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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 important to know about Fosamax? (use - teach - SE)
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.
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.
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 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

2. What gauge and length needle is appropriate for a 2 inch tissue fold? Insertion angle?
Clomid
Digoxin and Colchicine
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.

3. What is an example of an adrenergic blocker?
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
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 oxytocic agent used to increase vasoconstriction and prevent postpartal hemorrhage. Check BP. Expect uterus will be hard and there will be pain or cramps.

4. hat is an example of a biologic modifier?
Neupogen
Lantus
It is an antifungal medication and creatinine and output should be checked when administered.
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.

5. What is important to know about Iron? (take with - SE)
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
Azulfidine
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 an anticoagulant in which expected PTT values are 1 1/2 to 2 1/2 x normal. Protamine sulfate is given to reverse the drug. PTT < 45 = no anticoag and > 75=hemorrhage (look for bruises/red - brown urine. DO Not use with MI.

6. If a person is prescribed lasix - streptomycin - and morphine and you go into give them there medication and they can't hear you tell them what meds you are giving. Which med should be stopped?
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
(Psych med) 5-10 mg-6H
Procardia
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)

7. What needs to be checked with a patient prior to dye/contrast administration?
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
An allergy to iodine
It is an ovulation suppressant used to treat endometriosis.
Ritalin

8. What are the two major side effects of aminoglycosides?
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
454 grams
Nausea - Sleep disturbances - constipation - gas - and vomiting.

9. How do you know that mannitol is working effectively?
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
It is an antifungal medication and creatinine and output should be checked when administered.
It is an ovulation stimulant used to increase fertility.
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.

10. What are two examples of electrolytes?
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.
Potassium chloride and potassium
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.
(cardiac med) 2.5-10 mg

11. What is impt to know about prozac? (when take - teach)
No bc they are made with potassium salt.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
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.

12. What is Gingko Biloba and its uses/concerns?
4:00 pm (mid afternoon)
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.
Sudafed
(F-32) divided by 1.8

13. What is an example of an antiglaucoma/diuretic medication?
29.573 mls
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.
The patient needs to consume 8-10 glasses of water a day.
Diamox

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

15. How many ounces in 1 pint?
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
16 ounces
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
It is an anticoagulant in which expected PTT values are 1 1/2 to 2 1/2 x normal. Protamine sulfate is given to reverse the drug. PTT < 45 = no anticoag and > 75=hemorrhage (look for bruises/red - brown urine. DO Not use with MI.

16. What is an example of a cardiac glycoside/antidysrhythmic?
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
DIGOXIN
Paxil and Prozac/fluoxetine

17. What is important to know about Fluorocytosine/ 5 FU? (use - SE)
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.
4:00 pm (mid afternoon)
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
It is a chemo agent. SE= N&V and decreased bone marrow function.

18. What is important to know about Niacin? (how to take)
It is a vitamin and can be taken after food to reduce flushing.
Do smoke while wearing and don't apply to breast.
Os Cal
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.

19. What is important to know about Codeine? (SE - check - use - diet)
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.
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.
Viagra and Levitra/Celias

20. What is an example of a steroid?
Aricept
BETAMETHASOne
Amphotericin B
Persantine and Plavix

21. What meds should not be taken with corticosteroids?
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
ASA and NSAIDS
Questran

22. What is important to know about resperidone? (use - check)
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
Gardasil
Parnate
Use caution driving until you know how it affects you. Report bothersome or persistent side effects. Take Chantix after eating and with a full glass of water. Don't stop taking Chantix even if you smoke. Take white tablets for first 7 days and blue f

23. What is important to know about coumadin? (normal lab - not consume - antidote)
BETAMETHASOne
Vitamin K counteracts its effect. PT level should be 1 1/2 to 2 1/2 times normal value =expected (< 1 1/2 = increased clotting - > 2 1/2= hemorrhage). DO Not consume large amounts of salad ginkgo or garlic while on.
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
Gram (ex: pyelogram)

24. What is important to know about nitroglycerin? (use - store - when take - SE)
2 pints
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
Azulfidine
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.

25. What is important to know about Gardasil? (use - SE - dosing - contraindications)
Protonix
Imdur (Isosorbide)
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.
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 -

26. What teaching should be done regarding Chantix?

27. What are 2 examples of a diruretic?
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.
Glucagon
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.
LASIX and Mannitol

28. What is important to know about Aldactone? (contraindications)
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
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.).
Procardia

29. What is an example of a electrolyte/anticonvulsant/laxative?
Procardia
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
MAGNESIUM SULFATE
Fluorocytosine/5 FU

30. What is Echinacea and its uses? Who Shouldn't use it?
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!
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.
4 cups
Coumadin and Heparin

31. What is an example of a hemantinic med?
Zofran and Reglan
It is a chemo agent. SE= N&V and decreased bone marrow function.
Iron
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.

32. What are 3 types of TB meds?
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
Pryidium
INH - Vitamin B6 - and Rifampin
Carafate

33. How many cups in 1 pint?
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
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.
2 #3 tylenols because it contains the same amount of codeine.
2 cups

34. What is important to know about Feldene? (contraindication - check - teach)
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.
Nitroglycerin
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.

35. What is impt to know about Cozaar? (use - watch)
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
MAGNESIUM SULFATE
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.

36. What is important to know about Zirthromax (z - pac - zycam - z - max)? (Use - monitor - dont take w/)
Questran
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.
Blood sugar
NO!!!

37. What is important to know about INH - Vitamin B6 - and Rifampin? (Pregnant women?)
They are TB medications. They are okay to take while pregnant.
It is a biologic modifier that improves a persons immune system so that they may have less infections.
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
Aldactone

38. What is impt to know about reglan? (action - when to take)
Lactalose
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
Q3 days
It is an antiemetic that slows emptying of the stomach and should be taken before meals.

39. What is important to know about Chantix and Zyban? (use - teach - SE)
The NORMAL LEVEL Is 0.5-2.0.If level is too low=SOB - dec. output - incr. edema. If level is too high= toxicity= N&V - yellow green vision - bradycardia - and anorexia. That amount of free med is What causes toxicity. D/T low serum protein NEVER give
Epogen
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
(cardiac med) 40-80 mg QD

40. What is important to know about lidocaine? (use)
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.
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
It is an antidysrhythmic that is the drug of choice for dysrhythmias.

41. What is impt to know about elavil? (teach - SE - Diet)
PrednisOne - CortisOne - and DexamethasOne.
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
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 a chemo agent. SE= N&V and decreased bone marrow function.

42. What is important to know about Pryidium? (use)
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
ASA and NSAIDS
Pryidium
No bc they are made with potassium salt.

43. What is important to know about gentamicin? (SE - Check - Do not take w/).
No bc they are made with potassium salt.
Clozapine
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.
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.

44. What is an example of an antiviral?
Valtrex
Codeine - Demerol - Percodan/Percocet - and Morphine.
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
No because they have opposing actions and would cancel each other out.

45. What is important to know about Vitamin C? (use)
Glyset and Glyburide
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
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.
It is a vitamin given with iron foods to help absorption.

46. What is an example of an antacid?
Amphojel
(analgesic) 650 mg QID
Codeine - Demerol - Percodan/Percocet - and Morphine.
It is a biologic modifier that improves a persons immune system so that they may have less infections.

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

48. What medication should be taken 30 minutes before a meal?
It is a vitamin given with iron foods to help absorption.
Fluorocytosine/5 FU
Protonix
Reglan

49. What is impt to know about Allopurinol and COLCHICINE? (use - teach - toxicity)
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 herb used for depression. Watch for use with other depressants or tyramine containing foods.
Clozapine
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.

50. What is important to know about Levitra/celias? (use - SE - contraindications)
8 ounces
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!!!!!
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.