Test Bankfor Saunders Comprehensive Review for the NCLEX -RN® Examination,
9th Edition by Linda Anne Silvestri and Angela Silvestri
– Complete Questions an
Answers (Pass Guaranteed) || Updated 2025
Pharmacology
, Test Bank
MULTIPLE CHOICE
1. The nurse is caring for a client in labor.
The nurse reviews the physician’s prescriptions and notes that
client
the
has a prescriptionfor butorphanoltartrate(Stadol).The nurseunderstandsthatthis medication is prescribed
for:
1. Pain relief
2. Increasinguterinecontractions
3. Decreasinguterinecontractions
4. Promotingfetallung maturity
ANS: 1
Rationale:The clientin labormay begiven parenteralanalgesiaduring thefirst stageof labor,up to 2 to 3 hours
before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribed for pain relief.
“Increasing uterine contractions,” “decreasing uterine contractions,” and “promoting fetal lung maturity” ar
not actions of this medication.
Test-Taking Strategy:Knowledge of the action of butorphanol tartrate is required to answer this question.
Rememberthatthis medicationis usedfor pain relief.Reviewtheactionof this medicationif you had difficulty
with this question and are unfamiliar with this medication.
PTS: 1
DIF: Level of CognitiveAbility: Understanding
REF: Lehne,R. (2010).Pharmacologyfor nursing care(7th ed.).St. Louis: Saunders.OBJ:
Client Needs: Physiological Integrity
TOP: ContentArea:Pharmacology
MSC: IntegratedProcess:Nursing Process—Planning
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analgesic
administration following cesareanbirth. If the client develops respiratory depression and requires
naloxone (Narcan) as an antidote, the client may complain of which of the following?
1. Increasein her pain level
2. Decreasein her pain level
3. Increasein theamountof itching from theopioid usedin theepidural
4. Decreasein theamountof itching from theopioid usedin theepidural
, ANS: 1
Rationale:Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist, which
reverses the effects of opioids. If it is given, the client may complain of an increase in her pain
Therefore
level.
“decrease in her pain level,” “increase in the amount of itching from the opioid usedepidural,”
in the and
“decreasein theamountof itching from theopioid usedin theepidural”areincorrect.
Test-TakingStrategy:To answerthis questionaccurately,you mustknow thatopioid analgesicsarethe
medications used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an antido
an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this question was difficu
PTS: 1
DIF: Level of CognitiveAbility: Understanding
REF: Lehne,R. (2010).Pharmacologyfor nursing care(7th ed.).St. Louis: Saunders.OBJ:
Client Needs: Physiological Integrity
TOP: ContentArea:Pharmacology
MSC: IntegratedProcess:Nursing Process—Assessment
3. A client experiencing preterm labor at the twenty
-ninth week of gestation has been admitted to the hospital.
The clienthas a prescriptionto receivebetamethasone(Celestone).The nurseunderstandsthat the medication
will do which of the following?
1. Preventspontaneousdelivery.
2. Stop theuterinecontractions.
3. Promotematurationof thefetallungs.
4. Acceleratethegrowthrateof thefetus.
ANS: 3
Rationale:Betamethasone (Celestone) is classified as an-inflammatory
anti and corticosteroid. It increases the
surfactant level and lung maturity in the fetus, which reduces the incidence of respiratorysyndrome.
distress
Deliverymustbedelayedfor at least48 hoursafteradministrationof betamethasone to allow time for the lungs
of the fetus to mature.
Test-Taking Strategy:Options that are comparable or alike are not likely to be correct. With this in mind,
eliminate “prevent spontaneous delivery” and “stop the uterine contractions.” Note the strategic “twenty
words-
ninth weekof gestation.”Specificknowledgeaboutthemedicationand knowledgeof the problems encountered
by premature infants will assist in answering this question. Review the action of this medication if this quest
was difficult.
PTS: 1
DIF: Level of CognitiveAbility: Understanding
REF: McKinney, E., James,S., Murray,S., & Ashwill, J. (2009).Maternal-child nursing (3rd ed.).St. Louis:
, Saunders. OBJ: Client Needs: Physiological Integrity
9th Edition by Linda Anne Silvestri and Angela Silvestri
– Complete Questions an
Answers (Pass Guaranteed) || Updated 2025
Pharmacology
, Test Bank
MULTIPLE CHOICE
1. The nurse is caring for a client in labor.
The nurse reviews the physician’s prescriptions and notes that
client
the
has a prescriptionfor butorphanoltartrate(Stadol).The nurseunderstandsthatthis medication is prescribed
for:
1. Pain relief
2. Increasinguterinecontractions
3. Decreasinguterinecontractions
4. Promotingfetallung maturity
ANS: 1
Rationale:The clientin labormay begiven parenteralanalgesiaduring thefirst stageof labor,up to 2 to 3 hours
before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribed for pain relief.
“Increasing uterine contractions,” “decreasing uterine contractions,” and “promoting fetal lung maturity” ar
not actions of this medication.
Test-Taking Strategy:Knowledge of the action of butorphanol tartrate is required to answer this question.
Rememberthatthis medicationis usedfor pain relief.Reviewtheactionof this medicationif you had difficulty
with this question and are unfamiliar with this medication.
PTS: 1
DIF: Level of CognitiveAbility: Understanding
REF: Lehne,R. (2010).Pharmacologyfor nursing care(7th ed.).St. Louis: Saunders.OBJ:
Client Needs: Physiological Integrity
TOP: ContentArea:Pharmacology
MSC: IntegratedProcess:Nursing Process—Planning
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analgesic
administration following cesareanbirth. If the client develops respiratory depression and requires
naloxone (Narcan) as an antidote, the client may complain of which of the following?
1. Increasein her pain level
2. Decreasein her pain level
3. Increasein theamountof itching from theopioid usedin theepidural
4. Decreasein theamountof itching from theopioid usedin theepidural
, ANS: 1
Rationale:Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist, which
reverses the effects of opioids. If it is given, the client may complain of an increase in her pain
Therefore
level.
“decrease in her pain level,” “increase in the amount of itching from the opioid usedepidural,”
in the and
“decreasein theamountof itching from theopioid usedin theepidural”areincorrect.
Test-TakingStrategy:To answerthis questionaccurately,you mustknow thatopioid analgesicsarethe
medications used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an antido
an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this question was difficu
PTS: 1
DIF: Level of CognitiveAbility: Understanding
REF: Lehne,R. (2010).Pharmacologyfor nursing care(7th ed.).St. Louis: Saunders.OBJ:
Client Needs: Physiological Integrity
TOP: ContentArea:Pharmacology
MSC: IntegratedProcess:Nursing Process—Assessment
3. A client experiencing preterm labor at the twenty
-ninth week of gestation has been admitted to the hospital.
The clienthas a prescriptionto receivebetamethasone(Celestone).The nurseunderstandsthat the medication
will do which of the following?
1. Preventspontaneousdelivery.
2. Stop theuterinecontractions.
3. Promotematurationof thefetallungs.
4. Acceleratethegrowthrateof thefetus.
ANS: 3
Rationale:Betamethasone (Celestone) is classified as an-inflammatory
anti and corticosteroid. It increases the
surfactant level and lung maturity in the fetus, which reduces the incidence of respiratorysyndrome.
distress
Deliverymustbedelayedfor at least48 hoursafteradministrationof betamethasone to allow time for the lungs
of the fetus to mature.
Test-Taking Strategy:Options that are comparable or alike are not likely to be correct. With this in mind,
eliminate “prevent spontaneous delivery” and “stop the uterine contractions.” Note the strategic “twenty
words-
ninth weekof gestation.”Specificknowledgeaboutthemedicationand knowledgeof the problems encountered
by premature infants will assist in answering this question. Review the action of this medication if this quest
was difficult.
PTS: 1
DIF: Level of CognitiveAbility: Understanding
REF: McKinney, E., James,S., Murray,S., & Ashwill, J. (2009).Maternal-child nursing (3rd ed.).St. Louis:
, Saunders. OBJ: Client Needs: Physiological Integrity
