BANKlr112023lrEvolvelrNCLEXlrpreplrQ&lrAlrPharmlrSilvestri:lrlrSaunderslrComprehe
nsive Review for the NCLEX- lr lr lr lr
RN Examination, 9th Edition best exam solution RATIONALE
lr lr lr lrlr lr lr lr
Pharmacologyl
rTestl r Bank
MULTIPLEl r CHOICE
1. Thel r nursel r isl r caringl r forl r al r clientl r inl r labor.l r Thel r nursel r reviewsl r thel r physician’sl r pre
scriptionsl r alrndl r notesl r thatl r thel r clientl r hasl r al r prescriptionl r forl r butorphanoll r tartratel r (Stadol).l r
Thel r nursel r underlrstandsl r thatl r thisl r medication
l r l r l r l r isl r prescribedl r for:
1. Painl r relief
2. Increasingl r uterinel r contractions
3. Decreasingl r uterinel r contractions
4. Promotingl r fetall r lungl r maturity
ANS: 1
Rationale:l r Thel r clientl r inl r laborl r mayl r bel r givenl r parenterall r analgesial r duringl r thel r firstl r
stagel r ofl r lalrbor,l r upl r tol r 2l r tol r 3l r hoursl r beforel r thel r anticipatedl r delivery.l r Butorphanoll r t
artratel r isl r al r medication
thatl r mayl r bel r prescribedl r for
painl r relief.l r “Increasingl r uterinel r contractions,”l r “decreasingl r uterinel r contractions,”l r andl r “pr
omotinglrfetall r lungl r maturity”l r arel r notl r actionsl r ofl r thisl r medication.
Test-
Takingl r Strategy:l r Knowledgel r ofl r thel r actionl r ofl r butorphanoll r tartratel r isl r requiredl r tol r a
nswerl r thislrquestion.l r Rememberl r thatl r thisl r medicationl r isl r usedl r forl r painl r relief.l r Reviewl
r thel r actionl r ofl r thislrmedicationl r ifl r youl r hadl r difficultyl r withl r thisl r questionl r and l r arel r un
familiarl r withl r thisl r medication.
PTS: 1
DIF:
NURSINGa3TEST-
BANKa3112023a3Evolvea3NCLEXa3prepa3Q&a3Aa3Pharma3Silvestri:a3l r Saunders
a
3 Comprehensivea3Reviewa3fora3thea3NCLEX-
, Levell r ofl r Cognitivel r Ability:l r Understandi
nglrREF:
Lehne,l r R.l r (2010).l r Pharmacologyl r forl r nursingl r carel r (7thl r ed.).l r St
.l r Louis:lrSaunders.l r OBJ: Clientl r Needs:l r Physiologicall r Integrity
NURSINGa3TEST-
BANKa3112023a3Evolvea3NCLEXa3prepa3Q&a3Aa3Pharma3Silvestri:a3l r Saunders
a
3 Comprehensivea3Reviewa3fora3thea3NCLEX-
, TOP: Contentl r Area:l r Pharmacology
MSC:l r l r Integratedl r Process:l r Nursingl r Process—Planning
2. Thel r postpartuml r nursel r isl r caringl r forl r al r clientl r withl r anl r epidurall r catheterl r inl r pl
acel r forl r oplrioidlranalgesiclradministrationlrfollowinglrcesareanlrbirth.lrIflrthelrclientlrdevelopslrrespi
ratoryal r depressionl r andl r requiresl r naloxonel r (Narcan)l r asl r anl r antidote,l r thel r clientl r m
ayl r complainl r of
whichl r ofl r thel r following?
NURSINGa3TEST-
BANKa3112023a3Evolvea3NCLEXa3prepa3Q&a3Aa3Pharma3Silvestri:a3l r Saunders
a
3 Comprehensivea3Reviewa3fora3thea3NCLEX-
, 1. Increasel r inl r herl r painl r level
2. Decreasel r inl r herl r painl r level
3. Increasel r inl r thel r amountl r ofl r itchingl r froml r thel r opioidl r usedl r inl r thel r
epidural
4. Decreasel r inl r thel r amountl r ofl r itchingl r froml r thel r opioidl r usedl r inl r thel r
epidural
NURSINGa3TEST-
BANKa3112023a3Evolvea3NCLEXa3prepa3Q&a3Aa3Pharma3Silvestri:a3l r Saunders
a
3 Comprehensivea3Reviewa3fora3thea3NCLEX-