Updated Latest Test Bank For Evolve NCLEX RN Examination Review Pharmacology Q And A 5th Edition Complete Questions And Answers Comprehensive NCLEX Pharmacology Review Drug Therapy Medication Safety Nursing Exam Preparation Study Resource

NCLEX-RN
Examination, 5th Edition
Pharmacology TesBank
J

,NCLEX-RN Examination, 5th Edition Pharmacology Tes Bank J




Pharmacology
MULTIPLE CHOICE

1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes that the J J J J J J J J J J J J J J J




client has a prescription for butorphanoltartrate (Stadol). The nurse understands that this medication is
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prescribed for: J




1. Pain relief J




2. Increasing uterine contractions J J




3. Decreasing uterine contractions J J




4. Promoting fetal lung maturity J J J




ANS: 1 J




Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to 2 to 3 hours
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before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribed for pain relief.
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“Increasing uterine contractions,” “decreasing uterine contractions,” and “promoting fetal lung maturity”
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are not actions of this medication.
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Test-Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this question.
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Remember that this medication is used for pain relief. Review the action ofthis medication if you had difficulty
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with this question and are unfamiliar with this medication.
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PTS: 1
DIF: Level of Cognitive Ability: Understanding J J J J




REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders.
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OBJ: Client Needs: Physiological Integrity J J J




TOP: Content Area: Pharmacology J J




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 opioid analgesic
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administration following cesarean birth. If the client develops respiratory depression and requires
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naloxone (Narcan) as an antidote, the client may complain of which of the following?
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1. Increase in her pain level J J J J




2. Decrease in her pain level J J J J

, 3. Increase in the amount of itching from the opioid used in the epidural
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ANS: 1 J




Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist, which
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reverses the effects of opioids. If it is given, the client may complain of an increase in her pain level. Therefore
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“decrease in her pain level,” “increase in the amount of itching from the opioid used in the epidural,” and
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“decrease in the amount of itching from the opioid used in the epidural” are incorrect.
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Test-Taking Strategy: To answer this question accurately, you must know that opioid analgesics are the
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medications used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an antidote
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for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this question was
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difficult.

PTS: 1
DIF: Level of Cognitive Ability: Understanding J J J J




REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders. J J J J J J J J J J J J




OBJ: Client Needs: Physiological Integrity J J J




TOP: Content Area: Pharmacology J J




MSC:Integrated Process: Nursing Process—Assessment
J J J J




3. A client experiencing preterm labor at the twenty-ninth week of gestation has been admitted to the hospital.
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The client has a prescription to receive betamethasone (Celestone). The nurse understands that the
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medication will do which of the following? J J J J J J




1. Prevent spontaneous delivery. J J




2. Stop the uterine contractions. J J J




3. Promote maturation of the fetal lungs. J J J J J




4. Accelerate the growth rate ofthe fetus. J J J J J J




ANS: 3 J




Rationale: Betamethasone (Celestone) is classified as an anti-inflammatory and corticosteroid. It increases
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the surfactant level and lung maturity in the fetus, which reduces the incidence of respiratory distress
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syndrome. Delivery must be delayed for at least 48 hours after administration of betamethasone to allow time
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for the lungs of the fetus to mature.
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Test-Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in mind,
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eliminate “prevent spontaneous delivery” and “stop the uterine contractions.” Note the strategic words
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“twenty-ninth week of gestation.” Specific knowledge about the medication and knowledge ofthe problems
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encountered by premature infants will assist in answering this question. Review the action of this medication
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if this question was difficult.
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PTS: 1
DIF: Level of Cognitive Ability: Understanding J J J J




REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-child nursing (3rd ed.). St. J J J J J J J J J J J J J J J




Louis: Saunders. OBJ: Client Needs: Physiological Integrity
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, TOP: Content Area: Pharmacology J J




MSC:Integrated Process: Nursing Process—Planning
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4. A client with preeclampsia is receiving magnesium sulfate. The nurse assesses the client closely for
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which sign of magnesium toxicity?
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1. Proteinuria
2. Hyperactive deep tendon reflexes J J J




3. Respiratory rate of 10 breaths/min J J J J




4. Serum magnesium level of 5 mEq/L J J J J J




ANS: 3 J




Rationale: Magnesium toxicity is a risk associated with magnesium sulfate therapy. Signs of magnesium
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toxicity relate to central nervous system (CNS) depression and include respiratory depression, loss of deep
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tendon reflexes, and sudden drop in fetal heart rate and/or maternal heart rate and blood pressure.
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Magnesium is excreted through the kidneys. Ifrenal impairment is present, magnesium toxicity can develop
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very quickly. Therapeutic serum levels of magnesium are 4 to 7 mEq/L.
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Test-Taking Strategy: To answer this question accurately, you must recall that magnesium sulfate is a CNS
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depressant. Begin to answer this question by eliminating “proteinuria” and “hyperactive deep tendon
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reflexes,” which are signs ofpreeclampsia. Select between the last two options using medication knowledge
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and recalling that the therapeutic serum levels of magnesium are 4 to 7 mEq/L. Review this medication and
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the normal magnesium level if this question was difficult.
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PTS: 1
DIF: Level of Cognitive Ability: Analyzing J J J J




REF: Lowdermilk, D., Perry, S., & Cashion, K. (2010). Maternity nursing (8th ed.). St. Louis: Mosby. J J J J J J J J J J J J J J




OBJ: ClientNeeds:PhysiologicalIntegrity J J J J




TOP: Content Area: Pharmacology J J




MSC:Integrated Process: Nursing Process—Assessment
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5. A pregnant client who has human immunodeficiency virus (HIV) infection is being seen in the antenatal clinic.
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The nurse recalls that zidovudine (AZT) therapy will be initiated when the fetus has reached how many weeks
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of gestation?
J




1. 4
2. 14
3. 24
4. 34

ANS: 2 J




Rationale: The pregnant women with HIV infection will be prescribed oral AZT in the fourteenth week of
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gestation. Before this time, the fetus is at risk because of the teratogenic effects of the medication. In
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