NURSING TEST-BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri: Saunders
Comprehensive Review for the NCLEX-RN Examination, 5th Edition best exam
solution RATIONALE
Pharmacology
mk Test m k Ban
k
MULTIPLE m k CHOICE
1. The nurse is caring for a client in labor. The nurse reviews the physician’s
m k m k m k m k m k m k m k m k m k m k m k m k m k m
kprescriptions a nd notes that the client has a prescription for butorphanol tartrate (S
m k mk m k m k m k m k m k m k m k m k m k m k m k
tadol). The nurse under stands that this medication
m k m k m k mk m k m k m k
is prescribed for:
m k m k m k m k m k m k
1. Pain relief m k
2. Increasing m k uterine m k contractions
3. Decreasing m k uterine m k contractions
4. Promoting m k fetal m k lung m k maturity
ANS: 1
Rationale: The client in labor may be given parenteral analgesia during the firs
m k m k m k m k m k m k m k m k m k m k m k m k
t stage of la bor, up to 2 to 3 hours before the anticipated delivery. Butorph
m k m k m k mk m k m k m k m k m k m k m k m k m k m k m k
anol tartrate is a medication
m k m k m k m k
that may be prescribed for
m k m k m k m k
pain relief. “Increasing uterine contractions,” “decreasing uterine contractions,” and “
m k m k m k m k m k m k m k m k m k
promoting fetal lung maturity” are not actions of this medication.
mk m k m k m k m k m k m k m k m k
Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to
m k m k m k m k m k m k m k m k m k m k m k
answer this question. Remember that this medication is used for pain relief.
m k m k mk m k m k m k m k m k m k m k m k m k m k
Review the action of this medication if you had difficulty with this question a
m k m k m k m k mk m k m k m k m k m k m k m k m k
nd are unfamiliar with this medication. m k m k m k m k m k
PTS: 1
DIF:
NURSINGa3TEST-
BANKa3112023a3Evolvea3NCLEXa3prepa3Q&a3Aa3Pharma3Silvestri:a3 m k Saunder
sa
3Comprehensivea3Reviewa3fora3thea3NCLEX-
, Level of Cognitive Ability: Understand
m k m k m k m k
ing REF:
mk
Lehne, R. (2010). Pharmacology for nursing care
m k m k m k m k m k m k m k (7th ed.).
m k m
kSt. Louis: Saunders. OBJ:
m k mk Client Needs: Physiological
m k m k m k m k Integrity
NURSINGa3TEST-
BANKa3112023a3Evolvea3NCLEXa3prepa3Q&a3Aa3Pharma3Silvestri:a3 m k Saunder
sa
3Comprehensivea3Reviewa3fora3thea3NCLEX-
, TOP: Content Area: Pharmacology
m k m k
MSC: Integrated Process: Nursing
mk mk m k m k m k Process—Planning
2. The postpartum nurse is caring for a client with an epidural catheter in
m k m k m k m k m k m k m k m k m k m k m k m k m
kplace for op ioid analgesic administration following cesarean birth. If the client develo
m k m k mk mk mk mk mk mk mk mk mk mk
ps respiratorya depression and requires naloxone (Narcan) as an antidote, the
mk m k m k m k m k m k m k m k m k m k m
kclient may complain of
m k m k m k
which of the following?
m k m k m k
NURSINGa3TEST-
BANKa3112023a3Evolvea3NCLEXa3prepa3Q&a3Aa3Pharma3Silvestri:a3 m k Saunder
sa
3Comprehensivea3Reviewa3fora3thea3NCLEX-
, 1. Increase m k in m k her m k pain m k level
2. Decrease m k in m k her m k pain m k level
3. Increase inm k m k the m k amount m k of m k itching m k from m k the m k opioid m k used m k in m k t
he epidural
m k
4. Decrease in m k m k the m k amount m k of m k itching m k from m k the m k opioid m k used m k in m k t
he epidural
m k
NURSINGa3TEST-
BANKa3112023a3Evolvea3NCLEXa3prepa3Q&a3Aa3Pharma3Silvestri:a3 m k Saunder
sa
3Comprehensivea3Reviewa3fora3thea3NCLEX-
Comprehensive Review for the NCLEX-RN Examination, 5th Edition best exam
solution RATIONALE
Pharmacology
mk Test m k Ban
k
MULTIPLE m k CHOICE
1. The nurse is caring for a client in labor. The nurse reviews the physician’s
m k m k m k m k m k m k m k m k m k m k m k m k m k m
kprescriptions a nd notes that the client has a prescription for butorphanol tartrate (S
m k mk m k m k m k m k m k m k m k m k m k m k m k
tadol). The nurse under stands that this medication
m k m k m k mk m k m k m k
is prescribed for:
m k m k m k m k m k m k
1. Pain relief m k
2. Increasing m k uterine m k contractions
3. Decreasing m k uterine m k contractions
4. Promoting m k fetal m k lung m k maturity
ANS: 1
Rationale: The client in labor may be given parenteral analgesia during the firs
m k m k m k m k m k m k m k m k m k m k m k m k
t stage of la bor, up to 2 to 3 hours before the anticipated delivery. Butorph
m k m k m k mk m k m k m k m k m k m k m k m k m k m k m k
anol tartrate is a medication
m k m k m k m k
that may be prescribed for
m k m k m k m k
pain relief. “Increasing uterine contractions,” “decreasing uterine contractions,” and “
m k m k m k m k m k m k m k m k m k
promoting fetal lung maturity” are not actions of this medication.
mk m k m k m k m k m k m k m k m k
Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to
m k m k m k m k m k m k m k m k m k m k m k
answer this question. Remember that this medication is used for pain relief.
m k m k mk m k m k m k m k m k m k m k m k m k m k
Review the action of this medication if you had difficulty with this question a
m k m k m k m k mk m k m k m k m k m k m k m k m k
nd are unfamiliar with this medication. m k m k m k m k m k
PTS: 1
DIF:
NURSINGa3TEST-
BANKa3112023a3Evolvea3NCLEXa3prepa3Q&a3Aa3Pharma3Silvestri:a3 m k Saunder
sa
3Comprehensivea3Reviewa3fora3thea3NCLEX-
, Level of Cognitive Ability: Understand
m k m k m k m k
ing REF:
mk
Lehne, R. (2010). Pharmacology for nursing care
m k m k m k m k m k m k m k (7th ed.).
m k m
kSt. Louis: Saunders. OBJ:
m k mk Client Needs: Physiological
m k m k m k m k Integrity
NURSINGa3TEST-
BANKa3112023a3Evolvea3NCLEXa3prepa3Q&a3Aa3Pharma3Silvestri:a3 m k Saunder
sa
3Comprehensivea3Reviewa3fora3thea3NCLEX-
, TOP: Content Area: Pharmacology
m k m k
MSC: Integrated Process: Nursing
mk mk m k m k m k Process—Planning
2. The postpartum nurse is caring for a client with an epidural catheter in
m k m k m k m k m k m k m k m k m k m k m k m k m
kplace for op ioid analgesic administration following cesarean birth. If the client develo
m k m k mk mk mk mk mk mk mk mk mk mk
ps respiratorya depression and requires naloxone (Narcan) as an antidote, the
mk m k m k m k m k m k m k m k m k m k m
kclient may complain of
m k m k m k
which of the following?
m k m k m k
NURSINGa3TEST-
BANKa3112023a3Evolvea3NCLEXa3prepa3Q&a3Aa3Pharma3Silvestri:a3 m k Saunder
sa
3Comprehensivea3Reviewa3fora3thea3NCLEX-
, 1. Increase m k in m k her m k pain m k level
2. Decrease m k in m k her m k pain m k level
3. Increase inm k m k the m k amount m k of m k itching m k from m k the m k opioid m k used m k in m k t
he epidural
m k
4. Decrease in m k m k the m k amount m k of m k itching m k from m k the m k opioid m k used m k in m k t
he epidural
m k
NURSINGa3TEST-
BANKa3112023a3Evolvea3NCLEXa3prepa3Q&a3Aa3Pharma3Silvestri:a3 m k Saunder
sa
3Comprehensivea3Reviewa3fora3thea3NCLEX-