Test Bank for Saunders Comprehensive Review for the NCLEX-RN® Examination, 9th Edition by Linda Anne Silvestri and Angela Silvestri – Complete Questions and Answers (Pass Guaranteed) || Updated 2025

Silvestri:t5Saunderst5Comprehensivet5Reviewt5fort5thet5NCLEX
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Silvestri: Saunders Comprehensive Review forthe NCLEX-
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RN® Examination, 9thEdition
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Pharmacology

Test Bank

MULTIPLEt5CHOICE

1. Thet5nurset5ist5caringt5fort5at5clientt5int5labor.t5Thet5nurset5reviewst5thet5physician’st5prescriptionst5and notest5thatt
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5thet5clientt5hast5a prescriptiont5fort5butorphanolt5tartratet5(Stadol).t5Thet5nurset5understandst5thatt5thist5medicatio
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nt5ist5pret5scribedt5for:
1. Paint5relief
2. Increasingt5uterinet5contractions
3. Decreasinguterinecontractions
4. Promoting fetalt5lungt5maturity
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ANS:t 5 1

Rationale:t5Thet5clientt5int5labort5mayt5bet5given parenteralt5analgesiat5during thet5firstt5staget5oft5labor,t5upt5tot52t5t
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ot53t5hourst5beforet5thet5anticipatedt5delivery.t5Butorphanolt5tartratet5ist5at5medicationt5thatt5mayt5bet5prescrib
edt5for
painrelief.t5―Increasingt5uterinet5contractions,‖t5―decreasingt5uterinet5contractions,‖t5andt5―promoting fetalt5lungt
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5maturity‖t5aret5nott5actionst5oft5thist5medication.



Test-
Takingt5Strategy:t5Knowledget5oft5thet5actiont5oft5butorphanolt5tartratet5ist5requiredt5tot5answert5thist5question.t5Re
mt5embert5thatt5thist5medicationt5ist5usedt5fort5paint5relief.t5Reviewt5thet5actiont5oft5thist5medicationt5ift5yout5hadt5diffi
cultyt5witht5thist5questiont5andt5aret5unfamiliart5witht5thist5medication.

PTS: 1
DIF:
Levelof5tCognitiveAbility:t5Understanding
t5REF:
Lehne,t5R.t5(2010).t5Pharmacologyfort5nursingt5caret5(7thed.).t5St.t5Louis:t5Saunders.t5
Ot5BJ: Client Needs:t5Physiologicalt5Integrity
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TOP: ContentArea:t5Pharmacology
MSC:t5Integratedt5Process:t5Nursingt5Process—Planning

2. Thet5postpartumt5nurset5ist5caringt5fort5at5clientt5witht5ant5epiduralt5cathetert5int5placet5fort5opioidt5analges
ict5at5dministrationt5followingt5cesareant5birth.t5Ift5thet5clientt5developst5respiratoryt5depression andt5req
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uirest5nat5loxonet5(Narcan)t5ast5ant5antidote,t5thet5clientt5mayt5complaint5oft5whicht5oft5thet5following?
1. Increaset5int5hert5paint5level
2. Decreaset5int5hert5paint5level

, Silvestri:t5Saunderst5Comprehensivet5Reviewt5fort5thet5NCLEX
-
th
3.RN® t5Examination,
Increase t59 t5of
t5inthet5amount Edition
t 5t5itching
fifromt5thet5opioidt5usedt5int5thet5epidural

,Silvestri:t5Saunderst5Comprehensivet5Reviewt5fort5thet5NCLEX
-
RN®t5Examination,t59tht 5 Edition

4. Decreaset5inthet5amount oft5itchingt5fromt5thet5opioid usedt5int5thet5epidural
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, Silvestri:t5Saunderst5Comprehensivet5Reviewt5fort5thet5NCLEX
-
RN®t5Examination,t59tht 5 Edition

ANS:t 5 1

Rationale:t5Remembert5that opioidst5aret5usedt5fort5epiduralt5analgesia.t5Naloxonet5ist5ant5opioid antagonist,t5w
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hict5ht5reversest5thet5effectst5oft5opioids.t5Ift5itt5ist5given,t5thet5clientt5mayt5complaint5oft5ant5increaset5int5hert5paint5l
evel.t5Thet5reforet5―decreaset5int5hert5paint5level,‖t5―increaset5int5thet5amount oft5itchingt5fromt5thet5opioidt5usedt5i
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nt5thet5epidural,‖t5andt5―decreaset5in thet5amountt5oft5itching fromt5thet5opioid usedt5inthet5epidural‖t5aret5incorrec
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t.

Test-
Takingt5Strategy:t5Toanswert5thisquestionaccurately,t5yout5mustknowt5thatopioidanalgesicst5aret5thet5medicat
iot5nst5usedt5witht5epiduralt5analgesiat5tot5relievet5pain.t5Thereforet5ift5naloxonet5ist5administeredt5ast5ant5antidotet5
fort5an t 5 opioidt5analgesic,t5thet5client’st5paint5willt5increase.t5Reviewt5thet5effectst5oft5naloxonet5ift5thist5questiont
fi


5wast5difficut5lt.



PTS: 1
DIF:
Leveloft5CognitiveAbility:t5Understanding
t5REF:
Lehne,t5R.t5(2010).t5Pharmacologyfort5nursingt5caret5(7thed.).t5St.t5Louis:t5Saunders.t5
Ot5BJ: Clientt5Needs:t5Physiologicalt5Integrity
TOP: ContentArea:t5Pharmacology
MSC:t5Integratedt5Process:t5Nursingt5Process—Assessment

3. At5clientt5experiencingt5pretermt5labort5att5thet5twenty-
nintht5weekt5oft5gestationt5hast5beent5admittedt5tot5thet5hospital.t5Thet5clientt5hast5at5prescriptiontot5receivet5beta
mett5hasonet5(Celestone).t5Thet5nurset5understandst5thatt5thet5medicationt5willt5dot5whicht5oft5thet5following
?
1. Prevent spontaneous delivery.
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2. Stopt5thet5uterinet5contractions.
3. Promotet5maturationoft5thet5fetalt5lungs.
4. Acceleratet5thet5growth ratet5oft5thet5fetus.
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ANS:t 5 3

Rationale:t5Betamethasonet5(Celestone)t5ist5classifiedt5ast5ant5anti-
inflammatoryt5andt5corticosteroid.t5Itt5increasest5thet5surfactantt5levelt5andt5lungt5maturityt5int5thet5fetus,t5whicht5
redt5ucest5thet5incidencet5oft5respiratoryt5distresst5syndrome.t5Deliverymust bet5delayedt5fort5att5leastt548t5hourst5
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aftert5adt5ministrationt5oft5betamethasonet5tot5allowt5timet5fort5thet5lungst5oft5thet5fetust5tot5mature.

Test-
Takingt5Strategy:t5Optionst5thatt5aret5comparablet5ort5aliket5aret5nott5likelyt5tot5bet5correct.t5Witht5thist5int5mind,t5eli
mit5natet5―preventt 5 spontaneoust5delivery‖t 5 andt 5 ―stopt5thet 5 uterinet5 contractions.‖t5 Notet5thet5strategict5 wordst5
―twenty
-
ninth week oft5gestation.‖t5Specifict5knowledget5aboutt5thet5medicationt5andt5knowledget5oft5thet5problemst5enc
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ount5teredt5byt5prematuret5infants willt5assistt5int5answeringt5thist5question.t5Reviewt5thet5actiont5oft5thist5medicat
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