TESTBANK FOR PHARM SILVESTRI SAUNDERS COMPR
h h h h h
EHENSIVE REVIEW FOR THE NCLEX-
h h h h
RN EXAMINATION 5TH EDITION (112023 EVOLVE NCLE
h h h h h h
X PREP) FULL TESTBANK WITH RATIONALLES|| LATES
h h h h h h
T AND COMPLETE UPDATE GRADED A+
h h h h h
,1h|hPh ah gh e
TESTBANK FOR PHARM SILVESTRI SAUNDERS COMPREHE
h h h h h
NSIVE REVIEW FOR THE NCLEX-
h h h h
RN EXAMINATION 5TH EDITION (112023 EVOLVE NCLEX PR
h h h h h h h
EP) FULL TESTBANK WITH RATIONALLES|| LATEST AND CO
h h h h h h h
MPLETE UPDATE GRADED A+
h h h
MULTIPLEhCHOICE
1. Thehnursehishcaringhforhahclienthinhlabor.hThehnursehreviewshthehphysician’shprescriptionsha
ndhnoteshthaththehclienthhashahprescriptionhforhbutorphanolhtartrateh(Stadol).hThehnursehunderstand
shthaththishmedication
ishprescribedhfor:
1. Painhrelief
2. Increasinghuterinehcontractions
3. Decreasinghuterinehcontractions
4. Promotinghfetalhlunghmaturity
-hANSWER:h1
Rationale:hThehclienthinhlaborhmayhbehgivenhparenteralhanalgesiahduringhthehfirsthstagehofhlabor,hupht
oh2htoh3hhourshbeforehthehanticipatedhdelivery.hButorphanolhtartratehishahmedicationhthathmayhbehpres
cribedhfor
painhrelief.h“Increasinghuterinehcontractions,”h“decreasinghuterinehcontractions,”handh“promotinghfe
talhlunghmaturity”harehnothactionshofhthishmedication.
Test-
TakinghStrategy:hKnowledgehofhthehactionhofhbutorphanolhtartratehishrequiredhtohanswerhthishquestio
n.hRememberhthaththishmedicationhishusedhforhpainhrelief.hReviewhthehactionhofhthishmedicationhifhyo
uhhadhdifficultyhwithhthishquestionhandharehunfamiliarhwithhthishmedication.
PTS: 1
DIF: LevelhofhCognitivehAbility:hUnderstanding
REF:
Lehne,hR.h(2010).hPharmacologyhforhnursinghcareh(7thhed.).hSt.hLouis:hSaunders.hO
BJ:hClienthNeeds:hPhysiologicalhIntegrity
,2h|hPh ah gh e
TOP:h h ContenthArea:hPharmacology
MSC:hIntegratedhProcess:hNursinghProcess—Planning
2. Thehpostpartumhnursehishcaringhforhahclienthwithhanhepiduralhcatheterhinhplacehforhopioidha
nalgesichadministrationhfollowinghcesareanhbirth.hIfhthehclienthdevelopshrespiratoryhdepressionha
ndhrequireshnaloxoneh(Narcan)hashanhantidote,hthehclienthmayhcomplainhofhwhichhofhthehfollowin
g?
1. Increasehinhherhpainhlevel
2. Decreasehinhherhpainhlevel
3. Increasehinhthehamounthofhitchinghfromhthehopioidhusedhinhthehepidural
4. Decreasehinhthehamounthofhitchinghfromhthehopioidhusedhinhthehepidural
-hANSWER:h1
Rationale:hRememberhthathopioidsharehusedhforhepiduralhanalgesia.hNaloxonehishanhopioidhantagoni
st,hwhichhreverseshtheheffectshofhopioids.hIfhithishgiven,hthehclienthmayhcomplainhofhanhincreasehinhherh
pain
level.hThereforeh“decreasehinhherhpainhlevel,”h“increasehinhthehamounthofhitchinghfromhthehopioidhu
sedhinhthehepidural,”handh“decreasehinhthehamounthofhitchinghfromhthehopioidhusedhinhthehepidural”h
arehincorrect.
Test-
TakinghStrategy:hTohanswerhthishquestionhaccurately,hyouhmusthknowhthathopioidhanalgesicsharehtheh
medicationshusedhwithhepiduralhanalgesiahtohrelievehpain.hThereforehifhnaloxonehishadministeredhash
anhantidotehforhanhopioidhanalgesic,hthehclient’shpainhwillhincrease.hReviewhtheheffectshofhnaloxonehi
fhthishquestionhwashdifficult.
PTS: 1
DIF: LevelhofhCognitivehAbility:hUnderstanding
REF:
Lehne,hR.h(2010).hPharmacologyhforhnursinghcareh(7thhed.).hSt.hLouis:hSaunders.hO
BJ:hClienthNeeds:hPhysiologicalhIntegrity
, 3h|hPh ah gh e
TOP:h h ContenthArea:hPharmacology
MSC:hIntegratedhProcess:hNursinghProcess—Assessment
3. Ahclienthexperiencinghpretermhlaborhaththehtwenty-
ninthhweekhofhgestationhhashbeenhadmittedhtohthehhospital.hThehclienthhashahprescriptionhtohreceiveh
betamethasoneh(Celestone).hThehnursehunderstandshthaththehmedicationhwillhdohwhichhofhthehfollo
wing?
1. Preventhspontaneoushdelivery.
2. Stophthehuterinehcontractions.
3. Promotehmaturationhofhthehfetalhlungs.
4. Acceleratehthehgrowthhratehofhthehfetus.
-hANSWER:h3
Rationale:hBetamethasoneh(Celestone)hishclassifiedhashanhanti-
inflammatoryhandhcorticosteroid.hIthincreaseshthehsurfactanthlevelhandhlunghmaturityhinhthehfetus,hwh
ichhreduceshthehincidencehofhrespiratoryhdistresshsyndrome.hDeliveryhmusthbehdelayedhforhathleasth48
hhourshafterhadministrationhofhbetamethasonehtohallowhtimehforhthehlungshofhthehfetushtohmature.
Test-
TakinghStrategy:hOptionshthatharehcomparablehorhalikeharehnothlikelyhtohbehcorrect.hWithhthishinhmind
,heliminateh“preventhspontaneoushdelivery”handh“stophthehuterinehcontractions.”hNotehthehstrategic
wordsh“twenty-
ninthhweekhofhgestation.”hSpecifichknowledgehabouththehmedicationhandhknowledgehofhthehproblem
shencounteredhbyhprematurehinfantshwillhassisthinhansweringhthishquestion.hReviewhthehactionhofhthish
medicationhifhthishquestionhwashdifficult.
PTS: 1
DIF: LevelhofhCognitivehAbility:hUnderstanding
REF: McKinney,hE.,hJames,hS.,hMurray,hS.,h&hAshwill,hJ.h(2009).hMaternal-
childhnursingh(3rdhed.).hSt.hLouis:hSaunders. OBJ: ClienthNeeds:hPhysiologicalhIntegrity
h h h h h
EHENSIVE REVIEW FOR THE NCLEX-
h h h h
RN EXAMINATION 5TH EDITION (112023 EVOLVE NCLE
h h h h h h
X PREP) FULL TESTBANK WITH RATIONALLES|| LATES
h h h h h h
T AND COMPLETE UPDATE GRADED A+
h h h h h
,1h|hPh ah gh e
TESTBANK FOR PHARM SILVESTRI SAUNDERS COMPREHE
h h h h h
NSIVE REVIEW FOR THE NCLEX-
h h h h
RN EXAMINATION 5TH EDITION (112023 EVOLVE NCLEX PR
h h h h h h h
EP) FULL TESTBANK WITH RATIONALLES|| LATEST AND CO
h h h h h h h
MPLETE UPDATE GRADED A+
h h h
MULTIPLEhCHOICE
1. Thehnursehishcaringhforhahclienthinhlabor.hThehnursehreviewshthehphysician’shprescriptionsha
ndhnoteshthaththehclienthhashahprescriptionhforhbutorphanolhtartrateh(Stadol).hThehnursehunderstand
shthaththishmedication
ishprescribedhfor:
1. Painhrelief
2. Increasinghuterinehcontractions
3. Decreasinghuterinehcontractions
4. Promotinghfetalhlunghmaturity
-hANSWER:h1
Rationale:hThehclienthinhlaborhmayhbehgivenhparenteralhanalgesiahduringhthehfirsthstagehofhlabor,hupht
oh2htoh3hhourshbeforehthehanticipatedhdelivery.hButorphanolhtartratehishahmedicationhthathmayhbehpres
cribedhfor
painhrelief.h“Increasinghuterinehcontractions,”h“decreasinghuterinehcontractions,”handh“promotinghfe
talhlunghmaturity”harehnothactionshofhthishmedication.
Test-
TakinghStrategy:hKnowledgehofhthehactionhofhbutorphanolhtartratehishrequiredhtohanswerhthishquestio
n.hRememberhthaththishmedicationhishusedhforhpainhrelief.hReviewhthehactionhofhthishmedicationhifhyo
uhhadhdifficultyhwithhthishquestionhandharehunfamiliarhwithhthishmedication.
PTS: 1
DIF: LevelhofhCognitivehAbility:hUnderstanding
REF:
Lehne,hR.h(2010).hPharmacologyhforhnursinghcareh(7thhed.).hSt.hLouis:hSaunders.hO
BJ:hClienthNeeds:hPhysiologicalhIntegrity
,2h|hPh ah gh e
TOP:h h ContenthArea:hPharmacology
MSC:hIntegratedhProcess:hNursinghProcess—Planning
2. Thehpostpartumhnursehishcaringhforhahclienthwithhanhepiduralhcatheterhinhplacehforhopioidha
nalgesichadministrationhfollowinghcesareanhbirth.hIfhthehclienthdevelopshrespiratoryhdepressionha
ndhrequireshnaloxoneh(Narcan)hashanhantidote,hthehclienthmayhcomplainhofhwhichhofhthehfollowin
g?
1. Increasehinhherhpainhlevel
2. Decreasehinhherhpainhlevel
3. Increasehinhthehamounthofhitchinghfromhthehopioidhusedhinhthehepidural
4. Decreasehinhthehamounthofhitchinghfromhthehopioidhusedhinhthehepidural
-hANSWER:h1
Rationale:hRememberhthathopioidsharehusedhforhepiduralhanalgesia.hNaloxonehishanhopioidhantagoni
st,hwhichhreverseshtheheffectshofhopioids.hIfhithishgiven,hthehclienthmayhcomplainhofhanhincreasehinhherh
pain
level.hThereforeh“decreasehinhherhpainhlevel,”h“increasehinhthehamounthofhitchinghfromhthehopioidhu
sedhinhthehepidural,”handh“decreasehinhthehamounthofhitchinghfromhthehopioidhusedhinhthehepidural”h
arehincorrect.
Test-
TakinghStrategy:hTohanswerhthishquestionhaccurately,hyouhmusthknowhthathopioidhanalgesicsharehtheh
medicationshusedhwithhepiduralhanalgesiahtohrelievehpain.hThereforehifhnaloxonehishadministeredhash
anhantidotehforhanhopioidhanalgesic,hthehclient’shpainhwillhincrease.hReviewhtheheffectshofhnaloxonehi
fhthishquestionhwashdifficult.
PTS: 1
DIF: LevelhofhCognitivehAbility:hUnderstanding
REF:
Lehne,hR.h(2010).hPharmacologyhforhnursinghcareh(7thhed.).hSt.hLouis:hSaunders.hO
BJ:hClienthNeeds:hPhysiologicalhIntegrity
, 3h|hPh ah gh e
TOP:h h ContenthArea:hPharmacology
MSC:hIntegratedhProcess:hNursinghProcess—Assessment
3. Ahclienthexperiencinghpretermhlaborhaththehtwenty-
ninthhweekhofhgestationhhashbeenhadmittedhtohthehhospital.hThehclienthhashahprescriptionhtohreceiveh
betamethasoneh(Celestone).hThehnursehunderstandshthaththehmedicationhwillhdohwhichhofhthehfollo
wing?
1. Preventhspontaneoushdelivery.
2. Stophthehuterinehcontractions.
3. Promotehmaturationhofhthehfetalhlungs.
4. Acceleratehthehgrowthhratehofhthehfetus.
-hANSWER:h3
Rationale:hBetamethasoneh(Celestone)hishclassifiedhashanhanti-
inflammatoryhandhcorticosteroid.hIthincreaseshthehsurfactanthlevelhandhlunghmaturityhinhthehfetus,hwh
ichhreduceshthehincidencehofhrespiratoryhdistresshsyndrome.hDeliveryhmusthbehdelayedhforhathleasth48
hhourshafterhadministrationhofhbetamethasonehtohallowhtimehforhthehlungshofhthehfetushtohmature.
Test-
TakinghStrategy:hOptionshthatharehcomparablehorhalikeharehnothlikelyhtohbehcorrect.hWithhthishinhmind
,heliminateh“preventhspontaneoushdelivery”handh“stophthehuterinehcontractions.”hNotehthehstrategic
wordsh“twenty-
ninthhweekhofhgestation.”hSpecifichknowledgehabouththehmedicationhandhknowledgehofhthehproblem
shencounteredhbyhprematurehinfantshwillhassisthinhansweringhthishquestion.hReviewhthehactionhofhthish
medicationhifhthishquestionhwashdifficult.
PTS: 1
DIF: LevelhofhCognitivehAbility:hUnderstanding
REF: McKinney,hE.,hJames,hS.,hMurray,hS.,h&hAshwill,hJ.h(2009).hMaternal-
childhnursingh(3rdhed.).hSt.hLouis:hSaunders. OBJ: ClienthNeeds:hPhysiologicalhIntegrity
