ADMINISTERING
MEDICATIONS: 2025 RELEASE
• AUTHOR(S)DONNA
GAUWITZ
TEST BANK
1.
Reference: Ch. 1 — Definition of Terms / Pharmacology (LO 1-1)
Stem: A 57-year-old patient with newly diagnosed hypertension
asks why the nurse uses the term "antihypertensive" rather
than the medication's brand name. The patient is anxious and
wants to understand. Which nursing response best promotes
patient understanding and safe medication communication?
A. “Antihypertensive is the generic term for drugs that lower
blood pressure.”
B. “It’s easier for me to say ‘antihypertensive’; you’ll learn the
,brand names later.”
C. “I’ll write down your medication’s brand name — that’s what
you need to remember.”
D. “Brand names are more important; the generic name is only
used by pharmacists.”
Correct answer: A
Rationale — Correct (A): Explains the pharmacologic class in
plain language, linking term to function. Promotes patient
education and shared understanding, supporting safe
medication communication and reducing confusion between
drug classes and brand names.
Rationale — Incorrect (B): Dismissive and does not educate;
fails to correct misunderstanding and may reduce patient
adherence.
Rationale — Incorrect (C): Writing brand name alone may
reinforce brand-specific thinking; patient also needs
class/generic name and function for safe future care.
Rationale — Incorrect (D): Incorrect assertion; undermines
patient knowledge and misrepresents naming conventions,
risking misinformation.
Teaching point: Explain drug class, generic name, and purpose
in plain language.
Citation: Gauwitz, D. (2025). Administering Medications. Ch. 1.
,2.
Reference: Ch. 1 — Drug Sources / Drug Uses (LO 1-2)
Stem: A nurse reviewing a patient’s medication history notes
the patient takes an extract derived from a botanical
supplement for arthritis alongside prescribed NSAIDs. The
patient believes "natural" means safe. What should the nurse
prioritize?
A. Encourage continued use because natural products seldom
interact with prescription drugs.
B. Ask the patient to stop the supplement immediately without
discussion.
C. Assess the supplement name, dosage, and reasons for use
and evaluate for interactions.
D. Document the supplement in the chart but avoid mentioning
interactions to prevent alarm.
Correct answer: C
Rationale — Correct (C): Comprehensive assessment of source,
dose, and rationale is needed to evaluate potential interactions
and adverse effects. This aligns with safe medication practice
and evidence-based assessment of drug sources.
Rationale — Incorrect (A): False assumption; many botanicals
interact with prescription drugs (e.g., NSAIDs, anticoagulants).
Unsafe.
Rationale — Incorrect (B): Abrupt cessation without patient
collaboration risks nonadherence and mistrust; requires patient
education and clinical evaluation.
, Rationale — Incorrect (D): Documentation alone is insufficient;
failing to discuss risks prevents error prevention and informed
decision-making.
Teaching point: Always assess supplements: name, dose,
purpose, and interaction risk.
Citation: Gauwitz, D. (2025). Administering Medications. Ch. 1.
3.
Reference: Ch. 1 — Drug Standards (LO 1-3)
Stem: While preparing an ordered IV medication, the nurse
notes the unit’s medication label differs slightly from the
manufacturer’s reference regarding concentration. The eMAR
shows the same concentration as the unit label. What is the
nurse’s best next action?
A. Administer per unit label because eMAR and unit stock
match.
B. Contact pharmacy to verify the concentration before
administration.
C. Administer half the dose to be safe and observe closely.
D. Discard the vial and obtain another from an alternate stock
without verifying.
Correct answer: B
Rationale — Correct (B): Verifying with pharmacy ensures
adherence to drug standards and manufacturer specifications;
prevents dosing errors and aligns with safe practice when
MEDICATIONS: 2025 RELEASE
• AUTHOR(S)DONNA
GAUWITZ
TEST BANK
1.
Reference: Ch. 1 — Definition of Terms / Pharmacology (LO 1-1)
Stem: A 57-year-old patient with newly diagnosed hypertension
asks why the nurse uses the term "antihypertensive" rather
than the medication's brand name. The patient is anxious and
wants to understand. Which nursing response best promotes
patient understanding and safe medication communication?
A. “Antihypertensive is the generic term for drugs that lower
blood pressure.”
B. “It’s easier for me to say ‘antihypertensive’; you’ll learn the
,brand names later.”
C. “I’ll write down your medication’s brand name — that’s what
you need to remember.”
D. “Brand names are more important; the generic name is only
used by pharmacists.”
Correct answer: A
Rationale — Correct (A): Explains the pharmacologic class in
plain language, linking term to function. Promotes patient
education and shared understanding, supporting safe
medication communication and reducing confusion between
drug classes and brand names.
Rationale — Incorrect (B): Dismissive and does not educate;
fails to correct misunderstanding and may reduce patient
adherence.
Rationale — Incorrect (C): Writing brand name alone may
reinforce brand-specific thinking; patient also needs
class/generic name and function for safe future care.
Rationale — Incorrect (D): Incorrect assertion; undermines
patient knowledge and misrepresents naming conventions,
risking misinformation.
Teaching point: Explain drug class, generic name, and purpose
in plain language.
Citation: Gauwitz, D. (2025). Administering Medications. Ch. 1.
,2.
Reference: Ch. 1 — Drug Sources / Drug Uses (LO 1-2)
Stem: A nurse reviewing a patient’s medication history notes
the patient takes an extract derived from a botanical
supplement for arthritis alongside prescribed NSAIDs. The
patient believes "natural" means safe. What should the nurse
prioritize?
A. Encourage continued use because natural products seldom
interact with prescription drugs.
B. Ask the patient to stop the supplement immediately without
discussion.
C. Assess the supplement name, dosage, and reasons for use
and evaluate for interactions.
D. Document the supplement in the chart but avoid mentioning
interactions to prevent alarm.
Correct answer: C
Rationale — Correct (C): Comprehensive assessment of source,
dose, and rationale is needed to evaluate potential interactions
and adverse effects. This aligns with safe medication practice
and evidence-based assessment of drug sources.
Rationale — Incorrect (A): False assumption; many botanicals
interact with prescription drugs (e.g., NSAIDs, anticoagulants).
Unsafe.
Rationale — Incorrect (B): Abrupt cessation without patient
collaboration risks nonadherence and mistrust; requires patient
education and clinical evaluation.
, Rationale — Incorrect (D): Documentation alone is insufficient;
failing to discuss risks prevents error prevention and informed
decision-making.
Teaching point: Always assess supplements: name, dose,
purpose, and interaction risk.
Citation: Gauwitz, D. (2025). Administering Medications. Ch. 1.
3.
Reference: Ch. 1 — Drug Standards (LO 1-3)
Stem: While preparing an ordered IV medication, the nurse
notes the unit’s medication label differs slightly from the
manufacturer’s reference regarding concentration. The eMAR
shows the same concentration as the unit label. What is the
nurse’s best next action?
A. Administer per unit label because eMAR and unit stock
match.
B. Contact pharmacy to verify the concentration before
administration.
C. Administer half the dose to be safe and observe closely.
D. Discard the vial and obtain another from an alternate stock
without verifying.
Correct answer: B
Rationale — Correct (B): Verifying with pharmacy ensures
adherence to drug standards and manufacturer specifications;
prevents dosing errors and aligns with safe practice when
