Silvestri: Saunders Comprehensive Review for the NCLEX-
vg vg vg vg vg vg
RN® Examination, 9th Edition
vg vg v g
Silvestri: Saunders Comprehensive Review for the NCLEX- vg vg vg vg vg vg
RN® Examination, 9thEdition vgvg vg
Pharmacology vg
Test Bank vg
MULTIPLE CHOICE vg
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes th
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
at the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this medic
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ation is prescribed for:
vg vg vg
1. Pain relief vg
2. Increasing uterine contractions vg vg
3. Decreasing uterine contractions vg vg
4. Promoting fetal lung maturity vg vg vg
ANS: 1 v g
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescrib
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ed for vg
pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting fetal l
vg vg vg vg vg vg vg vg vg vg vg
ung maturity‖ are not actions of this medication.
vg vg vg vg vg vg vg
Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this question.
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
Remember that this medication is used for pain relief. Review the action of this medication if you had
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difficulty with this question and are unfamiliar with this medication.
vg vg vg vg vg vg vg vg vg
PTS: 1
DIF: Level of Cognitive Ability: Understanding vg vg vg vg
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
vg vg vg vg vg vg vg vg vg vg vg
s. OBJ: Client Needs: Physiological Integrity
vg vg vg vg
TOP: Content Area: Pharmacology
v g v g vg vg
MSC: Integrated Process: Nursing Process—Planning
vg vg vg vg
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analge
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
sic administration following cesarean birth. If the client develops respiratory depression and re
vg vg vg vg vg vg vg vg vg vg vg vg
quires naloxone (Narcan) as an antidote, the client may complain of which of the following?
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
1. Increase in her pain level vg vg vg vg
2. Decrease in her pain level vg vg vg vg
3. Increase in the amount of itching from the opioid used in the epidural
vg vg vg vg vg vg vg vg vg vg vg vg
,Silvestri: Saunders Comprehensive Review for the NCLEX-
vg vg vg vg vg vg
RN® Examination, 9th Edition
vg vg v g
4. Decrease in the amount of itching from the opioid used in the epidural
vg vg vg vg vg vg vg vg vg vg vg vg
, Silvestri: Saunders Comprehensive Review for the NCLEX-
vg vg vg vg vg vg
RN® Examination, 9th Edition
vg vg v g
ANS: 1 v g
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist,
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
which reverses the effects of opioids. If it is given, the client may complain of an increase in her pain
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
level. Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opioid used
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg v
in the epidural,‖ and ―decrease in the amount of itching from the opioid used in the epidural‖ are inco
g vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
rrect.
Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are the medi
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
cations used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an antid
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ote for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this quest
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ion was difficult.
vg vg
PTS: 1
DIF: Level of Cognitive Ability: Understanding vg vg vg vg
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
vg vg vg vg vg vg vg vg vg vg vg
s. OBJ: Client Needs: Physiological Integrity
vg vg vg vg
TOP: Content Area: Pharmacology
v g v g vg vg
MSC: Integrated Process: Nursing Process—Assessment
vg vg vg vg
3. A client experiencing preterm labor at the twenty-
vg vg vg vg vg vg vg
ninth week of gestation has been admitted to the hospital. The client has a prescription to receive bet
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
amethasone (Celestone). The nurse understands that the medication will do which of the following?
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1. Prevent spontaneous delivery. vg vg
2. Stop the uterine contractions.vg vg vg
3. Promote maturation of the fetal lungs. vg vg vg vg vg
4. Accelerate the growth rate of the fetus. vg vg vg vg vg vg
ANS: 3 v g
Rationale: Betamethasone (Celestone) is classified as an anti-
vg vg vg vg vg vg vg
inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetus, whic
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
h reduces the incidence of respiratory distress syndrome. Delivery must be delayed for at least 48 hou
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
rs after administration of betamethasone to allow time for the lungs of the fetus to mature.
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
Test-
Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in mind,
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eliminate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the strategic word
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s ―twenty-
vg
ninth week of gestation.‖ Specific knowledge about the medication and knowledge of the problems en
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
countered by premature infants will assist in answering this question. Review the action of this medic
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ation if this question was difficult.
vg vg vg vg vg
PTS: 1
, Silvestri: Saunders Comprehensive Review for the NCLEX-
vg vg vg vg vg vg
RN® Examination, 9th Edition
vg vg v g
DIF: Level of Cognitive Ability: Understanding
vg vg vg vg
REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-
vg vg vg vg vg vg vg vg vg vg
child nursing (3rd ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity
vg vg vg vg vg vg vg vg vg
vg vg vg vg vg vg
RN® Examination, 9th Edition
vg vg v g
Silvestri: Saunders Comprehensive Review for the NCLEX- vg vg vg vg vg vg
RN® Examination, 9thEdition vgvg vg
Pharmacology vg
Test Bank vg
MULTIPLE CHOICE vg
1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes th
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
at the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this medic
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ation is prescribed for:
vg vg vg
1. Pain relief vg
2. Increasing uterine contractions vg vg
3. Decreasing uterine contractions vg vg
4. Promoting fetal lung maturity vg vg vg
ANS: 1 v g
Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescrib
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ed for vg
pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting fetal l
vg vg vg vg vg vg vg vg vg vg vg
ung maturity‖ are not actions of this medication.
vg vg vg vg vg vg vg
Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this question.
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
Remember that this medication is used for pain relief. Review the action of this medication if you had
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
difficulty with this question and are unfamiliar with this medication.
vg vg vg vg vg vg vg vg vg
PTS: 1
DIF: Level of Cognitive Ability: Understanding vg vg vg vg
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
vg vg vg vg vg vg vg vg vg vg vg
s. OBJ: Client Needs: Physiological Integrity
vg vg vg vg
TOP: Content Area: Pharmacology
v g v g vg vg
MSC: Integrated Process: Nursing Process—Planning
vg vg vg vg
2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analge
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
sic administration following cesarean birth. If the client develops respiratory depression and re
vg vg vg vg vg vg vg vg vg vg vg vg
quires naloxone (Narcan) as an antidote, the client may complain of which of the following?
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
1. Increase in her pain level vg vg vg vg
2. Decrease in her pain level vg vg vg vg
3. Increase in the amount of itching from the opioid used in the epidural
vg vg vg vg vg vg vg vg vg vg vg vg
,Silvestri: Saunders Comprehensive Review for the NCLEX-
vg vg vg vg vg vg
RN® Examination, 9th Edition
vg vg v g
4. Decrease in the amount of itching from the opioid used in the epidural
vg vg vg vg vg vg vg vg vg vg vg vg
, Silvestri: Saunders Comprehensive Review for the NCLEX-
vg vg vg vg vg vg
RN® Examination, 9th Edition
vg vg v g
ANS: 1 v g
Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist,
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
which reverses the effects of opioids. If it is given, the client may complain of an increase in her pain
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
level. Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opioid used
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg v
in the epidural,‖ and ―decrease in the amount of itching from the opioid used in the epidural‖ are inco
g vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
rrect.
Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are the medi
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
cations used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an antid
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ote for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this quest
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ion was difficult.
vg vg
PTS: 1
DIF: Level of Cognitive Ability: Understanding vg vg vg vg
REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
vg vg vg vg vg vg vg vg vg vg vg
s. OBJ: Client Needs: Physiological Integrity
vg vg vg vg
TOP: Content Area: Pharmacology
v g v g vg vg
MSC: Integrated Process: Nursing Process—Assessment
vg vg vg vg
3. A client experiencing preterm labor at the twenty-
vg vg vg vg vg vg vg
ninth week of gestation has been admitted to the hospital. The client has a prescription to receive bet
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
amethasone (Celestone). The nurse understands that the medication will do which of the following?
vg vg vg vg vg vg vg vg vg vg vg vg vg
1. Prevent spontaneous delivery. vg vg
2. Stop the uterine contractions.vg vg vg
3. Promote maturation of the fetal lungs. vg vg vg vg vg
4. Accelerate the growth rate of the fetus. vg vg vg vg vg vg
ANS: 3 v g
Rationale: Betamethasone (Celestone) is classified as an anti-
vg vg vg vg vg vg vg
inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetus, whic
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
h reduces the incidence of respiratory distress syndrome. Delivery must be delayed for at least 48 hou
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
rs after administration of betamethasone to allow time for the lungs of the fetus to mature.
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
Test-
Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in mind,
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg v
eliminate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the strategic word
g vg vg vg vg vg vg vg vg vg vg vg vg
s ―twenty-
vg
ninth week of gestation.‖ Specific knowledge about the medication and knowledge of the problems en
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
countered by premature infants will assist in answering this question. Review the action of this medic
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ation if this question was difficult.
vg vg vg vg vg
PTS: 1
, Silvestri: Saunders Comprehensive Review for the NCLEX-
vg vg vg vg vg vg
RN® Examination, 9th Edition
vg vg v g
DIF: Level of Cognitive Ability: Understanding
vg vg vg vg
REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-
vg vg vg vg vg vg vg vg vg vg
child nursing (3rd ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity
vg vg vg vg vg vg vg vg vg
