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NCLEX Medications

Subjects : nclex, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. What is impt to know about Cozaar? (use - watch)
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.

2. What must you watch for when on corticosteroids?
Infection!!!
Synthroid
Chantix and Zyban
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.

3. What is important to know about amphotericin B? (use - check)
Places that are prone to friction (waistline) - breasts (for patches containing estrogen or nicotine) - and try to avoid hairy areas (if you must don't shave just clip the hair close to the skin).
Ancef - keflex - and ceclor
It is an antifungal medication and creatinine and output should be checked when administered.
It is an antithyroid used for hyperthyroid conditions (graves disease). Frequent blood tests must be done. Outcome= normal vital signs. Action= blocks TSH - T3 and T4.

4. What is an example of a reversible cholinesterase inhibitor?
Aricept
It is an herb used for memory improvement - increased blood flow to brain - antioxidant effects - and increased metabolism effects. 1-3 months use for effect and use cautiously in ppl at risk for bleeding.
(C x 1.8) + 32
Less pain and decreased risk of hematoma.

5. What teaching should be done regarding Chantix?

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6. With whom should nicotine be used cautiously in?
Kayexelate
No because they have opposing actions and would cancel each other out.
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
They are antilipidemics used to help manage/decrease cholesterol levels. For All DO Not take when pregnant or nursing. Check liver studies. Can take with or without food.

7. What is an example of antithyroid?
It is a pituitary hormone that has an effect on diabetes insipidus. It decreases urine output. Specific gravity < 1.010= not enough med - SG > 1.025= too much med. DO Not mix with lasix and measure specific gravity frequently.
Propylthiouracil/PTU
It is a thyroid hormone that is used lifelong after a thyroidectomy or for hypothyroidism. Teach patients to report signs of overdose (incr. HR) and avoid stimulant (coffee - tea - etc.).
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.

8. What are 4 examples of an NSAIDs?
INH - Vitamin B6 - and Rifampin
20 mcg/ml and up (therapeutic range is 10-15).
MOTRIN - Feldene - Indomethocin - and Advil.
Codeine - Demerol - Percodan/Percocet - and Morphine.

9. What is impt to know about clomid?
It is an ovulation stimulant used to increase fertility.
Aricept
Paxil and Prozac/fluoxetine
Codeine - Demerol - Percodan/Percocet - and Morphine.

10. What is an example of a steroid?
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
BETAMETHASOne
Persantine and Plavix
(analgesic) 600 mg Q6H

11. What is important to know about Atropine? (use - contraindications)
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
It is a vaccine used to protect against cervical cancer - abormal - and precancerous cervical/vaginal/& vulvar lesions & genital warts. SE include HA - fever - N&V - dizziness - fainting. Dose= 3 injections over 6 months (2nd is 2 months after 1st -
It is an ovulation stimulant used to increase fertility.
It is an antacid. ALUMINUM based side effects include constipation and binds phosphate. MAGNESIUM based side effects include diarrhea (give 30 mins after meals). Prevents absorption of other medications.

12. How many pints in 1 quart?
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
2 pints
It should be covered by an occlusive dressing to keep it in place and assist absorption.

13. What letter on the end of a test indicate Iodine?
Gram (ex: pyelogram)
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
DIGOXIN
AMINOPHYLLINE (TheOPHYLLINE)

14. Can an LPN administer all medications?
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
Amphotericin B
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.

15. What is impt to know about Flomax? (Use - SE - Teach - dont take with).
It is an adrenergic blocker used to relieve S&S of benign prostatic hyperplasia (BPH). SE include sudden drop in BP. Teaching includes no driving or engaging in hazardous tasks for the 1st 12 hours after the 1st dose. DO Not TAKE with COUMADIN or CIM
Avandia
If a slight tingling occurs stop chewing the gum until the sensation subsides - should not eat or drink 15 mins before or during - and chew one piece for about 30 mins.
It is an herb used for benign prostatic hyperplasia treatment and urinary infections. It doesn't affect PSA levels but they should be tested before use.

16. What should be done right after the EMLA cream is applied?
Sudafed
Valium
It should be covered by an occlusive dressing to keep it in place and assist absorption.
4:00 pm (mid afternoon)

17. Should grapefruit juice be used to give medication?
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.
Less pain and decreased risk of hematoma.
(analgesic) 650 mg QID
NO!!!

18. What is a normal adult dose of acetaminophen?
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
(analgesic) 650 mg QID
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
Apply to the most painful area and up to 3 patches can be applied at once for up to 12 hours in a 24 hour period.

19. What are 2 examples of antipyretic/antiplatelet/antiinflammatory/analgesic?
It is an antilipemic used to decrease lipids. SE include decreased absorption of vitamin A - D - E - &K and may see bruising. Diet includes increased vitamin A - D - E -&K foods.
Aspirin (ASA) and Tylenol
It is an herb that stimulates the immune system used for infections and wound healing. Patients with HIV - MS - or autoimmune diseases SHOULD Not USE!
Evista and Fosamax

20. What food considerations should be made for patients on iron supplements?
Kayexelate
Loose stools - vaginitis - or thrush
Avoid taking with (and up to 1 hour after) milk - eggs - coffee - or tea. Liquid iron should be added to water or juice and given through a straw to prevent stains.
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.

21. What is important to know about Propylthiouracil/PTU? (use - watch - outcome - and action)
MOTRIN - Feldene - Indomethocin - and Advil.
Viagra and Levitra/Celias
It is an antihypertensive that should be administered via prick and squeeze method under the tongue for above T6 lesion. It will decrease BP - increase blood to myocardium - and decrease pain. SE includes peripheral edema.
It is an antithyroid used for hyperthyroid conditions (graves disease). Frequent blood tests must be done. Outcome= normal vital signs. Action= blocks TSH - T3 and T4.

22. What is important to know about streptomycin? (check)
Dilantin - Neurontin - Tegretol - and Topamax
Ipecac syrup
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
It is an erectile/impotence agent used for erectile dysfunction. SE include HA - flushing - dizziness - insomnia - MI - CV collapse - and erection lasting > 4 hours. DO Not use with beta blockers or nitrates.

23. What are two examples of anti - smoking meds?
I&O and S. CR(?)
Chantix and Zyban
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
Check allergies/order - wash hands - select an appropriate injection site - determine appropriate needle size and angle - gloves - clean site - grasp skin fold - inject (no aspiration) - remove - and apply pressure.

24. What 7 meds should alcohol be avoided while taking?
Acutane
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
It is a vitamin and can be taken after food to reduce flushing.
Blood sugar

25. What is an example of a calcium supplement?
No because they have opposing actions and would cancel each other out.
Os Cal
Amphojel
It is a potassium removing resin that takes 6-8 hours to work.

26. What are 4 examples of antibiotics?
NO!!!
Fluorocytosine/5 FU
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
Penicillin - Amoxicillin - Ampicillin - and Augmentin.

27. What is important to know about Lantus? (how take)
Take 2-4 hrs apart from each other.
Do smoke while wearing and don't apply to breast.
It is an insulin that should be taken at the same time everyday. Can take with or without food. It is a 24 hour insulin. Do not mix with any other insulin including regular.
Dilantin - Neurontin - Tegretol - and Topamax

28. When giving a subQ injection DONT?
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
Procardia
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
(cardiac med) 180-270 mg QD

29. What is important to know about Fluorocytosine/ 5 FU? (use - SE)
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
It is a chemo agent. SE= N&V and decreased bone marrow function.
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.

30. What gauge and length needle is appropriate for a 2 inch tissue fold? Insertion angle?
Avoid tyramine containing foods such as Avocado - sausage - fava beans - cheeses - wine - chocolate - coffee - cola - bananas - salami - sour cream - and fruit (overripe). CAN'T HAVE TYRAMINE FOR 2 WEEKS AFTER The MEDICATION Is STOPPED BC STILL In S
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
One day
25-27 gauge - 5/8 inch long - insert at 90 degree angle.

31. What is important to know about Synthroid? (use - teach)
It is a thyroid hormone that is used lifelong after a thyroidectomy or for hypothyroidism. Teach patients to report signs of overdose (incr. HR) and avoid stimulant (coffee - tea - etc.).
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
They are opiate analgesics. Percoce(T) is tylenol based and Percoda(N) is aspirin based. Stomach problems (gastric ulcer)= Percocet over Percodan bc less hard on the stomach than ASA. Dilantin hard on liver/tylenol is hard on liver so give percodan i
(analgesic) 50-100 mg-8H

32. What is important to know about Parnate? (use - watch)
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
You must stop smoking and one piece of gum is chewed whenever the urge to smoke occurs (best results when on fixed schedule:-2H with at least 9 PIECES CHEWED PER DAY)
Lipitor - Advicor - Crestor - Questran - and Zocor

33. What is an example of a thrombolytic enzyme?
Streptokinase
Valium
Imdur (Isosorbide)
It should be covered by an occlusive dressing to keep it in place and assist absorption.

34. What is an example of a Dry secretions medication?
It is very harmful to the kidneys (should be flushed out with fluids).
Atropine
(cardiac med) .125- .250 mg QD
Amphojel

35. What is a normal adult dose of meperidine?
(analgesic) 50-100 mg-8H
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
OLOL
It is an SSRI antidepressant that can cause sleep problems so should be given in the AM. It takes 6 weeks to begin working so teach other stress reduction techniques until med is working.

36. What is important to know about Paxil? (Use - teach)
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
Pancrealipase/viokase
It is an antidysrhythmic that is the drug of choice for dysrhythmias.

37. What food considerations should be made for a patient on tetracycline?
They should be taken on a full stomach. Patients should avoid live viruses (OPV and Varicella) & infections. Check blood sugar and increase dose with stress. D/C slowly not abruptly.
Danazol
Anafranil and elavil
Avoid milk and milk products (2 hrs prior to or after administration).

38. What is important to know about Demerol? (normal dose)
Chantix and Zyban
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
INH - Vitamin B6 - and Rifampin
Pryidium

39. What are 3 examples of Cephalosporins (Abx)?
Ancef - keflex - and ceclor
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
(Psych med) 5-10 mg-6H
NO!!!!!

40. How many ounces in 1 cup?
An allergy to iodine
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
8 ounces
IT Is A STEROID THAT Is USED TO HASTEN FETAL LUNG MATURITY. SE include increased blood sugar so Check moms blood sugar. REQUIRES 24 HOURS TO Work. IF MOM Is GOING TO DELiver In 12 HOURS IT SHOULDN'T BE GIVEN.

41. What is important to know about AZT/Retrovir? (use - when give pregnant - monitor)
It is an an antiretroviral used for AIDS treatment and reduction of maternal/fetal transmission. Only give to pregnant women after the 14th week and monitor CBC.
No bc they are made with potassium salt.
Propylthiouracil/PTU
(analgesic) 600 mg QID (with RAH)

42. What is Gingko Biloba and its uses/concerns?
Ritalin
Q3 days
It is an herb used for memory improvement - increased blood flow to brain - antioxidant effects - and increased metabolism effects. 1-3 months use for effect and use cautiously in ppl at risk for bleeding.
Prevents absorption of fat from the GI tract.

43. All steroids cause an increase in what?
Actonel and Boniva
Blood sugar
25-27 gauge - 5/8 inch long - insert at 45 degrees.
Avoid taking with (and up to 1 hour after) milk - eggs - coffee - or tea. Liquid iron should be added to water or juice and given through a straw to prevent stains.

44. What are 2 examples of erythromycin antibiotics?
Blood sugar
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
It is a pituitary hormone that has an effect on diabetes insipidus. It decreases urine output. Specific gravity < 1.010= not enough med - SG > 1.025= too much med. DO Not mix with lasix and measure specific gravity frequently.
It is an adrenergic blocker used to relieve S&S of benign prostatic hyperplasia (BPH). SE include sudden drop in BP. Teaching includes no driving or engaging in hazardous tasks for the 1st 12 hours after the 1st dose. DO Not TAKE with COUMADIN or CIM

45. What is an example of a proton pump inhibitor?
ASA and NSAIDS
(Psych med) 5-10 mg-6H
(analgesic) 600 mg Q6H
Protonix

46. What are 2 examples of a diruretic?
It is a tricyclic antidepressant that needs at least 2 weeks for meds to take effect. SE include hypotension - dry mouth leading to constipation. Diet high in fiber and take meds in PM.
It is an adrenergic blocker used to relieve S&S of benign prostatic hyperplasia (BPH). SE include sudden drop in BP. Teaching includes no driving or engaging in hazardous tasks for the 1st 12 hours after the 1st dose. DO Not TAKE with COUMADIN or CIM
LASIX and Mannitol
(analgesic) 650 mg QID

47. What is important to know about tetracycline? (Avoid - do not give w/).
Anafranil and elavil
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
Pryidium

48. How many cups in 1 pint?
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
It is an antifungal medication and creatinine and output should be checked when administered.
It is an opiate analgesic. SE include constipation. Monitor bowel movements. And it is the only med for head injuries. Pt should be on a high fiber diet.
2 cups

49. What is a normal adult dose of digoxin?
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
(cardiac med) .125- .250 mg QD
It is an opiate analgesic. Check BP and respirations. Dose= 2-10 mg. Do Not give with kidney stones - gallstones - increased ICP - myasthenia gravis - or pancreatitis.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)

50. What is important to know about St. John's Wort? (use - watch)
Kayexelate
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
You must stop smoking and one piece of gum is chewed whenever the urge to smoke occurs (best results when on fixed schedule:-2H with at least 9 PIECES CHEWED PER DAY)
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.