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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 are 3 examples of beta blockers?
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
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
Zantac and Tagamet

2. What is an example of an adrenergic medication?
No because the dye exits the body in one day!
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.
Diamox
Sudafed

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

4. What is St. John's Wort and its uses/concerns?
No because the dye exits the body in one day!
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.
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
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.

5. What is important to know about prostigmin? (use/patients)
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
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.

6. What are 3 examples of anti - inflammatory corticosteroids?
20 mcg/ml and up (therapeutic range is 10-15).
Digoxin and Colchicine
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.
PrednisOne - CortisOne - and DexamethasOne.

7. What is important to know about Iron? (take with - SE)
Iron
Lidocaine and Quinidine
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.

8. What is an example of an antiviral/antiparkinsonian?
Symmetrel
Synthroid
1 shot glass=1 oz
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.

9. What is important to know about Carafate? (how to take)
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
It is a bronchodilator used to prevent asthma attacks and prophylaxis.
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.

10. What is an example of a parathyroid agent?
Calcitonin - Salmon
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.
Lactalose
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.

11. What is an example of an adrenergic blocker?
Flomax
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 antifungal medication and creatinine and output should be checked when administered.
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.

12. What is an example of a hemantinic med?
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
Iron
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.

13. What is a normal adult dose of digoxin?
(cardiac med) .125- .250 mg QD
It is a potassium removing resin that takes 6-8 hours to work.
Reglan
Places that are prone to friction (waistline) - breasts (for patches containing estrogen or nicotine) - and try to avoid hairy areas (if you must don't shave just clip the hair close to the skin).

14. What are 2 examples of a antiretroviral?
2.2046 pounds
AZT/Retrovir and Norvir
It is an antiemetic that is used to decrease N&V caused by chemo.
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.

15. What is important to know about Mannitol? (use - if effective..)
Parnate
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
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.

16. What is important to remember about the volume of ice?
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
It melts to half its volume!
Gantrisin
Zofran and Reglan

17. Can lasix and vasopressin be given together?
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.
DIGOXIN
No because they have opposing actions and would cancel each other out.
Potassium chloride and potassium

18. What are appropriate sites for subQ injections?
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
Nausea - Sleep disturbances - constipation - gas - and vomiting.
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.

19. What is important to know about neupogen? (use)
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
It is a biologic modifier that improves a persons immune system so that they may have less infections.
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.

20. What is important to know about Aqua Mephyton/Vitamin K? (use - contraindication - route)
It is heparin like. The injection should be given in the abdomen and isn't massaged.
Viagra and Levitra/Celias
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.

21. What is important to know about antabuse? (use - avoid w/ - d/c)
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.
Os Cal
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 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.

22. What are common side effects of Chantix?
Potassium chloride and potassium
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.
Nausea - Sleep disturbances - constipation - gas - and vomiting.
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).

23. What is the benefit of a smaller needle for injections?
It should be covered by an occlusive dressing to keep it in place and assist absorption.
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.
Less pain and decreased risk of hematoma.
Calcitonin - Salmon

24. What food considerations should be made for a patient on lithium?
The patient needs to consume 8-10 glasses of water a day.
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
10 am (midmorning)
It should be covered by an occlusive dressing to keep it in place and assist absorption.

25. For which two drugs is N&V a sign of toxicity?
Aricept
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
Digoxin and Colchicine
I&O and S. CR(?)

26. How many pints in 1 quart?
Viagra and Levitra/Celias
2 pints
Aricept
One day

27. What is EMLA cream used for?
No because the dye exits the body in one day!
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
No because they have opposing actions and would cancel each other out.
2 #3 tylenols because it contains the same amount of codeine.

28. What is important to know about Pryidium? (use)
Valtrex
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.

29. What is an example of a cardiac glycoside/antidysrhythmic?
AMINOPHYLLINE (TheOPHYLLINE)
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 #3 tylenols because it contains the same amount of codeine.
DIGOXIN

30. What is an example of an antiviral?
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
Valtrex
MAGNESIUM SULFATE
It is a vitamin and can be taken after food to reduce flushing.

31. What are the two major side effects of aminoglycosides?
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
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.
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
Methergine

32. 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.
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 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
Less pain and decreased risk of hematoma.

33. If regular insulin is given in the AM when might you see S&S of hypoglycemia?
(cardiac med) 2.5-10 mg
10 am (midmorning)
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.
Penicillin - Amoxicillin - Ampicillin - and Augmentin.

34. What is the action of beta blockers?
It is a bronchodilator/spasmolytic. The NORMAL LEVEL Is 10-20 mcg/ml. Avoid coffee - tea - chocolate - and cola. Give with care to patient with heart disease. Toxicity in adult= tachycardia. In Child= nervousness.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
Valtrex
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.

35. What are 4 examples of Vitamins?
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
Avandia
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.

36. What are 3 examples of Cephalosporins (Abx)?
Valtrex
Ancef - keflex - and ceclor
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 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.

37. What medication should be taken 30 minutes before a meal?
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.
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.
Reglan
Flomax

38. What are 4 examples of antibiotics?
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.
Ipecac syrup
Parnate
Penicillin - Amoxicillin - Ampicillin - and Augmentin.

39. What is a normal adult dose of motrin?
4:00 pm (mid afternoon)
An allergy to iodine
(analgesic) 600 mg Q6H
25-27 gauge - 5/8 inch long - insert at 45 degrees.

40. What is an example of an anti - anxiety/anticonvulsant?
Os Cal
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
Valium
Loose stools - vaginitis - or thrush

41. What is an example of an antiprotozoal?
It is heparin like. The injection should be given in the abdomen and isn't massaged.
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
Nebupent
Baclofen

42. What is important to know about Danazol? (use)
It is an ovulation suppressant used to treat endometriosis.
NO!!!!!
(C x 1.8) + 32
Take 2-4 hrs apart from each other.

43. What is important to know about Demerol? (normal dose)
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
Aspirin (ASA) and Tylenol
Carafate - Penicillin - and Isoniazid (INH).

44. What is Gingko Biloba and its uses/concerns?
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.
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 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.
Mannitol

45. What is the order of steps for giving a subcutaneous injection?
It is an antacid. ALUMINUM based side effects include constipation and binds phosphate. MAGNESIUM based side effects include diarrhea (give 30 mins after meals). Prevents absorption of other medications.
(analgesic) 600 mg QID (with RAH)
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.
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.

46. What is impt to know about cardizem/calan? (use - action - SE)
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
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
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 a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.

47. What is important to know about Vitamin C? (use)
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
Dilantin - Neurontin - Tegretol - and Topamax
It is a vitamin given with iron foods to help absorption.
Amphotericin B

48. What is important to know about Percodan/Percocet? (base)
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
Gantrisin
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
It is a bronchodilator used to prevent asthma attacks and prophylaxis.

49. What is important to know about Gardasil? (use - SE - dosing - contraindications)
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 -
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.
Mannitol
AMINOPHYLLINE (TheOPHYLLINE)

50. What is an example of a bronchodilator/spasmolytic?
AMINOPHYLLINE (TheOPHYLLINE)
It melts to half its volume!
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
Acutane