, Silvestri: Saunders Comprehensive Review for the NCLEX-
e0 e0 e0 e0 e0 e0
RN® Examination, 6th Edition
e0 e0 e0
Pharmacology e0
Test Bank e0
MULTIPLE CHOICE e0
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes th
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
at the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this medica
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
tion is prescribed for:
e0 e0 e0
1. Pain relief e0
2. Increasing uterine contractions e0 e0
3. Decreasing uterine contractions e0 e0
4. Promoting fetal lung maturity e0 e0 e0
ANS: e0e0 1
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to 2
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribed
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
for pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting fet
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
al lung maturity‖ are not actions of this medication.
e0 e0 e0 e0 e0 e0 e0 e0
Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this question.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
Remember that this medication is used for pain relief. Review the action of this medication if you had
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
difficulty with this question and are unfamiliar with this medication.
e0 e0 e0 e0 e0 e0 e0 e0 e0
PTS: 1
DIF: Level of Cognitive Ability: Understanding e0 e0 e0 e0
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s. OBJ: Client Needs: Physiological Integrity
e0 e0 e0 e0
TOP: Content Area: Pharmacology e0 e0
MSC: Integrated Process: Nursing Process—Planning
e 0 e0 e0 e0
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analge
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
sic administration following cesarean birth. If the client develops respiratory depression and req
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
uires naloxone (Narcan) as an antidote, the client may complain of which of the following?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
1. Increase in her pain level e0 e0 e0 e0
2. Decrease in her pain level e0 e0 e0 e0
3. Increase in the amount of itching from the opioid used in the epidural
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
4. Decrease in the amount of itching from the opioid used in the epidural
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
, ANS: e0e0 1
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist,
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
which reverses the effects of opioids. If it is given, the client may complain of an increase in her pain
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
0level. Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opioid used
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
in the epidural,‖ and ―decrease in the amount of itching from the opioid used in the epidural‖ are incorr
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ect.
Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are the medi
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
cations used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an antido
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
te for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this questi
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
on was difficult.
e0 e0
PTS: 1
DIF: Level of Cognitive Ability: Understanding e0 e0 e0 e0
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s. OBJ: Client Needs: Physiological Integrity
e0 e0 e0 e0
TOP: Content Area: Pharmacology e0 e0
MSC: Integrated Process: Nursing Process—Assessment
e 0 e0 e0 e0
3. A client experiencing preterm labor at the twenty-
e0 e0 e0 e0 e0 e0 e0
ninth week of gestation has been admitted to the hospital. The client has a prescription to receive bet
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
amethasone (Celestone). The nurse understands that the medication will do which of the following?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
1. Prevent spontaneous delivery. e0 e0
2. Stop the uterine contractions.
e0 e0 e0
3. Promote maturation of the fetal lungs. e0 e0 e0 e0 e0
4. Accelerate the growth rate of the fetus. e0 e0 e0 e0 e0 e0
ANS: e0e0 3
Rationale: Betamethasone (Celestone) is classified as an anti-
e0 e0 e0 e0 e0 e0 e0
inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetus, which
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
reduces the incidence of respiratory distress syndrome. Delivery must be delayed for at least 48 hours
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
0after administration of betamethasone to allow time for the lungs of the fetus to mature.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
Test-
Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in mind,
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
eliminate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the strategic words
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
0―twenty-
ninth week of gestation.‖ Specific knowledge about the medication and knowledge of the problems enc
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ountered by premature infants will assist in answering this question. Review the action of this medicat
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ion if this question was difficult.
e0 e0 e0 e0 e0
PTS: 1
DIF: Level of Cognitive Ability: Understanding e0 e0 e0 e0
REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal- e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
, child nursing (3rd ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity
e0 e0 e0 e0 e0 e0 e0 e0 e0
e0 e0 e0 e0 e0 e0
RN® Examination, 6th Edition
e0 e0 e0
Pharmacology e0
Test Bank e0
MULTIPLE CHOICE e0
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes th
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
at the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this medica
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
tion is prescribed for:
e0 e0 e0
1. Pain relief e0
2. Increasing uterine contractions e0 e0
3. Decreasing uterine contractions e0 e0
4. Promoting fetal lung maturity e0 e0 e0
ANS: e0e0 1
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to 2
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribed
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
for pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting fet
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
al lung maturity‖ are not actions of this medication.
e0 e0 e0 e0 e0 e0 e0 e0
Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this question.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
Remember that this medication is used for pain relief. Review the action of this medication if you had
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
difficulty with this question and are unfamiliar with this medication.
e0 e0 e0 e0 e0 e0 e0 e0 e0
PTS: 1
DIF: Level of Cognitive Ability: Understanding e0 e0 e0 e0
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s. OBJ: Client Needs: Physiological Integrity
e0 e0 e0 e0
TOP: Content Area: Pharmacology e0 e0
MSC: Integrated Process: Nursing Process—Planning
e 0 e0 e0 e0
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analge
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
sic administration following cesarean birth. If the client develops respiratory depression and req
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
uires naloxone (Narcan) as an antidote, the client may complain of which of the following?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
1. Increase in her pain level e0 e0 e0 e0
2. Decrease in her pain level e0 e0 e0 e0
3. Increase in the amount of itching from the opioid used in the epidural
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
4. Decrease in the amount of itching from the opioid used in the epidural
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
, ANS: e0e0 1
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist,
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
which reverses the effects of opioids. If it is given, the client may complain of an increase in her pain
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
0level. Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opioid used
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
in the epidural,‖ and ―decrease in the amount of itching from the opioid used in the epidural‖ are incorr
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ect.
Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are the medi
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
cations used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an antido
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
te for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this questi
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
on was difficult.
e0 e0
PTS: 1
DIF: Level of Cognitive Ability: Understanding e0 e0 e0 e0
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s. OBJ: Client Needs: Physiological Integrity
e0 e0 e0 e0
TOP: Content Area: Pharmacology e0 e0
MSC: Integrated Process: Nursing Process—Assessment
e 0 e0 e0 e0
3. A client experiencing preterm labor at the twenty-
e0 e0 e0 e0 e0 e0 e0
ninth week of gestation has been admitted to the hospital. The client has a prescription to receive bet
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
amethasone (Celestone). The nurse understands that the medication will do which of the following?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
1. Prevent spontaneous delivery. e0 e0
2. Stop the uterine contractions.
e0 e0 e0
3. Promote maturation of the fetal lungs. e0 e0 e0 e0 e0
4. Accelerate the growth rate of the fetus. e0 e0 e0 e0 e0 e0
ANS: e0e0 3
Rationale: Betamethasone (Celestone) is classified as an anti-
e0 e0 e0 e0 e0 e0 e0
inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetus, which
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
reduces the incidence of respiratory distress syndrome. Delivery must be delayed for at least 48 hours
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
0after administration of betamethasone to allow time for the lungs of the fetus to mature.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
Test-
Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in mind,
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
eliminate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the strategic words
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
0―twenty-
ninth week of gestation.‖ Specific knowledge about the medication and knowledge of the problems enc
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ountered by premature infants will assist in answering this question. Review the action of this medicat
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ion if this question was difficult.
e0 e0 e0 e0 e0
PTS: 1
DIF: Level of Cognitive Ability: Understanding e0 e0 e0 e0
REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal- e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
, child nursing (3rd ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity
e0 e0 e0 e0 e0 e0 e0 e0 e0
