Test Bank Q Nursing Skills: Chapter 20 -
Safe Medication Preparation Exam
Questions and Answers (Latest Update
2026)
The prescribed dose of Tylenol is given to a patient. The nurse
recognizes the name Tylenol as which of the following?
a. Chemical name
b. Trade name
c. Generic name
d. United States Pharmacopeia -
correct answer ✅ANS: B
A medication trade name or brand name is used to market the
medication. The trade name has the symbol ™ at the upper right of
the name, indicating a manufacturer's trademark for the name
(e.g., Panadol™, Tempra™, and Tylenol™). The chemical name
describes the medication's composition and molecular structure,
such as N-acetyl-para-aminophenol, commonly known as Tylenol.
The chemical name rarely is used in clinical practice. A
manufacturer who first develops a medication gives the generic
name of a medication. Acetaminophen is the generic name for
Tylenol. The generic name is the official name that is listed in
official publications such as the United States Pharmacopeia (USP).
The USP is a drug book that lists all drugs by generic name.
,Test Bank Q Nursing Skills: Chapter 20 -
Safe Medication Preparation Exam
Questions and Answers (Latest Update
2026)
The nurse is aware that a patient with liver disease and a decreased
albumin level may develop which of the following effects?
a. Toxicity on normal doses of medication
b. Less active medication available in the body
c. Reduction in therapeutic effect
d. Accelerated biotransformation of the medication -
correct answer ✅ANS: A
Most medications bind to albumin to some extent. When
medications bind to albumin, they are unable to exert
pharmacological activity. Only the unbound or "free" medication is
active. Older adults and patients with liver disease or malnutrition
have reduced albumin, which increases their risk for medication
toxicity. With less albumin to bind with the medication, more "free"
or active medication is present in the body. This would result in an
increase in therapeutic effect and possibly in toxicity. Most
biotransformation occurs in the liver, although the lungs, kidneys,
blood, and intestines also play a role. Patients (e.g., elderly, those
with chronic disease) are at risk for medication toxicity if their
organs that metabolize medications do not function correctly.
, Test Bank Q Nursing Skills: Chapter 20 -
Safe Medication Preparation Exam
Questions and Answers (Latest Update
2026)
During the admission process, the patient states that he stopped
taking daily aspirin because of nausea. The nurse documents the
nausea as which of the following?
a. Noncompliance
b. Toxic effects of the medication
c. Side effects of the medication
d. Allergic reaction to the medication -
correct answer ✅ANS: C
Side effects are predictable and often unavoidable secondary
effects produced at a usual therapeutic drug dose. For example,
some antihypertensive medications cause impotence in male
patients. Noncompliance or nonadherence refers to the patient
behavior of not following the prescribed medication regimen. In
this case, noncompliance would be the result of the patient's
nausea, but the nausea itself would not be considered
noncompliance. Toxic effects develop after prolonged intake of a
medication, when a medication accumulates in the blood because
of impaired metabolism or excretion, or when too high a dose is
given. Allergic reactions are unpredictable responses to a
medication. Exposure to an initial dose of a medication causes a
patient to become sensitized immunologically. The medication acts
Safe Medication Preparation Exam
Questions and Answers (Latest Update
2026)
The prescribed dose of Tylenol is given to a patient. The nurse
recognizes the name Tylenol as which of the following?
a. Chemical name
b. Trade name
c. Generic name
d. United States Pharmacopeia -
correct answer ✅ANS: B
A medication trade name or brand name is used to market the
medication. The trade name has the symbol ™ at the upper right of
the name, indicating a manufacturer's trademark for the name
(e.g., Panadol™, Tempra™, and Tylenol™). The chemical name
describes the medication's composition and molecular structure,
such as N-acetyl-para-aminophenol, commonly known as Tylenol.
The chemical name rarely is used in clinical practice. A
manufacturer who first develops a medication gives the generic
name of a medication. Acetaminophen is the generic name for
Tylenol. The generic name is the official name that is listed in
official publications such as the United States Pharmacopeia (USP).
The USP is a drug book that lists all drugs by generic name.
,Test Bank Q Nursing Skills: Chapter 20 -
Safe Medication Preparation Exam
Questions and Answers (Latest Update
2026)
The nurse is aware that a patient with liver disease and a decreased
albumin level may develop which of the following effects?
a. Toxicity on normal doses of medication
b. Less active medication available in the body
c. Reduction in therapeutic effect
d. Accelerated biotransformation of the medication -
correct answer ✅ANS: A
Most medications bind to albumin to some extent. When
medications bind to albumin, they are unable to exert
pharmacological activity. Only the unbound or "free" medication is
active. Older adults and patients with liver disease or malnutrition
have reduced albumin, which increases their risk for medication
toxicity. With less albumin to bind with the medication, more "free"
or active medication is present in the body. This would result in an
increase in therapeutic effect and possibly in toxicity. Most
biotransformation occurs in the liver, although the lungs, kidneys,
blood, and intestines also play a role. Patients (e.g., elderly, those
with chronic disease) are at risk for medication toxicity if their
organs that metabolize medications do not function correctly.
, Test Bank Q Nursing Skills: Chapter 20 -
Safe Medication Preparation Exam
Questions and Answers (Latest Update
2026)
During the admission process, the patient states that he stopped
taking daily aspirin because of nausea. The nurse documents the
nausea as which of the following?
a. Noncompliance
b. Toxic effects of the medication
c. Side effects of the medication
d. Allergic reaction to the medication -
correct answer ✅ANS: C
Side effects are predictable and often unavoidable secondary
effects produced at a usual therapeutic drug dose. For example,
some antihypertensive medications cause impotence in male
patients. Noncompliance or nonadherence refers to the patient
behavior of not following the prescribed medication regimen. In
this case, noncompliance would be the result of the patient's
nausea, but the nausea itself would not be considered
noncompliance. Toxic effects develop after prolonged intake of a
medication, when a medication accumulates in the blood because
of impaired metabolism or excretion, or when too high a dose is
given. Allergic reactions are unpredictable responses to a
medication. Exposure to an initial dose of a medication causes a
patient to become sensitized immunologically. The medication acts
