PHARMACOLOGY FOR NURSES: A
PATHOPHYSIOLOGIC APPROACH
7TH EDITION
• AUTHOR(S)MICHAEL P. ADAMS;
NORMAN HOLLAND; SHANTI CHANG
TEST BANK
1
1⃣ Reference
Ch. 1 — Introduction to Pharmacology — Drug Names &
Classification
2️⃣ Nursing-Level Stem
A 68-year-old patient brings a prescription labeled with a
generic drug name while the medication in the unit stock is
labeled with a familiar trade name. The patient expresses
concern and asks whether the nurse should give the
medication. As the bedside nurse, what is the best response
and action?
,3️⃣ Options
A. Administer the medication as ordered and reassure the
patient that generic and trade-name medications are equivalent
when approved.
B. Refuse to give the medication until the prescriber replaces
the order with the trade name the patient recognizes.
C. Call pharmacy to confirm the medication’s manufacturer and
withhold administration until brand verification.
D. Substitute a different trade-name product from the supply
cabinet without contacting prescriber because names are
interchangeable.
4️⃣ Correct Answer
A
5️⃣ Rationales
Correct (A): Generic and trade-name drugs approved by
regulatory authorities contain the same active ingredient and
are expected to produce equivalent clinical effects; reassuring
the patient and administering the ordered medication aligns
with nursing responsibility for safe medication administration
and patient education. Generic formulations may have different
inactive ingredients, but approval indicates therapeutic
equivalence. Nursing implication: educate about name
differences, monitor for expected effect, and document
teaching.
Incorrect (B): Refusing the order delays necessary therapy and
elevates risk without clinical justification; prescriber
,replacement is unnecessary when therapeutic equivalence is
present.
Incorrect (C): Unnecessary manufacturer confirmation delays
care; pharmacy can be contacted for questions but routine
confirmation of brand is not required when the order uses a
generic name.
Incorrect (D): Substituting without verification of the ordered
active ingredient or consulting the prescriber/pharmacy breaks
medication administration policy and risks error.
6️⃣ Teaching Point
Generic and trade names differ in name only; therapeutic
equivalence requires monitoring.
7⃣ Citation
Adams, M. P., Holland, N., & Chang, S. (2024). Pharmacology for
Nurses: A Pathophysiologic Approach (7th ed.). Ch. 1.
2️
1⃣ Reference
Ch. 1 — Introduction to Pharmacology — Therapeutic vs
Pharmacologic Classification
2️⃣ Nursing-Level Stem
A patient with chronic heart failure asks why two medications
are described as “antihypertensives” on the wristband but one
nurse cites them in different pharmacologic classes. The patient
, is confused whether they have the same purpose. Which
nursing explanation and teaching is most appropriate?
3️⃣ Options
A. Explain that “antihypertensive” is a therapeutic category;
different pharmacologic classes act by different mechanisms
and may have different monitoring needs.
B. Tell the patient both drugs are identical and interchangeable
because they are in the same therapeutic class.
C. Advise the patient to stop one drug if blood pressure is
controlled to avoid duplication because the classes overlap.
D. Report to the prescriber that the medications are
contraindicated together because they treat the same
condition.
4️⃣ Correct Answer
A
5️⃣ Rationales
Correct (A): Therapeutic classification groups drugs by their
clinical use (e.g., antihypertensive), while pharmacologic
classification groups by mechanism (e.g., ACE inhibitor vs beta
blocker); explaining this helps the patient understand
monitoring differences and the nurse’s role in safety and
education. Nursing implication: teach expected effects and
specific adverse effects per drug class.
Incorrect (B): Claiming interchangeability ignores differing
mechanisms and safety profiles; therapeutic grouping does not
imply identical effects or monitoring.
PATHOPHYSIOLOGIC APPROACH
7TH EDITION
• AUTHOR(S)MICHAEL P. ADAMS;
NORMAN HOLLAND; SHANTI CHANG
TEST BANK
1
1⃣ Reference
Ch. 1 — Introduction to Pharmacology — Drug Names &
Classification
2️⃣ Nursing-Level Stem
A 68-year-old patient brings a prescription labeled with a
generic drug name while the medication in the unit stock is
labeled with a familiar trade name. The patient expresses
concern and asks whether the nurse should give the
medication. As the bedside nurse, what is the best response
and action?
,3️⃣ Options
A. Administer the medication as ordered and reassure the
patient that generic and trade-name medications are equivalent
when approved.
B. Refuse to give the medication until the prescriber replaces
the order with the trade name the patient recognizes.
C. Call pharmacy to confirm the medication’s manufacturer and
withhold administration until brand verification.
D. Substitute a different trade-name product from the supply
cabinet without contacting prescriber because names are
interchangeable.
4️⃣ Correct Answer
A
5️⃣ Rationales
Correct (A): Generic and trade-name drugs approved by
regulatory authorities contain the same active ingredient and
are expected to produce equivalent clinical effects; reassuring
the patient and administering the ordered medication aligns
with nursing responsibility for safe medication administration
and patient education. Generic formulations may have different
inactive ingredients, but approval indicates therapeutic
equivalence. Nursing implication: educate about name
differences, monitor for expected effect, and document
teaching.
Incorrect (B): Refusing the order delays necessary therapy and
elevates risk without clinical justification; prescriber
,replacement is unnecessary when therapeutic equivalence is
present.
Incorrect (C): Unnecessary manufacturer confirmation delays
care; pharmacy can be contacted for questions but routine
confirmation of brand is not required when the order uses a
generic name.
Incorrect (D): Substituting without verification of the ordered
active ingredient or consulting the prescriber/pharmacy breaks
medication administration policy and risks error.
6️⃣ Teaching Point
Generic and trade names differ in name only; therapeutic
equivalence requires monitoring.
7⃣ Citation
Adams, M. P., Holland, N., & Chang, S. (2024). Pharmacology for
Nurses: A Pathophysiologic Approach (7th ed.). Ch. 1.
2️
1⃣ Reference
Ch. 1 — Introduction to Pharmacology — Therapeutic vs
Pharmacologic Classification
2️⃣ Nursing-Level Stem
A patient with chronic heart failure asks why two medications
are described as “antihypertensives” on the wristband but one
nurse cites them in different pharmacologic classes. The patient
, is confused whether they have the same purpose. Which
nursing explanation and teaching is most appropriate?
3️⃣ Options
A. Explain that “antihypertensive” is a therapeutic category;
different pharmacologic classes act by different mechanisms
and may have different monitoring needs.
B. Tell the patient both drugs are identical and interchangeable
because they are in the same therapeutic class.
C. Advise the patient to stop one drug if blood pressure is
controlled to avoid duplication because the classes overlap.
D. Report to the prescriber that the medications are
contraindicated together because they treat the same
condition.
4️⃣ Correct Answer
A
5️⃣ Rationales
Correct (A): Therapeutic classification groups drugs by their
clinical use (e.g., antihypertensive), while pharmacologic
classification groups by mechanism (e.g., ACE inhibitor vs beta
blocker); explaining this helps the patient understand
monitoring differences and the nurse’s role in safety and
education. Nursing implication: teach expected effects and
specific adverse effects per drug class.
Incorrect (B): Claiming interchangeability ignores differing
mechanisms and safety profiles; therapeutic grouping does not
imply identical effects or monitoring.
