NCLEX Medications

Instructions:

• Answer 50 questions in 15 minutes.
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• 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 8 medications should be taken with food?
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
Infection!!!
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
It should be covered by an occlusive dressing to keep it in place and assist absorption.


2. What is important to know about a lidocaine patch?
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
One
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.


3. What are 3 examples of beta blockers?
It is heparin like. The injection should be given in the abdomen and isn't massaged.
Coumadin and Heparin
Codeine - Demerol - Percodan/Percocet - and Morphine.
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).


4. What is an example of a reversible cholinesterase inhibitor?
Aricept
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
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.
Streptokinase


5. What is important to know about Codeine? (SE - check - use - diet)
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
MAGNESIUM SULFATE
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.
Ritalin


6. What is important to know about Gingko? (use)
Carafate - Penicillin - and Isoniazid (INH).
Aldactone
It is an herb used to increase memory for alzheimers and as an anticoagulant.
Valtrex


7. What is an example of an emetic?
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
Ipecac syrup
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 medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.


8. What are 3 examples of Ca channel blockers (antihypertensives)?
(analgesic) 600 mg QID (with RAH)
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
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.


9. How many cups in 1 quart?
Increased fiber - increased fluids - exercise. Not Colace.
4 cups
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.
It is a bone reabsorption inhibitor used in postmenopausal women suffering from osteoporosis. Teach to remain upright for 30 mins after taking. SE include trouble swallowing - chest pain - or severe worsening heartburn.


10. What is important to know about neupogen? (use)
2.2046 pounds
Increased Blood sugar - increased Na - increased H20 - and increased BP.
Acutane
It is a biologic modifier that improves a persons immune system so that they may have less infections.


11. What teaching should be done regarding transdermal patches?
Danazol
Evista and Fosamax
It is an alcohol deterrent medication to prevent alcohol abuse. It should not be taken with alcohol or cough syrup and must be d/c for 2 weeks before taking a drink.
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


12. What is a drawback of a transdermal drug patch?

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13. What is important to know about Synthroid? (use - teach)
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.
It is heparin like. The injection should be given in the abdomen and isn't massaged.
Nitroglycerin
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.).


14. What is St. John's Wort and its uses/concerns?
Singulair
Q3 days
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
It is an herb that acts like an MAOI and is used for mild to moderate depression - anxiety - wound healing - and viral infections (herpes). Should not be used in HIV patients.


15. What is important to know about Aricept? (use - when to take)

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16. What are 2 examples of antigout medications?
Singulair
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
Imdur (Isosorbide)
Allopurinol and COLCHICINE


17. What is saw palmetto and its uses/concerns?

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18. What is important to know about lactalose? (use)
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.
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
Kayexelate


19. What is important to know about Pryidium? (use)
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
Avandia
It is an antiviral used to treat herpes. It is toxic to the kidneys
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.


20. What are 3 examples of Cephalosporins (Abx)?
Ancef - keflex - and ceclor
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!
An allergy to iodine
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.


21. What is important to know about Demerol? (normal dose)
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
Calcitonin - Salmon
Digoxin and Colchicine


22. If a hypoglycemic patient is not symptomatic what should be done? Symptomatic?
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.
Flomax
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
Calcitonin - Salmon


23. What is an example of a potassium sparing diuretic?
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.
Aldactone
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.


24. What is impt to know about Valium? (norm dose - check)
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
Amphotericin B
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 an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.


25. What are the two major side effects of aminoglycosides?
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
1 shot glass=1 oz


26. In What type of patient should vitamin K containing foods be increased?
MAGNESIUM SULFATE
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
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.
Nitroglycerin


27. What is important to know about Baclofen? (use - SE)
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.
Persantine and Plavix
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.
Levodopa


28. What is important to know about Niacin? (how to take)
Actonel and Boniva
Atropine
It is a vitamin and can be taken after food to reduce flushing.
Pitressin/Vasopressin


29. What part of the body does dye/contrast effect the most?
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.
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
It is very harmful to the kidneys (should be flushed out with fluids).
(cardiac med) .125- .250 mg QD


30. What is impt to know about Ancef - keflex - and ceclor? (SE - TX - check for).
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 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.
Symmetrel
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.


31. What are 2 examples of a antiretroviral?
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.
One day
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.
AZT/Retrovir and Norvir


32. What is an example of an alcohol deterrent?
A patient with chronic renal failure and Addison's disease because potassium can harm them.
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
Antabuse


33. How many cups in 1 pint?
Increased fiber - increased fluids - exercise. Not Colace.
2 cups
AMINOPHYLLINE (TheOPHYLLINE)
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)


34. What is an example of an ovulation suppressant?
Danazol
LASIX and Mannitol
They are TB medications. They are okay to take while pregnant.
4:00 pm (mid afternoon)


35. Is there any concern for a female who needs a test with dye/contrast and is considering pregnancy?
No because the dye exits the body in one day!
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
Valtrex
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.


36. What are two examples of anti - smoking meds?
Chantix and Zyban
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
No because the dye exits the body in one day!
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.


37. What is an example of a potassium removing resin?
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.
(cardiac med) 40-80 mg QD
Kayexelate
They are TB medications. They are okay to take while pregnant.


38. If someone wants to know how to measure out 1oz of medication at home What can they use?
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
Nitroglycerin
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
1 shot glass=1 oz


39. What are the side effects of beta blockers?
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
It is an antifungal medication and creatinine and output should be checked when administered.
(analgesic) 600 mg QID (with RAH)
Symmetrel


40. What is impt to know about cardizem/calan? (use - action - SE)
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.
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
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.
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.


41. What is an example of a laxative/ ammonia detoxicant?
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
Epogen
Lactalose
Tricyclic antidepressant


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

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43. Can an LPN administer all medications?
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
NO!!!!!
NO!!!
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.


44. What is impt to know about Penicillin - Amoxicillin - Ampicillin - and Augmentin? (dont give w/ - check for)

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45. What is important to know about atenolol - INDERAL - lopressor - toprol? (use - contraindications)
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.
Reglan
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.
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.


46. What is important to know about garlic? (use - contraindications)
4:00 pm (mid afternoon)
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
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.
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.


47. What is an example of an adrenergic medication?
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
INH - Vitamin B6 - and Rifampin
Gram (ex: pyelogram)
Sudafed


48. If regular insulin is given in the AM when might you see S&S of hypoglycemia?
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
It is an oxytocic agent used to increase vasoconstriction and prevent postpartal hemorrhage. Check BP. Expect uterus will be hard and there will be pain or cramps.
10 am (midmorning)
I&O and S. CR(?)


49. Celsius= Farenheit .....?
(F-32) divided by 1.8
Persantine and Plavix
2 #3 tylenols because it contains the same amount of codeine.
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.


50. What is Valerian root and its uses/concerns?

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