcorrectjformatjforjherj
nursingjdiagnosis?
a. Anxiety
b. Anxietyjrelatedjtojnewjdrugjtherapy
c. Anxietyjrelatedjtojanxiousjfeelingsjaboutjdrugjtherapy,jasjevidencedjbyjstatementsjsu
chjasj―I‘mjupsetjaboutjhavingjtojgivejmyselfjshots‖
d. Anxietyjrelatedjtojnewjdrugjtherapy,jasjevidencedjbyjstatementsjsuchjasj―I‘mju
psetjaboutjhavingjtojgivejmyselfjshots‖
ANS:j D
Nursedocs@2024
PharmacologyjforjCanadianjHealthjCarejPracticej3rdjEditionjLilley
Nursedocs@2024
, Chapterj01:jNursingjPracticejinjCanadajandjDrugjTherapy
Lilley:jPharmacologyjforjCanadianjHealthjCarejPractice,j3rdjCanadianjEdition
MULTIPLEjCHOICE
1. Whichjisjajjudgementjaboutjajparticularjpatientj‘sjpotentialjneedjor
problem?
a. Ajgoal
b. Anjassessment
c. Subjectivejdata
d. Ajnursingjdiagnosis
ANS:j D
Nursingjdiagnosisjisjthejphasejofjthejnursingjprocessjduringjwhich
ajclinicaljjudgementjisjmadejaboutjhowjajpatientjrespondsjtojheathjconditionsjandjlifejprocessesj
orjvulnerabilityjforjthatjresponse.
DIF: CognitivejLevel:jKnowledge REF:j p.j11
2. Thejpatientjisjtojreceivejoraljfurosemidej(Lasix)jeveryjday;jhowever,jbecausejthejpatientjisjun
ablejtojswallow,jhejcannotjtakejmedicationjorally,jasjordered.jThejnursejneedsjtojcontactjthejp
hysician.jWhatjtypejofjproblemjisjthis?
a. Aj―rightjtime‖jproblem
b. Aj―rightj dose‖jproblem
c. Aj―rightjroute‖jproblem
d. Aj ―rightj medication‖j problem
ANS:j C
Thisjisjaj―rightjroute‖jproblem:jthejnursejcannotjassumejthejroutejandjmustjclarifyjthejroute
withjthejprescriber.jThisjisjnotjaj―rightjtime‖jproblemjbecausejthejorderedjfrequencyjhasjnotjchang
ed.jThisjisjnotjaj―rightjdose‖jproblemjbecausejthejdosejisjnotjrelatedjtojanjinabilityjtojswallow.jThi
sjisjnotjaj―rightjmedication‖jproblemjbecausejthejmedicationjorderedjwilljnotjchange,jjustjthejrou
te.
DIF: CognitivejLevel:jApplication REF:j p.j14
3. Thejnursejhasjbeenjmonitoringjthejpatient‘sjprogressjonjhisjnewjdrugjregimenjsincejthejfirstjdos
ejandjhasjbeenjdocumentingjsignsjofjpossiblejadversejeffects.jWhatjnursingjprocessjphasejisjthej
nursejpractising?
a. Planning
b. Evaluation
c. Implementation
d. Nursingjdiagnosis
ANS:j B
Monitoringjthejpatient‘sjprogressjisjpartjofjthejevaluationjphase.jPlanning,jimplementation,jand
jnursingjdiagnosisjarejnotjillustratedjbyjthisjexample.
DIF: CognitivejLevel:jApplication REF:j p.j19
Nursedocs@2024
, 4. Thejnursejisjcaringjforjajpatientjwhojhasjbeenjnewlyjdiagnosedjwithjtypej1jdiabetesjmellitus.jWh
ichjstatementjbestjillustratesjanjoutcomejcriterionjforjthisjpatient?
a. Thejpatientjwilljfollowjinstructions.
b. Thejpatientjwilljnotjexperiencejcomplications.
c. Thejpatientjadheresjtojthejnewjinsulinjtreatmentjregimen.
d. Thejpatientjdemonstratesjsafejinsulinjself-administrationjtechnique.
ANS:j D
Havingjthejpatientjdemonstratejsafejinsulinjself-
administrationjtechniquejisjajspecificjandjmeasurablejoutcomejcriterion.jFollowingjinstruction
sjandjavoidingjcomplicationsjarejnotjspecificjcriteria.jAdherencejtojthejnewjinsulinjtreatmentjre
gimenjisjnotjobjectivejandjwouldjbejdifficultjtojmeasure.
DIF: CognitivejLevel:jApplication REF:j p.j13
5. Whichjactivityjbestjreflectsjthejimplementationjphasejofjthejnursingjprocessjforjthejpatientjw
hojisjnewlyjdiagnosedjwithjtypej1jdiabetesjmellitus?
a. Providingjeducationjregardingjself-injectionjtechnique
b. Settingjgoalsjandjoutcomejcriteriajwithjthejpatient‘sjinput
c. Recordingjajhistoryjofjover-the-counterjmedicationsjusedjatjhome
d. Formulatingjnursingjdiagnosesjregardingjknowledgejdeficitsjrelatedjtojthejnewjtr
eatmentjregimen
ANS:j A
Educationjisjanjinterventionjthatjoccursjduringjthejimplementationjphase.jSettingjgoalsjandjout
comejcriteriajreflectsjthejplanningjphase.jRecordingjajdrugjhistoryjreflectsjthejassessmentjphase
.jFormulatingjnursingjdiagnosesjregardingjajknowledgejdeficitjreflectsjanalysisjofjdatajasjpartjo
fjthejplanningjphase.N
DIF: CognitivejLevel:jAnalysis REF:j p.j8j|jp.j13
6. Thejnursejisjworkingjduringjajveryjbusyjnightjshift,jandjthejhealthjcarejproviderjhasjjustjgivenjt
hejnursejajmedicationjorderjoverjthejtelephone,jbutjthejnursejdoesjnotjrecalljthejroute.jWhatjisjth
ejbestjwayjforjthejnursejtojavoidjmedicationjerrors?
a. Recopyjthejorderjneatlyjonjthejorderjsheet,jwithjthejmostjcommonjroutejindicated
b. Consultjwithjthejpharmacistjforjclarificationjaboutjthejmostjcommonjroute
c. Calljthejhealthjcarejproviderjtojclarifyjthejroutejofjadministration
d. Withholdjthejdrugjuntiljthejhealthjcarejproviderjvisitsjthejpatient
ANS:j C
Ifjajmedicationjorderjdoesjnotjincludejthejroute,jthejnursejmustjaskjthejhealthjcarejproviderjtojclar
ifyjit.jNeverjassumejthejroutejofjadministration.
DIF: CognitivejLevel:jApplicationj|jCognitivejLevel:jAnalysisj REF:j p.j17
7. WhichjconstitutesjthejtraditionaljFivejRightsjofjmedicationjadministration?
a. Rightjdrug,jrightjroute,jrightjdose,jrightjtime,jandjrightjpatient
b. Rightjdrug,jthejrightjeffect,jthejrightjroute,jthejrightjtime,jandjthejrightjpatient
c. Rightjpatient,jrightjstrength,jrightjdiagnosis,jrightjdrug,jandjrightjroute
d. Rightjpatient,jrightjdiagnosis,jrightjdrug,jrightjroute,jandjrightjtime
ANS:j A
Nursedocs@2024
, ThejtraditionaljFivejRightsjofjmedicationjadministrationjwerejconsideredjtojbejRightjdrug,jRi
ghtjroute,jRightjdose,jRightjtime,jandjRightjpatient.jRightjeffect,jrightjstrength,jandjrightjdiag
nosisjarejnotjpartjofjthejtraditionaljFivejRights.
DIF:j j CognitivejLevel:jComprehensionj j REF:j p.j13
8. Whatjcorrectlyjdescribesj thejnursingjprocess?
a. Diagnosing,jplanning,jassessing,jimplementing,jandjfinallyjevaluating
b. Assessing,jthenjdiagnosing,jimplementing,jandjendingjwithjevaluating
c. Ajlinearjdirectionjthatjbeginsjwithjassessingjandjcontinuesjthroughjdiagnosing,jpl
anning,jandjfinallyjimplementing
d. Anjongoingjprocessjthatjbeginsjwithjassessingjandjcontinuesjwithjdiagnosing,jpl
anning,jimplementing,jandjevaluating
ANS:j D
Thejnursingjprocessjisjanjongoing,jflexible,jadaptable,jandjadjustablejfive-
stepjprocessjthatjbeginsjwithjassessingjandjcontinuesjthroughjdiagnosing,jplanning,jimplementin
g,jandjfinallyjevaluating,jwhichjmayjthenjleadjbackjtojanyjofjthejotherjphases.
DIF: CognitivejLevel:jApplication REF:j p.j8
9. Whenjthejnursejisjconsideringjthejtimingjofjajdrugjdose,jwhichjisjmostjimportantjtojassess?
a. Thejpatient‘sjidentification
b. Thejpatient‘sjweight
c. Thejpatient‘sjlastjmeal
d. Anyjdrugjorjfoodjallergies
ANS:j C
Thejpharmacokineticjandjpharmacodynamicjpropertiesjofjthejdrugjneedjtojbejassessedjwithjregard
jtojanyjdrug–foodjinteractionsjorjcompatibilityjissues.jThejpatient‘sjidentification,
weight,jandjdrugjorjfoodj allergiesjarejnotjaffectedjbyjthejdrug‘sjtiming.
DIF: CognitivejLevel:jApplication REF:j p.j17
10. Thejnursejisjwritingjnursingjdiagnosesjforjajplanjofjcare.jWhichjreflectsjthejcorrectjformatjforjherj
nursingjdiagnosis?
a. Anxiety
b. Anxietyjrelatedjtojnewjdrugjtherapy
c. Anxietyjrelatedjtojanxiousjfeelingsjaboutjdrugjtherapy,jasjevidencedjbyjstatementsjsu
chjasj―I‘mjupsetjaboutjhavingjtojgivejmyselfjshots‖
d. Anxietyjrelatedjtojnewjdrugjtherapy,jasjevidencedjbyjstatementsjsuchjasj―I‘mju
psetjaboutjhavingjtojgivejmyselfjshots‖
ANS:j D
Nursedocs@2024
