Test Bank For Lilleys Pharmacology for Canadian Health Care Practice 5th Edition Sealock | All Chapters 1-58|
Complete Guide With Solutions| Revised Edition 2024-2025
,Test Bank For Lilleys
Pharmacology for Canadian
Health Care Practice 5th
Edition Sealock | All Chapters
1-58| Complete Guide With
Solutions| Revised Edition
2024
,Chapter 01: Nursing Practice in Canada and Drug Therapy
Sealock: Lilley’s Pharmacology for Canadian Health Care Practice, 5th Edition
MULTIPLE CHOICE
1. Which is a judgement about a particular client’s potential need or problem?
a. A goal
b. An assessment
c. Subjective data
d. A nursing diagnosis
CORRECT: D
Nursing diagnosis is the phase of the nursing process during which a clinical judgement is made about
heath conditions and life processes or vulnerability for that response.
DIFFICULT: Cognitive Level: Knowledge
2. The client is to receive oral furosemide (Lasix) every day; however, because the client is unable to swa
medication orally, as ordered. The nurse needs to contact the physician. What type of problem is this?
a. A “right time” problem
b. A “right dose” problem
c. A “right route” problem
d. A “right medication” problem
CORRECT: C
This is a “right route” problem: the nurse cannot assume the route and must clarify the route with the p
time” problem because the ordered frequency has not changed. This is not a “right dose” problem beca
an inability to swallow. This is not a “right medication” problem because the medication ordered will n
DIFFICULT: Cognitive Level: Application
3. The nurse has been monitoring the client’s progress on his new drug regimen since the first dose and ha
of possible adverse effects. What nursing process phase is the nurse practising?
a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis
CORRECT: B
Monitoring the client’s progress is part of the evaluation phase. Planning, implementation, and nursing
by this example.
DIFFICULT: Cognitive Level: Application
4. The nurse is caring for a client who has been newly diagnosed with type 1 diabetes mellitus. Which sta
outcome criterion for this client?
a. The client will follow instructions.
b. The client will not experience complications.
c. The client adheres to the new insulin treatment regimen.
d. The client demonstrates safe insulin self-administration technique.
CORRECT: D
Having the client demonstrate safe insulin self-administration technique is a specific and measurable ou
instructions and avoiding complications are not specific criteria. Adherence to the new insulin treatmen
and would be difficult to measure.
DIFFICULT: Cognitive Level: Application
5. Which activity best reflects the implementation phase of the nursing process for the client who is newly
, 6. The nurse is working during a very busy night shift, and the health care provider has just given the nurs
the telephone, but the nurse does not recall the route. What is the best way for the nurse to avoid medic
a. Recopy the order neatly on the order sheet, with the most common route indicated
b. Consult with the pharmacist for clarification about the most common route
c. Call the health care provider to clarify the route of administration
d. Withhold the drug until the health care provider visits the client
CORRECT: C
If a medication order does not include the route, the nurse must ask the health care provider to clarify it
administration.
DIFFICULT: Cognitive Level: Application | Cognitive Level: Analysis
7. Which constitutes the traditional Five Rights of medication administration?
a. Right drug, right route, right dose, right time, and right client
b. Right drug, the right effect, the right route, the right time, and the right client
c. Right client, right strength, right diagnosis, right drug, and right route
d. Right client, right diagnosis, right drug, right route, and right time
CORRECT: A
The traditional Five Rights of medication administration were considered to be Right drug, Right route
Right client. Right effect, right strength, and right diagnosis are not part of the traditional Five Rights.
DIFFICULT: Cognitive Level: Comprehension
8. What correctly describes the nursing process?
a. Diagnosing, planning, assessing, implementing, and finally evaluating
b. Assessing, then diagnosing, implementing, and ending with evaluating
c. A linear direction that begins with assessing and continues through diagnosing,
planning, and finally implementing
d. An ongoing process that begins with assessing and continues with diagnosing,
planning, implementing, and evaluating
CORRECT: D
The nursing process is an ongoing, flexible, adaptable, and adjustable five-step process that begins with
through diagnosing, planning, implementing, and finally evaluating, which may then lead back to any o
DIFFICULT: Cognitive Level: Application
9. When the nurse is considering the timing of a drug dose, which is most important to assess?
a. The client’s identification
b. The client’s weight
c. The client’s last meal
d. Any drug or food allergies
CORRECT: C
The pharmacokinetic and pharmacodynamic properties of the drug need to be assessed with regard to a
compatibility issues. The client’s identification, weight, and drug or food allergies are not affected by t
DIFFICULT: Cognitive Level: Application
10. The nurse is writing nursing diagnoses for a plan of care. Which reflects the correct format for her nurs
a. Anxiety
b. Anxiety related to new drug therapy
c. Anxiety related to anxious feelings about drug therapy, as evidenced by
statements such as “I’m upset about having to give myself shots”
d. Anxiety related to new drug therapy, as evidenced by statements such as “I’m
upset about having to give myself shots”
CORRECT: D
Formulation of nursing diagnoses is usually a three-step process. The only complete answer is “Anxiet
