.Silvestri: Saunders Comprehensive Review for the NCLEX-
z z z z z z
RN® Examination, 5th z z
Edition Pharmacology z
Silvestri: Saunders Comprehensive
z z z
Review for the NCLEX-
z z z
RN® Examination, 5th
z z
Edition Pharmaco z
logy
Test Bank A+ GUIDE
z z z
,.Silvestri: Saunders Comprehensive Review for the NCLEX-
z z z z z z
RN® Examination, 5th z z
Edition Pharmacology z
Silvestri: Saunders Comprehensive Review for the NCLEX-
z z z z z z
RN® Examination, 5th Edition
z z z
Pharmacologyz
TestzBank
MULTIPLEzCHOICE
1. Theznurseziszcaringzforzazclientzinzlabor.zTheznursezreviewszthezphysician’szprescriptionszandznoteszthatzthez
clientzhaszazprescriptionzforzbutorphanolztartratez(Stadol).zTheznursezunderstandszthatzthiszmedicationziszpre
scribedzfor:
1. Painzrelief
2. Increasingzuterinezcontractions
3. Decreasingzuterinezcontractions
4. Promotingzfetalzlungzmaturity
ANS:z z 1
Rationale:zThezclientzinzlaborzmayzbezgivenzparenteralzanalgesiazduringzthezfirstzstagezofzlabor,zupztoz2ztoz3zh
ourszbeforezthezanticipatedzdelivery.zButorphanolztartrateziszazmedicationzthatzmayzbezprescribedzforzpainzre
lief.z“Increasingzuterinezcontractions,”z“decreasingzuterinezcontractions,”zandz“promotingzfetalzlungzmaturi
ty”zareznotzactionszofzthiszmedication.
Test-
TakingzStrategy:zKnowledgezofzthezactionzofzbutorphanolztartrateziszrequiredztozanswerzthiszquestion.zRem
emberzthatzthiszmedicationziszusedzforzpainzrelief.zReviewzthezactionzofzthiszmedicationzifzyouzhadzdifficultyz
withzthiszquestionzandzarezunfamiliarzwithzthiszmedication.
PTS: 1
DIF: LevelzofzCognitivezAbility:zUnderstanding
REF:
Lehne,zR.z(2010).zPharmacologyzforznursingzcarez(7thzed.).zSt.zLouis:zSaunders.zO
BJ: ClientzNeeds:zPhysiologicalzIntegrity
TOP: ContentzArea:zPharmacology
MSC:z IntegratedzProcess:zNursingzProcess—Planning
2. Thezpostpartumznurseziszcaringzforzazclientzwithzanzepiduralzcatheterzinzplacezforzopioidzanalgesiczad
ministrationzfollowingzcesareanzbirth.zIfzthezclientzdevelopszrespiratoryzdepressionzandzrequiresznal
oxonez(Narcan)zaszanzantidote,zthezclientzmayzcomplainzofzwhichzofzthezfollowing?
1. Increasezinzherzpainzlevel
2. Decreasezinzherzpainzlevel
,.Silvestri: Saunders Comprehensive Review for the NCLEX-
z z z z z z
RN® Examination, 5th z z
Edition Pharmacology z
3. Increasezinzthezamountzofzitchingzfromzthezopioidzusedzinzthezepidural
4. Decreasezinzthezamountzofzitchingzfromzthezopioidzusedzinzthezepidural
, .Silvestri: Saunders Comprehensive Review for the NCLEX-
z z z z z z
RN® Examination, 5th z z
Edition Pharmacology z
ANS:z z 1
Rationale:zRememberzthatzopioidszarezusedzforzepiduralzanalgesia.zNaloxoneziszanzopioidzantagonist,zwhic
hzreverseszthezeffectszofzopioids.zIfzitziszgiven,zthezclientzmayzcomplainzofzanzincreasezinzherzpainzlevel.zTher
eforez“decreasezinzherzpainzlevel,”z“increasezinzthezamountzofzitchingzfromzthezopioidzusedzinzthezepidural,”z
andz“decreasezinzthezamountzofzitchingzfromzthezopioidzusedzinzthezepidural”zarezincorrect.
Test-
TakingzStrategy:zTozanswerzthiszquestionzaccurately,zyouzmustzknowzthatzopioidzanalgesicszarezthezmedicatio
nszusedzwithzepiduralzanalgesiaztozrelievezpain.zThereforezifznaloxoneziszadministeredzaszanzantidotezforzanzop
ioidzanalgesic,zthezclient’szpainzwillzincrease.zReviewzthezeffectszofznaloxonezifzthiszquestionzwaszdifficult.
PTS: 1
DIF: LevelzofzCognitivezAbility:zUnderstanding
REF:
Lehne,zR.z(2010).zPharmacologyzforznursingzcarez(7thzed.).zSt.zLouis:zSaunders.zO
BJ: ClientzNeeds:zPhysiologicalzIntegrity
TOP: ContentzArea:zPharmacology
MSC:z IntegratedzProcess:zNursingzProcess—Assessment
3. Azclientzexperiencingzpretermzlaborzatztheztwenty-
ninthzweekzofzgestationzhaszbeenzadmittedztozthezhospital.zThezclientzhaszazprescriptionztozreceivezbetameth
asonez(Celestone).zTheznursezunderstandszthatzthezmedicationzwillzdozwhichzofzthezfollowing?
1. Preventzspontaneouszdelivery.
2. Stopzthezuterinezcontractions.
3. Promotezmaturationzofzthezfetalzlungs.
4. Acceleratezthezgrowthzratezofzthezfetus.
ANS:z z 3
Rationale:zBetamethasonez(Celestone)ziszclassifiedzaszanzanti-
inflammatoryzandzcorticosteroid.zItzincreaseszthezsurfactantzlevelzandzlungzmaturityzinzthezfetus,zwhichzredu
ceszthezincidencezofzrespiratoryzdistresszsyndrome.zDeliveryzmustzbezdelayedzforzatzleastz48zhourszafterzadm
inistrationzofzbetamethasoneztozallowztimezforzthezlungszofzthezfetusztozmature.
Test-
TakingzStrategy:zOptionszthatzarezcomparablezorzalikezareznotzlikelyztozbezcorrect.zWithzthiszinzmind,zelimin
atez“preventzspontaneouszdelivery”zandz“stopzthezuterinezcontractions.”zNotezthezstrategiczwordsz“twenty-
ninthzweekzofzgestation.”zSpecificzknowledgezaboutzthezmedicationzandzknowledgezofzthezproblemszencoun
teredzbyzprematurezinfantszwillzassistzinzansweringzthiszquestion.zReviewzthezactionzofzthiszmedicationzifzthi
szquestionzwaszdifficult.
PTS: 1
DIF: LevelzofzCognitivezAbility:zUnderstanding
z z z z z z
RN® Examination, 5th z z
Edition Pharmacology z
Silvestri: Saunders Comprehensive
z z z
Review for the NCLEX-
z z z
RN® Examination, 5th
z z
Edition Pharmaco z
logy
Test Bank A+ GUIDE
z z z
,.Silvestri: Saunders Comprehensive Review for the NCLEX-
z z z z z z
RN® Examination, 5th z z
Edition Pharmacology z
Silvestri: Saunders Comprehensive Review for the NCLEX-
z z z z z z
RN® Examination, 5th Edition
z z z
Pharmacologyz
TestzBank
MULTIPLEzCHOICE
1. Theznurseziszcaringzforzazclientzinzlabor.zTheznursezreviewszthezphysician’szprescriptionszandznoteszthatzthez
clientzhaszazprescriptionzforzbutorphanolztartratez(Stadol).zTheznursezunderstandszthatzthiszmedicationziszpre
scribedzfor:
1. Painzrelief
2. Increasingzuterinezcontractions
3. Decreasingzuterinezcontractions
4. Promotingzfetalzlungzmaturity
ANS:z z 1
Rationale:zThezclientzinzlaborzmayzbezgivenzparenteralzanalgesiazduringzthezfirstzstagezofzlabor,zupztoz2ztoz3zh
ourszbeforezthezanticipatedzdelivery.zButorphanolztartrateziszazmedicationzthatzmayzbezprescribedzforzpainzre
lief.z“Increasingzuterinezcontractions,”z“decreasingzuterinezcontractions,”zandz“promotingzfetalzlungzmaturi
ty”zareznotzactionszofzthiszmedication.
Test-
TakingzStrategy:zKnowledgezofzthezactionzofzbutorphanolztartrateziszrequiredztozanswerzthiszquestion.zRem
emberzthatzthiszmedicationziszusedzforzpainzrelief.zReviewzthezactionzofzthiszmedicationzifzyouzhadzdifficultyz
withzthiszquestionzandzarezunfamiliarzwithzthiszmedication.
PTS: 1
DIF: LevelzofzCognitivezAbility:zUnderstanding
REF:
Lehne,zR.z(2010).zPharmacologyzforznursingzcarez(7thzed.).zSt.zLouis:zSaunders.zO
BJ: ClientzNeeds:zPhysiologicalzIntegrity
TOP: ContentzArea:zPharmacology
MSC:z IntegratedzProcess:zNursingzProcess—Planning
2. Thezpostpartumznurseziszcaringzforzazclientzwithzanzepiduralzcatheterzinzplacezforzopioidzanalgesiczad
ministrationzfollowingzcesareanzbirth.zIfzthezclientzdevelopszrespiratoryzdepressionzandzrequiresznal
oxonez(Narcan)zaszanzantidote,zthezclientzmayzcomplainzofzwhichzofzthezfollowing?
1. Increasezinzherzpainzlevel
2. Decreasezinzherzpainzlevel
,.Silvestri: Saunders Comprehensive Review for the NCLEX-
z z z z z z
RN® Examination, 5th z z
Edition Pharmacology z
3. Increasezinzthezamountzofzitchingzfromzthezopioidzusedzinzthezepidural
4. Decreasezinzthezamountzofzitchingzfromzthezopioidzusedzinzthezepidural
, .Silvestri: Saunders Comprehensive Review for the NCLEX-
z z z z z z
RN® Examination, 5th z z
Edition Pharmacology z
ANS:z z 1
Rationale:zRememberzthatzopioidszarezusedzforzepiduralzanalgesia.zNaloxoneziszanzopioidzantagonist,zwhic
hzreverseszthezeffectszofzopioids.zIfzitziszgiven,zthezclientzmayzcomplainzofzanzincreasezinzherzpainzlevel.zTher
eforez“decreasezinzherzpainzlevel,”z“increasezinzthezamountzofzitchingzfromzthezopioidzusedzinzthezepidural,”z
andz“decreasezinzthezamountzofzitchingzfromzthezopioidzusedzinzthezepidural”zarezincorrect.
Test-
TakingzStrategy:zTozanswerzthiszquestionzaccurately,zyouzmustzknowzthatzopioidzanalgesicszarezthezmedicatio
nszusedzwithzepiduralzanalgesiaztozrelievezpain.zThereforezifznaloxoneziszadministeredzaszanzantidotezforzanzop
ioidzanalgesic,zthezclient’szpainzwillzincrease.zReviewzthezeffectszofznaloxonezifzthiszquestionzwaszdifficult.
PTS: 1
DIF: LevelzofzCognitivezAbility:zUnderstanding
REF:
Lehne,zR.z(2010).zPharmacologyzforznursingzcarez(7thzed.).zSt.zLouis:zSaunders.zO
BJ: ClientzNeeds:zPhysiologicalzIntegrity
TOP: ContentzArea:zPharmacology
MSC:z IntegratedzProcess:zNursingzProcess—Assessment
3. Azclientzexperiencingzpretermzlaborzatztheztwenty-
ninthzweekzofzgestationzhaszbeenzadmittedztozthezhospital.zThezclientzhaszazprescriptionztozreceivezbetameth
asonez(Celestone).zTheznursezunderstandszthatzthezmedicationzwillzdozwhichzofzthezfollowing?
1. Preventzspontaneouszdelivery.
2. Stopzthezuterinezcontractions.
3. Promotezmaturationzofzthezfetalzlungs.
4. Acceleratezthezgrowthzratezofzthezfetus.
ANS:z z 3
Rationale:zBetamethasonez(Celestone)ziszclassifiedzaszanzanti-
inflammatoryzandzcorticosteroid.zItzincreaseszthezsurfactantzlevelzandzlungzmaturityzinzthezfetus,zwhichzredu
ceszthezincidencezofzrespiratoryzdistresszsyndrome.zDeliveryzmustzbezdelayedzforzatzleastz48zhourszafterzadm
inistrationzofzbetamethasoneztozallowztimezforzthezlungszofzthezfetusztozmature.
Test-
TakingzStrategy:zOptionszthatzarezcomparablezorzalikezareznotzlikelyztozbezcorrect.zWithzthiszinzmind,zelimin
atez“preventzspontaneouszdelivery”zandz“stopzthezuterinezcontractions.”zNotezthezstrategiczwordsz“twenty-
ninthzweekzofzgestation.”zSpecificzknowledgezaboutzthezmedicationzandzknowledgezofzthezproblemszencoun
teredzbyzprematurezinfantszwillzassistzinzansweringzthiszquestion.zReviewzthezactionzofzthiszmedicationzifzthi
szquestionzwaszdifficult.
PTS: 1
DIF: LevelzofzCognitivezAbility:zUnderstanding
