ADMINISTERING
MEDICATIONS: 2025 RELEASE
• AUTHOR(S)DONNA
GAUWITZ
TEST BANK
1
Reference
Ch. 1 — Drug Names: Brand-Name versus Generic-Name Drugs
Stem
An elderly patient’s admission order lists lisinopril 10 mg PO
daily. The eMAR displays an available medication labeled
“Prinivil 10 mg.” The nurse notes both names on the unit stock
but the MAR shows the order written by brand name. Which
action should the nurse take first?
A. Administer the Prinivil immediately since it matches the dose
on the eMAR.
,B. Hold the medication until the prescriber reconfirms the
order.
C. Verify that Prinivil is the brand name equivalent of lisinopril
in a reliable drug reference and document the generic name
used for administration.
D. Substitute a different ACE inhibitor on the cart that lists
lisinopril to match the order precisely.
Correct Answer
C
Rationales
Correct: Verifying brand–generic equivalence in a reliable
reference before administration ensures the nurse gives the
intended drug while preventing delay of therapy. Documenting
the generic name used maintains clarity for future care and
aligns with safe medication-administration practice.
Incorrect A: Administering without verification risks an
inadvertent medication error if the brand name is not
equivalent.
Incorrect B: Holding until prescriber reconfirms is unnecessary if
equivalence is confirmed; it may cause inappropriate delay in
therapy.
Incorrect D: Substituting a different ACE inhibitor without
prescriber approval changes therapy and violates medication-
use standards.
,Teaching Point
Always confirm brand–generic equivalence in a trusted
reference before administration.
Citation
Gauwitz, D. (2025). Administering Medications. Ch. 1.
2
Reference
Ch. 1 — Drug References [LO 1-5]
Stem
A new RN is preparing to administer a medication unfamiliar to
them. The unit’s pocket drug card lacks the drug. Which
resource provides the most appropriate immediate verification
and why?
A. A smartphone medical app approved by the facility that
includes dosing, contraindications, and interactions.
B. A general internet search result that lists the drug name and
uses.
C. Asking a colleague who has administered the drug before
without checking references.
D. The patient’s family member who uses the medication at
home.
Correct Answer
A
, Rationales
Correct: Using an institution-approved drug reference app gives
evidence-based dosing, contraindications, and interaction data
immediately and is consistent with safe practice and facility
policy.
Incorrect B: General internet searches are not reliably curated
and can lead to misinformation.
Incorrect C: Relying on colleague memory without checking
references increases risk of error.
Incorrect D: Family members may have anecdotal information
and are not reliable sources for nursing pharmacology.
Teaching Point
Use facility-approved, evidence-based drug references when
uncertain.
Citation
Gauwitz, D. (2025). Administering Medications. Ch. 1.
3
Reference
Ch. 1 — Utilizing eMAR Technology
Stem
While scanning an oral antibiotic barcode before
administration, the eMAR flags a patient allergy to a beta-
lactam and prevents scanning. The prescriber ordered the
medication after rounding two hours ago. The patient insists
MEDICATIONS: 2025 RELEASE
• AUTHOR(S)DONNA
GAUWITZ
TEST BANK
1
Reference
Ch. 1 — Drug Names: Brand-Name versus Generic-Name Drugs
Stem
An elderly patient’s admission order lists lisinopril 10 mg PO
daily. The eMAR displays an available medication labeled
“Prinivil 10 mg.” The nurse notes both names on the unit stock
but the MAR shows the order written by brand name. Which
action should the nurse take first?
A. Administer the Prinivil immediately since it matches the dose
on the eMAR.
,B. Hold the medication until the prescriber reconfirms the
order.
C. Verify that Prinivil is the brand name equivalent of lisinopril
in a reliable drug reference and document the generic name
used for administration.
D. Substitute a different ACE inhibitor on the cart that lists
lisinopril to match the order precisely.
Correct Answer
C
Rationales
Correct: Verifying brand–generic equivalence in a reliable
reference before administration ensures the nurse gives the
intended drug while preventing delay of therapy. Documenting
the generic name used maintains clarity for future care and
aligns with safe medication-administration practice.
Incorrect A: Administering without verification risks an
inadvertent medication error if the brand name is not
equivalent.
Incorrect B: Holding until prescriber reconfirms is unnecessary if
equivalence is confirmed; it may cause inappropriate delay in
therapy.
Incorrect D: Substituting a different ACE inhibitor without
prescriber approval changes therapy and violates medication-
use standards.
,Teaching Point
Always confirm brand–generic equivalence in a trusted
reference before administration.
Citation
Gauwitz, D. (2025). Administering Medications. Ch. 1.
2
Reference
Ch. 1 — Drug References [LO 1-5]
Stem
A new RN is preparing to administer a medication unfamiliar to
them. The unit’s pocket drug card lacks the drug. Which
resource provides the most appropriate immediate verification
and why?
A. A smartphone medical app approved by the facility that
includes dosing, contraindications, and interactions.
B. A general internet search result that lists the drug name and
uses.
C. Asking a colleague who has administered the drug before
without checking references.
D. The patient’s family member who uses the medication at
home.
Correct Answer
A
, Rationales
Correct: Using an institution-approved drug reference app gives
evidence-based dosing, contraindications, and interaction data
immediately and is consistent with safe practice and facility
policy.
Incorrect B: General internet searches are not reliably curated
and can lead to misinformation.
Incorrect C: Relying on colleague memory without checking
references increases risk of error.
Incorrect D: Family members may have anecdotal information
and are not reliable sources for nursing pharmacology.
Teaching Point
Use facility-approved, evidence-based drug references when
uncertain.
Citation
Gauwitz, D. (2025). Administering Medications. Ch. 1.
3
Reference
Ch. 1 — Utilizing eMAR Technology
Stem
While scanning an oral antibiotic barcode before
administration, the eMAR flags a patient allergy to a beta-
lactam and prevents scanning. The prescriber ordered the
medication after rounding two hours ago. The patient insists
