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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 Neomycin? (Use - effect).
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.
MAGNESIUM SULFATE
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.

2. What is impt to know about Cozaar? (use - watch)
No because the dye exits the body in one day!
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
(analgesic) 2-10 mgH PRN

3. How many cups in 1 quart?
Nebupent
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
4 cups
Digoxin and Colchicine

4. What is a normal adult dose of Coumadin (warfarin)?
(cardiac med) 2.5-10 mg
IT Is A SMOOTH MUSCLE RELAXER USED for asthma patients And TO STOP PREMATURE LABOR. (if it doesn't stop premature labor then the patient must come into the ER).
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.

5. What are 2 examples of bone reabsorption inhibitors?
Evista and Fosamax
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
It is a bronchodilator used to prevent asthma attacks and prophylaxis.
Ipecac syrup

6. What is important to know about Morphine? ( Check - dose - contraindications)
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.
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
Questran
It is an antiemetic that slows emptying of the stomach and should be taken before meals.

7. What is impt to know about quinidine? (watch for)
It is a chemo agent. SE= N&V and decreased bone marrow function.
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.

8. What is impt to know about anafranil? (drug type)
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
Digoxin and Colchicine
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
Tricyclic antidepressant

9. For which two drugs is N&V a sign of toxicity?
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
Digoxin and Colchicine
Potassium chloride and potassium

10. What are 3 examples of beta blockers?
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
BETAMETHASOne
Aricept
An allergy to iodine

11. What is important to know about Synthroid? (use - teach)
Diamox
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.).
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.

12. What are 4 examples of an NSAIDs?
MOTRIN - Feldene - Indomethocin - and Advil.
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.
29.573 mls
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.

13. What does olestra do?
Prevents absorption of fat from the GI tract.
No because the dye exits the body in one day!
(Psych med) 5-10 mg-6H
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.

14. What is a normal adult dose of Diltiazem?
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
(cardiac med) 180-270 mg QD
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

15. What food considerations should be made for patients on iron supplements?
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 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
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.
Ancef - keflex - and ceclor

16. 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.
(F-32) divided by 1.8
It is an ovulation suppressant used to treat endometriosis.
Amphotericin B

17. What is Garlic and it's uses?

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18. What Is IMPORTANT TO Know ABOUT MOTRIN? (max dose)
Q3 days
It is very harmful to the kidneys (should be flushed out with fluids).
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Antabuse

19. What is important to know about Calcitonin - Salmon? (use - action - teach)
It is a parathyroid agent used for osteoporosis. It inhibits bone reabsorption and promotes renal excretion of calcium (effects opposite of parathyroid hormone (PTH)). Teach them to call Dr. for allergic reaction or nasal irritation from nasal spray.
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 used to treat ulcerative colitis.
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.

20. What is important to know about zantac? (use - how to take)
It is an ovulation stimulant used to increase fertility.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
Glyset and Glyburide

21. What is important to know about Vitamin B6? (use - contraindication)
2 #3 tylenols because it contains the same amount of codeine.
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
Reglan

22. What is important to know about thorazine and stelazine? (use - teach - watch)
4:00 pm (mid afternoon)
It is an herb used to increase memory for alzheimers and as an anticoagulant.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.

23. What food considerations should be made for a patient on diuretics (ex: hydrochlorothiazide - lasix - bumex)?
Imdur (Isosorbide)
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
It is an herb that INHIBITS PLATELET AGGREGATION. It is used to lower cholesterol - treat hypertension - atherosclerosis - and URIs. It is REAllY effective against helicobacter pylori infections or ulcers (evens ones that some meds don't work on!)

24. What is important to know about lidocaine? (use)
29.573 mls
It is a bronchodilator used to prevent asthma attacks and prophylaxis.
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
It is an antidysrhythmic that is the drug of choice for dysrhythmias.

25. If regular insulin is given in the AM when might you see S&S of hypoglycemia?
10 am (midmorning)
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
(C x 1.8) + 32
BIAXIN - zithromax (aka z - max - z - pack - or zycam).

26. What is an example of an antianginal/vasodilator?
No because they have opposing actions and would cancel each other out.
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.
Zofran and Reglan
Imdur (Isosorbide)

27. Can digoxin and epinephrine given together?
2 cups
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.
Calcitonin - Salmon
No because they have opposing actions and would cancel each other out.

28. What are 2 examples of a diruretic?
Gantrisin
Zofran and Reglan
LASIX and Mannitol
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.

29. What is an example of an oxytocic?
Methergine
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
(analgesic) 2-10 mgH PRN
Lantus

30. What letter on the end of a test indicate Iodine?
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
Gram (ex: pyelogram)
Glucagon

31. How often are fentanyl patches for pain applied?
Q3 days
2 #3 tylenols because it contains the same amount of codeine.
Zofran and Reglan
25-27 gauge - 5/8 inch long - insert at 45 degrees.

32. Who should not take tetracycline?
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
454 grams

33. What is an example of an alcohol deterrent?
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 cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
Antabuse
It should be covered by an occlusive dressing to keep it in place and assist absorption.

34. What is important to know about Aqua Mephyton/Vitamin K? (use - contraindication - route)
Levodopa
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
Coumadin and Heparin
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.

35. What is important to know about Atropine? (use - contraindications)
Singulair
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
Protonix
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.

36. What is an example of a med used to increase sugar?
It is an herb that INHIBITS PLATELET AGGREGATION. It is used to lower cholesterol - treat hypertension - atherosclerosis - and URIs. It is REAllY effective against helicobacter pylori infections or ulcers (evens ones that some meds don't work on!)
Glucagon
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
Synthroid

37. What are 2 examples of antidysrhythmic medications?
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
Do not give if patient has liver disease and it's not useful for anti - inflammatory. There are 4 kinds each with the same amount of tylenol and different amounts of codeine. (1=325 T and 8mg C - 2= 325 T and 15 mg C - 3= 325 T and 30 mg C - and 4= 3
Lidocaine and Quinidine
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.

38. What is important to know about Pitressin/Vasopressin? (use - action - outcome - contraindications - check)
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
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.
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)

39. What are 6 examples of antipsychotics?
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
A patient with chronic renal failure and Addison's disease because potassium can harm them.

40. What are 2 examples of H2 Histamine Antagonist Receptors?
Zantac and Tagamet
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
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.
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.

41. What is a normal adult dose of aspirin?
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
(analgesic) 600 mg QID (with RAH)
Carafate - Penicillin - and Isoniazid (INH).
Increased fiber - increased fluids - exercise. Not Colace.

42. What is important to know about prostigmin? (use/patients)
8 ounces
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
Aspirin (ASA) and Tylenol
Nitroglycerin

43. What are the indications for patches: fentanyl - lidocaine - nicotine - and nitroglycerin?
Methergine
Ritalin
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
It is an antidysrhythmic that is the drug of choice for dysrhythmias.

44. What are considerations for lovenox?

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45. What is a normal adult dose of motrin?
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 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 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.
(analgesic) 600 mg Q6H

46. What is an appropriate injection volume for a subcutaneous injection?
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
0.5-1 ml
Diamox
OLOL

47. What is impt to know about reglan? (action - when to take)
The patient needs to consume 8-10 glasses of water a day.
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
ASA and NSAIDS

48. What is impt to know about imdur (isosorbide)? (use - watch for).
NO!!!!!
Questran
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.

49. What food considerations should be made for a patient on coumadin?
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
Chantix and Zyban
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
Nausea - Sleep disturbances - constipation - gas - and vomiting.

50. What is important to know about Mannitol? (use - if effective..)
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 an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.
Epogen