PHARMACOLOGY FOR NURSES: A
PATHOPHYSIOLOGIC APPROACH
7TH EDITION
• AUTHOR(S)MICHAEL P. ADAMS;
NORMAN HOLLAND; SHANTI CHANG
TEST BANK
1
Reference
Ch. 1 — Pharmacology: The Study of Medicines
Stem
A 58-year-old man is admitted with dehydration and confusion
after several days of vomiting. During medication reconciliation
you find he takes several over-the-counter (OTC) remedies and
prescription medications. Which nursing action best reduces
the immediate risk of an adverse drug event in this patient?
A. Give all prescribed medications as ordered to avoid gaps in
therapy.
B. Hold all medications until a complete medication history and
,current status are known.
C. Administer only the long-acting medications and hold short-
acting ones.
D. Ask family to bring in all current medication containers to the
bedside for verification.
Correct answer: D
Rationales
Correct (D): Bringing medication containers enables accurate
reconciliation (drug names, doses, and formulations), which
reduces errors from patient recall. This supports nursing
assessment and immediate safety decisions. It’s the most
practical step to confirm what the patient actually takes.
A: Giving all meds without verification risks harmful interactions
or dosing errors in a dehydrated, confused patient.
B: Holding all medications indiscriminately may harm patients
who need time-sensitive drugs; reconciliation first is preferable.
C: Selecting long- vs short-acting medications without
assessment is arbitrary and unsafe.
Teaching Point: Always verify medications with actual pill
bottles or a reliable source before giving meds.
Citation: Adams, M. P., Holland, N., & Chang, S. (2024).
Pharmacology for Nurses: A Pathophysiologic Approach (7th
ed.). Ch. 1.
2
,Reference
Ch. 1 — Medication Names: Chemical, Generic, and Trade
Stem
A nurse prepares to teach a newly diagnosed patient about a
drug that has both a generic name and multiple trade names.
The patient asks why the names differ and whether they should
worry if they receive a generic instead of the brand. What
nursing explanation best reflects medication-name differences
and safety?
A. “Trade names indicate higher quality; always request the
trade brand.”
B. “Generic names describe the drug’s chemical identity;
generics are therapeutically equivalent.”
C. “The manufacturer chooses a trade name when the chemical
structure differs from the generic.”
D. “If you get a different name, it’s a different drug and you
should refuse it.”
Correct answer: B
Rationales
Correct (B): Generic names reflect the active ingredient and
generics must meet bioequivalence standards; nurses should
reassure about therapeutic equivalence and focus on
adherence and monitoring.
A: Trade names do not imply higher quality; they’re marketing
names and may cost more.
C: The chemical structure is the same for approved generics;
, trade names are branding, not structural differences.
D: Different names can represent the same active drug; refusing
without clarification can interrupt therapy.
Teaching Point: Explain generic vs trade names; therapeutic
equivalence is required for approved generics.
Citation: Adams, M. P., Holland, N., & Chang, S. (2024).
Pharmacology for Nurses (7th ed.). Ch. 1.
3
Reference
Ch. 1 — Prescription vs Over-the-Counter Drugs
Stem
A 28-year-old pregnant woman asks whether it’s safe to use an
OTC herbal remedy for nausea. She reports the remedy is
“natural.” As a nurse, which response best guides safe
medication decisions?
A. “Natural products are always safe in pregnancy.”
B. “Discuss this with your provider; many OTC and herbal agents
have risks in pregnancy.”
C. “Stop all medications—pregnancy forbids any drug
exposure.”
D. “If it’s sold OTC, it’s been proven safe for pregnancy.”
Correct answer: B
PATHOPHYSIOLOGIC APPROACH
7TH EDITION
• AUTHOR(S)MICHAEL P. ADAMS;
NORMAN HOLLAND; SHANTI CHANG
TEST BANK
1
Reference
Ch. 1 — Pharmacology: The Study of Medicines
Stem
A 58-year-old man is admitted with dehydration and confusion
after several days of vomiting. During medication reconciliation
you find he takes several over-the-counter (OTC) remedies and
prescription medications. Which nursing action best reduces
the immediate risk of an adverse drug event in this patient?
A. Give all prescribed medications as ordered to avoid gaps in
therapy.
B. Hold all medications until a complete medication history and
,current status are known.
C. Administer only the long-acting medications and hold short-
acting ones.
D. Ask family to bring in all current medication containers to the
bedside for verification.
Correct answer: D
Rationales
Correct (D): Bringing medication containers enables accurate
reconciliation (drug names, doses, and formulations), which
reduces errors from patient recall. This supports nursing
assessment and immediate safety decisions. It’s the most
practical step to confirm what the patient actually takes.
A: Giving all meds without verification risks harmful interactions
or dosing errors in a dehydrated, confused patient.
B: Holding all medications indiscriminately may harm patients
who need time-sensitive drugs; reconciliation first is preferable.
C: Selecting long- vs short-acting medications without
assessment is arbitrary and unsafe.
Teaching Point: Always verify medications with actual pill
bottles or a reliable source before giving meds.
Citation: Adams, M. P., Holland, N., & Chang, S. (2024).
Pharmacology for Nurses: A Pathophysiologic Approach (7th
ed.). Ch. 1.
2
,Reference
Ch. 1 — Medication Names: Chemical, Generic, and Trade
Stem
A nurse prepares to teach a newly diagnosed patient about a
drug that has both a generic name and multiple trade names.
The patient asks why the names differ and whether they should
worry if they receive a generic instead of the brand. What
nursing explanation best reflects medication-name differences
and safety?
A. “Trade names indicate higher quality; always request the
trade brand.”
B. “Generic names describe the drug’s chemical identity;
generics are therapeutically equivalent.”
C. “The manufacturer chooses a trade name when the chemical
structure differs from the generic.”
D. “If you get a different name, it’s a different drug and you
should refuse it.”
Correct answer: B
Rationales
Correct (B): Generic names reflect the active ingredient and
generics must meet bioequivalence standards; nurses should
reassure about therapeutic equivalence and focus on
adherence and monitoring.
A: Trade names do not imply higher quality; they’re marketing
names and may cost more.
C: The chemical structure is the same for approved generics;
, trade names are branding, not structural differences.
D: Different names can represent the same active drug; refusing
without clarification can interrupt therapy.
Teaching Point: Explain generic vs trade names; therapeutic
equivalence is required for approved generics.
Citation: Adams, M. P., Holland, N., & Chang, S. (2024).
Pharmacology for Nurses (7th ed.). Ch. 1.
3
Reference
Ch. 1 — Prescription vs Over-the-Counter Drugs
Stem
A 28-year-old pregnant woman asks whether it’s safe to use an
OTC herbal remedy for nausea. She reports the remedy is
“natural.” As a nurse, which response best guides safe
medication decisions?
A. “Natural products are always safe in pregnancy.”
B. “Discuss this with your provider; many OTC and herbal agents
have risks in pregnancy.”
C. “Stop all medications—pregnancy forbids any drug
exposure.”
D. “If it’s sold OTC, it’s been proven safe for pregnancy.”
Correct answer: B
