NURSING bTEST-BANK b112023 bEvolve bNCLEX bprep bQ& bA bPharm
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
Pharmacology
bTest bBank
MULTIPLE bCHOICE
1. The bnurse bis bcaring bfor ba bclient bin blabor. bThe bnurse breviews bthe bphysician’s bprescriptions band
bnotes bthat bthe bclient bhas ba bprescription bfor bbutorphanol btartrate b(Stadol). bThe bnurse bunderstands
bthat bthis bmedicationbis bprescribed bfor:
1. Pain brelief
2. Increasing buterine bcontractions
3. Decreasing buterine bcontractions
4. Promoting bfetal blung bmaturity
ANS: b 1
Rationale: bThe bclient bin blabor bmay bbe bgiven bparenteral banalgesia bduring bthe bfirst bstage bof blabor,
bup bto b2 btob3 bhours bbefore bthe banticipated bdelivery. bButorphanol btartrate bis ba bmedication bthat
bmay bbe bprescribed bfor bpain brelief. b―Increasing buterine bcontractions,‖ b―decreasing buterine
bcontractions,‖ band b―promoting bfetal
lung bmaturity‖ bare bnot bactions bof bthis bmedication.
Test-Taking bStrategy: bKnowledge bof bthe baction bof bbutorphanol btartrate bis brequired bto banswer bthis
bquestion. bRemember bthat bthis bmedication bis bused bfor bpain brelief. bReview bthe baction bof bthis
bmedication bifbyou bhad bdifficulty bwith bthis bquestion band bare bunfamiliar bwith bthis bmedication.
PTS: 1
DIF: Level bof bCognitive bAbility: bUnderstanding
REF: Lehne, bR. b(2010). bPharmacology bfor bnursing bcare b(7th bed.). bSt. bLouis:
bSaunders.bOBJ: Client bNeeds: bPhysiological bIntegrity
TOP: Content bArea: bPharmacology
MSC: b Integrated bProcess: bNursing bProcess—Planning
2. The bpostpartum bnurse bis bcaring bfor ba bclient bwith ban bepidural bcatheter bin bplace bfor bopioid
banalgesic badministration bfollowing bcesarean bbirth. bIf bthe bclient bdevelops brespiratory
bdepression band brequires bnaloxone b(Narcan) bas ban b antidote, bthe bclient bmay bcomplain bof
bwhich bof bthe bfollowing?
NURSING bTEST-BANK b112023 bEvolve bNCLEX bprep bQ& bA bPharm
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
, NURSING bTEST-BANK b112023 bEvolve bNCLEX bprep bQ& bA bPharm
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
1. Increase bin bher bpain blevel
2. Decrease bin bher bpain blevel
3. Increase bin bthe bamount bof bitching bfrom bthe bopioid bused bin bthe bepidural
4. Decrease bin bthe bamount bof bitching bfrom bthe bopioid bused bin bthe bepidural
NURSING bTEST-BANK b112023 bEvolve bNCLEX bprep bQ& bA bPharm
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
, NURSING bTEST-BANK b112023 bEvolve bNCLEX bprep bQ& bA bPharm
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
ANS: b 1
Rationale: bRemember bthat bopioids bare bused bfor bepidural banalgesia. bNaloxone bis ban bopioid
bantagonist,bwhich breverses bthe beffects bof bopioids. bIf bit bis bgiven, bthe bclient bmay bcomplain bof
ban bincrease bin bher bpain
level. bTherefore b―decrease bin bher bpain blevel,‖ b―increase bin bthe bamount bof bitching bfrom bthe
bopioid bused binbthe bepidural,‖ band b―decrease bin bthe bamount bof bitching bfrom bthe bopioid bused bin
bthe bepidural‖ bare bincorrect.
Test-Taking bStrategy: bTo banswer bthis bquestion baccurately, byou bmust bknow bthat bopioid banalgesics
bare bthebmedications bused bwith bepidural banalgesia bto brelieve bpain. bTherefore bif bnaloxone bis
badministered bas ban bantidote bfor ban bopioid banalgesic, bthe bclient’s bpain bwill bincrease. bReview
bthe beffects bof bnaloxone bif bthis bquestion bwas bdifficult.
PTS: 1
DIF: Level bof bCognitive bAbility: bUnderstanding
REF: Lehne, bR. b(2010). bPharmacology bfor bnursing bcare b(7th bed.). bSt. bLouis:
bSaunders.bOBJ: Client bNeeds: bPhysiological bIntegrity
TOP: Content bArea: bPharmacology
MSC: b Integrated bProcess: bNursing bProcess—Assessment
3. A bclient bexperiencing bpreterm blabor bat bthe btwenty-ninth bweek bof bgestation bhas bbeen badmitted
bto bthe bhospital. bThe bclient bhas ba bprescription bto breceive bbetamethasone b(Celestone). bThe bnurse
bunderstands bthatbthe bmedication bwill bdo bwhich bof bthe bfollowing?
1. Prevent bspontaneous bdelivery.
2. Stop bthe buterine bcontractions.
3. Promote bmaturation bof bthe bfetal blungs.
4. Accelerate bthe bgrowth brate bof bthe bfetus.
ANS: b 3
Rationale: bBetamethasone b(Celestone) bis bclassified bas ban banti-inflammatory band bcorticosteroid. bIt
bincreases bthe bsurfactant blevel band blung bmaturity bin bthe bfetus, bwhich breduces bthe bincidence bof
brespiratory bdistress bsyndrome. bDelivery bmust bbe bdelayed bfor bat bleast b48 bhours bafter
badministration bof bbetamethasonebto ballow btime bfor bthe blungs bof bthe bfetus bto bmature.
Test-Taking bStrategy: bOptions bthat bare bcomparable bor balike bare bnot blikely bto bbe bcorrect. bWith
NURSING bTEST-BANK b112023 bEvolve bNCLEX bprep bQ& bA bPharm
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
, NURSING bTEST-BANK b112023 bEvolve bNCLEX bprep bQ& bA bPharm
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
bthis bin bmind, beliminate b―prevent bspontaneous bdelivery‖ band b―stop bthe buterine bcontractions.‖ bNote
bthe bstrategic
NURSING bTEST-BANK b112023 bEvolve bNCLEX bprep bQ& bA bPharm
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
Pharmacology
bTest bBank
MULTIPLE bCHOICE
1. The bnurse bis bcaring bfor ba bclient bin blabor. bThe bnurse breviews bthe bphysician’s bprescriptions band
bnotes bthat bthe bclient bhas ba bprescription bfor bbutorphanol btartrate b(Stadol). bThe bnurse bunderstands
bthat bthis bmedicationbis bprescribed bfor:
1. Pain brelief
2. Increasing buterine bcontractions
3. Decreasing buterine bcontractions
4. Promoting bfetal blung bmaturity
ANS: b 1
Rationale: bThe bclient bin blabor bmay bbe bgiven bparenteral banalgesia bduring bthe bfirst bstage bof blabor,
bup bto b2 btob3 bhours bbefore bthe banticipated bdelivery. bButorphanol btartrate bis ba bmedication bthat
bmay bbe bprescribed bfor bpain brelief. b―Increasing buterine bcontractions,‖ b―decreasing buterine
bcontractions,‖ band b―promoting bfetal
lung bmaturity‖ bare bnot bactions bof bthis bmedication.
Test-Taking bStrategy: bKnowledge bof bthe baction bof bbutorphanol btartrate bis brequired bto banswer bthis
bquestion. bRemember bthat bthis bmedication bis bused bfor bpain brelief. bReview bthe baction bof bthis
bmedication bifbyou bhad bdifficulty bwith bthis bquestion band bare bunfamiliar bwith bthis bmedication.
PTS: 1
DIF: Level bof bCognitive bAbility: bUnderstanding
REF: Lehne, bR. b(2010). bPharmacology bfor bnursing bcare b(7th bed.). bSt. bLouis:
bSaunders.bOBJ: Client bNeeds: bPhysiological bIntegrity
TOP: Content bArea: bPharmacology
MSC: b Integrated bProcess: bNursing bProcess—Planning
2. The bpostpartum bnurse bis bcaring bfor ba bclient bwith ban bepidural bcatheter bin bplace bfor bopioid
banalgesic badministration bfollowing bcesarean bbirth. bIf bthe bclient bdevelops brespiratory
bdepression band brequires bnaloxone b(Narcan) bas ban b antidote, bthe bclient bmay bcomplain bof
bwhich bof bthe bfollowing?
NURSING bTEST-BANK b112023 bEvolve bNCLEX bprep bQ& bA bPharm
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
, NURSING bTEST-BANK b112023 bEvolve bNCLEX bprep bQ& bA bPharm
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
1. Increase bin bher bpain blevel
2. Decrease bin bher bpain blevel
3. Increase bin bthe bamount bof bitching bfrom bthe bopioid bused bin bthe bepidural
4. Decrease bin bthe bamount bof bitching bfrom bthe bopioid bused bin bthe bepidural
NURSING bTEST-BANK b112023 bEvolve bNCLEX bprep bQ& bA bPharm
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
, NURSING bTEST-BANK b112023 bEvolve bNCLEX bprep bQ& bA bPharm
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
ANS: b 1
Rationale: bRemember bthat bopioids bare bused bfor bepidural banalgesia. bNaloxone bis ban bopioid
bantagonist,bwhich breverses bthe beffects bof bopioids. bIf bit bis bgiven, bthe bclient bmay bcomplain bof
ban bincrease bin bher bpain
level. bTherefore b―decrease bin bher bpain blevel,‖ b―increase bin bthe bamount bof bitching bfrom bthe
bopioid bused binbthe bepidural,‖ band b―decrease bin bthe bamount bof bitching bfrom bthe bopioid bused bin
bthe bepidural‖ bare bincorrect.
Test-Taking bStrategy: bTo banswer bthis bquestion baccurately, byou bmust bknow bthat bopioid banalgesics
bare bthebmedications bused bwith bepidural banalgesia bto brelieve bpain. bTherefore bif bnaloxone bis
badministered bas ban bantidote bfor ban bopioid banalgesic, bthe bclient’s bpain bwill bincrease. bReview
bthe beffects bof bnaloxone bif bthis bquestion bwas bdifficult.
PTS: 1
DIF: Level bof bCognitive bAbility: bUnderstanding
REF: Lehne, bR. b(2010). bPharmacology bfor bnursing bcare b(7th bed.). bSt. bLouis:
bSaunders.bOBJ: Client bNeeds: bPhysiological bIntegrity
TOP: Content bArea: bPharmacology
MSC: b Integrated bProcess: bNursing bProcess—Assessment
3. A bclient bexperiencing bpreterm blabor bat bthe btwenty-ninth bweek bof bgestation bhas bbeen badmitted
bto bthe bhospital. bThe bclient bhas ba bprescription bto breceive bbetamethasone b(Celestone). bThe bnurse
bunderstands bthatbthe bmedication bwill bdo bwhich bof bthe bfollowing?
1. Prevent bspontaneous bdelivery.
2. Stop bthe buterine bcontractions.
3. Promote bmaturation bof bthe bfetal blungs.
4. Accelerate bthe bgrowth brate bof bthe bfetus.
ANS: b 3
Rationale: bBetamethasone b(Celestone) bis bclassified bas ban banti-inflammatory band bcorticosteroid. bIt
bincreases bthe bsurfactant blevel band blung bmaturity bin bthe bfetus, bwhich breduces bthe bincidence bof
brespiratory bdistress bsyndrome. bDelivery bmust bbe bdelayed bfor bat bleast b48 bhours bafter
badministration bof bbetamethasonebto ballow btime bfor bthe blungs bof bthe bfetus bto bmature.
Test-Taking bStrategy: bOptions bthat bare bcomparable bor balike bare bnot blikely bto bbe bcorrect. bWith
NURSING bTEST-BANK b112023 bEvolve bNCLEX bprep bQ& bA bPharm
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
, NURSING bTEST-BANK b112023 bEvolve bNCLEX bprep bQ& bA bPharm
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
bthis bin bmind, beliminate b―prevent bspontaneous bdelivery‖ band b―stop bthe buterine bcontractions.‖ bNote
bthe bstrategic
NURSING bTEST-BANK b112023 bEvolve bNCLEX bprep bQ& bA bPharm
b Silvestri:bSaunders bComprehensive bReview bfor bthe bNCLEX-RN
th
bExamination, b5 bEdition bbest bexam bsolution bRATIONALE
