NURSING TEST-BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:
ij ij ij ij ij ij ij ij ij ij
th
Saunders Comprehensive Review for the NCLEX-RN Examination, 5
ij ij ij ij ij ij ij ij
Edition best exam solution RATIONALE
ij ij ij ij ij
Pharmacology
Test ijBank
ij
MULTIPLE ijCHOICE
1. The ijnurse ijis ijcaring ijfor ija ijclient ijin ijlabor. ijThe ijnurse ijreviews ijthe ijphysician’s ijprescriptions ijand ijnotes
ijthat ijthe ijclient ijhas ija ijprescription ijfor ijbutorphanol ijtartrate ij(Stadol). ijThe ijnurse ijunderstands ijthat ijthis
ijmedication
i j i j is ijprescribed ijfor:
1. Pain ijrelief
2. Increasing ijuterine ijcontractions
3. Decreasing ijuterine ijcontractions
4. Promoting ijfetal ijlung ijmaturity
ANS: i j 1
Rationale: ijThe ijclient ijin ijlabor ijmay ijbe ijgiven ijparenteral ijanalgesia ijduring ijthe ijfirst ijstage ijof ijlabor, ijup ijto ij2
ijto ij3 ijhours ijbefore ijthe ijanticipated ijdelivery. ijButorphanol ijtartrate ijis ija ijmedication ijthat ijmay ijbe
ijprescribed ijfor
pain ijrelief. ij“Increasing ijuterine ijcontractions,” ij“decreasing ijuterine ijcontractions,” ijand ij“promoting ijfetal
ijlung ijmaturity” ijare ijnot ijactions ijof ijthis ijmedication.
Test-Taking ijStrategy: ijKnowledge ijof ijthe ijaction ijof ijbutorphanol ijtartrate ijis ijrequired ijto ijanswer ijthis
ijquestion. ijRemember ijthat ijthis ijmedication ijis ijused ijfor ijpain ijrelief. ijReview ijthe ijaction ijof ijthis ijmedication
ijif ijyou ijhad ijdifficulty ijwith ijthis ijquestion ijand ijare ijunfamiliar ijwith ijthis ijmedication.
PTS: 1
DIF: Level ijof ijCognitive ijAbility: ijUnderstanding
REF: Lehne, ijR. ij(2010). ijPharmacology ijfor ijnursing ijcare ij(7th ijed.). ijSt. ijLouis:
ijSaunders. ijOBJ: Client ijNeeds: ijPhysiological ijIntegrity
TOP: Content ijArea: ijPharmacology
MSC: i j Integrated ijProcess: ijNursing ijProcess—Planning
Page 1 of 675
, NURSING TEST-BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:
ij ij ij ij ij ij ij ij ij ij
th
Saunders Comprehensive Review for the NCLEX-RN Examination, 5
ij ij ij ij ij ij ij ij
Edition best exam solution RATIONALE
ij ij ij ij ij
2. The ijpostpartum ijnurse ijis ijcaring ijfor ija ijclient ijwith ijan ijepidural ijcatheter ijin ijplace ijfor ijopioid
ijanalgesic ijadministration ijfollowing ijcesarean ijbirth. ijIf ijthe ijclient ijdevelops ijrespiratory
ijdepression ijand ijrequires ijnaloxone ij(Narcan) ijas ijan ijantidote, ijthe ijclient ijmay ijcomplain ijof
ijwhich ijof ijthe ijfollowing?
1. Increase ijin ijher ijpain ijlevel
2. Decrease ijin ijher ijpain ijlevel
3. Increase ijin ijthe ijamount ijof ijitching ijfrom ijthe ijopioid ijused ijin ijthe ijepidural
4. Decrease ijin ijthe ijamount ijof ijitching ijfrom ijthe ijopioid ijused ijin ijthe ijepidural
Page 2 of 675
, NURSING TEST-BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:
ij ij ij ij ij ij ij ij ij ij
th
Saunders Comprehensive Review for the NCLEX-RN Examination, 5
ij ij ij ij ij ij ij ij
Edition best exam solution RATIONALE
ij ij ij ij ij
ANS: i j 1
Rationale: ijRemember ijthat ijopioids ijare ijused ijfor ijepidural ijanalgesia. ijNaloxone ijis ijan ijopioid ijantagonist,
ijwhich ijreverses ijthe ijeffects ijof ijopioids. ijIf ijit ijis ijgiven, ijthe ijclient ijmay ijcomplain ijof ijan ijincrease ijin ijher ijpain
level. ijTherefore ij“decrease ijin ijher ijpain ijlevel,” ij“increase ijin ijthe ijamount ijof ijitching ijfrom ijthe ijopioid ijused
ijin ijthe ijepidural,” ijand ij“decrease ijin ijthe ijamount ijof ijitching ijfrom ijthe ijopioid ijused ijin ijthe ijepidural” ijare
ijincorrect.
Test-Taking ijStrategy: ijTo ijanswer ijthis ijquestion ijaccurately, ijyou ijmust ijknow ijthat ijopioid ijanalgesics ijare ijthe
ijmedications ijused ijwith ijepidural ijanalgesia ijto ijrelieve ijpain. ijTherefore ijif ijnaloxone ijis ijadministered ijas ijan
ijantidote ijfor ijan ijopioid ijanalgesic, ijthe ijclient’s ijpain ijwill ijincrease. ijReview ijthe ijeffects ijof ijnaloxone ijif
ijthis ijquestion ijwas ijdifficult.
PTS: 1
DIF: Level ijof ijCognitive ijAbility: ijUnderstanding
REF: Lehne, ijR. ij(2010). ijPharmacology ijfor ijnursing ijcare ij(7th ijed.). ijSt. ijLouis:
ijSaunders. ijOBJ: Client ijNeeds: ijPhysiological ijIntegrity
TOP: Content ijArea: ijPharmacology
MSC: i j Integrated ijProcess: ijNursing ijProcess—Assessment
3. A ijclient ijexperiencing ijpreterm ijlabor ijat ijthe ijtwenty-ninth ijweek ijof ijgestation ijhas ijbeen ijadmitted ijto
ijthe ijhospital. ijThe ijclient ijhas ija ijprescription ijto ijreceive ijbetamethasone ij(Celestone). ijThe ijnurse
ijunderstands ijthat ijthe ijmedication ijwill ijdo ijwhich ijof ijthe ijfollowing?
1. Prevent ijspontaneous ijdelivery.
2. Stop ijthe ijuterine ijcontractions.
3. Promote ijmaturation ijof ijthe ijfetal ijlungs.
4. Accelerate ijthe ijgrowth ijrate ijof ijthe ijfetus.
ANS: i j 3
Rationale: ijBetamethasone ij(Celestone) ijis ijclassified ijas ijan ijanti-inflammatory ijand ijcorticosteroid. ijIt
ijincreases ijthe ijsurfactant ijlevel ijand ijlung ijmaturity ijin ijthe ijfetus, ijwhich ijreduces ijthe ijincidence ijof
ijrespiratory ijdistress ijsyndrome. ijDelivery ijmust ijbe ijdelayed ijfor ijat ijleast ij48 ijhours ijafter ijadministration ijof
ijbetamethasone ijto ijallow ijtime ijfor ijthe ijlungs ijof ijthe ijfetus ijto ijmature.
Test-Taking ijStrategy: ijOptions ijthat ijare ijcomparable ijor ijalike ijare ijnot ijlikely ijto ijbe ijcorrect. ijWith ijthis ijin
ijmind, ijeliminate ij“prevent ijspontaneous ijdelivery” ijand ij“stop ijthe ijuterine ijcontractions.” ijNote ijthe ijstrategic
Page 3 of 675
, NURSING TEST-BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:
ij ij ij ij ij ij ij ij ij ij
th
Saunders Comprehensive Review for the NCLEX-RN Examination, 5
ij ij ij ij ij ij ij ij
Edition best exam solution RATIONALE
ij ij ij ij ij
words ij“twenty-ninth ijweek ijof ijgestation.” ijSpecific ijknowledge ijabout ijthe ijmedication ijand ijknowledge ijof
ijthe ijproblems ijencountered ijby ijpremature ijinfants ijwill ijassist ijin ijanswering ijthis ijquestion. ijReview ijthe
ijaction ijof ijthis ijmedication ijif ijthis ijquestion ijwas ijdifficult.
PTS: 1
DIF: Level ijof ijCognitive ijAbility: ijUnderstanding
REF: McKinney, ijE., ijJames, ijS., ijMurray, ijS., ij& ijAshwill, ijJ. ij(2009). ijMaternal-child ijnursing ij(3rd ijed.).
ijSt. ijLouis: ijSaunders. OBJ: Client ijNeeds: ijPhysiological ijIntegrity
Page 4 of 675
ij ij ij ij ij ij ij ij ij ij
th
Saunders Comprehensive Review for the NCLEX-RN Examination, 5
ij ij ij ij ij ij ij ij
Edition best exam solution RATIONALE
ij ij ij ij ij
Pharmacology
Test ijBank
ij
MULTIPLE ijCHOICE
1. The ijnurse ijis ijcaring ijfor ija ijclient ijin ijlabor. ijThe ijnurse ijreviews ijthe ijphysician’s ijprescriptions ijand ijnotes
ijthat ijthe ijclient ijhas ija ijprescription ijfor ijbutorphanol ijtartrate ij(Stadol). ijThe ijnurse ijunderstands ijthat ijthis
ijmedication
i j i j is ijprescribed ijfor:
1. Pain ijrelief
2. Increasing ijuterine ijcontractions
3. Decreasing ijuterine ijcontractions
4. Promoting ijfetal ijlung ijmaturity
ANS: i j 1
Rationale: ijThe ijclient ijin ijlabor ijmay ijbe ijgiven ijparenteral ijanalgesia ijduring ijthe ijfirst ijstage ijof ijlabor, ijup ijto ij2
ijto ij3 ijhours ijbefore ijthe ijanticipated ijdelivery. ijButorphanol ijtartrate ijis ija ijmedication ijthat ijmay ijbe
ijprescribed ijfor
pain ijrelief. ij“Increasing ijuterine ijcontractions,” ij“decreasing ijuterine ijcontractions,” ijand ij“promoting ijfetal
ijlung ijmaturity” ijare ijnot ijactions ijof ijthis ijmedication.
Test-Taking ijStrategy: ijKnowledge ijof ijthe ijaction ijof ijbutorphanol ijtartrate ijis ijrequired ijto ijanswer ijthis
ijquestion. ijRemember ijthat ijthis ijmedication ijis ijused ijfor ijpain ijrelief. ijReview ijthe ijaction ijof ijthis ijmedication
ijif ijyou ijhad ijdifficulty ijwith ijthis ijquestion ijand ijare ijunfamiliar ijwith ijthis ijmedication.
PTS: 1
DIF: Level ijof ijCognitive ijAbility: ijUnderstanding
REF: Lehne, ijR. ij(2010). ijPharmacology ijfor ijnursing ijcare ij(7th ijed.). ijSt. ijLouis:
ijSaunders. ijOBJ: Client ijNeeds: ijPhysiological ijIntegrity
TOP: Content ijArea: ijPharmacology
MSC: i j Integrated ijProcess: ijNursing ijProcess—Planning
Page 1 of 675
, NURSING TEST-BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:
ij ij ij ij ij ij ij ij ij ij
th
Saunders Comprehensive Review for the NCLEX-RN Examination, 5
ij ij ij ij ij ij ij ij
Edition best exam solution RATIONALE
ij ij ij ij ij
2. The ijpostpartum ijnurse ijis ijcaring ijfor ija ijclient ijwith ijan ijepidural ijcatheter ijin ijplace ijfor ijopioid
ijanalgesic ijadministration ijfollowing ijcesarean ijbirth. ijIf ijthe ijclient ijdevelops ijrespiratory
ijdepression ijand ijrequires ijnaloxone ij(Narcan) ijas ijan ijantidote, ijthe ijclient ijmay ijcomplain ijof
ijwhich ijof ijthe ijfollowing?
1. Increase ijin ijher ijpain ijlevel
2. Decrease ijin ijher ijpain ijlevel
3. Increase ijin ijthe ijamount ijof ijitching ijfrom ijthe ijopioid ijused ijin ijthe ijepidural
4. Decrease ijin ijthe ijamount ijof ijitching ijfrom ijthe ijopioid ijused ijin ijthe ijepidural
Page 2 of 675
, NURSING TEST-BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:
ij ij ij ij ij ij ij ij ij ij
th
Saunders Comprehensive Review for the NCLEX-RN Examination, 5
ij ij ij ij ij ij ij ij
Edition best exam solution RATIONALE
ij ij ij ij ij
ANS: i j 1
Rationale: ijRemember ijthat ijopioids ijare ijused ijfor ijepidural ijanalgesia. ijNaloxone ijis ijan ijopioid ijantagonist,
ijwhich ijreverses ijthe ijeffects ijof ijopioids. ijIf ijit ijis ijgiven, ijthe ijclient ijmay ijcomplain ijof ijan ijincrease ijin ijher ijpain
level. ijTherefore ij“decrease ijin ijher ijpain ijlevel,” ij“increase ijin ijthe ijamount ijof ijitching ijfrom ijthe ijopioid ijused
ijin ijthe ijepidural,” ijand ij“decrease ijin ijthe ijamount ijof ijitching ijfrom ijthe ijopioid ijused ijin ijthe ijepidural” ijare
ijincorrect.
Test-Taking ijStrategy: ijTo ijanswer ijthis ijquestion ijaccurately, ijyou ijmust ijknow ijthat ijopioid ijanalgesics ijare ijthe
ijmedications ijused ijwith ijepidural ijanalgesia ijto ijrelieve ijpain. ijTherefore ijif ijnaloxone ijis ijadministered ijas ijan
ijantidote ijfor ijan ijopioid ijanalgesic, ijthe ijclient’s ijpain ijwill ijincrease. ijReview ijthe ijeffects ijof ijnaloxone ijif
ijthis ijquestion ijwas ijdifficult.
PTS: 1
DIF: Level ijof ijCognitive ijAbility: ijUnderstanding
REF: Lehne, ijR. ij(2010). ijPharmacology ijfor ijnursing ijcare ij(7th ijed.). ijSt. ijLouis:
ijSaunders. ijOBJ: Client ijNeeds: ijPhysiological ijIntegrity
TOP: Content ijArea: ijPharmacology
MSC: i j Integrated ijProcess: ijNursing ijProcess—Assessment
3. A ijclient ijexperiencing ijpreterm ijlabor ijat ijthe ijtwenty-ninth ijweek ijof ijgestation ijhas ijbeen ijadmitted ijto
ijthe ijhospital. ijThe ijclient ijhas ija ijprescription ijto ijreceive ijbetamethasone ij(Celestone). ijThe ijnurse
ijunderstands ijthat ijthe ijmedication ijwill ijdo ijwhich ijof ijthe ijfollowing?
1. Prevent ijspontaneous ijdelivery.
2. Stop ijthe ijuterine ijcontractions.
3. Promote ijmaturation ijof ijthe ijfetal ijlungs.
4. Accelerate ijthe ijgrowth ijrate ijof ijthe ijfetus.
ANS: i j 3
Rationale: ijBetamethasone ij(Celestone) ijis ijclassified ijas ijan ijanti-inflammatory ijand ijcorticosteroid. ijIt
ijincreases ijthe ijsurfactant ijlevel ijand ijlung ijmaturity ijin ijthe ijfetus, ijwhich ijreduces ijthe ijincidence ijof
ijrespiratory ijdistress ijsyndrome. ijDelivery ijmust ijbe ijdelayed ijfor ijat ijleast ij48 ijhours ijafter ijadministration ijof
ijbetamethasone ijto ijallow ijtime ijfor ijthe ijlungs ijof ijthe ijfetus ijto ijmature.
Test-Taking ijStrategy: ijOptions ijthat ijare ijcomparable ijor ijalike ijare ijnot ijlikely ijto ijbe ijcorrect. ijWith ijthis ijin
ijmind, ijeliminate ij“prevent ijspontaneous ijdelivery” ijand ij“stop ijthe ijuterine ijcontractions.” ijNote ijthe ijstrategic
Page 3 of 675
, NURSING TEST-BANK 112023 Evolve NCLEX prep Q& A Pharm Silvestri:
ij ij ij ij ij ij ij ij ij ij
th
Saunders Comprehensive Review for the NCLEX-RN Examination, 5
ij ij ij ij ij ij ij ij
Edition best exam solution RATIONALE
ij ij ij ij ij
words ij“twenty-ninth ijweek ijof ijgestation.” ijSpecific ijknowledge ijabout ijthe ijmedication ijand ijknowledge ijof
ijthe ijproblems ijencountered ijby ijpremature ijinfants ijwill ijassist ijin ijanswering ijthis ijquestion. ijReview ijthe
ijaction ijof ijthis ijmedication ijif ijthis ijquestion ijwas ijdifficult.
PTS: 1
DIF: Level ijof ijCognitive ijAbility: ijUnderstanding
REF: McKinney, ijE., ijJames, ijS., ijMurray, ijS., ij& ijAshwill, ijJ. ij(2009). ijMaternal-child ijnursing ij(3rd ijed.).
ijSt. ijLouis: ijSaunders. OBJ: Client ijNeeds: ijPhysiological ijIntegrity
Page 4 of 675
