TESTBANK FOR PHARM SILVESTRI SAUNDERS
COMPREHENSIVE REVIEW FOR THE NCLEX-RN
EXAMINATION 5TH EDITION (112023 EVOLVE NCLEX
PREP) FULL TESTBANK WITH RATIONALLES|| LATEST
AND COMPLETE UPDATE GRADED A+
,1|P a g e
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TESTBANK FOR PHARM SILVESTRI SAUNDERS COMPREHE wq wq wq wq wq
NSIVE REVIEW FOR THE NCLEX- wq wq wq wq
RN EXAMINATION 5TH EDITION (112023 EVOLVE NCLEX PR
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EP) FULL TESTBANK WITH RATIONALLES|| LATEST AND C
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OMPLETE UPDATE GRADED A+ wq wq wq
MULTIPLE CHOICE wq
1. The nurse is caring for a client in labor. The nurse reviews the physician‘s prescription
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s and notes that the client has a prescription for butorphanol tartrate (Stadol). The nurse unde
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
rstands that this medication
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is prescribed for:
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1. Pain relief wq
2. Increasing uterine contractions wq wq
3. Decreasing uterine contractions wq wq
4. Promoting fetal lung maturity wq wq wq
- ANSWER: 1
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Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, u
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p to 2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
be prescribed for
wq wq
pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting
wq wq wq wq wq wq wq wq wq wq
fetal lung maturity‖ are not actions of this medication.
wq wq wq wq wq wq wq wq
Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this ques
wq wq wq wq wq wq wq wq wq wq wq wq wq wq
tion. Remember that this medication is used for pain relief. Review the action of this medicatio
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
n if you had difficulty with this question and are unfamiliar with this medication.
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PTS: 1
DIF: Level of Cognitive Ability: Understanding
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REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders.
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OBJ: Client Needs: Physiological Integrity
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,2|P a g e
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TOP: w q w q Content Area: Pharmacology wq wq
MSC: Integrated Process: Nursing Process—Planning
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2. The postpartum nurse is caring for a client with an epidural catheter in place for opioi
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
d analgesic administration following cesarean birth. If the client develops respiratory depress
wq wq wq wq wq wq wq wq wq wq wq
ion and requires naloxone (Narcan) as an antidote, the client may complain of which of the
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
following?
1. Increase in her pain level wq wq wq wq
2. Decrease in her pain level wq wq wq wq
3. Increase in the amount of itching from the opioid used in the epidural
wq wq wq wq wq wq wq wq wq wq wq wq
4. Decrease in the amount of itching from the opioid used in the epidural
wq wq wq wq wq wq wq wq wq wq wq wq
- ANSWER: 1
wq wq
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antag
wq wq wq wq wq wq wq wq wq wq wq wq wq
onist, which reverses the effects of opioids. If it is given, the client may complain of an increase
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
in her pain
wq wq wq
level. Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opioi
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
d used in the epidural,‖ and ―decrease in the amount of itching from the opioid used in the ep
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
idural‖ are incorrect. wq wq
Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are t
wq wq wq wq wq wq wq wq wq wq wq wq wq wq
he medications used with epidural analgesia to relieve pain. Therefore if naloxone is administer
wq wq wq wq wq wq wq wq wq wq wq wq wq
ed as an antidote for an opioid analgesic, the client‘s pain will increase. Review the effects of
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
naloxone if this question was difficult. wq wq wq wq wq
PTS: 1
DIF: Level of Cognitive Ability: Understanding
wq wq wq wq
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders.
wq wq wq wq wq wq wq wq wq wq wq wq
OBJ: Client Needs: Physiological Integrity
wq wq wq wq
, 3|P a g e
wq wq wq wq wq
TOP: w q w q Content Area: Pharmacology wq wq
MSC: Integrated Process: Nursing Process—Assessment
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3. A client experiencing preterm labor at the twenty-
wq wq wq wq wq wq wq
ninth week of gestation has been admitted to the hospital. The client has a prescription to recei
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
ve betamethasone (Celestone). The nurse understands that the medication will do which of the
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following?
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1. Prevent spontaneous delivery. wq wq
2. Stop the uterine contractions.
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3. Promote maturation of the fetal lungs. wq wq wq wq wq
4. Accelerate the growth rate of the fetus. wq wq wq wq wq wq
- ANSWER: 3
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Rationale: Betamethasone (Celestone) is classified as an anti-
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inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetus,
wq wq wq wq wq wq wq wq wq wq wq wq wq w
which reduces the incidence of respiratory distress syndrome. Delivery must be delayed for at l
q wq wq wq wq wq wq wq wq wq wq wq wq wq wq
east 48 hours after administration of betamethasone to allow time for the lungs of the fetus to
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
mature.
Test-
Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
mind, eliminate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the st
wq wq wq wq wq wq wq wq wq wq wq wq
rategic
words ―twenty- wq
ninth week of gestation.‖ Specific knowledge about the medication and knowledge of the probl
wq wq wq wq wq wq wq wq wq wq wq wq wq
ems encountered by premature infants will assist in answering this question. Review the action
wq wq wq wq wq wq wq wq wq wq wq wq wq wq
of this medication if this question was difficult.
wq wq wq wq wq wq wq
PTS: 1
DIF: Level of Cognitive Ability: Understanding
wq wq wq wq
REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal- wq wq wq wq wq wq wq wq wq wq
child nursing (3rd ed.). St. Louis: Saunders.
wq OBJ: Client Needs: Physiological Integrity
wq wq wq wq wq wq wq wq
COMPREHENSIVE REVIEW FOR THE NCLEX-RN
EXAMINATION 5TH EDITION (112023 EVOLVE NCLEX
PREP) FULL TESTBANK WITH RATIONALLES|| LATEST
AND COMPLETE UPDATE GRADED A+
,1|P a g e
wq wq wq wq wq
TESTBANK FOR PHARM SILVESTRI SAUNDERS COMPREHE wq wq wq wq wq
NSIVE REVIEW FOR THE NCLEX- wq wq wq wq
RN EXAMINATION 5TH EDITION (112023 EVOLVE NCLEX PR
wq wq wq wq wq wq wq
EP) FULL TESTBANK WITH RATIONALLES|| LATEST AND C
wq wq wq wq wq wq wq
OMPLETE UPDATE GRADED A+ wq wq wq
MULTIPLE CHOICE wq
1. The nurse is caring for a client in labor. The nurse reviews the physician‘s prescription
wq wq wq wq wq wq wq wq wq wq wq wq wq wq
s and notes that the client has a prescription for butorphanol tartrate (Stadol). The nurse unde
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
rstands that this medication
wq wq wq
is prescribed for:
wq wq
1. Pain relief wq
2. Increasing uterine contractions wq wq
3. Decreasing uterine contractions wq wq
4. Promoting fetal lung maturity wq wq wq
- ANSWER: 1
wq wq
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, u
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
p to 2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
be prescribed for
wq wq
pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting
wq wq wq wq wq wq wq wq wq wq
fetal lung maturity‖ are not actions of this medication.
wq wq wq wq wq wq wq wq
Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this ques
wq wq wq wq wq wq wq wq wq wq wq wq wq wq
tion. Remember that this medication is used for pain relief. Review the action of this medicatio
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
n if you had difficulty with this question and are unfamiliar with this medication.
wq wq wq wq wq wq wq wq wq wq wq wq wq
PTS: 1
DIF: Level of Cognitive Ability: Understanding
wq wq wq wq
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders.
wq wq wq wq wq wq wq wq wq wq wq wq
OBJ: Client Needs: Physiological Integrity
wq wq wq wq
,2|P a g e
wq wq wq wq wq
TOP: w q w q Content Area: Pharmacology wq wq
MSC: Integrated Process: Nursing Process—Planning
wq wq wq wq
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioi
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
d analgesic administration following cesarean birth. If the client develops respiratory depress
wq wq wq wq wq wq wq wq wq wq wq
ion and requires naloxone (Narcan) as an antidote, the client may complain of which of the
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
following?
1. Increase in her pain level wq wq wq wq
2. Decrease in her pain level wq wq wq wq
3. Increase in the amount of itching from the opioid used in the epidural
wq wq wq wq wq wq wq wq wq wq wq wq
4. Decrease in the amount of itching from the opioid used in the epidural
wq wq wq wq wq wq wq wq wq wq wq wq
- ANSWER: 1
wq wq
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antag
wq wq wq wq wq wq wq wq wq wq wq wq wq
onist, which reverses the effects of opioids. If it is given, the client may complain of an increase
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
in her pain
wq wq wq
level. Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opioi
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
d used in the epidural,‖ and ―decrease in the amount of itching from the opioid used in the ep
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
idural‖ are incorrect. wq wq
Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are t
wq wq wq wq wq wq wq wq wq wq wq wq wq wq
he medications used with epidural analgesia to relieve pain. Therefore if naloxone is administer
wq wq wq wq wq wq wq wq wq wq wq wq wq
ed as an antidote for an opioid analgesic, the client‘s pain will increase. Review the effects of
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
naloxone if this question was difficult. wq wq wq wq wq
PTS: 1
DIF: Level of Cognitive Ability: Understanding
wq wq wq wq
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders.
wq wq wq wq wq wq wq wq wq wq wq wq
OBJ: Client Needs: Physiological Integrity
wq wq wq wq
, 3|P a g e
wq wq wq wq wq
TOP: w q w q Content Area: Pharmacology wq wq
MSC: Integrated Process: Nursing Process—Assessment
wq wq wq wq
3. A client experiencing preterm labor at the twenty-
wq wq wq wq wq wq wq
ninth week of gestation has been admitted to the hospital. The client has a prescription to recei
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
ve betamethasone (Celestone). The nurse understands that the medication will do which of the
wq wq wq wq wq wq wq wq wq wq wq wq wq
following?
wq
1. Prevent spontaneous delivery. wq wq
2. Stop the uterine contractions.
wq wq wq
3. Promote maturation of the fetal lungs. wq wq wq wq wq
4. Accelerate the growth rate of the fetus. wq wq wq wq wq wq
- ANSWER: 3
wq wq
Rationale: Betamethasone (Celestone) is classified as an anti-
wq wq wq wq wq wq wq
inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetus,
wq wq wq wq wq wq wq wq wq wq wq wq wq w
which reduces the incidence of respiratory distress syndrome. Delivery must be delayed for at l
q wq wq wq wq wq wq wq wq wq wq wq wq wq wq
east 48 hours after administration of betamethasone to allow time for the lungs of the fetus to
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
mature.
Test-
Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in
wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq wq
mind, eliminate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the st
wq wq wq wq wq wq wq wq wq wq wq wq
rategic
words ―twenty- wq
ninth week of gestation.‖ Specific knowledge about the medication and knowledge of the probl
wq wq wq wq wq wq wq wq wq wq wq wq wq
ems encountered by premature infants will assist in answering this question. Review the action
wq wq wq wq wq wq wq wq wq wq wq wq wq wq
of this medication if this question was difficult.
wq wq wq wq wq wq wq
PTS: 1
DIF: Level of Cognitive Ability: Understanding
wq wq wq wq
REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal- wq wq wq wq wq wq wq wq wq wq
child nursing (3rd ed.). St. Louis: Saunders.
wq OBJ: Client Needs: Physiological Integrity
wq wq wq wq wq wq wq wq
