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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 an example of a thrombolytic enzyme?
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.
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.
OLOL
Streptokinase

2. What is impt to know about imdur (isosorbide)? (use - watch for).
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
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 ovulation suppressant used to treat endometriosis.
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.

3. What is important to know about amphotericin B? (use - check)
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
Mannitol
Potassium chloride and potassium
It is an antifungal medication and creatinine and output should be checked when administered.

4. What Is IMPORTANT TO Know ABOUT MOTRIN? (max dose)
Aricept
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.
Flomax
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.

5. What are 2 examples of an oral hypoglycemic?
It should be covered by an occlusive dressing to keep it in place and assist absorption.
4 cups
Take 2-4 hrs apart from each other.
Glyset and Glyburide

6. If a hypoglycemic patient is not symptomatic what should be done? Symptomatic?
Prostigmin
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.

7. What is impt to know about anafranil? (drug type)
Tricyclic antidepressant
'Mycin' drugs so Gentamicin and Streptomycin
Q3 days
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.

8. What is an example of an antiparkinson agent?
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
It is a biologic modifier that improves a persons immune system so that they may have less infections.
Levodopa
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.

9. What is important to know about levodopa? (use - SE - avoid)
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
It is an antiprotozoal used to treat protozoa infections like PCP. Pentamidine (nebupent) treats PCP (pneumocystis carnii pneumonia) IV - IM & Inhaled. Check for low BP - kidney function - and temp.
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
NO!!!!!

10. What does olestra do?
NO!!!!!
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.
Prevents absorption of fat from the GI tract.
(cardiac med) 180-270 mg QD

11. What is important to know about Lipitor - Advicor - Crestor - Questran - and Zocor? (use - contraindications - check - take c)
Coumadin and Heparin
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
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.
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.

12. hat are 2 examples of Bisphosphonate?
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
Actonel and Boniva
They are TB medications. They are okay to take while pregnant.
Coumadin and Heparin

13. What is important to know about glucagon? (use)
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
454 grams
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).

14. What is impt to know about cardizem/calan? (use - action - SE)
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
Nebupent
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.

15. What are 2 examples of an antiplatelet?
Aricept
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
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
Persantine and Plavix

16. How is nicotine gum initiated?
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 an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).

17. What is important to know about protonix? (use - SE)
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
It is a thrombolytic enzyme used for MI - CVA - & PE. It must be started within 6 hours and PT and PTT levels should be checked.
Amphojel
It is an herb used to increase physical endurance - help cope with stress - improved memory - and increases cortisol. Should not be used continuously for more than 3 months without 1-2 weeks break.

18. hat is an example of a biologic modifier?
Neupogen
(cardiac med) 40-80 mg QD
10 am (midmorning)
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.

19. What is a normal adult dose of acetaminophen?
They are TB medications. They are okay to take while pregnant.
(analgesic) 650 mg QID
Aspirin (ASA) and Tylenol
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.

20. What is important to know about Gingko? (use)
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
It is an herb used to increase memory for alzheimers and as an anticoagulant.
Avoid milk and milk products (2 hrs prior to or after administration).

21. What is important to know about procardia? (administered - use - action - SE)
It is an antiprotozoal used to treat protozoa infections like PCP. Pentamidine (nebupent) treats PCP (pneumocystis carnii pneumonia) IV - IM & Inhaled. Check for low BP - kidney function - and temp.
It is used to treat ulcerative colitis.
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.
Anafranil and elavil

22. What food considerations should be made for a patient on diuretics (ex: hydrochlorothiazide - lasix - bumex)?
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
Neupogen
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
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 -

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

24. What is a normal adult dose of motrin?
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
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.
(analgesic) 600 mg Q6H

25. What is important to know about Chantix and Zyban? (use - teach - SE)
It melts to half its volume!
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.

26. What is important to know about Neomycin? (Use - effect).
They are used for acute gout and while on them you should increase fluids to 3000cc/day to decrease production of uric acid. If N&V OCCURS The MED SHOULD BE STOPPED BC IT MAY INDICATE TOXICITY.
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 an antiemetic that slows emptying of the stomach and should be taken before meals.
Singulair

27. What is impt to know about Ancef - keflex - and ceclor? (SE - TX - check for).
Reglan
It is a bronchodilator used to prevent asthma attacks and prophylaxis.
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.
Azulfidine

28. What is impt to know about diamox? (use)
It is an herb used to increase memory for alzheimers and as an anticoagulant.
Aricept
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).
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.

29. What is nicotine gum used for?
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
Streptokinase

30. What is important to know about Feldene? (contraindication - check - teach)
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.
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.
INH - Vitamin B6 - and Rifampin
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.

31. What is important to know about Levitra/celias? (use - SE - contraindications)
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.
No bc they are made with potassium salt.
It is a vitamin and can be taken after food to reduce flushing.
Aricept

32. What is important to know about Niacin? (how to take)
Procardia
It is a vitamin and can be taken after food to reduce flushing.
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 a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.

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

34. If NPH is given in the AM when might you see S&S of hypoglycemia?
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
They are bisphosphonates. They are used for osteoporosis. The teaching is to sit upright for 30 mins after taking to prevent irritation. SE include trouble swallowing - chest pain - and severe or worsening heart burn.
4:00 pm (mid afternoon)
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).

35. What is important to know about Azulfidine? (Use)
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 used to treat ulcerative colitis.
Mannitol
Amphojel

36. What are 2 examples of anticoagulants?
It reduces pain or various procedures including venipuncture - heel lances - and circumcision. It anesthetizes nerve endings for up to four hours and should be applied an hour prior to the procedure (although studies show it still reduces pain even 5
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.
Coumadin and Heparin
Nausea - Sleep disturbances - constipation - gas - and vomiting.

37. What is important to know about Aqua Mephyton/Vitamin K? (use - contraindication - route)
It is a chemo agent. SE= N&V and decreased bone marrow function.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
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.

38. What is an example of an anti - anxiety/anticonvulsant?
Lipitor - Advicor - Crestor - Questran - and Zocor
20 mcg/ml and up (therapeutic range is 10-15).
Valium
Blood sugar

39. What is important to know about resperidone? (use - check)
(cardiac med) 40-80 mg QD
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
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.

40. What are 3 examples of Cephalosporins (Abx)?
Ancef - keflex - and ceclor
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
Paxil and Prozac/fluoxetine
Valtrex

41. How do you know that Tegretol is working effectively for trigeminal neuralgia?

42. What is an example of an adrenergic blocker?
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
Flomax
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
Baclofen

43. What are 2 examples of antigout medications?
It is an herb used to increase memory for alzheimers and as an anticoagulant.
Allopurinol and COLCHICINE
Imdur (Isosorbide)
Flomax

44. What is important to know about viagra? (contraindications - SE)
It is an erectile/impotence agent not to be taken with nitrates as BP can decrease quickly. SE include HA - flushed feeling upset stomach - trouble telling blue and green apart and seeing blue tinge to things - eyes more sensitive to light - blurred
Infection!!!
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
Streptokinase

45. What is important to know about zyprexa? (use - check - contraindication - SE - teach)
Iron
MOTRIN - Feldene - Indomethocin - and Advil.
It is an antipsychotic used to treat psychotic symptoms. Monitor blood sugar - temp - and liver enzymes. Not safe for kids. SE is NEUROLEPTIC MALIGNANT SYNDROME. Avoid over heating.
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.

46. What must you watch for when on corticosteroids?
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
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.
Infection!!!
It melts to half its volume!

47. In What type of patient should vitamin K containing foods be increased?
Take 2-4 hrs apart from each other.
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.

48. What is important to know about nitroglycerin? (use - store - when take - SE)
It should be covered by an occlusive dressing to keep it in place and assist absorption.
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.
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
Aricept

49. What is important to know about Zirthromax (z - pac - zycam - z - max)? (Use - monitor - dont take w/)
One
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
Trigeminal neuralgia (cheek nerve pain)= don't want to chew so don't eat= loose weight. If med is working the person will GAIN WEIGHT.
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.

50. What is an example of an isotretinoin?
Acutane
Lantus
Q3 days
It is a biologic modifier that improves a persons immune system so that they may have less infections.