Complete Test Bank For
Saunders Comprehensive Review For The
Nclex-Rn® Examination, 9th Edition By
Linda, Angela|Complete Guide
100%Verified Answers
,pharmacology
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
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
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
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
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.
ans: 3
Saunders Comprehensive Review For The
Nclex-Rn® Examination, 9th Edition By
Linda, Angela|Complete Guide
100%Verified Answers
,pharmacology
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
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
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
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
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.
ans: 3
