Test Bank for Saunders Comprehensive Review
for the NCLEX-RN® Examination, 9th Edition
by Linda Anne
,
, Silvestri:,.Saunders,.Comprehensive,.Review,.for,.the,.NCLEX-
RN®,.Examination,,.5th,.Edition
Pharmacology,.
Test,.Bank
MULTIPLE,.CHOICE
1. The,.nurse,.is,.caring,.for,.a,.client,.in,.labor.,.The,.nurse,.reviews,.the,.physician’s,.prescriptions,.and,.notes,.th
at,.the,.client,.has,.a,.prescription,.for,.butorphanol,.tartrate,.(Stadol).,.The,.nurse,.understands,.that,.this,.medic
ation,.is,.prescribed,.for:
1. Pain,.relief
2. Increasing,.uterine,.contractions
3. Decreasing,.uterine,.contractions
4. Promoting,.fetal,.lung,.maturity
ANS:, . , . 1
Rationale:,.The,.client,.in,.labor,.may,.be,.given,.parenteral,.analgesia,.during,.the,.first,.stage,.of,.labor,,.up,.to,.2
,.to ,.3,.hours,.before,.the,.anticipated,.delivery.,.Butorphanol,.tartrate,.is,.a,.medication,.that ,.may,.be,.prescribe
d,.for,.pain,.relief. ,.―Increasing,.uterine,.contractions,‖,.―decreasing,.uterine,.contractions,‖,.and,.―promoting,.
fetal,.lung,.maturity‖,.are,.not,.actions,.of,.this,.medication.
Test-
Taking,.Strategy:,.Knowledge,.of,.the,.action,.of,.butorphanol,.tartrate,.is,.required,.to,.answer,.this,.question.,.
Remember,.that,.this,.medication,.is,.used,.for,.pain,.relief. ,.Review,.the,.action,.of,.this,.medication,.if,.you,.had,
.difficulty,.with,.this,.question,.and,.are,.unfamiliar ,.with,.this,.medication.
PTS: 1
DIF: Level,.of,.Cognitive,.Ability:,.Understanding
REF:
Lehne,,.R.,.(2010).,.Pharmacology,.for,.nursing,.care,.(7th,.ed.).,.St.,.Louis:,.Saunder
s.,.OBJ: Client,.Needs:,.Physiological,.Integrity
TOP: Content,.Area:,.Pharmacology
MSC:, . Integrated,.Process:,.Nursing,.Process—Planning
2. The,.postpartum,.nurse,.is,.caring,.for,.a,.client,.with,.an,.epidural,.catheter,.in,.place,.for,.opioid,.analge
sic,.administration,.following,.cesarean,.birth.,.If,.the,.client,.develops,.respiratory,.depression,.and,.req
uires,.naloxone,.(Narcan),.as,.an,.antidote,,.the,.client,.may,.complain,.of,.which,.of,.the,.following?
1. Increase,.in,.her,.pain,.level
2. Decrease,.in,.her,.pain,.level
3. Increase,.in,.the,.amount,.of,.itching,.from,.the,.opioid,.used,.in,.the,.epidural
4. Decrease,.in,.the,.amount,.of,.itching,.from,.the,.opioid,.used,.in,.the,.epidural
, ANS:, . , . 1
Rationale:,.Remember,.that,.opioids,.are,.used,.for,.epidural,.analgesia.,.Naloxone,.is,.an,.opioid,.antagonist,,.
which,.reverses,.the,.effects,.of,.opioids.,.If,.it,.is,.given,,.the,.client,.may,.complain,.of,.an,.increase,.in,.her,.pai
n,.level. ,.Therefore,.―decrease,.in,.her,.pain,.level,‖,.―increase,.in,.the,.amount,.of,.itching,.from,.the,.opioid,.use
d,.in,.the,.epidural,‖,.and,.―decrease,.in,.the,.amount,.of,.itching,.from,.the,.opioid,.used,.in,.the,.epidural‖,.are,.in
correct.
Test-
Taking,.Strategy:,.To,.answer,.this,.question,.accurately, ,.you,.must,.know,.that,.opioid,.analgesics,.are,.the,.medi
cations,.used,.with,.epidural,.analgesia,.to,.relieve,.pain. ,.Therefore,.if,.naloxone,.is,.administered,.as,.an,.antid
ote,.for,.an,.opioid,.analgesic,,.the,.client’s,.pain,.will,.increase.,.Review,.the,.effects,.of,.naloxone,.if,.this,.ques
tion,.was,.difficult.
PTS: 1
DIF: Level,.of,.Cognitive,.Ability:,.Understanding
REF:
Lehne,,.R.,.(2010).,.Pharmacology,.for,.nursing,.care,.(7th,.ed.).,.St.,.Louis:,.Saunder
s.,.OBJ: Client,.Needs:,.Physiological,.Integrity
TOP: Content,.Area:,.Pharmacology
MSC:, . Integrated,.Process:,.Nursing,.Process—Assessment
3. A,.client,.experiencing,.preterm,.labor,.at,.the,.twenty-
ninth,.week,.of,.gestation,.has,.been,.admitted,.to,.the,.hospital.,.The,.client,.has,.a,.prescription,.to,.receive,.bet
amethasone,.(Celestone).,.The,.nurse,.understands,.that,.the,.medication,.will,.do,.which,.of,.the,.following?
1. Prevent,.spontaneous,.delivery.
2. Stop,.the,.uterine,.contractions.
3. Promote,.maturation,.of,.the,.fetal,.lungs.
4. Accelerate,.the,.growth,.rate,.of,.the,.fetus.
ANS:, . , . 3
Rationale:,.Betamethasone,.(Celestone),.is,.classified,.as,.an,.anti-
inflammatory,.and,.corticosteroid.,.It,.increases,.the,.surfactant,.level,.and,.lung,.maturity,.in,.the,.fetus,,.whic
h,.reduces,.the,.incidence,.of,.respiratory,.distress,.syndrome.,.Delivery,.must,.be,.delayed,.for,.at,.least,.48,.hou
rs,.after,.administration,.of,.betamethasone,.to,.allow,.time,.for,.the,.lungs,.of,.the,.fetus,.to,.mature.
Test-
Taking,.Strategy:,.Options,.that,.are,.comparable,.or,.alike,.are,.not,.likely,.to,.be,.correct.,.With,.this,.in,.mind,,
.eliminate,.―prevent ,.spontaneous,.delivery‖,.and ,.―stop,.the,.uterine,.contractions.‖,.Note,.the,.strategic,.word
s,.―twenty-
ninth,.week,.of,.gestation.‖,.Specific,.knowledge,.about,.the,.medication,.and,.knowledge,.of,.the,.problems,.en
countered,.by,.premature,.infants,.will,.assist,.in,.answering,.this,.question.,.Review,.the,.action,.of,.this,.medic
ation,.if,.this,.question,.was,.difficult.
PTS: 1
DIF: Level,.of,.Cognitive,.Ability:,.Understanding
REF: McKinney, ,.E.,,.James,,.S.,,.Murray,,.S.,,.&,.Ashwill,,.J.,.(2009).,.Maternal-
for the NCLEX-RN® Examination, 9th Edition
by Linda Anne
,
, Silvestri:,.Saunders,.Comprehensive,.Review,.for,.the,.NCLEX-
RN®,.Examination,,.5th,.Edition
Pharmacology,.
Test,.Bank
MULTIPLE,.CHOICE
1. The,.nurse,.is,.caring,.for,.a,.client,.in,.labor.,.The,.nurse,.reviews,.the,.physician’s,.prescriptions,.and,.notes,.th
at,.the,.client,.has,.a,.prescription,.for,.butorphanol,.tartrate,.(Stadol).,.The,.nurse,.understands,.that,.this,.medic
ation,.is,.prescribed,.for:
1. Pain,.relief
2. Increasing,.uterine,.contractions
3. Decreasing,.uterine,.contractions
4. Promoting,.fetal,.lung,.maturity
ANS:, . , . 1
Rationale:,.The,.client,.in,.labor,.may,.be,.given,.parenteral,.analgesia,.during,.the,.first,.stage,.of,.labor,,.up,.to,.2
,.to ,.3,.hours,.before,.the,.anticipated,.delivery.,.Butorphanol,.tartrate,.is,.a,.medication,.that ,.may,.be,.prescribe
d,.for,.pain,.relief. ,.―Increasing,.uterine,.contractions,‖,.―decreasing,.uterine,.contractions,‖,.and,.―promoting,.
fetal,.lung,.maturity‖,.are,.not,.actions,.of,.this,.medication.
Test-
Taking,.Strategy:,.Knowledge,.of,.the,.action,.of,.butorphanol,.tartrate,.is,.required,.to,.answer,.this,.question.,.
Remember,.that,.this,.medication,.is,.used,.for,.pain,.relief. ,.Review,.the,.action,.of,.this,.medication,.if,.you,.had,
.difficulty,.with,.this,.question,.and,.are,.unfamiliar ,.with,.this,.medication.
PTS: 1
DIF: Level,.of,.Cognitive,.Ability:,.Understanding
REF:
Lehne,,.R.,.(2010).,.Pharmacology,.for,.nursing,.care,.(7th,.ed.).,.St.,.Louis:,.Saunder
s.,.OBJ: Client,.Needs:,.Physiological,.Integrity
TOP: Content,.Area:,.Pharmacology
MSC:, . Integrated,.Process:,.Nursing,.Process—Planning
2. The,.postpartum,.nurse,.is,.caring,.for,.a,.client,.with,.an,.epidural,.catheter,.in,.place,.for,.opioid,.analge
sic,.administration,.following,.cesarean,.birth.,.If,.the,.client,.develops,.respiratory,.depression,.and,.req
uires,.naloxone,.(Narcan),.as,.an,.antidote,,.the,.client,.may,.complain,.of,.which,.of,.the,.following?
1. Increase,.in,.her,.pain,.level
2. Decrease,.in,.her,.pain,.level
3. Increase,.in,.the,.amount,.of,.itching,.from,.the,.opioid,.used,.in,.the,.epidural
4. Decrease,.in,.the,.amount,.of,.itching,.from,.the,.opioid,.used,.in,.the,.epidural
, ANS:, . , . 1
Rationale:,.Remember,.that,.opioids,.are,.used,.for,.epidural,.analgesia.,.Naloxone,.is,.an,.opioid,.antagonist,,.
which,.reverses,.the,.effects,.of,.opioids.,.If,.it,.is,.given,,.the,.client,.may,.complain,.of,.an,.increase,.in,.her,.pai
n,.level. ,.Therefore,.―decrease,.in,.her,.pain,.level,‖,.―increase,.in,.the,.amount,.of,.itching,.from,.the,.opioid,.use
d,.in,.the,.epidural,‖,.and,.―decrease,.in,.the,.amount,.of,.itching,.from,.the,.opioid,.used,.in,.the,.epidural‖,.are,.in
correct.
Test-
Taking,.Strategy:,.To,.answer,.this,.question,.accurately, ,.you,.must,.know,.that,.opioid,.analgesics,.are,.the,.medi
cations,.used,.with,.epidural,.analgesia,.to,.relieve,.pain. ,.Therefore,.if,.naloxone,.is,.administered,.as,.an,.antid
ote,.for,.an,.opioid,.analgesic,,.the,.client’s,.pain,.will,.increase.,.Review,.the,.effects,.of,.naloxone,.if,.this,.ques
tion,.was,.difficult.
PTS: 1
DIF: Level,.of,.Cognitive,.Ability:,.Understanding
REF:
Lehne,,.R.,.(2010).,.Pharmacology,.for,.nursing,.care,.(7th,.ed.).,.St.,.Louis:,.Saunder
s.,.OBJ: Client,.Needs:,.Physiological,.Integrity
TOP: Content,.Area:,.Pharmacology
MSC:, . Integrated,.Process:,.Nursing,.Process—Assessment
3. A,.client,.experiencing,.preterm,.labor,.at,.the,.twenty-
ninth,.week,.of,.gestation,.has,.been,.admitted,.to,.the,.hospital.,.The,.client,.has,.a,.prescription,.to,.receive,.bet
amethasone,.(Celestone).,.The,.nurse,.understands,.that,.the,.medication,.will,.do,.which,.of,.the,.following?
1. Prevent,.spontaneous,.delivery.
2. Stop,.the,.uterine,.contractions.
3. Promote,.maturation,.of,.the,.fetal,.lungs.
4. Accelerate,.the,.growth,.rate,.of,.the,.fetus.
ANS:, . , . 3
Rationale:,.Betamethasone,.(Celestone),.is,.classified,.as,.an,.anti-
inflammatory,.and,.corticosteroid.,.It,.increases,.the,.surfactant,.level,.and,.lung,.maturity,.in,.the,.fetus,,.whic
h,.reduces,.the,.incidence,.of,.respiratory,.distress,.syndrome.,.Delivery,.must,.be,.delayed,.for,.at,.least,.48,.hou
rs,.after,.administration,.of,.betamethasone,.to,.allow,.time,.for,.the,.lungs,.of,.the,.fetus,.to,.mature.
Test-
Taking,.Strategy:,.Options,.that,.are,.comparable,.or,.alike,.are,.not,.likely,.to,.be,.correct.,.With,.this,.in,.mind,,
.eliminate,.―prevent ,.spontaneous,.delivery‖,.and ,.―stop,.the,.uterine,.contractions.‖,.Note,.the,.strategic,.word
s,.―twenty-
ninth,.week,.of,.gestation.‖,.Specific,.knowledge,.about,.the,.medication,.and,.knowledge,.of,.the,.problems,.en
countered,.by,.premature,.infants,.will,.assist,.in,.answering,.this,.question.,.Review,.the,.action,.of,.this,.medic
ation,.if,.this,.question,.was,.difficult.
PTS: 1
DIF: Level,.of,.Cognitive,.Ability:,.Understanding
REF: McKinney, ,.E.,,.James,,.S.,,.Murray,,.S.,,.&,.Ashwill,,.J.,.(2009).,.Maternal-
