Silvestri:7hSaunders7hComprehensive7hReview7hfor7hthe7hNCLEX-
RN®7hExamination,7h5th7hEdition
Pharmacology7
hTest7hBank
MULTIPLE7hCHOICE
1. The7hnurse7his7hcaring7hfor7ha7hclient7hin7hlabor.7hThe7hnurse7hreviews7hthe7hphysician’s7hprescriptions7han
d7hnotes7hthat7hthe7hclient7hhas7ha7hprescription7hfor7hbutorphanol7htartrate7h(Stadol).7hThe7hnurse7hundersta
nds7hthat7hthis7hmedication7his7hprescribed7hfor:
1. Pain7hrelief
2. Increasing7huterine7hcontractions
3. Decreasing7huterine7hcontractions
4. Promoting7hfetal7hlung7hmaturity
ANS:7 h 7 h 1
Rationale:7hThe7hclient7hin7hlabor7hmay7hbe7hgiven7hparenteral7hanalgesia7hduring7hthe7hfirst7hstage7hof7hlabo
r,7hup7hto7h27hto7h37hhours7hbefore7hthe7hanticipated7hdelivery.7hButorphanol7htartrate7his7ha7hmedication7htha
t7hmay7hbe7hprescribed7hfor7hpain7hrelief.7h―Increasing7huterine7hcontractions,‖7h―decreasing7huterine7hcontr
actions,‖7hand7h―promoting7hfetal7hlung7hmaturity‖7hare7hnot7hactions7hof7hthis7hmedication.
Test-
Taking7hStrategy:7hKnowledge7hof7hthe7haction7hof7hbutorphanol7htartrate7his7hrequired7hto7hanswer7hthis7h
question.7hRemember7hthat7hthis7hmedication7his7hused7hfor7hpain7hrelief.7hReview7hthe7haction7hof7hthis7hme
dication7hif7hyou7hhad7hdifficulty7hwith7hthis7hquestion7hand7hare7hunfamiliar7hwith7hthis7hmedication.
PTS: 1
DIF: Level7hof7hCognitive7hAbility:7hUnderstanding
REF:
Lehne,7hR.7h(2010).7hPharmacology7hfor7hnursing7hcare7h(7th7hed.).7hSt.7hLouis:7hS
aunders.7hOBJ: Client7hNeeds:7hPhysiological7hIntegrity
TOP: Content7hArea:7hPharmacology
MSC:7 h Integrated7hProcess:7hNursing7hProcess—Planning
2. The7hpostpartum7hnurse7his7hcaring7hfor7ha7hclient7hwith7han7hepidural7hcatheter7hin7hplace7hfor7hopi
oid7hanalgesic7hadministration7hfollowing7hcesarean7hbirth.7hIf7hthe7hclient7hdevelops7hrespiratory7hd
epression7hand7hrequires7hnaloxone7h(Narcan)7has7han7hantidote,7hthe7hclient7hmay7hcomplain7hof7hw
hich7hof7hthe7hfollowing?
1. Increase7hin7hher7hpain7hlevel
2. Decrease7hin7hher7hpain7hlevel
3. Increase7hin7hthe7hamount7hof7hitching7hfrom7hthe7hopioid7hused7hin7hthe7hepidural
4. Decrease7hin7hthe7hamount7hof7hitching7hfrom7hthe7hopioid7hused7hin7hthe7hepidural
, ANS:7 h 7 h 1
Rationale:7hRemember7hthat7hopioids7hare7hused7hfor7hepidural7hanalgesia.7hNaloxone7his7han7hopioid7hanta
gonist,7hwhich7hreverses7hthe7heffects7hof7hopioids.7hIf7hit7his7hgiven,7hthe7hclient7hmay7hcomplain7hof7han7hi
ncrease7hin7hher7hpain7hlevel.7hTherefore7h―decrease7hin7hher7hpain7hlevel,‖7h―increase7hin7hthe7hamount7hof7
hitching7hfrom7hthe7hopioid7hused7hin7hthe7hepidural,‖7hand7h―decrease7hin7hthe7hamount7hof7hitching7hfrom7ht
he7hopioid7hused7hin7hthe7hepidural‖7hare7hincorrect.
Test-
Taking7hStrategy:7hTo7hanswer7hthis7hquestion7haccurately,7hyou7hmust7hknow7hthat7hopioid7hanalgesics7hare7h
the7hmedications7hused7hwith7hepidural7hanalgesia7hto7hrelieve7hpain.7hTherefore7hif7hnaloxone7his7hadminis
tered7has7han7hantidote7hfor7han7hopioid7hanalgesic,7hthe7hclient’s7hpain7hwill7hincrease.7hReview7hthe7heffect
s7hof7hnaloxone7hif7hthis7hquestion7hwas7hdifficult.
PTS: 1
DIF: Level7hof7hCognitive7hAbility:7hUnderstanding
REF:
Lehne,7hR.7h(2010).7hPharmacology7hfor7hnursing7hcare7h(7th7hed.).7hSt.7hLouis:7hS
aunders.7hOBJ: Client7hNeeds:7hPhysiological7hIntegrity
TOP: Content7hArea:7hPharmacology
MSC:7 h Integrated7hProcess:7hNursing7hProcess—Assessment
3. A7hclient7hexperiencing7hpreterm7hlabor7hat7hthe7htwenty-
ninth7hweek7hof7hgestation7hhas7hbeen7hadmitted7hto7hthe7hhospital.7hThe7hclient7hhas7ha7hprescription7hto7hr
eceive7hbetamethasone7h(Celestone).7hThe7hnurse7hunderstands7hthat7hthe7hmedication7hwill7hdo7hwhich7ho
f7hthe7hfollowing?
1. Prevent7hspontaneous7hdelivery.
2. Stop7hthe7huterine7hcontractions.
3. Promote7hmaturation7hof7hthe7hfetal7hlungs.
4. Accelerate7hthe7hgrowth7hrate7hof7hthe7hfetus.
ANS:7 h 7 h 3
Rationale:7hBetamethasone7h(Celestone)7his7hclassified7has7han7hanti-
inflammatory7hand7hcorticosteroid.7hIt7hincreases7hthe7hsurfactant7hlevel7hand7hlung7hmaturity7hin7hthe7hfet
us,7hwhich7hreduces7hthe7hincidence7hof7hrespiratory7hdistress7hsyndrome.7hDelivery7hmust7hbe7hdelayed7hf
or7hat7hleast7h487hhours7hafter7hadministration7hof7hbetamethasone7hto7hallow7htime7hfor7hthe7hlungs7hof7hthe7
hfetus7hto7hmature.
Test-
Taking7hStrategy:7hOptions7hthat7hare7hcomparable7hor7halike7hare7hnot7hlikely7hto7hbe7hcorrect.7hWith7hthis
7hin7hmind,7heliminate7h―prevent7hspontaneous7hdelivery‖7hand7h―stop7hthe7huterine7hcontractions.‖7hNote7ht
he7hstrategic7hwords7h―twenty-
ninth7hweek7hof7hgestation.‖7hSpecific7hknowledge7habout7hthe7hmedication7hand7hknowledge7hof7hthe7hprob
lems7hencountered7hby7hpremature7hinfants7hwill7hassist7hin7hanswering7hthis7hquestion.7hReview7hthe7hacti
on7hof7hthis7hmedication7hif7hthis7hquestion7hwas7hdifficult.
PTS: 1
,DIF: Level7hof7hCognitive7hAbility:7hUnderstanding
REF: McKinney,7hE.,7hJames,7hS.,7hMurray,7hS.,7h&7hAshwill,7hJ.7h(2009).7hMaternal-
child7hnursing7h(3rd7hed.).7hSt.7hLouis:7hSaunders. OBJ: Client7hNeeds:7hPhysiological7hIntegrity
, TOP: Content7hArea:7hPharmacology
MSC:7 h Integrated7hProcess:7hNursing7hProcess—Planning
4. A7hclient7hwith7hpreeclampsia7his7hreceiving7hmagnesium7hsulfate.7hThe7hnurse7hassesses7hthe7hclient7h
closely7hfor7hwhich7hsign7hof7hmagnesium7htoxicity?
1. Proteinuria
2. Hyperactive7hdeep7htendon7hreflexes
3. Respiratory7hrate7hof7h107hbreaths/min
4. Serum7hmagnesium7hlevel7hof7h57hmEq/L
ANS:7 h 7 h 3
Rationale:7hMagnesium7htoxicity7his7ha7hrisk7hassociated7hwith7hmagnesium7hsulfate7htherapy.7hSigns7hof7h
magnesium7htoxicity7hrelate7hto7hcentral7hnervous7hsystem7h(CNS)7hdepression7hand7hinclude7hrespiratory7h
depression,7hloss7hof7hdeep7htendon7hreflexes,7hand7hsudden7hdrop7hin7hfetal7hheart7hrate7hand/or7hmaternal7h
heart7hrate7hand7hblood7hpressure.
Magnesium7his7hexcreted7hthrough7hthe7hkidneys.7hIf7hrenal7himpairment7his7hpresent,7hmagnesium7htoxicity
7hcan7hdevelop7hvery7hquickly.7hTherapeutic7hserum7hlevels7hof7hmagnesium7hare7h47hto7h77hmEq/L.
Test-
Taking7hStrategy:7hTo7hanswer7hthis7hquestion7haccurately,7hyou7hmust7hrecall7hthat7hmagnesium7hsulfate7h
is7ha7hCNS7hdepressant.7hBegin7hto7hanswer7hthis7hquestion7hby7heliminating7h―proteinuria‖7hand7h―hyperac
tive7hdeep7htendon7hreflexes,‖7hwhich7hare7hsigns7hof7hpreeclampsia.7hSelect7hbetween7hthe7hlast7htwo7hoptio
ns7husing7hmedication7hknowledge7hand7hrecalling7hthat7hthe7htherapeutic7hserum7hlevels7hof7hmagnesium7h
are7h47hto7h77hmEq/L.7hReview7hthis7hmedication7hand7hthe7hnormal7hmagnesium7hlevel7hif7hthis7hquestion7h
was7hdifficult.
PTS: 1
DIF: Level7hof7hCognitive7hAbility:7hAnalyzing
REF:
Lowdermilk,7hD.,7hPerry,7hS.,7h&7hCashion,7hK.7h(2010).7hMaternity7hnursing7h(8th7hed.).7hSt.7hLoui
s:7hMosby.
OBJ:
Client7hNeeds:7hPhysiological7hIntegrity7hTOP:
Content7hArea:7hPharmacology
MSC:7 h Integrated7hProcess:7hNursing7hProcess—Assessment
5. A7hpregnant7hclient7hwho7hhas7hhuman7himmunodeficiency7hvirus7h(HIV)7hinfection7his7hbeing7hseen7hin7hth
e7hantenatal7hclinic.7hThe7hnurse7hrecalls7hthat7hzidovudine7h(AZT)7htherapy7hwill7hbe7hinitiated7hwhen7hthe
7hfetus7hhas7hreached7hhow7hmany7hweeks7hof7hgestation?
1. 4
2. 14
3. 24
4. 34
ANS:7 h 7 h 2
RN®7hExamination,7h5th7hEdition
Pharmacology7
hTest7hBank
MULTIPLE7hCHOICE
1. The7hnurse7his7hcaring7hfor7ha7hclient7hin7hlabor.7hThe7hnurse7hreviews7hthe7hphysician’s7hprescriptions7han
d7hnotes7hthat7hthe7hclient7hhas7ha7hprescription7hfor7hbutorphanol7htartrate7h(Stadol).7hThe7hnurse7hundersta
nds7hthat7hthis7hmedication7his7hprescribed7hfor:
1. Pain7hrelief
2. Increasing7huterine7hcontractions
3. Decreasing7huterine7hcontractions
4. Promoting7hfetal7hlung7hmaturity
ANS:7 h 7 h 1
Rationale:7hThe7hclient7hin7hlabor7hmay7hbe7hgiven7hparenteral7hanalgesia7hduring7hthe7hfirst7hstage7hof7hlabo
r,7hup7hto7h27hto7h37hhours7hbefore7hthe7hanticipated7hdelivery.7hButorphanol7htartrate7his7ha7hmedication7htha
t7hmay7hbe7hprescribed7hfor7hpain7hrelief.7h―Increasing7huterine7hcontractions,‖7h―decreasing7huterine7hcontr
actions,‖7hand7h―promoting7hfetal7hlung7hmaturity‖7hare7hnot7hactions7hof7hthis7hmedication.
Test-
Taking7hStrategy:7hKnowledge7hof7hthe7haction7hof7hbutorphanol7htartrate7his7hrequired7hto7hanswer7hthis7h
question.7hRemember7hthat7hthis7hmedication7his7hused7hfor7hpain7hrelief.7hReview7hthe7haction7hof7hthis7hme
dication7hif7hyou7hhad7hdifficulty7hwith7hthis7hquestion7hand7hare7hunfamiliar7hwith7hthis7hmedication.
PTS: 1
DIF: Level7hof7hCognitive7hAbility:7hUnderstanding
REF:
Lehne,7hR.7h(2010).7hPharmacology7hfor7hnursing7hcare7h(7th7hed.).7hSt.7hLouis:7hS
aunders.7hOBJ: Client7hNeeds:7hPhysiological7hIntegrity
TOP: Content7hArea:7hPharmacology
MSC:7 h Integrated7hProcess:7hNursing7hProcess—Planning
2. The7hpostpartum7hnurse7his7hcaring7hfor7ha7hclient7hwith7han7hepidural7hcatheter7hin7hplace7hfor7hopi
oid7hanalgesic7hadministration7hfollowing7hcesarean7hbirth.7hIf7hthe7hclient7hdevelops7hrespiratory7hd
epression7hand7hrequires7hnaloxone7h(Narcan)7has7han7hantidote,7hthe7hclient7hmay7hcomplain7hof7hw
hich7hof7hthe7hfollowing?
1. Increase7hin7hher7hpain7hlevel
2. Decrease7hin7hher7hpain7hlevel
3. Increase7hin7hthe7hamount7hof7hitching7hfrom7hthe7hopioid7hused7hin7hthe7hepidural
4. Decrease7hin7hthe7hamount7hof7hitching7hfrom7hthe7hopioid7hused7hin7hthe7hepidural
, ANS:7 h 7 h 1
Rationale:7hRemember7hthat7hopioids7hare7hused7hfor7hepidural7hanalgesia.7hNaloxone7his7han7hopioid7hanta
gonist,7hwhich7hreverses7hthe7heffects7hof7hopioids.7hIf7hit7his7hgiven,7hthe7hclient7hmay7hcomplain7hof7han7hi
ncrease7hin7hher7hpain7hlevel.7hTherefore7h―decrease7hin7hher7hpain7hlevel,‖7h―increase7hin7hthe7hamount7hof7
hitching7hfrom7hthe7hopioid7hused7hin7hthe7hepidural,‖7hand7h―decrease7hin7hthe7hamount7hof7hitching7hfrom7ht
he7hopioid7hused7hin7hthe7hepidural‖7hare7hincorrect.
Test-
Taking7hStrategy:7hTo7hanswer7hthis7hquestion7haccurately,7hyou7hmust7hknow7hthat7hopioid7hanalgesics7hare7h
the7hmedications7hused7hwith7hepidural7hanalgesia7hto7hrelieve7hpain.7hTherefore7hif7hnaloxone7his7hadminis
tered7has7han7hantidote7hfor7han7hopioid7hanalgesic,7hthe7hclient’s7hpain7hwill7hincrease.7hReview7hthe7heffect
s7hof7hnaloxone7hif7hthis7hquestion7hwas7hdifficult.
PTS: 1
DIF: Level7hof7hCognitive7hAbility:7hUnderstanding
REF:
Lehne,7hR.7h(2010).7hPharmacology7hfor7hnursing7hcare7h(7th7hed.).7hSt.7hLouis:7hS
aunders.7hOBJ: Client7hNeeds:7hPhysiological7hIntegrity
TOP: Content7hArea:7hPharmacology
MSC:7 h Integrated7hProcess:7hNursing7hProcess—Assessment
3. A7hclient7hexperiencing7hpreterm7hlabor7hat7hthe7htwenty-
ninth7hweek7hof7hgestation7hhas7hbeen7hadmitted7hto7hthe7hhospital.7hThe7hclient7hhas7ha7hprescription7hto7hr
eceive7hbetamethasone7h(Celestone).7hThe7hnurse7hunderstands7hthat7hthe7hmedication7hwill7hdo7hwhich7ho
f7hthe7hfollowing?
1. Prevent7hspontaneous7hdelivery.
2. Stop7hthe7huterine7hcontractions.
3. Promote7hmaturation7hof7hthe7hfetal7hlungs.
4. Accelerate7hthe7hgrowth7hrate7hof7hthe7hfetus.
ANS:7 h 7 h 3
Rationale:7hBetamethasone7h(Celestone)7his7hclassified7has7han7hanti-
inflammatory7hand7hcorticosteroid.7hIt7hincreases7hthe7hsurfactant7hlevel7hand7hlung7hmaturity7hin7hthe7hfet
us,7hwhich7hreduces7hthe7hincidence7hof7hrespiratory7hdistress7hsyndrome.7hDelivery7hmust7hbe7hdelayed7hf
or7hat7hleast7h487hhours7hafter7hadministration7hof7hbetamethasone7hto7hallow7htime7hfor7hthe7hlungs7hof7hthe7
hfetus7hto7hmature.
Test-
Taking7hStrategy:7hOptions7hthat7hare7hcomparable7hor7halike7hare7hnot7hlikely7hto7hbe7hcorrect.7hWith7hthis
7hin7hmind,7heliminate7h―prevent7hspontaneous7hdelivery‖7hand7h―stop7hthe7huterine7hcontractions.‖7hNote7ht
he7hstrategic7hwords7h―twenty-
ninth7hweek7hof7hgestation.‖7hSpecific7hknowledge7habout7hthe7hmedication7hand7hknowledge7hof7hthe7hprob
lems7hencountered7hby7hpremature7hinfants7hwill7hassist7hin7hanswering7hthis7hquestion.7hReview7hthe7hacti
on7hof7hthis7hmedication7hif7hthis7hquestion7hwas7hdifficult.
PTS: 1
,DIF: Level7hof7hCognitive7hAbility:7hUnderstanding
REF: McKinney,7hE.,7hJames,7hS.,7hMurray,7hS.,7h&7hAshwill,7hJ.7h(2009).7hMaternal-
child7hnursing7h(3rd7hed.).7hSt.7hLouis:7hSaunders. OBJ: Client7hNeeds:7hPhysiological7hIntegrity
, TOP: Content7hArea:7hPharmacology
MSC:7 h Integrated7hProcess:7hNursing7hProcess—Planning
4. A7hclient7hwith7hpreeclampsia7his7hreceiving7hmagnesium7hsulfate.7hThe7hnurse7hassesses7hthe7hclient7h
closely7hfor7hwhich7hsign7hof7hmagnesium7htoxicity?
1. Proteinuria
2. Hyperactive7hdeep7htendon7hreflexes
3. Respiratory7hrate7hof7h107hbreaths/min
4. Serum7hmagnesium7hlevel7hof7h57hmEq/L
ANS:7 h 7 h 3
Rationale:7hMagnesium7htoxicity7his7ha7hrisk7hassociated7hwith7hmagnesium7hsulfate7htherapy.7hSigns7hof7h
magnesium7htoxicity7hrelate7hto7hcentral7hnervous7hsystem7h(CNS)7hdepression7hand7hinclude7hrespiratory7h
depression,7hloss7hof7hdeep7htendon7hreflexes,7hand7hsudden7hdrop7hin7hfetal7hheart7hrate7hand/or7hmaternal7h
heart7hrate7hand7hblood7hpressure.
Magnesium7his7hexcreted7hthrough7hthe7hkidneys.7hIf7hrenal7himpairment7his7hpresent,7hmagnesium7htoxicity
7hcan7hdevelop7hvery7hquickly.7hTherapeutic7hserum7hlevels7hof7hmagnesium7hare7h47hto7h77hmEq/L.
Test-
Taking7hStrategy:7hTo7hanswer7hthis7hquestion7haccurately,7hyou7hmust7hrecall7hthat7hmagnesium7hsulfate7h
is7ha7hCNS7hdepressant.7hBegin7hto7hanswer7hthis7hquestion7hby7heliminating7h―proteinuria‖7hand7h―hyperac
tive7hdeep7htendon7hreflexes,‖7hwhich7hare7hsigns7hof7hpreeclampsia.7hSelect7hbetween7hthe7hlast7htwo7hoptio
ns7husing7hmedication7hknowledge7hand7hrecalling7hthat7hthe7htherapeutic7hserum7hlevels7hof7hmagnesium7h
are7h47hto7h77hmEq/L.7hReview7hthis7hmedication7hand7hthe7hnormal7hmagnesium7hlevel7hif7hthis7hquestion7h
was7hdifficult.
PTS: 1
DIF: Level7hof7hCognitive7hAbility:7hAnalyzing
REF:
Lowdermilk,7hD.,7hPerry,7hS.,7h&7hCashion,7hK.7h(2010).7hMaternity7hnursing7h(8th7hed.).7hSt.7hLoui
s:7hMosby.
OBJ:
Client7hNeeds:7hPhysiological7hIntegrity7hTOP:
Content7hArea:7hPharmacology
MSC:7 h Integrated7hProcess:7hNursing7hProcess—Assessment
5. A7hpregnant7hclient7hwho7hhas7hhuman7himmunodeficiency7hvirus7h(HIV)7hinfection7his7hbeing7hseen7hin7hth
e7hantenatal7hclinic.7hThe7hnurse7hrecalls7hthat7hzidovudine7h(AZT)7htherapy7hwill7hbe7hinitiated7hwhen7hthe
7hfetus7hhas7hreached7hhow7hmany7hweeks7hof7hgestation?
1. 4
2. 14
3. 24
4. 34
ANS:7 h 7 h 2
