PHARMACOLOGY FOR NURSES: A
PATHOPHYSIOLOGIC APPROACH
7TH EDITION
• AUTHOR(S)MICHAEL P. ADAMS;
NORMAN HOLLAND; SHANTI CHANG
TEST BANK
1)
Reference
Ch. 1 — Introduction to Pharmacology — Definitions & Scope
Stem
A 68-year-old patient questions why the nurse calls some
treatments “biologics” instead of “drugs” during discharge
teaching for their rheumatoid arthritis injection. The patient is
worried about safety and asks what difference it makes. As the
nurse, which statement best explains the distinction and
addresses the patient’s concern?
Options
A. “Biologics are natural products and therefore do not cause
,side effects like synthetic drugs.”
B. “Biologics are made from living organisms and often require
different storage and administration precautions than small-
molecule drugs.”
C. “Biologics and drugs are the same; the terms are
interchangeable for nursing care.”
D. “Biologics are always taken by mouth, while drugs are
injected.”
Correct Answer
B
Rationales
Correct (B): Biologics are large molecules produced from living
sources and often require special handling (refrigeration),
administration routes (injectable), and monitoring
(immunologic effects). This explains differences relevant to
nursing safety and patient teaching.
Incorrect (A): Incorrect—biologics can cause significant adverse
effects (e.g., immunosuppression); being “natural” does not
eliminate risks.
Incorrect (C): Incorrect—while both are therapeutic agents,
biologics differ in production, structure, storage, and some
monitoring needs.
Incorrect (D): Incorrect—biologics are commonly injectable; the
statement reverses administration facts.
,Teaching Point
Biologics come from living sources; handle, store, and monitor
differently than small-molecule drugs.
Citation
Adams, M. P., Holland, N., & Chang, S. (2024). Pharmacology for
Nurses: A Pathophysiologic Approach (7th ed.). Ch. 1.
2)
Reference
Ch. 1 — History of Pharmacology & Therapeutics
Stem
During a class discussion, a nursing student links the historical
development of pharmacology to present-day drug safety
regulations. The nurse educator asks which historical driver
most directly led to modern drug regulation protecting patients.
Which nursing-level interpretation is most accurate?
Options
A. The ancient use of herbal remedies made standardization
unnecessary.
B. Early incidents of harmful drugs and adulteration highlighted
the need for testing and regulation.
C. The history of pharmacology focused solely on discovery, not
safety.
D. Drug regulation developed because prescribers demanded
more complex treatments.
, Correct Answer
B
Rationales
Correct (B): Historical occurrences of harm from poorly tested
or adulterated medications prompted laws and regulatory
frameworks to ensure efficacy, safety, and standardized
manufacturing—key to modern nursing safety practices.
Incorrect (A): Incorrect—historical herbal use did not eliminate
the need for standardization; variability was a concern.
Incorrect (C): Incorrect—historical pharmacology included
safety concerns that influenced regulation.
Incorrect (D): Incorrect—while prescribers influenced
therapeutics, regulation primarily responded to patient harm
and public safety issues.
Teaching Point
Patient harm from unsafe preparations prompted modern drug
safety regulations.
Citation
Adams, M. P., Holland, N., & Chang, S. (2024). Pharmacology for
Nurses: A Pathophysiologic Approach (7th ed.). Ch. 1.
3)
Reference
Ch. 1 — Pharmacology vs Therapeutics
PATHOPHYSIOLOGIC APPROACH
7TH EDITION
• AUTHOR(S)MICHAEL P. ADAMS;
NORMAN HOLLAND; SHANTI CHANG
TEST BANK
1)
Reference
Ch. 1 — Introduction to Pharmacology — Definitions & Scope
Stem
A 68-year-old patient questions why the nurse calls some
treatments “biologics” instead of “drugs” during discharge
teaching for their rheumatoid arthritis injection. The patient is
worried about safety and asks what difference it makes. As the
nurse, which statement best explains the distinction and
addresses the patient’s concern?
Options
A. “Biologics are natural products and therefore do not cause
,side effects like synthetic drugs.”
B. “Biologics are made from living organisms and often require
different storage and administration precautions than small-
molecule drugs.”
C. “Biologics and drugs are the same; the terms are
interchangeable for nursing care.”
D. “Biologics are always taken by mouth, while drugs are
injected.”
Correct Answer
B
Rationales
Correct (B): Biologics are large molecules produced from living
sources and often require special handling (refrigeration),
administration routes (injectable), and monitoring
(immunologic effects). This explains differences relevant to
nursing safety and patient teaching.
Incorrect (A): Incorrect—biologics can cause significant adverse
effects (e.g., immunosuppression); being “natural” does not
eliminate risks.
Incorrect (C): Incorrect—while both are therapeutic agents,
biologics differ in production, structure, storage, and some
monitoring needs.
Incorrect (D): Incorrect—biologics are commonly injectable; the
statement reverses administration facts.
,Teaching Point
Biologics come from living sources; handle, store, and monitor
differently than small-molecule drugs.
Citation
Adams, M. P., Holland, N., & Chang, S. (2024). Pharmacology for
Nurses: A Pathophysiologic Approach (7th ed.). Ch. 1.
2)
Reference
Ch. 1 — History of Pharmacology & Therapeutics
Stem
During a class discussion, a nursing student links the historical
development of pharmacology to present-day drug safety
regulations. The nurse educator asks which historical driver
most directly led to modern drug regulation protecting patients.
Which nursing-level interpretation is most accurate?
Options
A. The ancient use of herbal remedies made standardization
unnecessary.
B. Early incidents of harmful drugs and adulteration highlighted
the need for testing and regulation.
C. The history of pharmacology focused solely on discovery, not
safety.
D. Drug regulation developed because prescribers demanded
more complex treatments.
, Correct Answer
B
Rationales
Correct (B): Historical occurrences of harm from poorly tested
or adulterated medications prompted laws and regulatory
frameworks to ensure efficacy, safety, and standardized
manufacturing—key to modern nursing safety practices.
Incorrect (A): Incorrect—historical herbal use did not eliminate
the need for standardization; variability was a concern.
Incorrect (C): Incorrect—historical pharmacology included
safety concerns that influenced regulation.
Incorrect (D): Incorrect—while prescribers influenced
therapeutics, regulation primarily responded to patient harm
and public safety issues.
Teaching Point
Patient harm from unsafe preparations prompted modern drug
safety regulations.
Citation
Adams, M. P., Holland, N., & Chang, S. (2024). Pharmacology for
Nurses: A Pathophysiologic Approach (7th ed.). Ch. 1.
3)
Reference
Ch. 1 — Pharmacology vs Therapeutics
