NCLEX-RN Examination, 5th Edition Pharmacology Test Bank Pharmacology

NCLEX-RN
Examination,5thEditionPh
armacologyTestBank
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,NCLEX-RN Examination, 5th Edition Pharmacology Test Bank
i# i# i# i# i# i#




Pharmacology

MULTIPLE i#CHOICE

1. The i#nurse i#is i#caring for i#a i#client i#in i#labor. i#The i#nurse i#reviews the i#physician’s i#prescriptions i#and i#notes that
v v v


i#the i#c i#lient i#has i#a i#prescription i#for i#butorphanol i#tartrate i#(Stadol). i#The i#nurse i#understands i#that

i#this medication i#is i#presc i#ribedi#for:
v



1. Pain i#relief
2. Increasing i#uterine i#contractions
3. Decreasinguterine i#contractions
4. Promotingi#fetali#lungi#maturity

ANS: i# 1

Rationale:i#Thei#clienti#ini#labori#mayi#be i#giveni#parenteral i#analgesiai#duringi#thei#first stagei#ofi#labor,i#upi#to i#2i#to i#3 i#h
v


i#oursi#before i#the i#anticipated i#delivery. i#Butorphanol i#tartrate i#is i#ai#medication that i#mayi#bei#prescribed i#for i#pain
v


i#rel i#ief. i#―Increasing i#uterine i#contractions,‖ i#―decreasing i#uterine i#contractions,‖ i#and i#―promoting i#fetal

i#lung maturit i#y‖ i#are i#not i#actions i#of i#this medication.
v v




Test-
Taking i#Strategy: i#Knowledge i#of i#the action i#of i#butorphanol i#tartrate i#is i#required i#to i#answer i#this i#question.
v


i#Reme i#mber i#that i#this i#medication is used i#for i#pain relief. i#Review i#the i#action of i#this i#medication if i#you had
v v v v v v


i#difficulty i#wi i#th i#this i#question i#and i#are i#unfamiliar i#with i#this i#medication.




PTS: 1
DIF: Leveli#ofi#Cognitivei#Ability: i#Understanding
i#REF:

Lehne,i#R.i#(2010).i#Pharmacologyi#fori#nursingi#carei#(7thi#ed.).i#St.i#Louis:i#Saunders. i#O
i#BJ: Client i#Needs: i#Physiological i#Integrity
TOP: Content i#Area: i#Pharmacology
MSC: i#Integrated i#Process: i#Nursing i#Process—Planning

2. The i#postpartum i#nurse i#is i#caring i#for i#a i#client i#with i#an i#epidural i#catheter i#in i#place i#for i#opioid
i#analgesic i#ad i#ministration i#following i#cesarean i#birth. i#If i#the i#client i#develops i#respiratorydepression

i#and i#requires i#nalo i#xone i#(Narcan) i#as i#an i#antidote, i#the i#client i#may i#complain of i#which i#of i#the
v


i#following?


1. Increasei#in i#her i#pain i#level
2. Decrease i#in i#her i#pain level
v



3. Increase i#in i#the i#amount i#of i#itching i#from the i#opioid i#used i#in i#the i#epidural
v

, ANS: i# 1

Rationale: i#Remember i#that opioids i#are i#used i#for i#epidural i#analgesia. i#Naloxone i#is i#an i#opioid i#antagonist,
v


i#which i#reverses i#the i#effects i#of i#opioids. i#If i#it i#is i#given, i#the i#client i#may i#complain i#of i#an increase i#in i#her i#pain
v


i#level. i#Theref i#ore i#―decrease i#in i#her i#pain i#level,‖ i#―increase i#in i#the i#amount of i#itching i#from i#the i#opioid used in
v v v


i#thei#epidural,‖i#an i#di#―decreasei#in the i#amount i#ofi#itchingi#fromi#the i#opioid i#used i#in i#thei#epidural‖ i#arei#incorrect.
v




Test-
Taking i#Strategy: i#To i#answer i#this i#question i#accurately, i#you i#must i#know i#that i#opioid i#analgesics i#are i#the
i#medicati i#ons i#used i#with i#epidural i#analgesia i#to i#relieve i#pain. i#Therefore i#if i#naloxone i#is i#administered i#as

i#an antidote i#for i#an i#opioid i#analgesic, i#the i#client’s i#pain i#will i#increase. i#Review i#the i#effects i#of i#naloxone i#if
v


i#this i#question i#was i#difficult

.

PTS: i # i # 1
DIF: Leveli#ofi#Cognitivei#Ability: i#Understanding
i#REF:

Lehne,i#R.i#(2010).i#Pharmacologyi#fori#nursingi#carei#(7thi#ed.).i#St.i#Louis:i#Saunders. i#O
i#BJ: Client i#Needs: i#Physiological i#Integrity
TOP: Content Area: i#Pharmacology
v


MSC: i#Integrated i#Process: i#Nursing i#Process—Assessment

3. A i#client i#experiencing i#preterm i#labor i#at i#the i#twenty-
ninth i#week i#of i#gestation i#has i#been i#admitted i#to i#the i#hospital. i#The i#client i#has i#a prescription to i#receive
v v


i#betameth i#asone i#(Celestone). i#The i#nurse i#understands i#that i#the i#medication i#will i#do i#which i#of i#the

i#following?


1. Prevent i#spontaneous i#delivery.
2. Stopi#thei#uterine i#contractions.
3. Promote i#maturation of i#the i#fetal i#lungs.
v



4. Accelerate i#the i#growth i#rate i#of i#the i#fetus.

ANS: i# 3

Rationale: i#Betamethasone i#(Celestone) i#is i#classified i#as i#an i#anti-
inflammatory i#and i#corticosteroid. i#It i#increases i#the i#surfactant i#level i#and i#lung i#maturity i#in i#the i#fetus,
i#which i#redu i#ces i#the i#incidence i#of i#respiratory i#distress i#syndrome. i#Deliverymust i#be i#delayed i#for i#at i#least

i#48 i#hours i#after i#admi i#nistration i#of i#betamethasone i#to i#allow i#time i#for i#the i#lungs i#of i#the i#fetus i#to i#mature.




Test-
Takingi#Strategy:i#Options that are i#comparable i#or i#alikei#are i#not likelyi#to i#bei#correct. i#Withi#thisi#in mind, i#elimin
v v v v


i#atei#―prevent i#spontaneous delivery‖ i#and i#―stop i#thei#uterine i#contractions.‖ i#Note i#thei#strategici#words
v


i#―twenty- i#ninthi#weeki#ofi#gestation.‖i#Specifici#knowledgei#abouti#thei#medicationi#andi#knowledgei#ofi#the

i#problems i#encount i#ered i#byi#premature i#infants i#will i#assist i#in i#answering i#this i#question. i#Review i#the i#action i#of

i#this i#medication i#if i#this i#question i#was i#difficult.




PTS: i # i # 1
DIF: Level i#of i#Cognitive i#Ability: i#Understanding
REF: McKinney, i#E., i#James, i#S., i#Murray, i#S., i#& i#Ashwill, i#J. i#(2009). i#Maternal-

, child i#nursing i#(3rd ed.). i#St. i#Louis: i#Saunders. OBJ:
v Client Needs: i#Physiological i#Integrity
v