MEDICATIONS: 2025 RELEASE
• AUTHOR(S)DONNA
GAUWITZ
TEST BANK
1
Reference
Ch. 1 — Definition of Terms; Pharmacology; Drug Uses
Stem
A nurse preparing discharge teaching for a middle-aged patient
newly prescribed an ACE inhibitor asks the patient to explain, in
their own words, why the medication was ordered and
expected benefits. The patient replies, “It’s to stop my chest
pain.” Which nursing action is most appropriate to ensure
correct medication understanding and safety before discharge?
A. Accept the patient’s statement and provide written
instructions about dosage and timing.
,B. Clarify the patient’s understanding by asking what symptoms
the medication is intended to treat and correct misconceptions.
C. Document the patient’s response and repeat the medication
name until the patient can say it correctly.
D. Tell the patient to call the clinic if chest pain occurs after
starting the medication.
Correct Answer
B
Rationales
Correct (B): Asking the patient what symptoms the medication
is intended to treat assesses comprehension (application). ACE
inhibitors are primarily for hypertension/heart failure, not acute
angina; correcting the misconception prevents hazard from
delayed acute care. Teaching should target patient’s mental
model to improve adherence and safety.
Incorrect (A): Providing written instructions without clarifying
the misunderstanding risks unsafe delay in seeking care for
chest pain and perpetuates incorrect medication purpose.
Incorrect (C): Repetition of the drug name addresses recall but
not conceptual misunderstanding; patient still may misattribute
indication.
Incorrect (D): Telling the patient to call the clinic is insufficient—
chest pain may require emergency care; nurse must correct
misunderstanding and give appropriate action guidance.
,Teaching Point
Confirm patient’s understanding of medication indication, not
just name or dose.
Citation
Gauwitz, D. (2025). Administering Medications. Ch. 1.
2
Reference
Ch. 1 — Drug Sources; Drug Standards; Drug Names
Stem
A nurse notes two tablets on a patient’s medication tray: one
labeled with a brand name and the other with a generic name.
The patient asks why they look different. Which explanation by
the nurse best supports safe medication administration and
patient understanding?
A. “They are made by different companies but work the same;
take both to be safe.”
B. “The generic name indicates the active ingredient;
manufacturers may differ in appearance but not in approved
active ingredient.”
C. “Brand-name drugs are stronger; take the brand if you
prefer.”
D. “Appearance matters more than the name—if pills look
different, they must be different drugs.”
, Correct Answer
B
Rationales
Correct (B): Explains that the generic name reflects the active
ingredient and that appearance differences often reflect
manufacturers; aligns with standards differentiating brand vs
generic while preventing duplication or inadvertent dosing.
Incorrect (A): Advising to take both is unsafe and could cause
overdose if they are the same active ingredient—falls short of
medication safety.
Incorrect (C): Asserting brand-name drugs are stronger is
inaccurate and may lead to inappropriate substitution or dosing
errors.
Incorrect (D): Emphasizing appearance over name can lead to
misidentification; proper verification relies on name/dose/route
and not pill color alone.
Teaching Point
Verify medication by name, dose, route, not appearance;
generic equals active ingredient equivalence.
Citation
Gauwitz, D. (2025). Administering Medications. Ch. 1.
3
Reference
Ch. 1 — Drug References; Utilizing eMAR Technology