NCLEX-RN® Examination, 5th Edition Pharmacology Test Bank
m m m m m m
Comprehensive Review for the NCLEX-RN® Examination, 5th Edition
m m m m m m m
Pharmacology
mTestmBank
MULTIPLEmCHOICE
1. Themnursemismcaringmformamclient min mlabor. mThe mnurse mreviewsmthemphysician’smprescriptionsmand mnotesmth
at mthemclient mhasmamprescriptionmformbutorphanolmtartratem(Stadol).mThemnursemunderstandsmthat mthismmedic
ationmismprescribed mfor:
1. Painmrelief
2. Increasingmuterinemcontractions
3. Decreasingmuterinemcontractions
4. Promotingmfetalmlungmmaturity
ANS:m 1
Rationale:m Themclient minmlabormmaymbemgivenmparenteralm analgesiamduringmthemfirst mstagemof mlabor,mupmtom
2mtom3mhoursmbeforemthemanticipated mdelivery.mButorphanolmtartratemismammedicationmthat mmaymbemprescribe
d mformpainmrelief.m“Increasingmuterinemcontractions,”m“decreasingmuterinemcontractions,”mand m“promotingm
fetalmlungmmaturity”maremnot mactionsmof mthismmedication.
Test-
Takingm Strategy:m Knowledgemof mthemactionmof mbutorphanolmtartratemismrequired mtomanswermthismquestion.m
Remembermthat mthismmedicationmismused mformpainmrelief.mReview mthemactionmof mthismmedicationmif myoumhad m
difficultymwithmthismquestionmand maremunfamiliarmwithmthismmedication.
PTS: 1
DIF: Levelmof mCognitivemAbility:mUnderstanding
REF:
Lehne,mR.m(2010).mPharmacologymformnursingmcarem(7thmed.).mSt.mLouis:mSaunde
rs.mOBJ: Client mNeeds:mPhysiologicalmIntegrity
TOP: Content mArea:mPharmacology
MSC:m Integrated mProcess:mNursingmProcess—Planning
2. Thempostpartummnursemismcaringmformamclient mwithmanmepiduralmcatheterminmplacemformopioid manalge
sicmadministrationmfollowingmcesareanmbirth.mIf mthemclient mdevelopsmrespiratorymdepressionmand mre
quiresmnaloxonem(Narcan)masmanmantidote,mthemclient mmaymcomplainmof mwhichmof mthemfollowing?
1. Increaseminmhermpainmlevel
2. Decreaseminmhermpainmlevel
,NCLEX-RN® Examination, 5th Edition Pharmacology Test Bank
m m m m m m
3. Increaseminmthemamount mof mitchingmfrommthemopioid mused minmthemepidural
4. Decreaseminmthemamount mof mitchingmfrommthemopioid mused minmthemepidural
,NCLEX-RN® Examination, 5th Edition Pharmacology Test Bank
m m m m m m
ANS:m 1
Rationale:m Remembermthat mopioidsmaremused mformepiduralmanalgesia.mNaloxonemisman mopioid mantagonist,m
whichmreversesmthemeffectsmof mopioids.mIf mit mismgiven,mthemclient mmaymcomplainmof manmincreasem inmher mpain
mlevel.mThereforem“decreaseminmhermpainm level,” m“increasem inmthemamount mof mitchingmfrommthemopioid mused
minmthemepidural,”mand m“decreaseminmthemamount mof mitchingmfrommthemopioid mused minmthemepidural”mareminc
orrect.
Test-
TakingmStrategy:mTomanswermthismquestionmaccurately,myoummust mknow mthat mopioid manalgesicsmaremthemmedi
cationsmused mwithmepiduralmanalgesiamtomrelievempain.mThereforemif mnaloxonem ismadministered masmanmantidot
emformanmopioid manalgesic,mthemclient’smpainmwillm increase.mReview mthemeffectsmof mnaloxonemif mthismquestion
mwasmdifficult.
PTS: 1
DIF: Levelmof mCognitivemAbility:mUnderstanding
REF:
Lehne,mR.m(2010).mPharmacologymformnursingmcarem(7thmed.).mSt.mLouis:mSaunde
rs.mOBJ: Client mNeeds:mPhysiologicalmIntegrity
TOP: Content mArea:mPharmacology
MSC:m Integrated mProcess:mNursingmProcess—Assessment
3. Amclient mexperiencingmpretermmlabormat mthemtwenty-
ninthmweekmof mgestationmhasmbeenmadmitted mtomthemhospital.mThemclient mhasmamprescriptionmtomreceivembet
amethasonem(Celestone).mThemnursemunderstandsmthat mthemmedicationmwillmdomwhichmof mthemfollowing?
1. Prevent mspontaneousmdelivery.
2. Stopmthemuterinemcontractions.
3. Promotemmaturationmof mthemfetalmlungs.
4. Acceleratemthemgrowthmratemof mthemfetus.
ANS:m 3
Rationale:m Betamethasonem(Celestone)mismclassified masmanmanti-
inflammatorymand mcorticosteroid.mIt mincreasesmthemsurfactant mlevelmand mlungmmaturityminmthemfetus,mwhich
mreducesmthemincidencemof mrespiratorymdistressmsyndrome.mDeliverymmust mbemdelayed mformat mleast m48mhours
maftermadministrationmof mbetamethasonem tomallow mtimemformthemlungsmof mthemfetusmtommature.
Test-
Takingm Strategy:m Optionsmthat maremcomparablemormalikemaremnot mlikely mtombemcorrect.mWithmthisminm mind,m
eliminatem“prevent mspontaneousmdelivery”mand m“stopmthemuterinemcontractions.”mNotemthemstrategicmwords
m“twenty-
ninthmweekmof mgestation.”mSpecificmknowledgemabout mthemmedicationmand mknowledgemof mthemproblemsmen
countered mbymprematureminfantsmwillmassist minmansweringmthismquestion.mReview mthemactionmof mthismmedic
ationmif mthismquestionmwasmdifficult.
PTS: 1
DIF: Levelmof mCognitivemAbility:mUnderstanding
REF: McKinney,mE.,mJames,mS.,mMurray,mS.,m&mAshwill,mJ.m(2009).mMaternal-
, NCLEX-RN® Examination, 5th Edition Pharmacology Test Bank
m m m m m m
child mnursingm(3rd med.).mSt.mLouis:mSaunders. OBJ: Client mNeeds:mPhysiologicalmIntegrity
m m m m m m
Comprehensive Review for the NCLEX-RN® Examination, 5th Edition
m m m m m m m
Pharmacology
mTestmBank
MULTIPLEmCHOICE
1. Themnursemismcaringmformamclient min mlabor. mThe mnurse mreviewsmthemphysician’smprescriptionsmand mnotesmth
at mthemclient mhasmamprescriptionmformbutorphanolmtartratem(Stadol).mThemnursemunderstandsmthat mthismmedic
ationmismprescribed mfor:
1. Painmrelief
2. Increasingmuterinemcontractions
3. Decreasingmuterinemcontractions
4. Promotingmfetalmlungmmaturity
ANS:m 1
Rationale:m Themclient minmlabormmaymbemgivenmparenteralm analgesiamduringmthemfirst mstagemof mlabor,mupmtom
2mtom3mhoursmbeforemthemanticipated mdelivery.mButorphanolmtartratemismammedicationmthat mmaymbemprescribe
d mformpainmrelief.m“Increasingmuterinemcontractions,”m“decreasingmuterinemcontractions,”mand m“promotingm
fetalmlungmmaturity”maremnot mactionsmof mthismmedication.
Test-
Takingm Strategy:m Knowledgemof mthemactionmof mbutorphanolmtartratemismrequired mtomanswermthismquestion.m
Remembermthat mthismmedicationmismused mformpainmrelief.mReview mthemactionmof mthismmedicationmif myoumhad m
difficultymwithmthismquestionmand maremunfamiliarmwithmthismmedication.
PTS: 1
DIF: Levelmof mCognitivemAbility:mUnderstanding
REF:
Lehne,mR.m(2010).mPharmacologymformnursingmcarem(7thmed.).mSt.mLouis:mSaunde
rs.mOBJ: Client mNeeds:mPhysiologicalmIntegrity
TOP: Content mArea:mPharmacology
MSC:m Integrated mProcess:mNursingmProcess—Planning
2. Thempostpartummnursemismcaringmformamclient mwithmanmepiduralmcatheterminmplacemformopioid manalge
sicmadministrationmfollowingmcesareanmbirth.mIf mthemclient mdevelopsmrespiratorymdepressionmand mre
quiresmnaloxonem(Narcan)masmanmantidote,mthemclient mmaymcomplainmof mwhichmof mthemfollowing?
1. Increaseminmhermpainmlevel
2. Decreaseminmhermpainmlevel
,NCLEX-RN® Examination, 5th Edition Pharmacology Test Bank
m m m m m m
3. Increaseminmthemamount mof mitchingmfrommthemopioid mused minmthemepidural
4. Decreaseminmthemamount mof mitchingmfrommthemopioid mused minmthemepidural
,NCLEX-RN® Examination, 5th Edition Pharmacology Test Bank
m m m m m m
ANS:m 1
Rationale:m Remembermthat mopioidsmaremused mformepiduralmanalgesia.mNaloxonemisman mopioid mantagonist,m
whichmreversesmthemeffectsmof mopioids.mIf mit mismgiven,mthemclient mmaymcomplainmof manmincreasem inmher mpain
mlevel.mThereforem“decreaseminmhermpainm level,” m“increasem inmthemamount mof mitchingmfrommthemopioid mused
minmthemepidural,”mand m“decreaseminmthemamount mof mitchingmfrommthemopioid mused minmthemepidural”mareminc
orrect.
Test-
TakingmStrategy:mTomanswermthismquestionmaccurately,myoummust mknow mthat mopioid manalgesicsmaremthemmedi
cationsmused mwithmepiduralmanalgesiamtomrelievempain.mThereforemif mnaloxonem ismadministered masmanmantidot
emformanmopioid manalgesic,mthemclient’smpainmwillm increase.mReview mthemeffectsmof mnaloxonemif mthismquestion
mwasmdifficult.
PTS: 1
DIF: Levelmof mCognitivemAbility:mUnderstanding
REF:
Lehne,mR.m(2010).mPharmacologymformnursingmcarem(7thmed.).mSt.mLouis:mSaunde
rs.mOBJ: Client mNeeds:mPhysiologicalmIntegrity
TOP: Content mArea:mPharmacology
MSC:m Integrated mProcess:mNursingmProcess—Assessment
3. Amclient mexperiencingmpretermmlabormat mthemtwenty-
ninthmweekmof mgestationmhasmbeenmadmitted mtomthemhospital.mThemclient mhasmamprescriptionmtomreceivembet
amethasonem(Celestone).mThemnursemunderstandsmthat mthemmedicationmwillmdomwhichmof mthemfollowing?
1. Prevent mspontaneousmdelivery.
2. Stopmthemuterinemcontractions.
3. Promotemmaturationmof mthemfetalmlungs.
4. Acceleratemthemgrowthmratemof mthemfetus.
ANS:m 3
Rationale:m Betamethasonem(Celestone)mismclassified masmanmanti-
inflammatorymand mcorticosteroid.mIt mincreasesmthemsurfactant mlevelmand mlungmmaturityminmthemfetus,mwhich
mreducesmthemincidencemof mrespiratorymdistressmsyndrome.mDeliverymmust mbemdelayed mformat mleast m48mhours
maftermadministrationmof mbetamethasonem tomallow mtimemformthemlungsmof mthemfetusmtommature.
Test-
Takingm Strategy:m Optionsmthat maremcomparablemormalikemaremnot mlikely mtombemcorrect.mWithmthisminm mind,m
eliminatem“prevent mspontaneousmdelivery”mand m“stopmthemuterinemcontractions.”mNotemthemstrategicmwords
m“twenty-
ninthmweekmof mgestation.”mSpecificmknowledgemabout mthemmedicationmand mknowledgemof mthemproblemsmen
countered mbymprematureminfantsmwillmassist minmansweringmthismquestion.mReview mthemactionmof mthismmedic
ationmif mthismquestionmwasmdifficult.
PTS: 1
DIF: Levelmof mCognitivemAbility:mUnderstanding
REF: McKinney,mE.,mJames,mS.,mMurray,mS.,m&mAshwill,mJ.m(2009).mMaternal-
, NCLEX-RN® Examination, 5th Edition Pharmacology Test Bank
m m m m m m
child mnursingm(3rd med.).mSt.mLouis:mSaunders. OBJ: Client mNeeds:mPhysiologicalmIntegrity
