Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th
Edition
Silvestri: Saunders Comprehensive Review for the NCLEX-
n n n n n n
RN® Examination, 5thEdition
nn n
Pharmacologyn
TestnBank
MULTIPLEnCHOICE
1. Thennursenisncaringnfornanclientninnlabor.nThennursenreviewsnthenphysician’snprescriptionsnandnnotesnthatnthe
nclientnhasnanprescriptionnfornbutorphanolntartraten(Stadol).nThennursenunderstandsnthatnthisnmedicationnisnpr
escribednfor:
1. Painnrelief
2. Increasingnuterinencontractions
3. Decreasingnuterinencontractions
4. Promotingnfetalnlungnmaturity
ANS:n 1
Rationale:nThenclientninnlabornmaynbengivennparenteralnanalgesianduringnthenfirstnstagenofnlabor,nupnton2nton3n
hoursnbeforenthenanticipatedndelivery.nButorphanolntartratenisnanmedicationnthatnmaynbenprescribednfor
painnrelief.n“Increasingnuterinencontractions,”n“decreasingnuterinencontractions,”nandn“promotingnfetalnlung
nmaturity”narennotnactionsnofnthisnmedication.
Test-
TakingnStrategy:nKnowledgenofnthenactionnofnbutorphanolntartratenisnrequiredntonanswernthisnquestion.nRem
embernthatnthisnmedicationnisnusednfornpainnrelief.nReviewnthenactionnofnthisnmedicationnifnyounhadndifficultyn
withnthisnquestionnandnarenunfamiliarnwithnthisnmedication.
PTS: 1
DIF: LevelnofnCognitivenAbility:nUnderstanding
REF:
Lehne,nR.n(2010).nPharmacologynfornnursingncaren(7thned.).nSt.nLouis:nSaunders.n
OBJ: ClientnNeeds:nPhysiologicalnIntegrity
TOP:n n ContentnArea:nPharmacology
MSC:n IntegratednProcess:nNursingnProcess—Planning
2. Thenpostpartumnnursenisncaringnfornanclientnwithnannepiduralncatheterninnplacenfornopioidnanalgesicna
dministrationnfollowingncesareannbirth.nIfnthenclientndevelopsnrespiratoryndepressionnandnrequiresnn
aloxonen(Narcan)nasnannantidote,nthenclientnmayncomplainnofnwhichnofnthenfollowing?
1. Increaseninnhernpainnlevel
2. Decreaseninnhernpainnlevel
3. Increaseninnthenamountnofnitchingnfromnthenopioidnusedninnthenepidural
,Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th
Edition
4. Decreaseninnthenamountnofnitchingnfromnthenopioidnusedninnthenepidural
, Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th
Edition
ANS:n 1
Rationale:nRemembernthatnopioidsnarenusednfornepiduralnanalgesia.nNaloxonenisnannopioidnantagonist,nwhic
hnreversesntheneffectsnofnopioids.nIfnitnisngiven,nthenclientnmayncomplainnofnannincreaseninnhernpainnlevel.nThe
reforen“decreaseninnhernpainnlevel,”n“increaseninnthenamountnofnitchingnfromnthenopioidnusedninnthenepidural,
”nandn“decreaseninnthenamountnofnitchingnfromnthenopioidnusedninnthenepidural”narenincorrect.
Test-
TakingnStrategy:nTonanswernthisnquestionnaccurately,nyounmustnknownthatnopioidnanalgesicsnarenthenmedicat
ionsnusednwithnepiduralnanalgesiantonrelievenpain.nThereforenifnnaloxonenisnadministerednasnannantidotenforna
nnopioidnanalgesic,nthenclient’snpainnwillnincrease.nReviewntheneffectsnofnnaloxonenifnthisnquestionnwasndiffi
cult.
PTS: 1
DIF: LevelnofnCognitivenAbility:nUnderstanding
REF:
Lehne,nR.n(2010).nPharmacologynfornnursingncaren(7thned.).nSt.nLouis:nSaunders.n
OBJ: ClientnNeeds:nPhysiologicalnIntegrity
TOP:n n ContentnArea:nPharmacology
MSC:n IntegratednProcess:nNursingnProcess—Assessment
3. Anclientnexperiencingnpretermnlabornatnthentwenty-
ninthnweeknofngestationnhasnbeennadmittedntonthenhospital.nThenclientnhasnanprescriptionntonreceivenbetamet
hasonen(Celestone).nThennursenunderstandsnthatnthenmedicationnwillndonwhichnofnthenfollowing?
1. Preventnspontaneousndelivery.
2. Stopnthenuterinencontractions.
3. Promotenmaturationnofnthenfetalnlungs.
4. Acceleratenthengrowthnratenofnthenfetus.
ANS:n 3
Rationale:nBetamethasonen(Celestone)nisnclassifiednasnannanti-
inflammatorynandncorticosteroid.nItnincreasesnthensurfactantnlevelnandnlungnmaturityninnthenfetus,nwhichnred
ucesnthenincidencenofnrespiratoryndistressnsyndrome.nDeliverynmustnbendelayednfornatnleastn48nhoursnafternad
ministrationnofnbetamethasonentonallowntimenfornthenlungsnofnthenfetusntonmature.
Test-
TakingnStrategy:nOptionsnthatnarencomparablenornalikenarennotnlikelyntonbencorrect.nWithnthisninnmind,nelim
inaten“preventnspontaneousndelivery”nandn“stopnthenuterinencontractions.”nNotenthenstrategicnwordsn“twent
y-
ninthnweeknofngestation.”nSpecificnknowledgenaboutnthenmedicationnandnknowledgenofnthenproblemsnencou
nterednbynprematureninfantsnwillnassistninnansweringnthisnquestion.nReviewnthenactionnofnthisnmedicationnifnt
hisnquestionnwasndifficult.
PTS: 1
DIF: LevelnofnCognitivenAbility:nUnderstanding
, Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th
Edition
REF: McKinney,nE.,nJames,nS.,nMurray,nS.,n&nAshwill,nJ.n(2009).nMaternal-
childnnursingn(3rdned.).nSt.nLouis:nSaunders. OBJ: ClientnNeeds:nPhysiologicalnIntegrity
Edition
Silvestri: Saunders Comprehensive Review for the NCLEX-
n n n n n n
RN® Examination, 5thEdition
nn n
Pharmacologyn
TestnBank
MULTIPLEnCHOICE
1. Thennursenisncaringnfornanclientninnlabor.nThennursenreviewsnthenphysician’snprescriptionsnandnnotesnthatnthe
nclientnhasnanprescriptionnfornbutorphanolntartraten(Stadol).nThennursenunderstandsnthatnthisnmedicationnisnpr
escribednfor:
1. Painnrelief
2. Increasingnuterinencontractions
3. Decreasingnuterinencontractions
4. Promotingnfetalnlungnmaturity
ANS:n 1
Rationale:nThenclientninnlabornmaynbengivennparenteralnanalgesianduringnthenfirstnstagenofnlabor,nupnton2nton3n
hoursnbeforenthenanticipatedndelivery.nButorphanolntartratenisnanmedicationnthatnmaynbenprescribednfor
painnrelief.n“Increasingnuterinencontractions,”n“decreasingnuterinencontractions,”nandn“promotingnfetalnlung
nmaturity”narennotnactionsnofnthisnmedication.
Test-
TakingnStrategy:nKnowledgenofnthenactionnofnbutorphanolntartratenisnrequiredntonanswernthisnquestion.nRem
embernthatnthisnmedicationnisnusednfornpainnrelief.nReviewnthenactionnofnthisnmedicationnifnyounhadndifficultyn
withnthisnquestionnandnarenunfamiliarnwithnthisnmedication.
PTS: 1
DIF: LevelnofnCognitivenAbility:nUnderstanding
REF:
Lehne,nR.n(2010).nPharmacologynfornnursingncaren(7thned.).nSt.nLouis:nSaunders.n
OBJ: ClientnNeeds:nPhysiologicalnIntegrity
TOP:n n ContentnArea:nPharmacology
MSC:n IntegratednProcess:nNursingnProcess—Planning
2. Thenpostpartumnnursenisncaringnfornanclientnwithnannepiduralncatheterninnplacenfornopioidnanalgesicna
dministrationnfollowingncesareannbirth.nIfnthenclientndevelopsnrespiratoryndepressionnandnrequiresnn
aloxonen(Narcan)nasnannantidote,nthenclientnmayncomplainnofnwhichnofnthenfollowing?
1. Increaseninnhernpainnlevel
2. Decreaseninnhernpainnlevel
3. Increaseninnthenamountnofnitchingnfromnthenopioidnusedninnthenepidural
,Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th
Edition
4. Decreaseninnthenamountnofnitchingnfromnthenopioidnusedninnthenepidural
, Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th
Edition
ANS:n 1
Rationale:nRemembernthatnopioidsnarenusednfornepiduralnanalgesia.nNaloxonenisnannopioidnantagonist,nwhic
hnreversesntheneffectsnofnopioids.nIfnitnisngiven,nthenclientnmayncomplainnofnannincreaseninnhernpainnlevel.nThe
reforen“decreaseninnhernpainnlevel,”n“increaseninnthenamountnofnitchingnfromnthenopioidnusedninnthenepidural,
”nandn“decreaseninnthenamountnofnitchingnfromnthenopioidnusedninnthenepidural”narenincorrect.
Test-
TakingnStrategy:nTonanswernthisnquestionnaccurately,nyounmustnknownthatnopioidnanalgesicsnarenthenmedicat
ionsnusednwithnepiduralnanalgesiantonrelievenpain.nThereforenifnnaloxonenisnadministerednasnannantidotenforna
nnopioidnanalgesic,nthenclient’snpainnwillnincrease.nReviewntheneffectsnofnnaloxonenifnthisnquestionnwasndiffi
cult.
PTS: 1
DIF: LevelnofnCognitivenAbility:nUnderstanding
REF:
Lehne,nR.n(2010).nPharmacologynfornnursingncaren(7thned.).nSt.nLouis:nSaunders.n
OBJ: ClientnNeeds:nPhysiologicalnIntegrity
TOP:n n ContentnArea:nPharmacology
MSC:n IntegratednProcess:nNursingnProcess—Assessment
3. Anclientnexperiencingnpretermnlabornatnthentwenty-
ninthnweeknofngestationnhasnbeennadmittedntonthenhospital.nThenclientnhasnanprescriptionntonreceivenbetamet
hasonen(Celestone).nThennursenunderstandsnthatnthenmedicationnwillndonwhichnofnthenfollowing?
1. Preventnspontaneousndelivery.
2. Stopnthenuterinencontractions.
3. Promotenmaturationnofnthenfetalnlungs.
4. Acceleratenthengrowthnratenofnthenfetus.
ANS:n 3
Rationale:nBetamethasonen(Celestone)nisnclassifiednasnannanti-
inflammatorynandncorticosteroid.nItnincreasesnthensurfactantnlevelnandnlungnmaturityninnthenfetus,nwhichnred
ucesnthenincidencenofnrespiratoryndistressnsyndrome.nDeliverynmustnbendelayednfornatnleastn48nhoursnafternad
ministrationnofnbetamethasonentonallowntimenfornthenlungsnofnthenfetusntonmature.
Test-
TakingnStrategy:nOptionsnthatnarencomparablenornalikenarennotnlikelyntonbencorrect.nWithnthisninnmind,nelim
inaten“preventnspontaneousndelivery”nandn“stopnthenuterinencontractions.”nNotenthenstrategicnwordsn“twent
y-
ninthnweeknofngestation.”nSpecificnknowledgenaboutnthenmedicationnandnknowledgenofnthenproblemsnencou
nterednbynprematureninfantsnwillnassistninnansweringnthisnquestion.nReviewnthenactionnofnthisnmedicationnifnt
hisnquestionnwasndifficult.
PTS: 1
DIF: LevelnofnCognitivenAbility:nUnderstanding
, Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th
Edition
REF: McKinney,nE.,nJames,nS.,nMurray,nS.,n&nAshwill,nJ.n(2009).nMaternal-
childnnursingn(3rdned.).nSt.nLouis:nSaunders. OBJ: ClientnNeeds:nPhysiologicalnIntegrity
