Pharmacology Test Bank 1
, Pharmacology Test Bank 2
Silvestri: Saunders Comprehensive Review for the
NCLEX-RN® Examination, 5th Edition
Pharmacology
Test Bank
MULTIPLE CHOICE
1. TheI!nurseI!isI!caringI!forI!aI!clientI!inI!labor.I!TheI!nurseI!reviewsI!theI!physician’sI!prescriptionsI!andI!notesI!th
atI!theI!clientI!hasI!aI!prescriptionI!forI!butorphanolI!tartrateI!(Stadol).I!TheI!nurseI!understandsI!thatI!thisI!medic
ation!IisI!prescribedI!for:
1. PainI!relief
2. IncreasingI!uterineI!contractions
3. DecreasingI!uterineI!contractions
4. PromotingI!fetalI!lungI!maturity
ANS:I ! 1
Rationale:I!TheI!clientI!inI!laborI!mayI!beI!givenI!parenteralI!analgesiaI!duringI!theI!firstI!stageI!ofI!labor,I!upI!toI!
2I!to!I3I!hoursI!beforeI!theI!anticipatedI!delivery. I!ButorphanolI!tartrateI!isI!aI!medicationI!thatI!mayI!beI!prescribe
dI!forI!painI!relief.I!“IncreasingI!uterineI!contractions,”I!“decreasingI!uterineI!contractions,”I!andI!“promotingI!
fetalI!lungI!maturity”I!areI!notI!actionsI!ofI!thisI!medication.
Test-
TakingI!Strategy:I!KnowledgeI!ofI!theI!actionI!ofI!butorphanolI!tartrateI!isI!requiredI!toI!answerI!thisI!question.I
!RememberI!that I!thisI!medicationI!isI!usedI!forI!painI!relief.I!ReviewI!theI!actionI!ofI!thisI!medicationI!if!Iyou I!had I
!difficultyI!withI!thisI!questionI!andI!areI!unfamiliarI!withI!thisI! medication.
PTS: 1
DIF: LevelI!ofI!CognitiveI!Ability:I!Understanding
REF:
Lehne,I!R.I!(2010).I!PharmacologyI!forI!nursingI!careI!(7thI!ed.).I!St.I!Louis:I!Saunde
rs.!IOBJ: ClientI!Needs:I!PhysiologicalI!Integrity
TOP: ContentI!Area:I!Pharmacology
MSC:I ! IntegratedI!Process:I!NursingI!Process—Planning
2. TheI!postpartumI!nurseI!isI!caringI!forI!aI!clientI!withI!anI!epiduralI!catheterI!inI!placeI!forI!opioidI!analge
sic!IadministrationI!followingI!cesareanI!birth.I!IfI!theI!clientI!developsI!respiratoryI!depressionI!andI!re
quires!InaloxoneI!(Narcan)I!asI!anI!antidote,I!theI!clientI!mayI!complainI!ofI!whichI!ofI!theI!following?
1. IncreaseI!inI!herI!painI!level
2. DecreaseI!inI!herI!painI!level
3. IncreaseI!inI!theI!amountI!ofI!itchingI!fromI!theI!opioidI!usedI!inI!theI!epidural
, Pharmacology Test Bank 3
4. DecreaseI!inI!theI!amountI!ofI!itchingI!fromI!theI!opioidI!usedI!inI!theI!epidural
ANS:I ! 1
Rationale:I!RememberI!thatI!opioidsI!areI!usedI!forI!epiduralI!analgesia.I!NaloxoneI!isI!anI!opioidI!antagonist,I!
whichI!reversesI!theI!effectsI!ofI!opioids.I!IfI!it I!isI!given,I!theI!clientI!mayI!complainI!ofI!anI!increaseI!inI!herI!pai
nI!level.I!ThereforeI!“decreaseI!inI!herI!painI!level,”I!“increaseI!inI!theI!amountI!ofI!itchingI!fromI!theI!opioidI!use
dI!inI!theI!epidural,”I!andI!“decreaseI!inI!theI!amountI!ofI!itchingI!fromI!theI!opioidI!usedI!inI!theI!epidural”I!areI!in
correct.
Test-
TakingI!Strategy:I!ToI!answerI!thisI!questionI!accurately,I!youI!mustI!knowI!thatI!opioidI!analgesicsI!areI!the!Imedic
ationsI!usedI!withI!epiduralI!analgesiaI!toI!relieveI!pain.I!ThereforeI!ifI!naloxoneI!isI!administeredI!asI!anI!antidot
eI!forI!anI!opioidI!analgesic,I!theI!client’sI!painI!willI!increase.I!ReviewI!theI!effectsI!ofI!naloxoneI!ifI!thisI!questio
nI!wasI!difficult.
PTS: 1
DIF: LevelI!ofI!CognitiveI!Ability:I!Understanding
REF:
Lehne,I!R.I!(2010).I!PharmacologyI!forI!nursingI!careI!(7thI!ed.).I!St.I!Louis:I!Saunde
rs.!IOBJ: ClientI!Needs:I!PhysiologicalI!Integrity
TOP: ContentI!Area:I!Pharmacology
MSC:I ! IntegratedI!Process:I!NursingI!Process—Assessment
3. AI!clientI!experiencingI!pretermI!laborI!atI!theI!twenty-
ninthI!weekI!ofI!gestationI!hasI!beenI!admittedI!toI!theI!hospital.I!TheI!clientI!hasI!aI!prescriptionI!toI!receiveI!be
tamethasoneI!(Celestone).I!TheI!nurseI!understandsI!that!ItheI!medicationI!willI!doI!whichI!ofI!theI!following?
1. PreventI!spontaneousI!delivery.
2. StopI!theI!uterineI!contractions.
3. PromoteI!maturationI!ofI!theI!fetalI!lungs.
4. AccelerateI!theI!growthI!rateI!ofI!theI!fetus.
ANS:I ! 3
Rationale:I!BetamethasoneI!(Celestone)I!isI!classifiedI!asI!anI!anti-
inflammatoryI!andI!corticosteroid.I!ItI!increasesI!theI!surfactantI!levelI!andI!lungI!maturityI!inI!theI!fetus,I!which
I!reducesI!theI!incidence I!ofI!respiratoryI!distressI!syndrome.I!DeliveryI!must I!beI!delayed I!forI!at I!least I!48I! hour
sI!afterI!administrationI!ofI!betamethasone!ItoI!allowI!timeI!forI!theI!lungsI!ofI!theI!fetusI!toI!mature.
Test-
TakingI!Strategy:I!OptionsI!thatI!areI!comparableI!orI!alikeI!areI!notI!likelyI!toI!beI!correct.I!WithI!thisI!inI!mind,I
!eliminateI!“prevent I!spontaneousI!delivery” I!and I!“stopI!theI!uterineI!contractions.”I!NoteI!theI!strategic I!word
sI!“twenty-
ninthI!weekI!ofI!gestation.”I!SpecificI!knowledgeI!aboutI!theI!medicationI!andI!knowledgeI!ofI!the!IproblemsI!enc
ounteredI!byI!prematureI!infantsI!willI!assistI!inI!answeringI!thisI!question.I!ReviewI!theI!actionI!ofI!thisI!medica
tionI!ifI!thisI!questionI!wasI!difficult.
PTS: 1
DIF: LevelI!ofI!CognitiveI!Ability:I!Understanding
, Pharmacology Test Bank 4
REF: McKinney, I!E.,I!James,I!S.,I!Murray,I!S.,I!&I!Ashwill, I!J.I!(2009).I!Maternal-
childI!nursingI!(3rdI!ed.).I!St.!L
I ouis:I!Saunders. OBJ: ClientI!Needs:I!PhysiologicalI!Integrity
TOP: ContentI!Area:I!Pharmacology
MSC:I ! IntegratedI!Process:I!NursingI!Process—Planning
4. AI!clientI!withI!preeclampsiaI!isI!receivingI!magnesiumI!sulfate.I!TheI!nurseI!assessesI!theI!clientI!closelyI!
for!w
I hichI!signI!ofI!magnesiumI!toxicity?
1. Proteinuria
2. HyperactiveI!deepI!tendonI!reflexes
3. RespiratoryI!rateI!ofI!10I!breaths/min
4. SerumI!magnesiumI!levelI!ofI!5I!mEq/L
ANS:I ! 3
Rationale:I!MagnesiumI!toxicityI!isI!aI!riskI!associatedI!withI!magnesiumI!sulfateI!therapy.I!SignsI!ofI!magnesi
um!ItoxicityI!relateI!toI!centralI!nervousI!systemI!(CNS)I!depressionI!andI!includeI!respiratoryI!depression,I!lossI
!ofI!deep I!tendonI!reflexes,I!andI!suddenI!dropI!inI!fetalI!heart I!rateI!and/orI!maternalI!heart I!rateI!andI!bloodI!pres
sure.
MagnesiumI!isI!excretedI!throughI!theI!kidneys.I!IfI!renalI!impairmentI!isI!present,I!magnesiumI!toxicityI!can!Idev
elopI!veryI!quickly.I!TherapeuticI!serumI!levelsI!ofI!magnesiumI!areI!4I!toI!7I!mEq/L.
Test-
TakingI!Strategy:I!ToI!answerI!thisI!questionI!accurately,I!youI!mustI!recallI!thatI!magnesiumI!sulfateI!isI!aI!CN
SI!depressant.I!BeginI!toI!answerI!thisI!questionI!byI!eliminatingI!“proteinuria”I!andI!“hyperactiveI!deepI!tendo
nI!reflexes,”I!whichI!areI!signsI!ofI!preeclampsia.I!SelectI!betweenI!theI!lastI!twoI!optionsI!usingI!medication!Ikno
wledgeI!andI!recallingI!thatI!theI!therapeuticI!serumI!levelsI!ofI!magnesiumI!areI!4I!toI!7I!mEq/L.I!ReviewI!thisI!
medicationI!andI!theI!normalI!magnesiumI!levelI!ifI!thisI!questionI!wasI!difficult.
PTS: 1
DIF: LevelI!ofI!CognitiveI!Ability:I!Analyzing
REF: Lowdermilk,I!D.,I!Perry,I!S.,I!&I!Cashion,I!K.I!(2010).I!MaternityI!nursingI!(8thI!ed.).I!St.I!Louis:I!Mosby.
OBJ:
ClientI!Needs:I!PhysiologicalI!Integrity!ITOP:
ContentI!Area:I!Pharmacology
MSC:I ! IntegratedI!Process:I!NursingI!Process—Assessment
5. AI!pregnantI!clientI!whoI!hasI!humanI!immunodeficiencyI!virusI!(HIV)I!infectionI!isI!beingI!seenI!inI!theI!anten
atal!Iclinic.I!TheI!nurseI!recallsI!thatI!zidovudineI!(AZT)I!therapyI!willI!beI!initiatedI!whenI!theI!fetusI!hasI!reach
edI!how!ImanyI!weeksI!ofI!gestation?
1. 4
2. 14
3. 24
4. 34
ANS:I ! 2
Rationale:I!TheI!pregnantI!womenI!withI!HIVI!infectionI!willI!beI!prescribedI!oralI!AZTI!inI!theI!fourteenthI!wee
, Pharmacology Test Bank 2
Silvestri: Saunders Comprehensive Review for the
NCLEX-RN® Examination, 5th Edition
Pharmacology
Test Bank
MULTIPLE CHOICE
1. TheI!nurseI!isI!caringI!forI!aI!clientI!inI!labor.I!TheI!nurseI!reviewsI!theI!physician’sI!prescriptionsI!andI!notesI!th
atI!theI!clientI!hasI!aI!prescriptionI!forI!butorphanolI!tartrateI!(Stadol).I!TheI!nurseI!understandsI!thatI!thisI!medic
ation!IisI!prescribedI!for:
1. PainI!relief
2. IncreasingI!uterineI!contractions
3. DecreasingI!uterineI!contractions
4. PromotingI!fetalI!lungI!maturity
ANS:I ! 1
Rationale:I!TheI!clientI!inI!laborI!mayI!beI!givenI!parenteralI!analgesiaI!duringI!theI!firstI!stageI!ofI!labor,I!upI!toI!
2I!to!I3I!hoursI!beforeI!theI!anticipatedI!delivery. I!ButorphanolI!tartrateI!isI!aI!medicationI!thatI!mayI!beI!prescribe
dI!forI!painI!relief.I!“IncreasingI!uterineI!contractions,”I!“decreasingI!uterineI!contractions,”I!andI!“promotingI!
fetalI!lungI!maturity”I!areI!notI!actionsI!ofI!thisI!medication.
Test-
TakingI!Strategy:I!KnowledgeI!ofI!theI!actionI!ofI!butorphanolI!tartrateI!isI!requiredI!toI!answerI!thisI!question.I
!RememberI!that I!thisI!medicationI!isI!usedI!forI!painI!relief.I!ReviewI!theI!actionI!ofI!thisI!medicationI!if!Iyou I!had I
!difficultyI!withI!thisI!questionI!andI!areI!unfamiliarI!withI!thisI! medication.
PTS: 1
DIF: LevelI!ofI!CognitiveI!Ability:I!Understanding
REF:
Lehne,I!R.I!(2010).I!PharmacologyI!forI!nursingI!careI!(7thI!ed.).I!St.I!Louis:I!Saunde
rs.!IOBJ: ClientI!Needs:I!PhysiologicalI!Integrity
TOP: ContentI!Area:I!Pharmacology
MSC:I ! IntegratedI!Process:I!NursingI!Process—Planning
2. TheI!postpartumI!nurseI!isI!caringI!forI!aI!clientI!withI!anI!epiduralI!catheterI!inI!placeI!forI!opioidI!analge
sic!IadministrationI!followingI!cesareanI!birth.I!IfI!theI!clientI!developsI!respiratoryI!depressionI!andI!re
quires!InaloxoneI!(Narcan)I!asI!anI!antidote,I!theI!clientI!mayI!complainI!ofI!whichI!ofI!theI!following?
1. IncreaseI!inI!herI!painI!level
2. DecreaseI!inI!herI!painI!level
3. IncreaseI!inI!theI!amountI!ofI!itchingI!fromI!theI!opioidI!usedI!inI!theI!epidural
, Pharmacology Test Bank 3
4. DecreaseI!inI!theI!amountI!ofI!itchingI!fromI!theI!opioidI!usedI!inI!theI!epidural
ANS:I ! 1
Rationale:I!RememberI!thatI!opioidsI!areI!usedI!forI!epiduralI!analgesia.I!NaloxoneI!isI!anI!opioidI!antagonist,I!
whichI!reversesI!theI!effectsI!ofI!opioids.I!IfI!it I!isI!given,I!theI!clientI!mayI!complainI!ofI!anI!increaseI!inI!herI!pai
nI!level.I!ThereforeI!“decreaseI!inI!herI!painI!level,”I!“increaseI!inI!theI!amountI!ofI!itchingI!fromI!theI!opioidI!use
dI!inI!theI!epidural,”I!andI!“decreaseI!inI!theI!amountI!ofI!itchingI!fromI!theI!opioidI!usedI!inI!theI!epidural”I!areI!in
correct.
Test-
TakingI!Strategy:I!ToI!answerI!thisI!questionI!accurately,I!youI!mustI!knowI!thatI!opioidI!analgesicsI!areI!the!Imedic
ationsI!usedI!withI!epiduralI!analgesiaI!toI!relieveI!pain.I!ThereforeI!ifI!naloxoneI!isI!administeredI!asI!anI!antidot
eI!forI!anI!opioidI!analgesic,I!theI!client’sI!painI!willI!increase.I!ReviewI!theI!effectsI!ofI!naloxoneI!ifI!thisI!questio
nI!wasI!difficult.
PTS: 1
DIF: LevelI!ofI!CognitiveI!Ability:I!Understanding
REF:
Lehne,I!R.I!(2010).I!PharmacologyI!forI!nursingI!careI!(7thI!ed.).I!St.I!Louis:I!Saunde
rs.!IOBJ: ClientI!Needs:I!PhysiologicalI!Integrity
TOP: ContentI!Area:I!Pharmacology
MSC:I ! IntegratedI!Process:I!NursingI!Process—Assessment
3. AI!clientI!experiencingI!pretermI!laborI!atI!theI!twenty-
ninthI!weekI!ofI!gestationI!hasI!beenI!admittedI!toI!theI!hospital.I!TheI!clientI!hasI!aI!prescriptionI!toI!receiveI!be
tamethasoneI!(Celestone).I!TheI!nurseI!understandsI!that!ItheI!medicationI!willI!doI!whichI!ofI!theI!following?
1. PreventI!spontaneousI!delivery.
2. StopI!theI!uterineI!contractions.
3. PromoteI!maturationI!ofI!theI!fetalI!lungs.
4. AccelerateI!theI!growthI!rateI!ofI!theI!fetus.
ANS:I ! 3
Rationale:I!BetamethasoneI!(Celestone)I!isI!classifiedI!asI!anI!anti-
inflammatoryI!andI!corticosteroid.I!ItI!increasesI!theI!surfactantI!levelI!andI!lungI!maturityI!inI!theI!fetus,I!which
I!reducesI!theI!incidence I!ofI!respiratoryI!distressI!syndrome.I!DeliveryI!must I!beI!delayed I!forI!at I!least I!48I! hour
sI!afterI!administrationI!ofI!betamethasone!ItoI!allowI!timeI!forI!theI!lungsI!ofI!theI!fetusI!toI!mature.
Test-
TakingI!Strategy:I!OptionsI!thatI!areI!comparableI!orI!alikeI!areI!notI!likelyI!toI!beI!correct.I!WithI!thisI!inI!mind,I
!eliminateI!“prevent I!spontaneousI!delivery” I!and I!“stopI!theI!uterineI!contractions.”I!NoteI!theI!strategic I!word
sI!“twenty-
ninthI!weekI!ofI!gestation.”I!SpecificI!knowledgeI!aboutI!theI!medicationI!andI!knowledgeI!ofI!the!IproblemsI!enc
ounteredI!byI!prematureI!infantsI!willI!assistI!inI!answeringI!thisI!question.I!ReviewI!theI!actionI!ofI!thisI!medica
tionI!ifI!thisI!questionI!wasI!difficult.
PTS: 1
DIF: LevelI!ofI!CognitiveI!Ability:I!Understanding
, Pharmacology Test Bank 4
REF: McKinney, I!E.,I!James,I!S.,I!Murray,I!S.,I!&I!Ashwill, I!J.I!(2009).I!Maternal-
childI!nursingI!(3rdI!ed.).I!St.!L
I ouis:I!Saunders. OBJ: ClientI!Needs:I!PhysiologicalI!Integrity
TOP: ContentI!Area:I!Pharmacology
MSC:I ! IntegratedI!Process:I!NursingI!Process—Planning
4. AI!clientI!withI!preeclampsiaI!isI!receivingI!magnesiumI!sulfate.I!TheI!nurseI!assessesI!theI!clientI!closelyI!
for!w
I hichI!signI!ofI!magnesiumI!toxicity?
1. Proteinuria
2. HyperactiveI!deepI!tendonI!reflexes
3. RespiratoryI!rateI!ofI!10I!breaths/min
4. SerumI!magnesiumI!levelI!ofI!5I!mEq/L
ANS:I ! 3
Rationale:I!MagnesiumI!toxicityI!isI!aI!riskI!associatedI!withI!magnesiumI!sulfateI!therapy.I!SignsI!ofI!magnesi
um!ItoxicityI!relateI!toI!centralI!nervousI!systemI!(CNS)I!depressionI!andI!includeI!respiratoryI!depression,I!lossI
!ofI!deep I!tendonI!reflexes,I!andI!suddenI!dropI!inI!fetalI!heart I!rateI!and/orI!maternalI!heart I!rateI!andI!bloodI!pres
sure.
MagnesiumI!isI!excretedI!throughI!theI!kidneys.I!IfI!renalI!impairmentI!isI!present,I!magnesiumI!toxicityI!can!Idev
elopI!veryI!quickly.I!TherapeuticI!serumI!levelsI!ofI!magnesiumI!areI!4I!toI!7I!mEq/L.
Test-
TakingI!Strategy:I!ToI!answerI!thisI!questionI!accurately,I!youI!mustI!recallI!thatI!magnesiumI!sulfateI!isI!aI!CN
SI!depressant.I!BeginI!toI!answerI!thisI!questionI!byI!eliminatingI!“proteinuria”I!andI!“hyperactiveI!deepI!tendo
nI!reflexes,”I!whichI!areI!signsI!ofI!preeclampsia.I!SelectI!betweenI!theI!lastI!twoI!optionsI!usingI!medication!Ikno
wledgeI!andI!recallingI!thatI!theI!therapeuticI!serumI!levelsI!ofI!magnesiumI!areI!4I!toI!7I!mEq/L.I!ReviewI!thisI!
medicationI!andI!theI!normalI!magnesiumI!levelI!ifI!thisI!questionI!wasI!difficult.
PTS: 1
DIF: LevelI!ofI!CognitiveI!Ability:I!Analyzing
REF: Lowdermilk,I!D.,I!Perry,I!S.,I!&I!Cashion,I!K.I!(2010).I!MaternityI!nursingI!(8thI!ed.).I!St.I!Louis:I!Mosby.
OBJ:
ClientI!Needs:I!PhysiologicalI!Integrity!ITOP:
ContentI!Area:I!Pharmacology
MSC:I ! IntegratedI!Process:I!NursingI!Process—Assessment
5. AI!pregnantI!clientI!whoI!hasI!humanI!immunodeficiencyI!virusI!(HIV)I!infectionI!isI!beingI!seenI!inI!theI!anten
atal!Iclinic.I!TheI!nurseI!recallsI!thatI!zidovudineI!(AZT)I!therapyI!willI!beI!initiatedI!whenI!theI!fetusI!hasI!reach
edI!how!ImanyI!weeksI!ofI!gestation?
1. 4
2. 14
3. 24
4. 34
ANS:I ! 2
Rationale:I!TheI!pregnantI!womenI!withI!HIVI!infectionI!willI!beI!prescribedI!oralI!AZTI!inI!theI!fourteenthI!wee
