Test your basic knowledge |

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 potassium sparing diuretic?
Lidocaine and Quinidine
Aldactone
Fluorocytosine/5 FU
No because they have opposing actions and would cancel each other out.

2. What are 3 examples of anti - inflammatory corticosteroids?
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
PrednisOne - CortisOne - and DexamethasOne.
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.
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)

3. What is a normal adult dose of acetaminophen?
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
Prevents absorption of fat from the GI tract.
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
(analgesic) 650 mg QID

4. What is Garlic and it's uses?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

5. What is important to know about Demerol? (normal dose)
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 an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.

6. What is important to know about clozapine? (check - watch for)
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
Q3 days
No bc they are made with potassium salt.
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.

7. What is impt to know about reglan? (action - when to take)
Prevents absorption of fat from the GI tract.
Nitroglycerin
'Mycin' drugs so Gentamicin and Streptomycin
It is an antiemetic that slows emptying of the stomach and should be taken before meals.

8. What should be taught regarding antibiotics and antacids?
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
Take 2-4 hrs apart from each other.

9. What is an example of a cerebral stimulant?
Neupogen
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
Ritalin
Danazol

10. What is important to know about Synthroid? (use - teach)
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
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.
It is a potassium removing resin that takes 6-8 hours to work.
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.).

11. What Is IMPORTANT TO Know ABOUT MOTRIN? (max dose)
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Paxil and Prozac/fluoxetine
(analgesic) 50-100 mg-8H
Penicillin - Amoxicillin - Ampicillin - and Augmentin.

12. If someone wants to know how to measure out 1oz of medication at home What can they use?
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
1 shot glass=1 oz
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 bronchodilator used to prevent asthma attacks and prophylaxis.

13. How many pounds in 1 kilogram?
2.2046 pounds
It is a potassium removing resin that takes 6-8 hours to work.
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.
It is an antiemetic that slows emptying of the stomach and should be taken before meals.

14. What is important to know about Valtrex? (use - watch)
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 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 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 antiviral used to treat herpes. It is toxic to the kidneys

15. What is important to know about Propylthiouracil/PTU? (use - watch - outcome - and action)
2.2046 pounds
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
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.

16. What is important to know about prostigmin? (use/patients)
Reglan
Loose stools - vaginitis - or thrush
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
Procardia

17. What are 4 examples of an NSAIDs?
It is heparin like. The injection should be given in the abdomen and isn't massaged.
MOTRIN - Feldene - Indomethocin - and Advil.
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
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

18. What is important to know about a oxybutynin patch?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

19. What is important to know about glucagon? (use)
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
The patient needs to consume 8-10 glasses of water a day.
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).

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

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

21. What is an example of insulin?
Increased fiber - increased fluids - exercise. Not Colace.
Lantus
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
8 ounces

22. What is a toxic level of theophylline?
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.
20 mcg/ml and up (therapeutic range is 10-15).
A patient with chronic renal failure and Addison's disease because potassium can harm them.
It is a potassium sparing diuretic. Do Not give with renal failure and check output.

23. What is impt to know about Cozaar? (use - watch)
Prostigmin
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
Aspirin (ASA) and Tylenol

24. What is a toxic level of digoxin?
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 melts to half its volume!
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
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!)

25. If tylenol #4 isn't available What can you give?
2 #3 tylenols because it contains the same amount of codeine.
MOTRIN - Feldene - Indomethocin - and Advil.
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
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.

26. What are 2 examples of a antiretroviral?
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
MOTRIN - Feldene - Indomethocin - and Advil.
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.
AZT/Retrovir and Norvir

27. What is an example of a steroid?
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
Allopurinol and COLCHICINE
BETAMETHASOne
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.

28. What is an example of an antiparkinson agent?
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.
Avoid milk and milk products (2 hrs prior to or after administration).
Levodopa
(C x 1.8) + 32

29. What is important to know about Questran? (Use - SE - diet)
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.
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
Clomid
(cardiac med) 180-270 mg QD

30. What is important to know about prolixin? (use - teach)
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.
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.
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
Nebupent

31. What is the only diuretic that will pull fluid from the brain or the eyes?
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
Mannitol
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
Allopurinol and COLCHICINE

32. What is a type of sulfa antibiotic?
Gram (ex: pyelogram)
Lactalose
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.
Gantrisin

33. All steroids cause an increase in what?
Zantac and Tagamet
Reglan
Blood sugar
It should be covered by an occlusive dressing to keep it in place and assist absorption.

34. What is an example of a pituitary hormone?
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.
No bc they are made with potassium salt.
Pitressin/Vasopressin
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.

35. What is an example of an antipsychotic/antimanic?
Dilantin - Neurontin - Tegretol - and Topamax
10 am (midmorning)
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.
LITHIUM

36. 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.
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
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
NO!!!!!

37. What are 4 examples of anticonvulsants?
It is an anticonvulsant that is used for seizure - neuropathy - and migraine headaches. Teach to increase fluids to avoid kidney stones - no driving until effects known - and decreases effect of birth control meds.
Dilantin - Neurontin - Tegretol - and Topamax
The patient needs to consume 8-10 glasses of water a day.
Mannitol

38. What is an example of a bronchodilator/spasmolytic?
No because they have opposing actions and would cancel each other out.
AMINOPHYLLINE (TheOPHYLLINE)
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.

39. What medication should be taken 30 minutes before a meal?
No bc they are made with potassium salt.
Reglan
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
(cardiac med) 40-80 mg QD

40. What gauge and length needle is appropriate for a 2 inch tissue fold? Insertion angle?
It melts to half its volume!
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.
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
Zantac and Tagamet

41. What are 5 examples of herbs?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

42. What is important to know about persantine and plavix? (contraindications)
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.
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
An allergy to iodine
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)

43. What is an example of a proton pump inhibitor?
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
Viagra and Levitra/Celias
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).
Protonix

44. What is important to know about Gingko? (use)
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 to increase memory for alzheimers and as an anticoagulant.
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 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.

45. What is an example of a hormone?
Diamox
Epogen
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.

46. What meds should not be taken with corticosteroids?
Clozapine
ASA and NSAIDS
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.).
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.

47. What is important to know about Percodan/Percocet? (base)
It is very harmful to the kidneys (should be flushed out with fluids).
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 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.
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.

48. What are 2 types of SSRI antidepressants?
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.
Paxil and Prozac/fluoxetine
10 am (midmorning)
Kayexelate

49. What is a toxic level of dilantin?
A patient with chronic renal failure and Addison's disease because potassium can harm them.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
Propylthiouracil/PTU
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.

50. What is an example of antithyroid?
Chantix and Zyban
No because they have opposing actions and would cancel each other out.
29.573 mls
Propylthiouracil/PTU