nursing_test_banevolve_nclex_prep_q_a_pharm_silvestri_saunders_compre

Saunders Comprehensive Review for the NCLEX-PN (Saunders
“ “ “ “ “ “




Comprehensive Review for Nclex-Pn) 6th Edition
“ “ “ “ “ “

, pharmacology

f# Test Bankrq




MULTIPLECHOICE
f#




1. Thenurseis caring fora client inlabor.Thenursereviewsthephysician’sprescriptionsandnotesthat thef#client
rq rq rq rq rq rq rq




f#hasa f#prescription f#forbutorphanol f#tartrate(Stadol).Thenurseunderstands f#that this f# medication rq




is prescribed for:
rq rq




1. Pain relief rq




2. Increasinguterinecontractions rq




3. Decreasinguterine f#contractions
4. Promoting fetallungmaturity rq




ANS: 1

Rationale:Theclientin labormaybegiven parenteral analgesia duringthefirst stageoflabor,upto 2 to3 f#hours
rq rq rq rq rq rq rq rq




f#before theanticipatedf#delivery.f#Butorphanoltartrateisamedicationthatmaybeprescribedfor
rq




f#painrelief.―Increasinguterine contractions,‖―decreasinguterine contractions,‖and―promotingfetallung#fmaturity‖
r rq rq rq rq rq rq




f#are f#not f#actions f#of f#this f#medication.




Test-Taking#fStrategy:f#Knowledgeof theaction#fofbutorphanol#ftartrateisrequired to answer thisquestion.
rq rq




f# Rememberthat f#this f#medication f#isusedforpainrelief.Reviewtheaction f#ofthismedication f#if f#you

f#had f#difficultywith f#this f#question f#and f#are f#unfamiliar f#with f#this f#medication.




PTS: 1
DIF: LevelofCognitiveAbility: f#Understanding
REF: Lehne,R.(2010).Pharmacologyfornursingcare(7thed.).St.Louis:Saunders. rq rq




f#OBJ: f # Client f#Needs: f#Physiological f#Integrity

TOP: ContentArea:Pharmacology
MSC: f # IntegratedProcess:NursingProcess—Planning rq rq




2. The f#postpartum f#nurse f#is f#caring f#for f#a f#client f#with f#an f#epidural f#catheter f#in f#place f#for
f#opioid f#analgesic f#administration f#following f#cesarean f#birth. f#If f#the f#client f#develops f#respiratory

f#depression f#and f#requires f#naloxone(Narcan) f#as f#an f#antidote, f#theclient f#maycomplain f#ofwhich

f#ofthe f#following?

,1. Increase inherpain level
rq rq




2. Decreaseinherpain level
rq rq




3. Increase intheamount of itching fromthe opioid used in theepidural
rq rq rq rq rq rq rq rq




4. Decreaseinthe amount of itching fromtheopioidused in theepidural
rq rq rq rq rq rq rq rq rq

, ANS: 1

Rationale:Rememberthat opioidsareused forepiduralf#analgesia. Naloxone is an opioid antagonist, rq rq rq rq




f# whichreversestheeffectsof opioids.Ifiti sgiven,theclientmaycomplain ofani ncreaseinherpain
rq rq rq rq rq




f# level.Therefore―decreasein herpainlevel,‖―increasein theamountofitching fromthe opioid used in the
rq rq rq rq rq rq rq rq




f# epidural,‖and ―decrease in the amount #fofitching from the opioid usedintheepidural‖areincorrect.
rq rq rq rq rq rq rq rq




Test-TakingStrategy:Toanswerthis#fquestionaccurately,youmustknowthatopioidanalgesicsarethe f#medications
f#usedwithepidural analgesiatorelievepain. Therefore if naloxone isf#administeredas#fanantidote f#foranopioid rq rq rq




f#analgesic, theclient’spainwillincrease.Reviewtheeffects ofnaloxoneifthisquestionwas f#difficult.
rq rq




PTS: 1
DIF: LevelofCognitiveAbility: f#Understanding
REF: Lehne,R.(2010).Pharmacologyfornursingcare(7thed.).St.Louis:Saunders. rq rq




f#OBJ: f # Client f#Needs: f#Physiological f#Integrity

TOP: ContentArea:Pharmacology
MSC: f# IntegratedP rocess:NursingProcess—Assessment
rq




3. Aclientexperiencingpreterm f#labor f#at f#the f#twenty-ninthweekof f#gestationhas f#been f#admitted
f#to the
rq




f# hospital.The client has aprescriptionto receivebetamethasone (Celestone).The nurseunderstands that
rq rq rq rq rq rq rq




f#the f#medication f#will f#do f#which f#of f#the f#following?


1. Preventspontaneousdelivery.
2. Stoptheuterine contractions.
rq rq




3. Promotematuration ofthefetallungs.
rq




4. Acceleratethegrowthrateofthe fetus. rq




ANS: 3

Rationale: f#Betamethasonef#(Celestone)f#isf#classified asf#anf#anti-inflammatoryandcorticosteroid. f#It rq




f#increases f#thesurfactantlevelandlungmaturityin the fetus,#fwhichreducestheincidenceofrespiratory rq




f # distresssyndrome.Deliverymust bedelayedf orat least4 8hoursafteradministrationofbetamethasoneto
rq rq rq rq rq




f#allowtime f#forthe f#lungs f#of f#the f#fetus f#tomature.




Test-TakingStrategy:Optionsthatarecomparableoralikearenotlikelytobecorrect.Withthisinmind, rq rq rq rq rq




f# eliminate ―preventspontaneousdelivery‖and ―stoptheuterine contractions.‖Notethe strategic
rq rq rq rq