NCLEX-RN
Examination, 5th Edition Ph
b b b
armacology Test Bank
b b
,NCLEX-RN Examination, 5th Edition Pharmacology Test Bank
b b b b b b b
Pharmacology b
MULTIPLEbCHOICE
1. Thebnursebisbcaringbforbabclientbinblabor.bThebnursebreviewsbthebphysician’sbprescriptionsbandbnotesbthatbth
ebclientbhasbabprescriptionbforbbutorphanolbtartrateb(Stadol).bThebnursebunderstandsbthatbthisbmedicationbisb
prescribedbfor:
1. Painbrelief
2. Increasingbuterinebcontractions
3. Decreasingbuterinebcontractions
4. Promotingbfetalblungbmaturity
ANS:b 1
Rationale:bThebclientbinblaborbmaybbebgivenbparenteralbanalgesiabduringbthebfirstbstagebofblabor,bupbtob2btob3b
hoursbbeforebthebanticipatedbdelivery.bButorphanolbtartratebisbabmedicationbthatbmaybbebprescribedbforbpain
brelief.b“Increasingbuterinebcontractions,”b“decreasingbuterinebcontractions,”bandb“promotingbfetalblungbma
turity”barebnotbactionsbofbthisbmedication.
Test-
TakingbStrategy:bKnowledgebofbthebactionbofbbutorphanolbtartratebisbrequiredbtobanswerbthisbquestion.bRe
memberbthatbthisbmedicationbisbusedbforbpainbrelief.bReviewbthebactionbofbthisbmedicationbifbyoubhadbdifficul
tybwithbthisbquestionbandbarebunfamiliarbwithbthisbmedication.
PTS: 1
DIF: LevelbofbCognitivebAbility:bUnderstanding
REF:
Lehne,bR.b(2010).bPharmacologybforbnursingbcareb(7thbed.).bSt.bLouis:bSaunders.b
OBJ: ClientbNeeds:bPhysiologicalbIntegrity
TOP: ContentbArea:bPharmacology
MSC:bIntegratedbProcess:bNursingbProcess—Planning
2. Thebpostpartumbnursebisbcaringbforbabclientbwithbanbepiduralbcatheterbinbplacebforbopioidbanalgesicba
dministrationbfollowingbcesareanbbirth.bIfbthebclientbdevelopsbrespiratorybdepressionbandbrequiresbn
aloxoneb(Narcan)basbanbantidote,bthebclientbmaybcomplainbofbwhichbofbthebfollowing?
1. Increasebinbherbpainblevel
2. Decreasebinbherbpainblevel
,3. Increasebinbthebamountbofbitchingbfrombthebopioidbusedbinbthebepidural
, ANS:b 1
Rationale:bRememberbthatbopioidsbarebusedbforbepiduralbanalgesia.bNaloxonebisbanbopioidbantagonist,bwhi
chbreversesbthebeffectsbofbopioids.bIfbitbisbgiven,bthebclientbmaybcomplainbofbanbincreasebinbherbpainblevel.bT
hereforeb“decreasebinbherbpainblevel,”b“increasebinbthebamountbofbitchingbfrombthebopioidbusedbinbthebepidur
al,”bandb“decreasebinbthebamountbofbitchingbfrombthebopioidbusedbinbthebepidural”barebincorrect.
Test-
TakingbStrategy:bTobanswerbthisbquestionbaccurately,byoubmustbknowbthatbopioidbanalgesicsbarebthebmedica
tionsbusedbwithbepiduralbanalgesiabtobrelievebpain.bThereforebifbnaloxonebisbadministeredbasbanbantidotebforb
anbopioidbanalgesic,bthebclient’sbpainbwillbincrease.bReviewbthebeffectsbofbnaloxonebifbthisbquestionbwasbdif
ficult.
PTS: 1
DIF: LevelbofbCognitivebAbility:bUnderstanding
REF:
Lehne,bR.b(2010).bPharmacologybforbnursingbcareb(7thbed.).bSt.bLouis:bSaunders.b
OBJ: ClientbNeeds:bPhysiologicalbIntegrity
TOP: ContentbArea:bPharmacology
MSC:bIntegratedbProcess:bNursingbProcess—Assessment
3. Abclientbexperiencingbpretermblaborbatbthebtwenty-
ninthbweekbofbgestationbhasbbeenbadmittedbtobthebhospital.bThebclientbhasbabprescriptionbtobreceivebbetamet
hasoneb(Celestone).bThebnursebunderstandsbthatbthebmedicationbwillbdobwhichbofbthebfollowing?
1. Preventbspontaneousbdelivery.
2. Stopbthebuterinebcontractions.
3. Promotebmaturationbofbthebfetalblungs.
4. Acceleratebthebgrowthbratebofbthebfetus.
ANS:b 3
Rationale:bBetamethasoneb(Celestone)bisbclassifiedbasbanbanti-
inflammatorybandbcorticosteroid.bItbincreasesbthebsurfactantblevelbandblungbmaturitybinbthebfetus,bwhichbred
ucesbthebincidencebofbrespiratorybdistressbsyndrome.bDeliverybmustbbebdelayedbforbatbleastb48bhoursbafterbad
ministrationbofbbetamethasonebtoballowbtimebforbtheblungsbofbthebfetusbtobmature.
Test-
TakingbStrategy:bOptionsbthatbarebcomparableborbalikebarebnotblikelybtobbebcorrect.bWithbthisbinbmind,belim
inateb“preventbspontaneousbdelivery”bandb“stopbthebuterinebcontractions.”bNotebthebstrategicbwordsb“twent
y-
ninthbweekbofbgestation.”bSpecificbknowledgebaboutbthebmedicationbandbknowledgebofbthebproblemsbencou
nteredbbybprematurebinfantsbwillbassistbinbansweringbthisbquestion.bReviewbthebactionbofbthisbmedicationbifbt
hisbquestionbwasbdifficult.
PTS: 1
DIF: LevelbofbCognitivebAbility:bUnderstanding
REF: McKinney,bE.,bJames,bS.,bMurray,bS.,b&bAshwill,bJ.b(2009).bMaternal-
childbnursingb(3rdbed.).bSt.bLouis:bSaunders. OBJ: ClientbNeeds:bPhysiologicalbIntegrity
Examination, 5th Edition Ph
b b b
armacology Test Bank
b b
,NCLEX-RN Examination, 5th Edition Pharmacology Test Bank
b b b b b b b
Pharmacology b
MULTIPLEbCHOICE
1. Thebnursebisbcaringbforbabclientbinblabor.bThebnursebreviewsbthebphysician’sbprescriptionsbandbnotesbthatbth
ebclientbhasbabprescriptionbforbbutorphanolbtartrateb(Stadol).bThebnursebunderstandsbthatbthisbmedicationbisb
prescribedbfor:
1. Painbrelief
2. Increasingbuterinebcontractions
3. Decreasingbuterinebcontractions
4. Promotingbfetalblungbmaturity
ANS:b 1
Rationale:bThebclientbinblaborbmaybbebgivenbparenteralbanalgesiabduringbthebfirstbstagebofblabor,bupbtob2btob3b
hoursbbeforebthebanticipatedbdelivery.bButorphanolbtartratebisbabmedicationbthatbmaybbebprescribedbforbpain
brelief.b“Increasingbuterinebcontractions,”b“decreasingbuterinebcontractions,”bandb“promotingbfetalblungbma
turity”barebnotbactionsbofbthisbmedication.
Test-
TakingbStrategy:bKnowledgebofbthebactionbofbbutorphanolbtartratebisbrequiredbtobanswerbthisbquestion.bRe
memberbthatbthisbmedicationbisbusedbforbpainbrelief.bReviewbthebactionbofbthisbmedicationbifbyoubhadbdifficul
tybwithbthisbquestionbandbarebunfamiliarbwithbthisbmedication.
PTS: 1
DIF: LevelbofbCognitivebAbility:bUnderstanding
REF:
Lehne,bR.b(2010).bPharmacologybforbnursingbcareb(7thbed.).bSt.bLouis:bSaunders.b
OBJ: ClientbNeeds:bPhysiologicalbIntegrity
TOP: ContentbArea:bPharmacology
MSC:bIntegratedbProcess:bNursingbProcess—Planning
2. Thebpostpartumbnursebisbcaringbforbabclientbwithbanbepiduralbcatheterbinbplacebforbopioidbanalgesicba
dministrationbfollowingbcesareanbbirth.bIfbthebclientbdevelopsbrespiratorybdepressionbandbrequiresbn
aloxoneb(Narcan)basbanbantidote,bthebclientbmaybcomplainbofbwhichbofbthebfollowing?
1. Increasebinbherbpainblevel
2. Decreasebinbherbpainblevel
,3. Increasebinbthebamountbofbitchingbfrombthebopioidbusedbinbthebepidural
, ANS:b 1
Rationale:bRememberbthatbopioidsbarebusedbforbepiduralbanalgesia.bNaloxonebisbanbopioidbantagonist,bwhi
chbreversesbthebeffectsbofbopioids.bIfbitbisbgiven,bthebclientbmaybcomplainbofbanbincreasebinbherbpainblevel.bT
hereforeb“decreasebinbherbpainblevel,”b“increasebinbthebamountbofbitchingbfrombthebopioidbusedbinbthebepidur
al,”bandb“decreasebinbthebamountbofbitchingbfrombthebopioidbusedbinbthebepidural”barebincorrect.
Test-
TakingbStrategy:bTobanswerbthisbquestionbaccurately,byoubmustbknowbthatbopioidbanalgesicsbarebthebmedica
tionsbusedbwithbepiduralbanalgesiabtobrelievebpain.bThereforebifbnaloxonebisbadministeredbasbanbantidotebforb
anbopioidbanalgesic,bthebclient’sbpainbwillbincrease.bReviewbthebeffectsbofbnaloxonebifbthisbquestionbwasbdif
ficult.
PTS: 1
DIF: LevelbofbCognitivebAbility:bUnderstanding
REF:
Lehne,bR.b(2010).bPharmacologybforbnursingbcareb(7thbed.).bSt.bLouis:bSaunders.b
OBJ: ClientbNeeds:bPhysiologicalbIntegrity
TOP: ContentbArea:bPharmacology
MSC:bIntegratedbProcess:bNursingbProcess—Assessment
3. Abclientbexperiencingbpretermblaborbatbthebtwenty-
ninthbweekbofbgestationbhasbbeenbadmittedbtobthebhospital.bThebclientbhasbabprescriptionbtobreceivebbetamet
hasoneb(Celestone).bThebnursebunderstandsbthatbthebmedicationbwillbdobwhichbofbthebfollowing?
1. Preventbspontaneousbdelivery.
2. Stopbthebuterinebcontractions.
3. Promotebmaturationbofbthebfetalblungs.
4. Acceleratebthebgrowthbratebofbthebfetus.
ANS:b 3
Rationale:bBetamethasoneb(Celestone)bisbclassifiedbasbanbanti-
inflammatorybandbcorticosteroid.bItbincreasesbthebsurfactantblevelbandblungbmaturitybinbthebfetus,bwhichbred
ucesbthebincidencebofbrespiratorybdistressbsyndrome.bDeliverybmustbbebdelayedbforbatbleastb48bhoursbafterbad
ministrationbofbbetamethasonebtoballowbtimebforbtheblungsbofbthebfetusbtobmature.
Test-
TakingbStrategy:bOptionsbthatbarebcomparableborbalikebarebnotblikelybtobbebcorrect.bWithbthisbinbmind,belim
inateb“preventbspontaneousbdelivery”bandb“stopbthebuterinebcontractions.”bNotebthebstrategicbwordsb“twent
y-
ninthbweekbofbgestation.”bSpecificbknowledgebaboutbthebmedicationbandbknowledgebofbthebproblemsbencou
nteredbbybprematurebinfantsbwillbassistbinbansweringbthisbquestion.bReviewbthebactionbofbthisbmedicationbifbt
hisbquestionbwasbdifficult.
PTS: 1
DIF: LevelbofbCognitivebAbility:bUnderstanding
REF: McKinney,bE.,bJames,bS.,bMurray,bS.,b&bAshwill,bJ.b(2009).bMaternal-
childbnursingb(3rdbed.).bSt.bLouis:bSaunders. OBJ: ClientbNeeds:bPhysiologicalbIntegrity
