PHARMACOLOGY FOR NURSES: A
PATHOPHYSIOLOGIC APPROACH
7TH EDITION
• AUTHOR(S)MICHAEL P. ADAMS;
NORMAN HOLLAND; SHANTI CHANG
TEST BANK
1
Reference
Ch. 1 — Prescription vs. Over-the-Counter (OTC) Drugs
Stem
A 68-year-old client with chronic kidney disease asks the nurse
whether an OTC analgesic is acceptable for daily use for
osteoarthritis pain. The client says “I take a lot of pills anyway.”
As the nurse, you must decide how to advise the client while
considering renal function and polypharmacy.
Options
A. Recommend the OTC analgesic because OTC status implies
it’s safe for daily use.
,B. Advise checking with the prescriber or pharmacist because
OTC status doesn’t guarantee safety with CKD or polypharmacy.
C. Suggest doubling the dose of the client’s current analgesic
and stopping OTC use to avoid interactions.
D. Tell the client to stop all other medications to safely take the
OTC analgesic.
Correct answer
B
Rationales
Correct (B): OTC availability means a drug can be used without
a prescription, but safety depends on individual factors like
renal impairment and concurrent medications. The nurse
should prioritize assessment and collaboration with
prescriber/pharmacist to prevent toxicity or interactions. This
preserves nursing scope—safety assessment and patient
education—without prescribing.
Incorrect (A): OTC status is not a blanket guarantee of safety;
renal dysfunction may increase drug accumulation and adverse
effects.
Incorrect (C): Doubling doses or altering prescriptions is beyond
nursing scope and unsafe without prescriber orders.
Incorrect (D): Advising cessation of other medications is
inappropriate and potentially dangerous; adjustments require
prescriber involvement.
,Teaching point
OTC does not equal safe—assess comorbidities and check
before starting medications.
Citation
Adams, M. P., Holland, N., & Chang, S. (2024). Pharmacology for
Nurses: A Pathophysiologic Approach (7th ed.). Ch. 1.
2
Reference
Ch. 1 — Chemical, Generic, and Trade Names
Stem
A postoperative client receives a medication labeled with a
trade name unfamiliar to you. The client asks whether it’s the
same as the medication they had before surgery under a
different name. As the nurse, you must determine equivalence
while ensuring continuity of care.
Options
A. Assume different trade names indicate different drugs and
withhold the medication.
B. Verify the generic name on the medication label and confirm
with the medication administration record (MAR) before
administering.
C. Tell the client not to worry—trade names never differ
between manufacturers.
, D. Refuse to administer any medication with a trade name you
don’t recognize.
Correct answer
B
Rationales
Correct (B): The nurse should use the generic (nonproprietary)
name to confirm drug identity because trade names vary by
manufacturer. Verifying the MAR and generic name ensures
correct administration and continuity. This is an essential
nursing safety check.
Incorrect (A): Withholding medication without verification may
harm the patient; trade names can represent the same generic
agent.
Incorrect (C): Trade names often differ across manufacturers—
this statement is false and unsafe.
Incorrect (D): Blanket refusal is unhelpful; verification and
consultation are appropriate steps.
Teaching point
Always check the generic name on the label and MAR to
confirm medication identity.
Citation
Adams, M. P., Holland, N., & Chang, S. (2024). Pharmacology for
Nurses: A Pathophysiologic Approach (7th ed.). Ch. 1.
3
PATHOPHYSIOLOGIC APPROACH
7TH EDITION
• AUTHOR(S)MICHAEL P. ADAMS;
NORMAN HOLLAND; SHANTI CHANG
TEST BANK
1
Reference
Ch. 1 — Prescription vs. Over-the-Counter (OTC) Drugs
Stem
A 68-year-old client with chronic kidney disease asks the nurse
whether an OTC analgesic is acceptable for daily use for
osteoarthritis pain. The client says “I take a lot of pills anyway.”
As the nurse, you must decide how to advise the client while
considering renal function and polypharmacy.
Options
A. Recommend the OTC analgesic because OTC status implies
it’s safe for daily use.
,B. Advise checking with the prescriber or pharmacist because
OTC status doesn’t guarantee safety with CKD or polypharmacy.
C. Suggest doubling the dose of the client’s current analgesic
and stopping OTC use to avoid interactions.
D. Tell the client to stop all other medications to safely take the
OTC analgesic.
Correct answer
B
Rationales
Correct (B): OTC availability means a drug can be used without
a prescription, but safety depends on individual factors like
renal impairment and concurrent medications. The nurse
should prioritize assessment and collaboration with
prescriber/pharmacist to prevent toxicity or interactions. This
preserves nursing scope—safety assessment and patient
education—without prescribing.
Incorrect (A): OTC status is not a blanket guarantee of safety;
renal dysfunction may increase drug accumulation and adverse
effects.
Incorrect (C): Doubling doses or altering prescriptions is beyond
nursing scope and unsafe without prescriber orders.
Incorrect (D): Advising cessation of other medications is
inappropriate and potentially dangerous; adjustments require
prescriber involvement.
,Teaching point
OTC does not equal safe—assess comorbidities and check
before starting medications.
Citation
Adams, M. P., Holland, N., & Chang, S. (2024). Pharmacology for
Nurses: A Pathophysiologic Approach (7th ed.). Ch. 1.
2
Reference
Ch. 1 — Chemical, Generic, and Trade Names
Stem
A postoperative client receives a medication labeled with a
trade name unfamiliar to you. The client asks whether it’s the
same as the medication they had before surgery under a
different name. As the nurse, you must determine equivalence
while ensuring continuity of care.
Options
A. Assume different trade names indicate different drugs and
withhold the medication.
B. Verify the generic name on the medication label and confirm
with the medication administration record (MAR) before
administering.
C. Tell the client not to worry—trade names never differ
between manufacturers.
, D. Refuse to administer any medication with a trade name you
don’t recognize.
Correct answer
B
Rationales
Correct (B): The nurse should use the generic (nonproprietary)
name to confirm drug identity because trade names vary by
manufacturer. Verifying the MAR and generic name ensures
correct administration and continuity. This is an essential
nursing safety check.
Incorrect (A): Withholding medication without verification may
harm the patient; trade names can represent the same generic
agent.
Incorrect (C): Trade names often differ across manufacturers—
this statement is false and unsafe.
Incorrect (D): Blanket refusal is unhelpful; verification and
consultation are appropriate steps.
Teaching point
Always check the generic name on the label and MAR to
confirm medication identity.
Citation
Adams, M. P., Holland, N., & Chang, S. (2024). Pharmacology for
Nurses: A Pathophysiologic Approach (7th ed.). Ch. 1.
3
