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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. hat is an example of a biologic modifier?
Codeine - Demerol - Percodan/Percocet - and Morphine.
BETAMETHASOne
Neupogen
It is an antiemetic that is used to decrease N&V caused by chemo.

2. What are contraindications for nicotine gum?
Carafate
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.

3. What are 2 examples of H2 Histamine Antagonist Receptors?
Neupogen
Zantac and Tagamet
BRETHINE
Penicillin - Amoxicillin - Ampicillin - and Augmentin.

4. What does olestra do?
It is a vasodilator/antianginal used to increase coronary blood flow through vasodilation. Keep away from heat - store in dark place - take before stress - and expect HA.
Prevents absorption of fat from the GI tract.
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
454 grams

5. What are the side effects of beta blockers?
No because the dye exits the body in one day!
Iron
16 ounces
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.

6. What is important to know about Vitamin B6? (use - contraindication)
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
One day
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.
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.

7. How many grams in 1 pound?
Danazol
454 grams
Check patch for leaks - place in appropriate location - make sure skin is clean and dry - when removing a patch fold it in half and discard in safe container (needle dispenser or flush not garbage) DO Not apply heat to patches (esp. fentanyl) bc medi
Clomid

8. What is impt to know about imdur (isosorbide)? (use - watch for).
It is heparin like. The injection should be given in the abdomen and isn't massaged.
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.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
MAGNESIUM SULFATE

9. What is a normal adult dose of meperidine?
It is an herb used to increase memory for alzheimers and as an anticoagulant.
It is an erythromycin antibiotic that is used for Upper respiratory infections and is considered a super antibiotic that works in 2-3 days. You should monitor PT & INR when on coumadin also. DO Not take with antacids.
It melts to half its volume!
(analgesic) 50-100 mg-8H

10. What is important to know about Iron? (take with - SE)
(C x 1.8) + 32
2 #3 tylenols because it contains the same amount of codeine.
Reglan
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.

11. What is an example of a parathyroid agent?
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.).
DIGOXIN
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
Calcitonin - Salmon

12. Who is EMLA cream contraindicated in?
(F-32) divided by 1.8
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
It is a bone reabsorption inhibitor used for osteoporosis in women. SE include pain/redness/swelling in legs - hands - or feet - unexplained uterine bleeding or breast abnormalities.
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.

13. What is important to teach you client about nicotine gum?
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.
Prostigmin
(C x 1.8) + 32
Evista and Fosamax

14. What is important to know about resperidone? (use - check)
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
It is an antipsychotic/antimanic. The normal level is 0.6-1.2 mEq/L. Signs of toxicity include DEHYDRATION And N&V. Do Not give with lasix. Watch for patient with stomach ache and not drinking. Pt within therapeutic level=no mania <0.6=mania.

15. What are 4 examples of an NSAIDs?
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
MOTRIN - Feldene - Indomethocin - and Advil.
It is an isotretinoin used for an acne patient. Teach will have red peeling face for 2 weeks after treatment. SE include depression - psychosis - and decreased wrinkles.
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.

16. What is important to know about Mannitol? (use - if effective..)
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.
It is a diuretic that is used for an increased ICP or glaucoma patient. Patient LOC will improve and vital signs will return to normal if effective.
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
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.

17. What is an example of an antiplasmotic?
It is an herb used for PTSD - sleeping disorders - anxiety - restlessness - URI - and acne. Should not be used in glaucoma pts and shouldn't be taken with sleeping pills and antianxiety or antidepressant drugs. Takes 2 weeks to kick in and take at ni
Baclofen
Viagra and Levitra/Celias
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.

18. What is an example of a reversible cholinesterase inhibitor?
Aricept
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.
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
Parnate

19. What is an example of a med used to increase sugar?
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
Glucagon
Actonel and Boniva
It is a biologic modifier that improves a persons immune system so that they may have less infections.

20. What is important to know about persantine and plavix? (contraindications)
(cardiac med) 40-80 mg QD
Propylthiouracil/PTU
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.

21. What is a normal adult dose of Coumadin (warfarin)?
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
(cardiac med) 2.5-10 mg
Pancrealipase/viokase
'Mycin' drugs so Gentamicin and Streptomycin

22. Farenheit=Celsius.....
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
(C x 1.8) + 32
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).

23. What is impt to know about benazepril - lisinopril - and accupril? (use - monitor)
It is an erythromycin antibiotic that is used for Upper respiratory infections and is considered a super antibiotic that works in 2-3 days. You should monitor PT & INR when on coumadin also. DO Not take with antacids.
Valium
It is a biologic modifier that improves a persons immune system so that they may have less infections.
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.

24. What is important to know about tegretol? (use - check - at risk for - prevent)
It is an anticonvulsant that is used to PREVENT SEIZURES And DECREASE NERVE PAIN. Check CBC. It suppresses bone marrow (RBC - WBC - & platelets) So at risk for infection - anemia - and bleeding. Need to PREVENT INFECTION.
Lidocaine and Quinidine
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
An allergy to iodine

25. What is important to know about tagament? (use - how to take)
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.
Ritalin
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.

26. What is important to know about gentamicin? (SE - Check - Do not take w/).
Neupogen
PrednisOne - CortisOne - and DexamethasOne.
Propylthiouracil/PTU
It is an antibiotic (aminoglycoside) in which SE include ototoxicity - nephrotoxicity - and vertigo. Check I&O & serum creatinine. DO Not give to patients with chronic renal failure.

27. What is important to teach about a nitroglycerin patch?

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28. What Is IMPORTANT TO Know ABOUT HALDOL?
It is an anticonvulsant with a therapeutic level of 10-20. Used to decrease seizures and nerve pain. It can cause gingival hyperplasia and children should have regular dental appts. If the level is too low= seizures - too high= ataxia. Monitor renal
It is an isotretinoin used for an acne patient. Teach will have red peeling face for 2 weeks after treatment. SE include depression - psychosis - and decreased wrinkles.
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
It is an antipsychotic. Know SE And PATIENT TEACHING (select all that apply). SE INCLUDE EPS SIGNS - TACHYCARDIA - HYPOTENSION - and NEUROLEPTIC MALIGNANT SYNDROME. TEACHING INCLUDES DONT STOP TAKING The DRUG SUDDENLY - SEVERAL WEEKS FOR EFFECT - Cha

29. What is an example of an antiglaucoma/diuretic medication?
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
Actonel and Boniva
Less pain and decreased risk of hematoma.
Diamox

30. What is important to know about tylenol? (Do not give w/ - not useful for - kinds/values).

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31. What letter on the end of a test indicate Iodine?
Gram (ex: pyelogram)
Evista and Fosamax
It is heparin like. The injection should be given in the abdomen and isn't massaged.
Pryidium

32. What Is IMPORTANT TO Know ABOUT BETAMETHASOne? (use - SE - check - action timing)

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33. What is important to know about Baclofen? (use - SE)
Amphojel
Danazol
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.

34. What is important to know about kayexelate? (time to work)
It should be covered by an occlusive dressing to keep it in place and assist absorption.
Aldactone
Carafate
It is a potassium removing resin that takes 6-8 hours to work.

35. What is an appropriate injection volume for a subcutaneous injection?
Pitressin/Vasopressin
Antabuse
0.5-1 ml
Parnate

36. What is an example of an isotretinoin?
Potassium chloride and potassium
Acutane
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.

37. What is important to know about Fluorocytosine/ 5 FU? (use - SE)
It is a chemo agent. SE= N&V and decreased bone marrow function.
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
BETAMETHASOne

38. What is important to know about Questran? (Use - SE - diet)
20 mcg/ml and up (therapeutic range is 10-15).
Actonel and Boniva
No bc they are made with potassium salt.
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.

39. What are 2 examples of an oral hypoglycemic?
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
It is a diuretic used to decrease circulating volume. CHECK K+ And MONITOR EKG. IT LastS SIX HOURS. SCHEDULE ACTIVITIES FOR 6 HOURS AFTER The MED WAS Taken. Will have low specific gravity. Do Not give with Bumex and Do Not use with ICP or glaucoma.
Glyset and Glyburide
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.

40. What is important to know about Gantrisin? (avoid - What take).
It is a bone reabsorption inhibitor used for osteoporosis in women. SE include pain/redness/swelling in legs - hands - or feet - unexplained uterine bleeding or breast abnormalities.
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
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.
It is a laxative/ammonia detoxicant used to decrease ammonia leading to increased LOC (expected outcome). If ammonia level is increasing give PRN dose of lactalose. Used as a laxative for cirrhosis also.

41. How many ounces in 1 pint?
16 ounces
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.
No because they have opposing actions and would cancel each other out.
They are cephalosporin drugs in which you look for thrush in babies - yeast infections in females - tx=Give yogurt to prevent vaginal probs and check for allergy to PNC.

42. What is a type of sulfa antibiotic?
Gantrisin
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
20 mcg/ml and up (therapeutic range is 10-15).
It is used to treat ulcerative colitis.

43. What medication should be taken 30 minutes before a meal?
BETAMETHASOne
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
4:00 pm (mid afternoon)
Reglan

44. What is important to know about garlic? (use - contraindications)
No because they have opposing actions and would cancel each other out.
It is a biologic modifier that improves a persons immune system so that they may have less infections.
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
Anafranil and elavil

45. What is an example of an oral antidiabetic?
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
Avandia
DIGOXIN
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C

46. What is important to know about atenolol - INDERAL - lopressor - toprol? (use - contraindications)
They are beta blockers (antihypertensives) used to decreased BP and treat angina. DO Not give to DM bc it will mask low blood sugar and DO Not give to asthma patients bc it will cause bronchospasms.
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
0.5-1 ml
(cardiac med) 40-80 mg QD

47. What is important to know about Evista? (use - SE)
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
It is a bone reabsorption inhibitor used for osteoporosis in women. SE include pain/redness/swelling in legs - hands - or feet - unexplained uterine bleeding or breast abnormalities.
It is a vitamin and can be taken after food to reduce flushing.
It is an antidysrhythmic that is the drug of choice for dysrhythmias.

48. What is impt to know about Flomax? (Use - SE - Teach - dont take with).
Aricept
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
BETAMETHASOne
Remove before bedtime - mild headaches are common - and don't use the patch to treat an anginal attack (they are used to prevent not treat).

49. What is important to know about Neomycin? (Use - effect).
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.
Amphojel
It is an antibiotic that is not absorbed by the gut and used to sterilize the gut by decreasing e.coli leading to decreased ammonia level resulting in improved LOC.
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.

50. What is important to know about symmetrel? (use)
Azulfidine
Gardasil
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
No bc they are made with potassium salt.