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
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
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.
,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 Words “Twenty-Ninth Week
Of Gestation.” Specific Knowledge About The Medication And Knowledge Of The
Problems Encountered By Premature Infants Will Assist In Answering This
Question. Review The Action Of This Medication If This Question Was Difficult.
PTS: 1
DIF: Level Of Cognitive Ability: Understanding
REF: Mckinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-Child
Nursing (3rd Ed.). St. Louis: Saunders. OBJ: CLIENT Needs: Physiological
Integrity
TOP: Content Area: Pharmacology
MSC: Integrated Process: Nursing Process—Planning
4. A CLIENT With Preeclampsia Is Receiving Magnesium Sulfate. The NURSE
Assesses The CLIENT Closely For Which Sign Of Magnesium Toxicity?
1. Proteinuria
2. Hyperactive Deep Tendon Reflexes
3. Respiratory Rate Of 10 Breaths/Min
4. Serum Magnesium Level Of 5 Meq/L
ANS>>3
Rationale: Magnesium Toxicity Is A Risk Associated With Magnesium Sulfate
Therapy. Signs Of Magnesium Toxicity Relate To Central Nervous System (CNS)
,Depression And Include Respiratory Depression, Loss Of Deep Tendon Reflexes,
And Sudden Drop In Fetal Heart Rate And/Or Maternal Heart Rate And Blood
Pressure.
Magnesium Is Excreted Through The Kidneys. If Renal Impairment Is Present,
Magnesium Toxicity Can Develop Very Quickly. Therapeutic Serum Levels Of
Magnesium Are 4 To 7 Meq/L.
Test-Taking Strategy: To Answer This Question Accurately, You Must Recall That
Magnesium Sulfate Is A CNS Depressant. Begin To Answer This Question By
Eliminating “Proteinuria” And “Hyperactive Deep Tendon Reflexes,” Which Are
Signs Of Preeclampsia. Select Between The Last Two Options Using Medication
Knowledge And Recalling That The Therapeutic Serum Levels Of Magnesium Are
4 To 7 Meq/L. Review This Medication And The Normal Magnesium Level If This
Question Was Difficult.
PTS: 1
DIF: Level Of Cognitive Ability: Analyzing
REF: Lowdermilk, D., Perry, S., & Cashion, K. (2010). Maternity Nursing (8th
Ed.). St. Louis: Mosby.
OBJ: CLIENT Needs: Physiological Integrity TOP: Content Area: Pharmacology
MSC: Integrated Process: Nursing Process—Assessment
5. A Pregnant CLIENT Who Has Human Immunodeficiency Virus (HIV)
Infection Is Being Seen In The Antenatal Clinic. The NURSE Recalls That
Zidovudine (AZT) Therapy Will Be Initiated When The Fetus Has Reached How
Many Weeks Of Gestation?
1. 4
2. 14
3. 24
, 4. 34
ANS>>2
Rationale: The Pregnant Women With HIV Infection Will Be Prescribed Oral AZT
In The Fourteenth Week Of Gestation. Before This Time, The Fetus Is At Risk
Because Of The Teratogenic Effects Of The Medication. In
Addition, A Bolus Of AZT Is Given Intravenously During Labor, And The Neonate
Is Treated For Six Weeks After Birth.
Test-Taking Strategy: To Answer This Question Accurately, You Must Be Familiar
With Pharmacological Therapy For CLIENTs Who Are HIV-Positive. Knowing That
The Fetus Is Most Vulnerable To The Effects Of Medications And Chemicals
During The Period Of Organogenesis Will Assist You In Selecting The Correct
Answer. Review Treatment Measures For The Pregnant CLIENT With HIV
Infection If You Had Difficulty With This Question.
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
6. The NURSE Has A Routine Prescription To Instill Erythromycin Ointment
(Ilotycin) Into The Eyes Of A Newborn. The NURSE Plans To Explain To The
Parents That The Purpose Of The Medication Is To:
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
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
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.
,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 Words “Twenty-Ninth Week
Of Gestation.” Specific Knowledge About The Medication And Knowledge Of The
Problems Encountered By Premature Infants Will Assist In Answering This
Question. Review The Action Of This Medication If This Question Was Difficult.
PTS: 1
DIF: Level Of Cognitive Ability: Understanding
REF: Mckinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-Child
Nursing (3rd Ed.). St. Louis: Saunders. OBJ: CLIENT Needs: Physiological
Integrity
TOP: Content Area: Pharmacology
MSC: Integrated Process: Nursing Process—Planning
4. A CLIENT With Preeclampsia Is Receiving Magnesium Sulfate. The NURSE
Assesses The CLIENT Closely For Which Sign Of Magnesium Toxicity?
1. Proteinuria
2. Hyperactive Deep Tendon Reflexes
3. Respiratory Rate Of 10 Breaths/Min
4. Serum Magnesium Level Of 5 Meq/L
ANS>>3
Rationale: Magnesium Toxicity Is A Risk Associated With Magnesium Sulfate
Therapy. Signs Of Magnesium Toxicity Relate To Central Nervous System (CNS)
,Depression And Include Respiratory Depression, Loss Of Deep Tendon Reflexes,
And Sudden Drop In Fetal Heart Rate And/Or Maternal Heart Rate And Blood
Pressure.
Magnesium Is Excreted Through The Kidneys. If Renal Impairment Is Present,
Magnesium Toxicity Can Develop Very Quickly. Therapeutic Serum Levels Of
Magnesium Are 4 To 7 Meq/L.
Test-Taking Strategy: To Answer This Question Accurately, You Must Recall That
Magnesium Sulfate Is A CNS Depressant. Begin To Answer This Question By
Eliminating “Proteinuria” And “Hyperactive Deep Tendon Reflexes,” Which Are
Signs Of Preeclampsia. Select Between The Last Two Options Using Medication
Knowledge And Recalling That The Therapeutic Serum Levels Of Magnesium Are
4 To 7 Meq/L. Review This Medication And The Normal Magnesium Level If This
Question Was Difficult.
PTS: 1
DIF: Level Of Cognitive Ability: Analyzing
REF: Lowdermilk, D., Perry, S., & Cashion, K. (2010). Maternity Nursing (8th
Ed.). St. Louis: Mosby.
OBJ: CLIENT Needs: Physiological Integrity TOP: Content Area: Pharmacology
MSC: Integrated Process: Nursing Process—Assessment
5. A Pregnant CLIENT Who Has Human Immunodeficiency Virus (HIV)
Infection Is Being Seen In The Antenatal Clinic. The NURSE Recalls That
Zidovudine (AZT) Therapy Will Be Initiated When The Fetus Has Reached How
Many Weeks Of Gestation?
1. 4
2. 14
3. 24
, 4. 34
ANS>>2
Rationale: The Pregnant Women With HIV Infection Will Be Prescribed Oral AZT
In The Fourteenth Week Of Gestation. Before This Time, The Fetus Is At Risk
Because Of The Teratogenic Effects Of The Medication. In
Addition, A Bolus Of AZT Is Given Intravenously During Labor, And The Neonate
Is Treated For Six Weeks After Birth.
Test-Taking Strategy: To Answer This Question Accurately, You Must Be Familiar
With Pharmacological Therapy For CLIENTs Who Are HIV-Positive. Knowing That
The Fetus Is Most Vulnerable To The Effects Of Medications And Chemicals
During The Period Of Organogenesis Will Assist You In Selecting The Correct
Answer. Review Treatment Measures For The Pregnant CLIENT With HIV
Infection If You Had Difficulty With This Question.
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
6. The NURSE Has A Routine Prescription To Instill Erythromycin Ointment
(Ilotycin) Into The Eyes Of A Newborn. The NURSE Plans To Explain To The
Parents That The Purpose Of The Medication Is To:
