NCLEX-RN
Examination, 5th Edition Ph
vt vt vt
armacology Test Bank
vt vt
,NCLEX-RN Examination, 5th Edition Pharmacology Test Bank
vt vt vt vt vt vt vt
Pharmacology vt
MULTIPLEvtCHOICE
1. Thevtnursevtisvtcaringvtforvtavtclientvtinvtlabor.vtThevtnursevtreviewsvtthevtphysician’svtprescriptionsvtandvtnotes
vtthatvtthevtclientvthasvtavtprescriptionvtforvtbutorphanolvttartratevt(Stadol).vtThevtnursevtunderstandsvtthatvtthisvt
medicationvtisvtprescribedvtfor:
1. Painvtrelief
2. Increasingvtuterinevtcontractions
3. Decreasingvtuterinevtcontractions
4. Promotingvtfetalvtlungvtmaturity
ANS:v t 1
Rationale:vtThevtclientvtinvtlaborvtmayvtbevtgivenvtparenteralvtanalgesiavtduringvtthevtfirstvtstagevtofvtlabor,vtupvtt
ovt2vttovt3vthoursvtbeforevtthevtanticipatedvtdelivery.vtButorphanolvttartratevtisvtavtmedicationvtthatvtmayvtbevtpre
scribedvtforvtpainvtrelief.vt“Increasingvtuterinevtcontractions,”vt“decreasingvtuterinevtcontractions,”vtandvt“pro
motingvtfetalvtlungvtmaturity”vtarevtnotvtactionsvtofvtthisvtmedication.
Test-
TakingvtStrategy:vtKnowledgevtofvtthevtactionvtofvtbutorphanolvttartratevtisvtrequiredvttovtanswervtthisvtquestio
n.vtRemembervtthatvtthisvtmedicationvtisvtusedvtforvtpainvtrelief.vtReviewvtthevtactionvtofvtthisvtmedicationvtifvtyou
vthadvtdifficultyvtwithvtthisvtquestionvtandvtarevtunfamiliarvtwithvtthisvtmedication.
PTS: 1
DIF: LevelvtofvtCognitivevtAbility:vtUnderstanding
REF:
Lehne,vtR.vt(2010).vtPharmacologyvtforvtnursingvtcarevt(7thvted.).vtSt.vtLouis:vtSaund
ers.vtOBJ: ClientvtNeeds:vtPhysiologicalvtIntegrity
TOP: ContentvtArea:vtPharmacology
MSC:vtIntegratedvtProcess:vtNursingvtProcess—Planning
2. Thevtpostpartumvtnursevtisvtcaringvtforvtavtclientvtwithvtanvtepiduralvtcathetervtinvtplacevtforvtopioidvtanal
gesicvtadministrationvtfollowingvtcesareanvtbirth.vtIfvtthevtclientvtdevelopsvtrespiratoryvtdepressionvtand
vtrequiresvtnaloxonevt(Narcan)vtasvtanvtantidote,vtthevtclientvtmayvtcomplainvtofvtwhichvtofvtthevtfollowi
ng?
1. Increasevtinvthervtpainvtlevel
,2. Decreasevtinvthervtpainvtlevel
3. Increasevtinvtthevtamountvtofvtitchingvtfromvtthevtopioidvtusedvtinvtthevtepidural
, ANS:v t 1
Rationale:vtRemembervtthatvtopioidsvtarevtusedvtforvtepiduralvtanalgesia.vtNaloxonevtisvtanvtopioidvtantagonist
,vtwhichvtreversesvtthevteffectsvtofvtopioids.vtIfvtitvtisvtgiven,vtthevtclientvtmayvtcomplainvtofvtanvtincreasevtinvther
vtpainvtlevel.vtThereforevt“decreasevtinvthervtpainvtlevel,”vt“increasevtinvtthevtamountvtofvtitchingvtfromvtthevtopi
oidvtusedvtinvtthevtepidural,”vtandvt“decreasevtinvtthevtamountvtofvtitchingvtfromvtthevtopioidvtusedvtinvtthevtepidur
al”vtarevtincorrect.
Test-
TakingvtStrategy:vtTovtanswervtthisvtquestionvtaccurately,vtyouvtmustvtknowvtthatvtopioidvtanalgesicsvtarevtthevt
medicationsvtusedvtwithvtepiduralvtanalgesiavttovtrelievevtpain.vtThereforevtifvtnaloxonevtisvtadministeredvtasvta
nvtantidotevtforvtanvtopioidvtanalgesic,vtthevtclient’svtpainvtwillvtincrease.vtReviewvtthevteffectsvtofvtnaloxonevtif
vtthisvtquestionvtwasvtdifficult.
PTS: 1
DIF: LevelvtofvtCognitivevtAbility:vtUnderstanding
REF:
Lehne,vtR.vt(2010).vtPharmacologyvtforvtnursingvtcarevt(7thvted.).vtSt.vtLouis:vtSaund
ers.vtOBJ: ClientvtNeeds:vtPhysiologicalvtIntegrity
TOP: ContentvtArea:vtPharmacology
MSC:vtIntegratedvtProcess:vtNursingvtProcess—Assessment
3. Avtclientvtexperiencingvtpretermvtlaborvtatvtthevttwenty-
ninthvtweekvtofvtgestationvthasvtbeenvtadmittedvttovtthevthospital.vtThevtclientvthasvtavtprescriptionvttovtreceivevt
betamethasonevt(Celestone).vtThevtnursevtunderstandsvtthatvtthevtmedicationvtwillvtdovtwhichvtofvtthevtfollowi
ng?
1. Preventvtspontaneousvtdelivery.
2. Stopvtthevtuterinevtcontractions.
3. Promotevtmaturationvtofvtthevtfetalvtlungs.
4. Acceleratevtthevtgrowthvtratevtofvtthevtfetus.
ANS:v t 3
Rationale:vtBetamethasonevt(Celestone)vtisvtclassifiedvtasvtanvtanti-
inflammatoryvtandvtcorticosteroid.vtItvtincreasesvtthevtsurfactantvtlevelvtandvtlungvtmaturityvtinvtthevtfetus,vtwhi
chvtreducesvtthevtincidencevtofvtrespiratoryvtdistressvtsyndrome.vtDeliveryvtmustvtbevtdelayedvtforvtatvtleastvt48vt
hoursvtaftervtadministrationvtofvtbetamethasonevttovtallowvttimevtforvtthevtlungsvtofvtthevtfetusvttovtmature.
Test-
TakingvtStrategy:vtOptionsvtthatvtarevtcomparablevtorvtalikevtarevtnotvtlikelyvttovtbevtcorrect.vtWithvtthisvtinvtmi
nd,vteliminatevt“preventvtspontaneousvtdelivery”vtandvt“stopvtthevtuterinevtcontractions.”vtNotevtthevtstrategicvt
wordsvt“twenty-
ninthvtweekvtofvtgestation.”vtSpecificvtknowledgevtaboutvtthevtmedicationvtandvtknowledgevtofvtthevtproblemsvte
ncounteredvtbyvtprematurevtinfantsvtwillvtassistvtinvtansweringvtthisvtquestion.vtReviewvtthevtactionvtofvtthisvtm
edicationvtifvtthisvtquestionvtwasvtdifficult.
PTS: 1
DIF: LevelvtofvtCognitivevtAbility:vtUnderstanding
Examination, 5th Edition Ph
vt vt vt
armacology Test Bank
vt vt
,NCLEX-RN Examination, 5th Edition Pharmacology Test Bank
vt vt vt vt vt vt vt
Pharmacology vt
MULTIPLEvtCHOICE
1. Thevtnursevtisvtcaringvtforvtavtclientvtinvtlabor.vtThevtnursevtreviewsvtthevtphysician’svtprescriptionsvtandvtnotes
vtthatvtthevtclientvthasvtavtprescriptionvtforvtbutorphanolvttartratevt(Stadol).vtThevtnursevtunderstandsvtthatvtthisvt
medicationvtisvtprescribedvtfor:
1. Painvtrelief
2. Increasingvtuterinevtcontractions
3. Decreasingvtuterinevtcontractions
4. Promotingvtfetalvtlungvtmaturity
ANS:v t 1
Rationale:vtThevtclientvtinvtlaborvtmayvtbevtgivenvtparenteralvtanalgesiavtduringvtthevtfirstvtstagevtofvtlabor,vtupvtt
ovt2vttovt3vthoursvtbeforevtthevtanticipatedvtdelivery.vtButorphanolvttartratevtisvtavtmedicationvtthatvtmayvtbevtpre
scribedvtforvtpainvtrelief.vt“Increasingvtuterinevtcontractions,”vt“decreasingvtuterinevtcontractions,”vtandvt“pro
motingvtfetalvtlungvtmaturity”vtarevtnotvtactionsvtofvtthisvtmedication.
Test-
TakingvtStrategy:vtKnowledgevtofvtthevtactionvtofvtbutorphanolvttartratevtisvtrequiredvttovtanswervtthisvtquestio
n.vtRemembervtthatvtthisvtmedicationvtisvtusedvtforvtpainvtrelief.vtReviewvtthevtactionvtofvtthisvtmedicationvtifvtyou
vthadvtdifficultyvtwithvtthisvtquestionvtandvtarevtunfamiliarvtwithvtthisvtmedication.
PTS: 1
DIF: LevelvtofvtCognitivevtAbility:vtUnderstanding
REF:
Lehne,vtR.vt(2010).vtPharmacologyvtforvtnursingvtcarevt(7thvted.).vtSt.vtLouis:vtSaund
ers.vtOBJ: ClientvtNeeds:vtPhysiologicalvtIntegrity
TOP: ContentvtArea:vtPharmacology
MSC:vtIntegratedvtProcess:vtNursingvtProcess—Planning
2. Thevtpostpartumvtnursevtisvtcaringvtforvtavtclientvtwithvtanvtepiduralvtcathetervtinvtplacevtforvtopioidvtanal
gesicvtadministrationvtfollowingvtcesareanvtbirth.vtIfvtthevtclientvtdevelopsvtrespiratoryvtdepressionvtand
vtrequiresvtnaloxonevt(Narcan)vtasvtanvtantidote,vtthevtclientvtmayvtcomplainvtofvtwhichvtofvtthevtfollowi
ng?
1. Increasevtinvthervtpainvtlevel
,2. Decreasevtinvthervtpainvtlevel
3. Increasevtinvtthevtamountvtofvtitchingvtfromvtthevtopioidvtusedvtinvtthevtepidural
, ANS:v t 1
Rationale:vtRemembervtthatvtopioidsvtarevtusedvtforvtepiduralvtanalgesia.vtNaloxonevtisvtanvtopioidvtantagonist
,vtwhichvtreversesvtthevteffectsvtofvtopioids.vtIfvtitvtisvtgiven,vtthevtclientvtmayvtcomplainvtofvtanvtincreasevtinvther
vtpainvtlevel.vtThereforevt“decreasevtinvthervtpainvtlevel,”vt“increasevtinvtthevtamountvtofvtitchingvtfromvtthevtopi
oidvtusedvtinvtthevtepidural,”vtandvt“decreasevtinvtthevtamountvtofvtitchingvtfromvtthevtopioidvtusedvtinvtthevtepidur
al”vtarevtincorrect.
Test-
TakingvtStrategy:vtTovtanswervtthisvtquestionvtaccurately,vtyouvtmustvtknowvtthatvtopioidvtanalgesicsvtarevtthevt
medicationsvtusedvtwithvtepiduralvtanalgesiavttovtrelievevtpain.vtThereforevtifvtnaloxonevtisvtadministeredvtasvta
nvtantidotevtforvtanvtopioidvtanalgesic,vtthevtclient’svtpainvtwillvtincrease.vtReviewvtthevteffectsvtofvtnaloxonevtif
vtthisvtquestionvtwasvtdifficult.
PTS: 1
DIF: LevelvtofvtCognitivevtAbility:vtUnderstanding
REF:
Lehne,vtR.vt(2010).vtPharmacologyvtforvtnursingvtcarevt(7thvted.).vtSt.vtLouis:vtSaund
ers.vtOBJ: ClientvtNeeds:vtPhysiologicalvtIntegrity
TOP: ContentvtArea:vtPharmacology
MSC:vtIntegratedvtProcess:vtNursingvtProcess—Assessment
3. Avtclientvtexperiencingvtpretermvtlaborvtatvtthevttwenty-
ninthvtweekvtofvtgestationvthasvtbeenvtadmittedvttovtthevthospital.vtThevtclientvthasvtavtprescriptionvttovtreceivevt
betamethasonevt(Celestone).vtThevtnursevtunderstandsvtthatvtthevtmedicationvtwillvtdovtwhichvtofvtthevtfollowi
ng?
1. Preventvtspontaneousvtdelivery.
2. Stopvtthevtuterinevtcontractions.
3. Promotevtmaturationvtofvtthevtfetalvtlungs.
4. Acceleratevtthevtgrowthvtratevtofvtthevtfetus.
ANS:v t 3
Rationale:vtBetamethasonevt(Celestone)vtisvtclassifiedvtasvtanvtanti-
inflammatoryvtandvtcorticosteroid.vtItvtincreasesvtthevtsurfactantvtlevelvtandvtlungvtmaturityvtinvtthevtfetus,vtwhi
chvtreducesvtthevtincidencevtofvtrespiratoryvtdistressvtsyndrome.vtDeliveryvtmustvtbevtdelayedvtforvtatvtleastvt48vt
hoursvtaftervtadministrationvtofvtbetamethasonevttovtallowvttimevtforvtthevtlungsvtofvtthevtfetusvttovtmature.
Test-
TakingvtStrategy:vtOptionsvtthatvtarevtcomparablevtorvtalikevtarevtnotvtlikelyvttovtbevtcorrect.vtWithvtthisvtinvtmi
nd,vteliminatevt“preventvtspontaneousvtdelivery”vtandvt“stopvtthevtuterinevtcontractions.”vtNotevtthevtstrategicvt
wordsvt“twenty-
ninthvtweekvtofvtgestation.”vtSpecificvtknowledgevtaboutvtthevtmedicationvtandvtknowledgevtofvtthevtproblemsvte
ncounteredvtbyvtprematurevtinfantsvtwillvtassistvtinvtansweringvtthisvtquestion.vtReviewvtthevtactionvtofvtthisvtm
edicationvtifvtthisvtquestionvtwasvtdifficult.
PTS: 1
DIF: LevelvtofvtCognitivevtAbility:vtUnderstanding
