Silvestri: Saunders Comprehensive Review for the NCLEX-
1i 1i 1i 1i 1i 1i
RN® Examination, 9th Edition
1i 1i 1 i
Silvestri: Saunders Comprehensive Review for the NCLEX- 1i 1i 1i 1i 1i 1i
RN® Examination, 9thEdition 1i1i 1i
Pharmacology 1i
Test Bank 1i
MULTIPLE CHOICE 1i
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes that t
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
he client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this medication i
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
s prescribed for:
1i 1i
1. Pain relief 1i
2. Increasing uterine contractions 1i 1i
3. Decreasing uterine contractions 1i 1i
4. Promoting fetal lung maturity 1i 1i 1i
ANS: 1 1 i
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to 2 to
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribed for
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting fetal lun
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
g maturity‖ are not actions of this medication.
1i 1i 1i 1i 1i 1i 1i
Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this question. Re
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
member that this medication is used for pain relief. Review the action of this medication if you had diffic
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ulty with this question and are unfamiliar with this medication.
1i 1i 1i 1i 1i 1i 1i 1i 1i
PTS: 1
DIF: Level of Cognitive Ability: Understanding 1i 1i 1i 1i
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
OBJ: Client Needs: Physiological Integrity 1i 1i 1i
TOP: Content Area: Pharmacology
1 i1 i 1i 1i
MSC: Integrated Process: Nursing Process—Planning
1i 1i 1i 1i
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analgesic
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1
administration following cesarean birth. If the client develops respiratory depression and requires
i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1
naloxone (Narcan) as an antidote, the client may complain of which of the following?
i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
1. Increase in her pain level 1i 1i 1i 1i
2. Decrease in her pain level 1i 1i 1i 1i
3. Increase in the amount of itching from the opioid used in the epidural
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
,Silvestri: Saunders Comprehensive Review for the NCLEX-
1i 1i 1i 1i 1i 1i
RN® Examination, 9th Edition
1i 1i 1 i
4. Decrease in the amount of itching from the opioid used in the epidural
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
, Silvestri: Saunders Comprehensive Review for the NCLEX- 1i 1i 1i 1i 1i 1i
RN® Examination, 9th Edition 1i 1i 1 i
ANS: 1 1 i
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist, wh
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ich reverses the effects of opioids. If it is given, the client may complain of an increase in her pain level.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1
Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opioid used in the epi
i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
dural,‖ and ―decrease in the amount of itching from the opioid used in the epidural‖ are incorrect.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are the medicat
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ions used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an antidote fo
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
r an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this question was
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
difficult.
PTS: 1
DIF: Level of Cognitive Ability: Understanding 1i 1i 1i 1i
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
OBJ: Client Needs: Physiological Integrity 1i 1i 1i
TOP: Content Area: Pharmacology
1 i1 i 1i 1i
MSC: Integrated Process: Nursing Process—Assessment
1i 1i 1i 1i
3. A client experiencing preterm labor at the twenty-
1i 1i 1i 1i 1i 1i 1i
ninth week of gestation has been admitted to the hospital. The client has a prescription to receive betam
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ethasone (Celestone). The nurse understands that the medication will do which of the following?
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
1. Prevent spontaneous delivery. 1i 1i
2. Stop the uterine contractions. 1i 1i 1i
3. Promote maturation of the fetal lungs. 1i 1i 1i 1i 1i
4. Accelerate the growth rate of the fetus. 1i 1i 1i 1i 1i 1i
ANS: 3 1 i
Rationale: Betamethasone (Celestone) is classified as an anti-
1i 1i 1i 1i 1i 1i 1i
inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetus, which r
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
educes the incidence of respiratory distress syndrome. Delivery must be delayed for at least 48 hours afte
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
r administration of betamethasone to allow time for the lungs of the fetus to mature.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
Test-
Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in mind, eli
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
minate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the strategic words ―tw
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
enty-
ninth week of gestation.‖ Specific knowledge about the medication and knowledge of the problems enco
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
untered by premature infants will assist in answering this question. Review the action of this medication
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
if this question was difficult.
1i 1i 1i 1i 1i
PTS: 1
DIF: Level of Cognitive Ability: Understanding
1i 1i 1i 1i
, Silvestri: Saunders Comprehensive Review for the NCLEX-
1i 1i 1i 1i 1i 1i
RN® Examination, 9th Edition
1i 1i 1 i
REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
child nursing (3rd ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity
1i 1i 1i 1i 1i 1i 1i 1i 1i
1i 1i 1i 1i 1i 1i
RN® Examination, 9th Edition
1i 1i 1 i
Silvestri: Saunders Comprehensive Review for the NCLEX- 1i 1i 1i 1i 1i 1i
RN® Examination, 9thEdition 1i1i 1i
Pharmacology 1i
Test Bank 1i
MULTIPLE CHOICE 1i
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes that t
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
he client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this medication i
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
s prescribed for:
1i 1i
1. Pain relief 1i
2. Increasing uterine contractions 1i 1i
3. Decreasing uterine contractions 1i 1i
4. Promoting fetal lung maturity 1i 1i 1i
ANS: 1 1 i
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to 2 to
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescribed for
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting fetal lun
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
g maturity‖ are not actions of this medication.
1i 1i 1i 1i 1i 1i 1i
Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this question. Re
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
member that this medication is used for pain relief. Review the action of this medication if you had diffic
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ulty with this question and are unfamiliar with this medication.
1i 1i 1i 1i 1i 1i 1i 1i 1i
PTS: 1
DIF: Level of Cognitive Ability: Understanding 1i 1i 1i 1i
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
OBJ: Client Needs: Physiological Integrity 1i 1i 1i
TOP: Content Area: Pharmacology
1 i1 i 1i 1i
MSC: Integrated Process: Nursing Process—Planning
1i 1i 1i 1i
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analgesic
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1
administration following cesarean birth. If the client develops respiratory depression and requires
i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1
naloxone (Narcan) as an antidote, the client may complain of which of the following?
i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
1. Increase in her pain level 1i 1i 1i 1i
2. Decrease in her pain level 1i 1i 1i 1i
3. Increase in the amount of itching from the opioid used in the epidural
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
,Silvestri: Saunders Comprehensive Review for the NCLEX-
1i 1i 1i 1i 1i 1i
RN® Examination, 9th Edition
1i 1i 1 i
4. Decrease in the amount of itching from the opioid used in the epidural
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
, Silvestri: Saunders Comprehensive Review for the NCLEX- 1i 1i 1i 1i 1i 1i
RN® Examination, 9th Edition 1i 1i 1 i
ANS: 1 1 i
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist, wh
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ich reverses the effects of opioids. If it is given, the client may complain of an increase in her pain level.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1
Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opioid used in the epi
i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
dural,‖ and ―decrease in the amount of itching from the opioid used in the epidural‖ are incorrect.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are the medicat
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ions used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an antidote fo
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
r an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this question was
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
difficult.
PTS: 1
DIF: Level of Cognitive Ability: Understanding 1i 1i 1i 1i
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunders.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
OBJ: Client Needs: Physiological Integrity 1i 1i 1i
TOP: Content Area: Pharmacology
1 i1 i 1i 1i
MSC: Integrated Process: Nursing Process—Assessment
1i 1i 1i 1i
3. A client experiencing preterm labor at the twenty-
1i 1i 1i 1i 1i 1i 1i
ninth week of gestation has been admitted to the hospital. The client has a prescription to receive betam
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
ethasone (Celestone). The nurse understands that the medication will do which of the following?
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
1. Prevent spontaneous delivery. 1i 1i
2. Stop the uterine contractions. 1i 1i 1i
3. Promote maturation of the fetal lungs. 1i 1i 1i 1i 1i
4. Accelerate the growth rate of the fetus. 1i 1i 1i 1i 1i 1i
ANS: 3 1 i
Rationale: Betamethasone (Celestone) is classified as an anti-
1i 1i 1i 1i 1i 1i 1i
inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetus, which r
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
educes the incidence of respiratory distress syndrome. Delivery must be delayed for at least 48 hours afte
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
r administration of betamethasone to allow time for the lungs of the fetus to mature.
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
Test-
Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in mind, eli
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
minate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the strategic words ―tw
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
enty-
ninth week of gestation.‖ Specific knowledge about the medication and knowledge of the problems enco
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
untered by premature infants will assist in answering this question. Review the action of this medication
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
if this question was difficult.
1i 1i 1i 1i 1i
PTS: 1
DIF: Level of Cognitive Ability: Understanding
1i 1i 1i 1i
, Silvestri: Saunders Comprehensive Review for the NCLEX-
1i 1i 1i 1i 1i 1i
RN® Examination, 9th Edition
1i 1i 1 i
REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-
1i 1i 1i 1i 1i 1i 1i 1i 1i 1i
child nursing (3rd ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity
1i 1i 1i 1i 1i 1i 1i 1i 1i
