NCLEX-RN Examination, 5th Edition Pharmacology Test Bank

NCLEX-RN Examination,
!|




5thEdition Pharmacology
!| !| !|




Test Bank
!| !|

,NCLEX-RN Examination, 5th Edition Pharmacology Test Bank
!| !| !| !| !| !| !|




Pharmacology !|




MULTIPLE !|CHOICE

1. The !|nurse !|is !|caring !|for !|a !|client !|in !|labor. !|The !|nurse !|reviews !|the !|physician’s !|prescriptions !|and !|notes
!|that !|the !|c lient !|has !|a !|prescription !|for !|butorphanol !|t artrate !|(Stadol). !|T he !|nurse !|u nderstands !|t hat !|t his

!|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 !|t he !|first !|stage !|o f !|labor, !|up !|to !|2
!|t o !|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 !|t hat !|t his !|medication !|is !|u sed !|for !|pain !|relief. !|Review !|t he !|action !|o f !|t his !|medication !|if

!|you !|had !|difficulty !|with !|this !|question !|and !|are !|unfamiliar !|with !|this !| medication.




PTS: 1
DIF: Level !|o f !|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. !|I f !|t he !|c lient !|develops !|respiratory !|d epression

!|a nd !|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 !|t he !|amount !|of !|itching !|from !|t he !|opioid !|used !|in !|t he !|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,” !|a nd !|“decrease !|in !|the !|amount !|o f !|itching !|from !|t he !|o pioid !|used !|in !|t he !|epidural” !|are

!|incorrect.




Test-Taking !|Strategy: !|To !|answer !|this !|question !|accurately, !|you !|must !|know !|that !|opioid !|analgesics !|are
!|t he !|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 !|o f !|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. !|T he !|c lient !|has !|a !|prescription !|t o !|receive !|betamethasone !|(Celestone). !|The !|nurse !|u nderstands

!|t hat !|the !|medication !|will !|do !|which !|of !|the !|following?


1. Prevent !|spontaneous !|delivery.
2. Stop !|the !|uterine !|contractions.
3. Promote !|maturation !|of !|t he !|fetal !|lungs.
4. Accelerate !|the !|growth !|rate !|o f !|t he !|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. !|D elivery !|must !|be !|d elayed !|for !|at !|least !|48 !|hours !|a fter !|administration !|o f

!|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 !|o f !|gestation.” !|Specific !|k nowledge !|a bout !|t he !|medication !|a nd

!|k nowledge !|o f !|t he !|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 !|o f !|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