.Silvestri:bSaundersbComprehensivebReviewbforbthebNCL
EX-RN®bExamination,b5th
EditionbPharmacology
Silvestri:bSaundersb
Comprehensive
ReviewbforbthebNCLEX-
RN®bExamination,b
5th Edition
bPharmacology
TestbBankbA+bGUIDE
,.Silvestri:bSaundersbComprehensivebReviewbforbthebNCL
EX-RN®bExamination,b5th
EditionbPharmacology
Silvestri:bSaundersbComprehensivebReviewbforbthebNCLEX-
RN®bExamination,b5thbEdition
Pharmacologyb
TestbBank
MULTIPLEbCHOICE
1. Thebnursebisbcaringbforbabclientbinblabor.bThebnursebreviewsbthebphysician’sbprescriptionsbandbn
otesbthatbthebclientbhasbabprescriptionbforbbutorphanolbtartrateb(Stadol).bThebnursebunderstandsbth
atbthisbmedicationbisbprescribedbfor:
1. Painbrelief
2. Increasingbuterinebcontractions
3. Decreasingbuterinebcontractions
4. Promotingbfetalblungbmaturity
ANS:b b 1
Rationale:bThebclientbinblaborbmaybbebgivenbparenteralbanalgesiabduringbthebfirstbstagebofblabor,b
upbtob2btob3bhoursbbeforebthebanticipatedbdelivery.bButorphanolbtartratebisbabmedicationbthatbma
ybbebprescribedbforbpainbrelief.b“Increasingbuterinebcontractions,”b“decreasingbuterinebcontractions
,”bandb“promotingbfetalblungbmaturity”barebnotbactionsbofbthisbmedication.
Test-
TakingbStrategy:bKnowledgebofbthebactionbofbbutorphanolbtartratebisbrequiredbtobanswerbthisbque
stion.bRememberbthatbthisbmedicationbisbusedbforbpainbrelief.bReviewbthebactionbofbthisbmedicati
onbifbyoubhadbdifficultybwithbthisbquestionbandbarebunfamiliarbwithbthisbmedication.
PTS: 1
DIF: LevelbofbCognitivebAbility:bUnderstanding
REF:
Lehne,bR.b(2010).bPharmacologybforbnursingbcareb(7thbed.).bSt.bLouis:bSa
unders.bOBJ: ClientbNeeds:bPhysiologicalbIntegrity
TOP: ContentbArea:bPharmacology
MSC:b IntegratedbProcess:bNursingbProcess—Planning
2. Thebpostpartumbnursebisbcaringbforbabclientbwithbanbepiduralbcatheterbinbplacebforbopioid
banalgesicbadministrationbfollowingbcesareanbbirth.bIfbthebclientbdevelopsbrespiratorybdepres
sionbandbrequiresbnaloxoneb(Narcan)basbanbantidote,bthebclientbmaybcomplainbofbwhichbof
bthebfollowing?
1. Increasebinbherbpainblevel
2. Decreasebinbherbpainblevel
,.Silvestri:bSaundersbComprehensivebReviewbforbthebNCL
EX-RN®bExamination,b5th
EditionbPharmacology
3. Increasebinbthebamountbofbitchingbfrombthebopioidbusedbinbthebepidural
4. Decreasebinbthebamountbofbitchingbfrombthebopioidbusedbinbthebepidural
, .Silvestri:bSaundersbComprehensivebReviewbforbthebNCL
EX-RN®bExamination,b5th
EditionbPharmacology
ANS:b b 1
Rationale:bRememberbthatbopioidsbarebusedbforbepiduralbanalgesia.bNaloxonebisbanbopioidbantago
nist,bwhichbreversesbthebeffectsbofbopioids.bIfbitbisbgiven,bthebclientbmaybcomplainbofbanbincreas
ebinbherbpainblevel.bThereforeb“decreasebinbherbpainblevel,”b“increasebinbthebamountbofbitchingbf
rombthebopioidbusedbinbthebepidural,”bandb“decreasebinbthebamountbofbitchingbfrombthebopioidbu
sedbinbthebepidural”barebincorrect.
Test-
TakingbStrategy:bTobanswerbthisbquestionbaccurately,byoubmustbknowbthatbopioidbanalgesicsbarebth
ebmedicationsbusedbwithbepiduralbanalgesiabtobrelievebpain.bThereforebifbnaloxonebisbadministeredb
asbanbantidotebforbanbopioidbanalgesic,bthebclient’sbpainbwillbincrease.bReviewbthebeffectsbofbnalo
xonebifbthisbquestionbwasbdifficult.
PTS: 1
DIF: LevelbofbCognitivebAbility:bUnderstanding
REF:
Lehne,bR.b(2010).bPharmacologybforbnursingbcareb(7thbed.).bSt.bLouis:bSa
unders.bOBJ: ClientbNeeds:bPhysiologicalbIntegrity
TOP: ContentbArea:bPharmacology
MSC:b IntegratedbProcess:bNursingbProcess—Assessment
3. Abclientbexperiencingbpretermblaborbatbthebtwenty-
ninthbweekbofbgestationbhasbbeenbadmittedbtobthebhospital.bThebclientbhasbabprescriptionbtobrece
ivebbetamethasoneb(Celestone).bThebnursebunderstandsbthatbthebmedicationbwillbdobwhichbofbthe
bfollowing?
1. Preventbspontaneousbdelivery.
2. Stopbthebuterinebcontractions.
3. Promotebmaturationbofbthebfetalblungs.
4. Acceleratebthebgrowthbratebofbthebfetus.
ANS:b b 3
Rationale:bBetamethasoneb(Celestone)bisbclassifiedbasbanbanti-
inflammatorybandbcorticosteroid.bItbincreasesbthebsurfactantblevelbandblungbmaturitybinbthebfetus,b
whichbreducesbthebincidencebofbrespiratorybdistressbsyndrome.bDeliverybmustbbebdelayedbforbatble
astb48bhoursbafterbadministrationbofbbetamethasonebtoballowbtimebforbtheblungsbofbthebfetusbtob
mature.
Test-
TakingbStrategy:bOptionsbthatbarebcomparableborbalikebarebnotblikelybtobbebcorrect.bWithbthisbin
bmind,beliminateb“preventbspontaneousbdelivery”bandb“stopbthebuterinebcontractions.”bNotebthebstr
ategicbwordsb“twenty-
ninthbweekbofbgestation.”bSpecificbknowledgebaboutbthebmedicationbandbknowledgebofbthebproble
EX-RN®bExamination,b5th
EditionbPharmacology
Silvestri:bSaundersb
Comprehensive
ReviewbforbthebNCLEX-
RN®bExamination,b
5th Edition
bPharmacology
TestbBankbA+bGUIDE
,.Silvestri:bSaundersbComprehensivebReviewbforbthebNCL
EX-RN®bExamination,b5th
EditionbPharmacology
Silvestri:bSaundersbComprehensivebReviewbforbthebNCLEX-
RN®bExamination,b5thbEdition
Pharmacologyb
TestbBank
MULTIPLEbCHOICE
1. Thebnursebisbcaringbforbabclientbinblabor.bThebnursebreviewsbthebphysician’sbprescriptionsbandbn
otesbthatbthebclientbhasbabprescriptionbforbbutorphanolbtartrateb(Stadol).bThebnursebunderstandsbth
atbthisbmedicationbisbprescribedbfor:
1. Painbrelief
2. Increasingbuterinebcontractions
3. Decreasingbuterinebcontractions
4. Promotingbfetalblungbmaturity
ANS:b b 1
Rationale:bThebclientbinblaborbmaybbebgivenbparenteralbanalgesiabduringbthebfirstbstagebofblabor,b
upbtob2btob3bhoursbbeforebthebanticipatedbdelivery.bButorphanolbtartratebisbabmedicationbthatbma
ybbebprescribedbforbpainbrelief.b“Increasingbuterinebcontractions,”b“decreasingbuterinebcontractions
,”bandb“promotingbfetalblungbmaturity”barebnotbactionsbofbthisbmedication.
Test-
TakingbStrategy:bKnowledgebofbthebactionbofbbutorphanolbtartratebisbrequiredbtobanswerbthisbque
stion.bRememberbthatbthisbmedicationbisbusedbforbpainbrelief.bReviewbthebactionbofbthisbmedicati
onbifbyoubhadbdifficultybwithbthisbquestionbandbarebunfamiliarbwithbthisbmedication.
PTS: 1
DIF: LevelbofbCognitivebAbility:bUnderstanding
REF:
Lehne,bR.b(2010).bPharmacologybforbnursingbcareb(7thbed.).bSt.bLouis:bSa
unders.bOBJ: ClientbNeeds:bPhysiologicalbIntegrity
TOP: ContentbArea:bPharmacology
MSC:b IntegratedbProcess:bNursingbProcess—Planning
2. Thebpostpartumbnursebisbcaringbforbabclientbwithbanbepiduralbcatheterbinbplacebforbopioid
banalgesicbadministrationbfollowingbcesareanbbirth.bIfbthebclientbdevelopsbrespiratorybdepres
sionbandbrequiresbnaloxoneb(Narcan)basbanbantidote,bthebclientbmaybcomplainbofbwhichbof
bthebfollowing?
1. Increasebinbherbpainblevel
2. Decreasebinbherbpainblevel
,.Silvestri:bSaundersbComprehensivebReviewbforbthebNCL
EX-RN®bExamination,b5th
EditionbPharmacology
3. Increasebinbthebamountbofbitchingbfrombthebopioidbusedbinbthebepidural
4. Decreasebinbthebamountbofbitchingbfrombthebopioidbusedbinbthebepidural
, .Silvestri:bSaundersbComprehensivebReviewbforbthebNCL
EX-RN®bExamination,b5th
EditionbPharmacology
ANS:b b 1
Rationale:bRememberbthatbopioidsbarebusedbforbepiduralbanalgesia.bNaloxonebisbanbopioidbantago
nist,bwhichbreversesbthebeffectsbofbopioids.bIfbitbisbgiven,bthebclientbmaybcomplainbofbanbincreas
ebinbherbpainblevel.bThereforeb“decreasebinbherbpainblevel,”b“increasebinbthebamountbofbitchingbf
rombthebopioidbusedbinbthebepidural,”bandb“decreasebinbthebamountbofbitchingbfrombthebopioidbu
sedbinbthebepidural”barebincorrect.
Test-
TakingbStrategy:bTobanswerbthisbquestionbaccurately,byoubmustbknowbthatbopioidbanalgesicsbarebth
ebmedicationsbusedbwithbepiduralbanalgesiabtobrelievebpain.bThereforebifbnaloxonebisbadministeredb
asbanbantidotebforbanbopioidbanalgesic,bthebclient’sbpainbwillbincrease.bReviewbthebeffectsbofbnalo
xonebifbthisbquestionbwasbdifficult.
PTS: 1
DIF: LevelbofbCognitivebAbility:bUnderstanding
REF:
Lehne,bR.b(2010).bPharmacologybforbnursingbcareb(7thbed.).bSt.bLouis:bSa
unders.bOBJ: ClientbNeeds:bPhysiologicalbIntegrity
TOP: ContentbArea:bPharmacology
MSC:b IntegratedbProcess:bNursingbProcess—Assessment
3. Abclientbexperiencingbpretermblaborbatbthebtwenty-
ninthbweekbofbgestationbhasbbeenbadmittedbtobthebhospital.bThebclientbhasbabprescriptionbtobrece
ivebbetamethasoneb(Celestone).bThebnursebunderstandsbthatbthebmedicationbwillbdobwhichbofbthe
bfollowing?
1. Preventbspontaneousbdelivery.
2. Stopbthebuterinebcontractions.
3. Promotebmaturationbofbthebfetalblungs.
4. Acceleratebthebgrowthbratebofbthebfetus.
ANS:b b 3
Rationale:bBetamethasoneb(Celestone)bisbclassifiedbasbanbanti-
inflammatorybandbcorticosteroid.bItbincreasesbthebsurfactantblevelbandblungbmaturitybinbthebfetus,b
whichbreducesbthebincidencebofbrespiratorybdistressbsyndrome.bDeliverybmustbbebdelayedbforbatble
astb48bhoursbafterbadministrationbofbbetamethasonebtoballowbtimebforbtheblungsbofbthebfetusbtob
mature.
Test-
TakingbStrategy:bOptionsbthatbarebcomparableborbalikebarebnotblikelybtobbebcorrect.bWithbthisbin
bmind,beliminateb“preventbspontaneousbdelivery”bandb“stopbthebuterinebcontractions.”bNotebthebstr
ategicbwordsb“twenty-
ninthbweekbofbgestation.”bSpecificbknowledgebaboutbthebmedicationbandbknowledgebofbthebproble
