7th Edition
• Author(s)Barbara Aehlert
• Print ISBN: 9780323794251
Introduction to Pharmacology
Test Bank
,Question 1
Clinical Scenario
A 54-year-old client is discharged after treatment for hypertension. The prescription reads
lisinopril 10 mg orally once daily. At the pharmacy, the client receives a medication bottle
labeled lisinopril and says, “My doctor told me I was taking Prinivil. Is this a different
medication?”
Question Stem
Which response by the nurse is most appropriate?
A. “Yes. The generic medication contains a different active ingredient.”
B. “Yes. The generic medication is usually a lower dose than the brand-name medication.”
C. “No. Lisinopril is the generic name for the active drug marketed under several brand names.”
D. “No. Generic medications are identical in every ingredient and manufacturing characteristic
to brand-name products.”
Correct Answer
Correct Answer: C. “No. Lisinopril is the generic name for the active drug marketed under
several brand names.”
Detailed Rationale
Option C is correct because lisinopril is the generic name, whereas Prinivil is a brand name.
Generic drugs approved by the FDA contain the same active ingredient and must have the same
strength, dosage form, and route of administration as the referenced brand product. They must
also meet required quality standards and demonstrate bioequivalence.
Option A is incorrect because the generic drug contains the same active ingredient as the
corresponding brand-name medication. Option B is incorrect because a generic drug is not
inherently a lower-dose product; the labeled strength corresponds to the prescribed strength.
Option D is incorrect because generic and brand-name products can contain differences in
inactive ingredients, such as excipients, while still meeting FDA requirements.
For nursing practice, the key safety issue is helping patients distinguish generic name, brand
name, strength, and dosage form rather than assuming that different names represent
different medications. During medication teaching, the nurse should encourage the client to
verify the medication name and strength on the label and avoid taking duplicate products
simply because they have different brand and generic names.
Learning Objective
, After completing this question, the learner should be able to:
• Distinguish generic and brand medication names.
• Explain the clinical significance of generic substitution.
• Verify medication labels before administration.
Medication Safety Focus
Medication education
Question 2
Clinical Scenario
A nursing student is reviewing the development of a new oral medication intended to treat a
chronic neurologic disorder. The instructor explains that the medication has completed
laboratory and animal testing and is now being administered to a small number of human
participants under careful monitoring.
Question Stem
Which primary purpose best describes this stage of drug development?
A. Determine initial safety, tolerability, pharmacokinetics, and appropriate dose ranges in
humans
B. Confirm effectiveness in thousands of clients and identify rare adverse effects
C. Evaluate long-term safety after the medication has been approved for public use
D. Compare the new medication with several established treatments in routine clinical practice
Correct Answer
Correct Answer: A. Determine initial safety, tolerability, pharmacokinetics, and appropriate
dose ranges in humans
Detailed Rationale
Option A is correct because Phase 1 clinical research is the initial introduction of an
investigational medication into humans. These studies are usually small and closely monitored
and are designed primarily to evaluate safety, tolerability, pharmacokinetics, pharmacologic
effects, and dose-related adverse effects. FDA information describes Phase 1 studies as the
stage in which investigators learn how a drug behaves in humans and how much can be
tolerated.