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LILEY’S PHARMACOLOGY FOR CANADIAN
HEALTH CARE PRACTICE 4TH EDITION
UPDATED 2025 COMPLETE EXAM| QUESTIONS
AND CORRECT DETAILED ANSWE RS
(VERIFIED ANSWERS) ALREADY GRADED A+||
LATEST UPDATE!!
A drug given by which route is altered by the first-pass effect?
- Oral
- Sublingual
- Intravenous (IV)
- Subcutaneous - Correct Answer - a. Oral
Which nursing action will increase the absorption of a medication administered intramuscularly?
- Massaging the site after injection.
- Lowering the extremity below the level of the heart.
- Applying ice packs to the injection site.
- Administering the medication via the Z-track method. - Correct
Answer - a. Massaging the site after injection.
When administering two medications that are highly protein bound, the nurse understands to monitor the patient carefully for which effect?
- A short duration of medication action 1 / 4
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- Immediate improvement in the patient's condition
- Increase in the risk of drug-drug interactions
- Hypovolemic shock caused by a low albumin level - Correct Answer -
- Increase in the risk of drug-drug interactions
To achieve the most rapid onset of action, the health care provider will prescribe the medication to be administered by which route?
- Intravenous (IV)
- Subcutaneous (SC)
- Intramuscular (IM)
- Intrathecally - Correct Answer - a. Intravenous (IV)
Patients with renal failure would most likely have problems with which pharmacokinetic process?
- Excretion
- Absorption
- Distribution
- Metabolism - Correct Answer - a. Excretion
What is the ratio between a drug's therapeutic effects and toxic effects called?
- Therapeutic index
- Cumulative effect
- Tolerance 2 / 4
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- Affinity - Correct Answer - a. Therapeutic index
The nurse is teaching a pregnant patient about the effects of medication on fetal development. The nurse understands that the greatest risk for medication effects on the developing fetus occurs during which time period?
- First trimester
- Third trimester
- Birthing process
- Second trimester - Correct Answer - a. First trimester
Knowing that the albumin in neonates and infants has a lower binding capacity for medications, the nurse anticipates the health care provider to perform which action to minimize the risk of toxicity?
- Increase the amount of drug given
- Decrease the amount of drug given
- Shorten the time interval between doses
- Administer the medication intravenously - Correct Answer - b.
Decrease the amount of drug given
The physiological changes that normally occur in older adult patients have which implication for drug response?
- Drug elimination is faster.
- Drug half-life is lengthened.
- Protein binding is more efficient. 3 / 4
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- Drug metabolism is quicker. - Correct Answer - b. Drug half-life is
lengthened.
While the nurse is taking a health history for an older adult patient with heart failure, the patient tells the nurse, "I have chronic constipation." The nurse suspects this gastrointestinal condition is caused by which class of drugs?
- Anticoagulants
- Calcium channel blockers
- Nonsteroidal anti-inflammatory drugs
- Potassium-sparing diuretics - Correct Answer - b. Calcium channel
blockers
A nurse working with older adult patients is concerned about the number of medications prescribed for each patient. Which older adult assessment should be of highest priority in relation to polypharmacy?
- Nonadherence to drug regimen
- Drug interactions
- Schedule of medications
- Cost of medications - Correct Answer - b. Drug interactions
A hospital nurse is assessing a newly admitted patient's culture and ethnicity. Which of the following concepts is important for the nurse to understand regarding drug therapy as it relates to an individual's race?
- Polymorphism
- Pharmacodynamics
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