Test Bank for Saunders Comprehensive Review for the NCLEX-RN® Examination, 9th Edition by Linda Anne Silvestri and Angela Silvestri Complete Questions and Answers Pass Guaranteed

Silvestri: Saunders Comprehensive Review for the NCLEX-
1i 1i 1i 1i 1i 1i



RN® Examination, 9th Edition
1i 1i 1 i




Silvestri: Saunders Comprehensive Review for the NCLEX- wi wi wi wi wi wi




RN® Examination, 9thEdition wiwi wi




Pharmacology wi




Test Bank wi




MULTIPLE CHOICE wi




1. The nurse is caring for a client in labor. The nurse reviews the physician’s prescriptions and notes th
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


at the client has a prescription for butorphanol tartrate (Stadol). The nurse understands that this medic
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


ation is prescribed for:
wi wi wi



1. Pain relief wi




2. Increasing uterine contractions wi wi




3. Decreasing uterine contractions wi wi



4. Promoting fetal lung maturity wi wi wi




ANS: 1 w i




Rationale: The client in labor may be given parenteral analgesia during the first stage of labor, up to
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


2 to 3 hours before the anticipated delivery. Butorphanol tartrate is a medication that may be prescrib
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


ed for wi


pain relief. ―Increasing uterine contractions,‖ ―decreasing uterine contractions,‖ and ―promoting fetal l
wi wi wi wi wi wi wi wi wi wi wi


ung maturity‖ are not actions of this medication.
wi wi wi wi wi wi wi




Test-
Taking Strategy: Knowledge of the action of butorphanol tartrate is required to answer this question.
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


Remember that this medication is used for pain relief. Review the action of this medication if you had
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


difficulty with this question and are unfamiliar with this medication.
wi wi wi wi wi wi wi wi wi




PTS: 1
DIF: Level of Cognitive Ability: Understanding wi wi wi wi


REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
wi wi wi wi wi wi wi wi wi wi wi


s. OBJ: Client Needs: Physiological Integrity
wi wi wi wi


TOP: Content Area: Pharmacology
wi wi wi wi


MSC: Integrated Process: Nursing Process—Planning
wi wi wi wi




2. The postpartum nurse is caring for a client with an epidural catheter in place for opioid analge
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


sic administration following cesarean birth. If the client develops respiratory depression and re
wi wi wi wi wi wi wi wi wi wi wi wi


quires naloxone (Narcan) as an antidote, the client may complain of which of the following?
wi wi wi wi wi wi wi wi wi wi wi wi wi wi



1. Increase in her pain level wi wi wi wi




2. Decrease in her pain level wi wi wi wi




3. Increase in the amount of itching from the opioid used in the epidural
wi wi wi wi wi wi wi wi wi wi wi wi

,Silvestri: Saunders Comprehensive Review for the NCLEX-
1i 1i 1i 1i 1i 1i



RN® Examination, 9th Edition
1i 1i 1 i




4. Decrease in the amount of itching from the opioid used in the epidural
wi wi wi wi wi wi wi wi wi wi wi wi

, Silvestri: Saunders Comprehensive Review for the NCLEX-
1i 1i 1i 1i 1i 1i



RN® Examination, 9th Edition
1i 1i 1 i




ANS: 1 w i




Rationale: Remember that opioids are used for epidural analgesia. Naloxone is an opioid antagonist,
wi wi wi wi wi wi wi wi wi wi wi wi wi wi


which reverses the effects of opioids. If it is given, the client may complain of an increase in her pain
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


level. Therefore ―decrease in her pain level,‖ ―increase in the amount of itching from the opioid used
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


in the epidural,‖ and ―decrease in the amount of itching from the opioid used in the epidural‖ are inco
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


rrect.

Test-
Taking Strategy: To answer this question accurately, you must know that opioid analgesics are the medi
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


cations used with epidural analgesia to relieve pain. Therefore if naloxone is administered as an antid
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


ote for an opioid analgesic, the client’s pain will increase. Review the effects of naloxone if this quest
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


ion was difficult.
wi wi




PTS: 1
DIF: Level of Cognitive Ability: Understanding wi wi wi wi


REF:
Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis: Saunder
wi wi wi wi wi wi wi wi wi wi wi


s. OBJ: Client Needs: Physiological Integrity
wi wi wi wi


TOP: Content Area: Pharmacology
wi wi wi wi


MSC: Integrated Process: Nursing Process—Assessment
wi wi wi wi




3. A client experiencing preterm labor at the twenty-
wi wi wi wi wi wi wi


ninth week of gestation has been admitted to the hospital. The client has a prescription to receive bet
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


amethasone (Celestone). The nurse understands that the medication will do which of the following?
wi wi wi wi wi wi wi wi wi wi wi wi wi



1. Prevent spontaneous delivery. wi wi



2. Stop the uterine contractions.
wi wi wi




3. Promote maturation of the fetal lungs. wi wi wi wi wi




4. Accelerate the growth rate of the fetus. wi wi wi wi wi wi




ANS: 3 w i




Rationale: Betamethasone (Celestone) is classified as an anti-
wi wi wi wi wi wi wi


inflammatory and corticosteroid. It increases the surfactant level and lung maturity in the fetus, whic
wi wi wi wi wi wi wi wi wi wi wi wi wi wi


h reduces the incidence of respiratory distress syndrome. Delivery must be delayed for at least 48 hou
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


rs after administration of betamethasone to allow time for the lungs of the fetus to mature.
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi




Test-
Taking Strategy: Options that are comparable or alike are not likely to be correct. With this in mind,
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


eliminate ―prevent spontaneous delivery‖ and ―stop the uterine contractions.‖ Note the strategic wor
wi wi wi wi wi wi wi wi wi wi wi wi wi


ds ―twenty-
wi


ninth week of gestation.‖ Specific knowledge about the medication and knowledge of the problems en
wi wi wi wi wi wi wi wi wi wi wi wi wi wi


countered by premature infants will assist in answering this question. Review the action of this medic
wi wi wi wi wi wi wi wi wi wi wi wi wi wi wi


ation if this question was difficult.
wi wi wi wi wi




PTS: 1

, Silvestri: Saunders Comprehensive Review for the NCLEX-
1i 1i 1i 1i 1i 1i



RN® Examination, 9th Edition
1i 1i 1 i


DIF: Level of Cognitive Ability: Understanding
wi wi wi wi


REF: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-
wi wi wi wi wi wi wi wi wi wi


child nursing (3rd ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity
wi wi wi wi wi wi wi wi wi