TEST BANK FOR
SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-RN
EXAMINATION 5TH EDITION SILVESTRI
,multiple choice
1. the nurse is caring for a client in labor. the nurse reviews the physician’s
prescriptions and notes that the client has a prescription for butorphanol
tartrate (stadol). the nurse understands that this medication is prescribed for:
1. pain relief
2. increasing uterine contractions
3. decreasing uterine contractions
4. promoting fetal lung maturity
CORRECT ANSWER>>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 prescribed 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:
saunders. 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 analgesic administration following cesarean birth. if the client
develops respiratory depression and requires 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
CORRECT ANSWER>>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 pain level. therefore “decrease in her pain
level,” “increase in the amount of itching from the opioid used in the epidural,”
and “decrease in the amount of itching from the opioid used in the epidural” are
incorrect.
test-taking strategy: to answer this question accurately, you must know that
opioid analgesics are the medications used with epidural analgesia to relieve
pain. therefore if naloxone is administered as an antidote for an opioid
, analgesic, the client’s pain will increase. review the effects of naloxone if this
question was difficult.
pts: 1
dif: level of cognitive ability: understanding
ref: lehne, r. (2010). pharmacology for nursing care (7th ed.). st. louis:
saunders. 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
betamethasone (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.
CORRECT ANSWER>>3
rationale: betamethasone (celestone) is classified as an anti-inflammatory and
corticosteroid. it increases the surfactant level and lung maturity in the fetus,
which reduces the incidence of respiratory distress syndrome. delivery must be
delayed for at least 48 hours after administration of betamethasone to allow
time for the lungs of the fetus to mature.
SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-RN
EXAMINATION 5TH EDITION SILVESTRI
,multiple choice
1. the nurse is caring for a client in labor. the nurse reviews the physician’s
prescriptions and notes that the client has a prescription for butorphanol
tartrate (stadol). the nurse understands that this medication is prescribed for:
1. pain relief
2. increasing uterine contractions
3. decreasing uterine contractions
4. promoting fetal lung maturity
CORRECT ANSWER>>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 prescribed 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:
saunders. 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 analgesic administration following cesarean birth. if the client
develops respiratory depression and requires 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
CORRECT ANSWER>>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 pain level. therefore “decrease in her pain
level,” “increase in the amount of itching from the opioid used in the epidural,”
and “decrease in the amount of itching from the opioid used in the epidural” are
incorrect.
test-taking strategy: to answer this question accurately, you must know that
opioid analgesics are the medications used with epidural analgesia to relieve
pain. therefore if naloxone is administered as an antidote for an opioid
, analgesic, the client’s pain will increase. review the effects of naloxone if this
question was difficult.
pts: 1
dif: level of cognitive ability: understanding
ref: lehne, r. (2010). pharmacology for nursing care (7th ed.). st. louis:
saunders. 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
betamethasone (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.
CORRECT ANSWER>>3
rationale: betamethasone (celestone) is classified as an anti-inflammatory and
corticosteroid. it increases the surfactant level and lung maturity in the fetus,
which reduces the incidence of respiratory distress syndrome. delivery must be
delayed for at least 48 hours after administration of betamethasone to allow
time for the lungs of the fetus to mature.
