TEST BANK
NCLEX-RN® Examination,
5th Edition Pharmacology
ComprehensiveWReviewWforWtheWNCLEX-RN®WExamination,W5thWEdition
Pharmacolog
yWTestWBank
MULTIPLEWCHOICE
1. TheWnurseWisWcaringWforWaWclientWinWlabor.WTheWnurseWreviewsWtheWphysician’sWprescriptionsWa
ndWnotesWthatWtheWclientWhasWaWprescriptionWforWbutorphanolWtartrateW(Stadol).WTheWnurseWun
derstandsWthatWthisWmedicationWisWprescribedWfor:
1. PainWrelief
2. IncreasingWuterineWcontractions
3. DecreasingWuterineWcontractions
4. PromotingWfetalWlungWmaturity
ANS:W 1
Rationale:WTheWclientWinWlaborWmayWbeWgivenWparenteralWanalgesiaWduringWtheWfirstWstageWofWla
bor,WupWtoW2WtoW3WhoursWbeforeWtheWanticipatedWdelivery.WButorphanolWtartrateWisWaWmedicatio
nWthatWmayWbeWprescribedWforWpainWrelief.W“IncreasingWuterineWcontractions,”W“decreasingWuter
ineWcontractions,”WandW“promotingWfetalWlungWmaturity”WareWnotWactionsWofWthisWmedication.
Test-
TakingWStrategy:WKnowledgeWofWtheWactionWofWbutorphanolWtartrateWisWrequiredWtoWanswerWthi
sWquestion.WRememberWthatWthisWmedicationWisWusedWforWpainWrelief.WReviewWtheWactionWofWthi
sWmedicationWifWyouWhadWdifficultyWwithWthisWquestionWandWareWunfamiliarWwithWthisWmedication
.
PTS: 1
, DIF: LevelWofWCognitiveWAbility:WUnderstanding
REF:
Lehne,WR.W(2010).WPharmacologyWforWnursingWcareW(7thWed.).WSt.WLouis:W
Saunders.WOBJ: ClientWNeeds:WPhysiologicalWIntegrity
TOP: ContentWArea:WPharmacology
MSC:W IntegratedWProcess:WNursingWProcess—Planning
2. TheWpostpartumWnurseWisWcaringWforWaWclientWwithWanWepiduralWcatheterWinWplaceWforWo
pioidWanalgesicWadministrationWfollowingWcesareanWbirth.WIfWtheWclientWdevelopsWrespirat
oryWdepressionWandWrequiresWnaloxoneW(Narcan)WasWanWantidote,WtheWclientWmayWcompl
ainWofWwhichWofWtheWfollowing?
1. IncreaseWinWherWpainWlevel
2. DecreaseWinWherWpainWlevel
3. IncreaseWinWtheWamountWofWitchingWfromWtheWopioidWusedWinWtheWepidural
4. DecreaseWinWtheWamountWofWitchingWfromWtheWopioidWusedWinWtheWepidural
, ANS:W 1
Rationale:WRememberWthatWopioidsWareWusedWforWepiduralWanalgesia.WNaloxoneWisWanWopioidW
antagonist,WwhichWreversesWtheWeffectsWofWopioids.WIfWitWisWgiven,WtheWclientWmayWcomplainWofW
anWincreaseWinWherWpainWlevel.WThereforeW“decreaseWinWherWpainWlevel,”W“increaseWinWtheWamo
untWofWitchingWfromWtheWopioidWusedWinWtheWepidural,”WandW“decreaseWinWtheWamountWofWitchi
ngWfromWtheWopioidWusedWinWtheWepidural”WareWincorrect.
Test-
TakingWStrategy:WToWanswerWthisWquestionWaccurately,WyouWmustWknowWthatWopioidWanalgesicsW
areWtheWmedicationsWusedWwithWepiduralWanalgesiaWtoWrelieveWpain.WThereforeWifWnaloxoneWisWad
ministeredWasWanWantidoteWforWanWopioidWanalgesic,WtheWclient’sWpainWwillWincrease.WReviewWthe
WeffectsWofWnaloxoneWifWthisWquestionWwasWdifficult.
PTS: 1
DIF: LevelWofWCognitiveWAbility:WUnderstanding
REF:
Lehne,WR.W(2010).WPharmacologyWforWnursingWcareW(7thWed.).WSt.WLouis:W
Saunders.WOBJ: ClientWNeeds:WPhysiologicalWIntegrity
TOP: ContentWArea:WPharmacology
MSC:W IntegratedWProcess:WNursingWProcess—Assessment
3. AWclientWexperiencingWpretermWlaborWatWtheWtwenty-
ninthWweekWofWgestationWhasWbeenWadmittedWtoWtheWhospital.WTheWclientWhasWaWprescriptionWt
oWreceiveWbetamethasoneW(Celestone).WTheWnurseWunderstandsWthatWtheWmedicationWwillWdoW
whichWofWtheWfollowing?
1. PreventWspontaneousWdelivery.
2. StopWtheWuterineWcontractions.
3. PromoteWmaturationWofWtheWfetalWlungs.
4. AccelerateWtheWgrowthWrateWofWtheWfetus.
ANS:W 3
Rationale:WBetamethasoneW(Celestone)WisWclassifiedWasWanWanti-
inflammatoryWandWcorticosteroid.WItWincreasesWtheWsurfactantWlevelWandWlungWmaturityWinWtheWf
etus,WwhichWreducesWtheWincidenceWofWrespiratoryWdistressWsyndrome.WDeliveryWmustWbeWdelay
edWforWatWleastW48WhoursWafterWadministrationWofWbetamethasoneWtoWallowWtimeWforWtheWlungsW
ofWtheWfetusWtoWmature.
Test-
TakingWStrategy:WOptionsWthatWareWcomparableWorWalikeWareWnotWlikelyWtoWbeWcorrect.WWithWth
isWinWmind,WeliminateW“preventWspontaneousWdelivery”WandW“stopWtheWuterineWcontractions.”W
NoteWtheWstrategicWwordsW“twenty-
ninthWweekWofWgestation.”WSpecificWknowledgeWaboutWtheWmedicationWandWknowledgeWofWtheWpr
oblemsWencounteredWbyWprematureWinfantsWwillWassistWinWansweringWthisWquestion.WReviewWth
, eWactionWofWthisWmedicationWifWthisWquestionWwasWdifficult.
PTS: 1
DIF: LevelWofWCognitiveWAbility:WUnderstanding
REF: McKinney,WE.,WJames,WS.,WMurray,WS.,W&WAshwill,WJ.W(2009).WMaternal-
childWnursingW(3rdWed.).WSt.WLouis:WSaunders. OBJ: ClientWNeeds:WPhysiologicalWIntegrity
NCLEX-RN® Examination,
5th Edition Pharmacology
ComprehensiveWReviewWforWtheWNCLEX-RN®WExamination,W5thWEdition
Pharmacolog
yWTestWBank
MULTIPLEWCHOICE
1. TheWnurseWisWcaringWforWaWclientWinWlabor.WTheWnurseWreviewsWtheWphysician’sWprescriptionsWa
ndWnotesWthatWtheWclientWhasWaWprescriptionWforWbutorphanolWtartrateW(Stadol).WTheWnurseWun
derstandsWthatWthisWmedicationWisWprescribedWfor:
1. PainWrelief
2. IncreasingWuterineWcontractions
3. DecreasingWuterineWcontractions
4. PromotingWfetalWlungWmaturity
ANS:W 1
Rationale:WTheWclientWinWlaborWmayWbeWgivenWparenteralWanalgesiaWduringWtheWfirstWstageWofWla
bor,WupWtoW2WtoW3WhoursWbeforeWtheWanticipatedWdelivery.WButorphanolWtartrateWisWaWmedicatio
nWthatWmayWbeWprescribedWforWpainWrelief.W“IncreasingWuterineWcontractions,”W“decreasingWuter
ineWcontractions,”WandW“promotingWfetalWlungWmaturity”WareWnotWactionsWofWthisWmedication.
Test-
TakingWStrategy:WKnowledgeWofWtheWactionWofWbutorphanolWtartrateWisWrequiredWtoWanswerWthi
sWquestion.WRememberWthatWthisWmedicationWisWusedWforWpainWrelief.WReviewWtheWactionWofWthi
sWmedicationWifWyouWhadWdifficultyWwithWthisWquestionWandWareWunfamiliarWwithWthisWmedication
.
PTS: 1
, DIF: LevelWofWCognitiveWAbility:WUnderstanding
REF:
Lehne,WR.W(2010).WPharmacologyWforWnursingWcareW(7thWed.).WSt.WLouis:W
Saunders.WOBJ: ClientWNeeds:WPhysiologicalWIntegrity
TOP: ContentWArea:WPharmacology
MSC:W IntegratedWProcess:WNursingWProcess—Planning
2. TheWpostpartumWnurseWisWcaringWforWaWclientWwithWanWepiduralWcatheterWinWplaceWforWo
pioidWanalgesicWadministrationWfollowingWcesareanWbirth.WIfWtheWclientWdevelopsWrespirat
oryWdepressionWandWrequiresWnaloxoneW(Narcan)WasWanWantidote,WtheWclientWmayWcompl
ainWofWwhichWofWtheWfollowing?
1. IncreaseWinWherWpainWlevel
2. DecreaseWinWherWpainWlevel
3. IncreaseWinWtheWamountWofWitchingWfromWtheWopioidWusedWinWtheWepidural
4. DecreaseWinWtheWamountWofWitchingWfromWtheWopioidWusedWinWtheWepidural
, ANS:W 1
Rationale:WRememberWthatWopioidsWareWusedWforWepiduralWanalgesia.WNaloxoneWisWanWopioidW
antagonist,WwhichWreversesWtheWeffectsWofWopioids.WIfWitWisWgiven,WtheWclientWmayWcomplainWofW
anWincreaseWinWherWpainWlevel.WThereforeW“decreaseWinWherWpainWlevel,”W“increaseWinWtheWamo
untWofWitchingWfromWtheWopioidWusedWinWtheWepidural,”WandW“decreaseWinWtheWamountWofWitchi
ngWfromWtheWopioidWusedWinWtheWepidural”WareWincorrect.
Test-
TakingWStrategy:WToWanswerWthisWquestionWaccurately,WyouWmustWknowWthatWopioidWanalgesicsW
areWtheWmedicationsWusedWwithWepiduralWanalgesiaWtoWrelieveWpain.WThereforeWifWnaloxoneWisWad
ministeredWasWanWantidoteWforWanWopioidWanalgesic,WtheWclient’sWpainWwillWincrease.WReviewWthe
WeffectsWofWnaloxoneWifWthisWquestionWwasWdifficult.
PTS: 1
DIF: LevelWofWCognitiveWAbility:WUnderstanding
REF:
Lehne,WR.W(2010).WPharmacologyWforWnursingWcareW(7thWed.).WSt.WLouis:W
Saunders.WOBJ: ClientWNeeds:WPhysiologicalWIntegrity
TOP: ContentWArea:WPharmacology
MSC:W IntegratedWProcess:WNursingWProcess—Assessment
3. AWclientWexperiencingWpretermWlaborWatWtheWtwenty-
ninthWweekWofWgestationWhasWbeenWadmittedWtoWtheWhospital.WTheWclientWhasWaWprescriptionWt
oWreceiveWbetamethasoneW(Celestone).WTheWnurseWunderstandsWthatWtheWmedicationWwillWdoW
whichWofWtheWfollowing?
1. PreventWspontaneousWdelivery.
2. StopWtheWuterineWcontractions.
3. PromoteWmaturationWofWtheWfetalWlungs.
4. AccelerateWtheWgrowthWrateWofWtheWfetus.
ANS:W 3
Rationale:WBetamethasoneW(Celestone)WisWclassifiedWasWanWanti-
inflammatoryWandWcorticosteroid.WItWincreasesWtheWsurfactantWlevelWandWlungWmaturityWinWtheWf
etus,WwhichWreducesWtheWincidenceWofWrespiratoryWdistressWsyndrome.WDeliveryWmustWbeWdelay
edWforWatWleastW48WhoursWafterWadministrationWofWbetamethasoneWtoWallowWtimeWforWtheWlungsW
ofWtheWfetusWtoWmature.
Test-
TakingWStrategy:WOptionsWthatWareWcomparableWorWalikeWareWnotWlikelyWtoWbeWcorrect.WWithWth
isWinWmind,WeliminateW“preventWspontaneousWdelivery”WandW“stopWtheWuterineWcontractions.”W
NoteWtheWstrategicWwordsW“twenty-
ninthWweekWofWgestation.”WSpecificWknowledgeWaboutWtheWmedicationWandWknowledgeWofWtheWpr
oblemsWencounteredWbyWprematureWinfantsWwillWassistWinWansweringWthisWquestion.WReviewWth
, eWactionWofWthisWmedicationWifWthisWquestionWwasWdifficult.
PTS: 1
DIF: LevelWofWCognitiveWAbility:WUnderstanding
REF: McKinney,WE.,WJames,WS.,WMurray,WS.,W&WAshwill,WJ.W(2009).WMaternal-
childWnursingW(3rdWed.).WSt.WLouis:WSaunders. OBJ: ClientWNeeds:WPhysiologicalWIntegrity
