Test Bankb1b1
for Saunders Comprehensive Review for the NCLEX-RN®
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
b1b1 Examination, 9th Edition by Linda Anne Silvestri and Angela
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
b1b1 Silvestri ||ISBN NO: 9780721677958|| All Chapters
b1b1 b1b1 b1b1 b1b1 b1b1
b1b1 Covered||Complete Guide A+. b1b1 b1b1
Geniusexpert
Geniusexpert
, https://www.stuvia.com/user/GeniusExpert
Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
Edition
b1b1
Pharmacology
b1b1 Test Bank b1b1
MULTIPLE CHOICE b1b1
1. The nurse is caring for a client in labor. The nurse reviews the physician’s
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
prescriptions and notes that the client has a prescription for butorphanol tartrate
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
(Stadol). The nurse understands that this medication is prescribed for:
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
1. Pain relief b1b1
2. Increasing uterine contractions b1b1 b1b1
3. Decreasing uterine contractions b1b1 b1b1
4. Promoting fetal lung maturity b1b1 b1b1 b1b1
ANS: b1b1 b1b1 1
Rationale: The client b1b1 b1b1 b1b1 in labor may be given parenteral analgesia during the first stage
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
of labor, up to 2
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 to 3 hours before the anticipated delivery. Butorphanol tartrate is
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
a medication that
b1b1 b1b1 b1b1 b1b1 may be prescribed for pain relief. “Increasing uterine contractions,”
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
“decreasing uterine
b1b1 b1b1 b1b1 contractions,” and “promoting fetal lung maturity” are not actions
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
of this medication.
b1b1 b1b1 b1b1
Test-Taking Strategy: Knowledge of the action of butorphanol tartrate is required to
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
answer this question. Remember that this medication is used for pain relief. Review
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
the action of this medication if you had difficulty with this question and are
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
unfamiliar with this medication.
b1b1 b1b1 b1b1 b1b1
PTS: 1
DIF: Level of Cognitive Ability: Understanding
b1b1 b1b1 b1b1 b1b1
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis:
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
Saunders. OBJ:
b1b1 Client Needs: Physiological Integrity
b1b1 b1b1 b1b1 b1b1
TOP: Content Area: Pharmacology b1b1 b1b1
MSC: Integrated Process: Nursing Process—Planning
b 1 b 1 b1b1 b1b1 b1b1
2. The postpartum nurse is caring for a client with an epidural catheter in place
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
for opioid analgesic administration following cesarean birth. If the client develops
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
respiratory depression and requires naloxone (Narcan) as an antidote, the client
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
may complain of which of the following?
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
1. Increase in her pain level b1b1 b1b1 b1b1 b1b1
2. Decrease in her pain level b1b1 b1b1 b1b1 b1b1
3. Increase in the amount of itching from the opioid used in the
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
epidural
b1b1
, 4. Decrease in the amount of itching from the opioid used in the
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
epidural
b1b1
https://www.stuvia.com/user/GeniusExpert
, ANS: b1b1 b1b1 1
Rationale: Remember that b1b1 b1b1 b1b1 opioids are used for epidural analgesia. Naloxone is an
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
opioid antagonist, which
b1b1 b1b1 b1b1 b1b1 reverses the effects of opioids. If it is given, the client may
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
complain of an increase
b1b1 b1b1 b1b1 b1b1 b1b1 in her pain level. Therefore “decrease in her pain level,”
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
“increase in the amount
b1b1 b1b1 b1b1 b1b1 b1b1 of itching from the opioid used in the epidural,” and
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
“decrease in the amount
b1b1 b1b1 b1b1 b1b1 b1b1 of itching from the opioid used in the epidural” are
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
incorrect.
b1b1
Test-Taking Strategy: To answer this question accurately, you must know that opioid
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
analgesics are the medications used with epidural analgesia to relieve pain. Therefore
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
if naloxone is administered as an antidote for an opioid analgesic, the client’s pain
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
will increase. Review the effects of naloxone if this question was difficult.
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
PTS: 1
DIF: Level of Cognitive Ability: Understanding b1b1 b1b1 b1b1 b1b1
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis:
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
Saunders. OBJ:
b1b1 Client Needs: Physiological Integrity
b1b1 b1b1 b1b1 b1b1
TOP: Content Area: Pharmacology b1b1 b1b1
MSC: Integrated Process: Nursing Process—Assessment
b 1 b 1 b1b1 b1b1 b1b1
3. A client experiencing preterm labor at the twenty-ninth week of gestation has been
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
admitted to the hospital. The client has a prescription to receive betamethasone
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
(Celestone). The nurse understands that the medication will do which of the
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
following?
b1b1
1. Prevent spontaneous delivery. b1b1 b1b1
2. Stop the uterine contractions.
b1b1 b1b1 b1b1
3. Promote maturation of the fetal lungs. b1b1 b1b1 b1b1 b1b1 b1b1
4. Accelerate the growth rate of the fetus. b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
ANS: b1b1 b1b1 3
Rationale: Betamethasone (Celestone) is classified as an anti-inflammatory and
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
corticosteroid. It increases the surfactant level and lung maturity in the fetus, which
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
reduces the incidence of respiratory distress syndrome. Delivery must be delayed for
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
at least 48 hours after administration of betamethasone to allow time for the lungs
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
of the fetus to mature.
b1b1 b1b1 b1b1 b1b1 b1b1
Test-Taking Strategy: Options that are comparable or alike are not likely to be
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
correct. With this in mind, eliminate “prevent spontaneous delivery” and “stop the
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
uterine contractions.” Note the strategic words “twenty-ninth week of gestation.”
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
Specific knowledge about the medication and knowledge of the problems encountered
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
by premature infants will assist in answering this question. Review the action of this
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
medication if this question was difficult.
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
for Saunders Comprehensive Review for the NCLEX-RN®
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
b1b1 Examination, 9th Edition by Linda Anne Silvestri and Angela
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
b1b1 Silvestri ||ISBN NO: 9780721677958|| All Chapters
b1b1 b1b1 b1b1 b1b1 b1b1
b1b1 Covered||Complete Guide A+. b1b1 b1b1
Geniusexpert
Geniusexpert
, https://www.stuvia.com/user/GeniusExpert
Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5th
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
Edition
b1b1
Pharmacology
b1b1 Test Bank b1b1
MULTIPLE CHOICE b1b1
1. The nurse is caring for a client in labor. The nurse reviews the physician’s
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
prescriptions and notes that the client has a prescription for butorphanol tartrate
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
(Stadol). The nurse understands that this medication is prescribed for:
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
1. Pain relief b1b1
2. Increasing uterine contractions b1b1 b1b1
3. Decreasing uterine contractions b1b1 b1b1
4. Promoting fetal lung maturity b1b1 b1b1 b1b1
ANS: b1b1 b1b1 1
Rationale: The client b1b1 b1b1 b1b1 in labor may be given parenteral analgesia during the first stage
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
of labor, up to 2
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 to 3 hours before the anticipated delivery. Butorphanol tartrate is
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
a medication that
b1b1 b1b1 b1b1 b1b1 may be prescribed for pain relief. “Increasing uterine contractions,”
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
“decreasing uterine
b1b1 b1b1 b1b1 contractions,” and “promoting fetal lung maturity” are not actions
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
of this medication.
b1b1 b1b1 b1b1
Test-Taking Strategy: Knowledge of the action of butorphanol tartrate is required to
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
answer this question. Remember that this medication is used for pain relief. Review
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
the action of this medication if you had difficulty with this question and are
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
unfamiliar with this medication.
b1b1 b1b1 b1b1 b1b1
PTS: 1
DIF: Level of Cognitive Ability: Understanding
b1b1 b1b1 b1b1 b1b1
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis:
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
Saunders. OBJ:
b1b1 Client Needs: Physiological Integrity
b1b1 b1b1 b1b1 b1b1
TOP: Content Area: Pharmacology b1b1 b1b1
MSC: Integrated Process: Nursing Process—Planning
b 1 b 1 b1b1 b1b1 b1b1
2. The postpartum nurse is caring for a client with an epidural catheter in place
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
for opioid analgesic administration following cesarean birth. If the client develops
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
respiratory depression and requires naloxone (Narcan) as an antidote, the client
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
may complain of which of the following?
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
1. Increase in her pain level b1b1 b1b1 b1b1 b1b1
2. Decrease in her pain level b1b1 b1b1 b1b1 b1b1
3. Increase in the amount of itching from the opioid used in the
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
epidural
b1b1
, 4. Decrease in the amount of itching from the opioid used in the
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
epidural
b1b1
https://www.stuvia.com/user/GeniusExpert
, ANS: b1b1 b1b1 1
Rationale: Remember that b1b1 b1b1 b1b1 opioids are used for epidural analgesia. Naloxone is an
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
opioid antagonist, which
b1b1 b1b1 b1b1 b1b1 reverses the effects of opioids. If it is given, the client may
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
complain of an increase
b1b1 b1b1 b1b1 b1b1 b1b1 in her pain level. Therefore “decrease in her pain level,”
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
“increase in the amount
b1b1 b1b1 b1b1 b1b1 b1b1 of itching from the opioid used in the epidural,” and
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
“decrease in the amount
b1b1 b1b1 b1b1 b1b1 b1b1 of itching from the opioid used in the epidural” are
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
incorrect.
b1b1
Test-Taking Strategy: To answer this question accurately, you must know that opioid
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
analgesics are the medications used with epidural analgesia to relieve pain. Therefore
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
if naloxone is administered as an antidote for an opioid analgesic, the client’s pain
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
will increase. Review the effects of naloxone if this question was difficult.
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
PTS: 1
DIF: Level of Cognitive Ability: Understanding b1b1 b1b1 b1b1 b1b1
REF: Lehne, R. (2010). Pharmacology for nursing care (7th ed.). St. Louis:
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
Saunders. OBJ:
b1b1 Client Needs: Physiological Integrity
b1b1 b1b1 b1b1 b1b1
TOP: Content Area: Pharmacology b1b1 b1b1
MSC: Integrated Process: Nursing Process—Assessment
b 1 b 1 b1b1 b1b1 b1b1
3. A client experiencing preterm labor at the twenty-ninth week of gestation has been
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
admitted to the hospital. The client has a prescription to receive betamethasone
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
(Celestone). The nurse understands that the medication will do which of the
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
following?
b1b1
1. Prevent spontaneous delivery. b1b1 b1b1
2. Stop the uterine contractions.
b1b1 b1b1 b1b1
3. Promote maturation of the fetal lungs. b1b1 b1b1 b1b1 b1b1 b1b1
4. Accelerate the growth rate of the fetus. b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
ANS: b1b1 b1b1 3
Rationale: Betamethasone (Celestone) is classified as an anti-inflammatory and
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
corticosteroid. It increases the surfactant level and lung maturity in the fetus, which
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
reduces the incidence of respiratory distress syndrome. Delivery must be delayed for
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
at least 48 hours after administration of betamethasone to allow time for the lungs
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
of the fetus to mature.
b1b1 b1b1 b1b1 b1b1 b1b1
Test-Taking Strategy: Options that are comparable or alike are not likely to be
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
correct. With this in mind, eliminate “prevent spontaneous delivery” and “stop the
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
uterine contractions.” Note the strategic words “twenty-ninth week of gestation.”
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
Specific knowledge about the medication and knowledge of the problems encountered
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
by premature infants will assist in answering this question. Review the action of this
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
medication if this question was difficult.
b1b1 b1b1 b1b1 b1b1 b1b1 b1b1
