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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 Garlic and it's uses?

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2. What food considerations should be made for patients on iron supplements?
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
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.
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.
2 pints

3. What is an example of a parathyroid agent?
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)
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.
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
Calcitonin - Salmon

4. If someone wants to know how to measure out 1oz of medication at home What can they use?
1 shot glass=1 oz
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
It is used to treat ulcerative colitis.
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.

5. What is important to know about neupogen? (use)
It is a biologic modifier that improves a persons immune system so that they may have less infections.
25-27 gauge - 5/8 inch long - insert at 45 degrees.
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
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).

6. What are 6 examples of antipsychotics?
Calcitonin - Salmon
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
Symmetrel
It is an anticonvulsant with a therapeutic level of 10-20. Used to decrease seizures and nerve pain. It can cause gingival hyperplasia and children should have regular dental appts. If the level is too low= seizures - too high= ataxia. Monitor renal

7. What is an example of an antacid?
Amphojel
It is an anticonvulsant with a therapeutic level of 10-20. Used to decrease seizures and nerve pain. It can cause gingival hyperplasia and children should have regular dental appts. If the level is too low= seizures - too high= ataxia. Monitor renal
Paxil and Prozac/fluoxetine
It is a potassium removing resin that takes 6-8 hours to work.

8. What is an example of an oral antidiabetic?
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
It is very harmful to the kidneys (should be flushed out with fluids).
(analgesic) 2-10 mgH PRN
Avandia

9. What is important to know about Neomycin? (Use - effect).
2.2046 pounds
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.
Mannitol
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

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

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11. What are 2 examples of a antiretroviral?
10 am (midmorning)
AZT/Retrovir and Norvir
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.

12. What are common side effects of Chantix?
IT Is AN ELECTROLYTE/ ANTICONVULSANT/LAXATIVE GIVEN IV TO PREVENT SEIZURES In PREGNANT WOMEN And ALCOHOLICS GOING THROUGH DETOX. Given PO for laxative effect. Watch for toxicity (decreased reflexes - outputs - & respirations). The antidote for toxici
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.
Nausea - Sleep disturbances - constipation - gas - and vomiting.

13. What is important to know about streptomycin? (check)
PrednisOne - CortisOne - and DexamethasOne.
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
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.
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.

14. What is an example of a cholinergic stimulant?
Prostigmin
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
(analgesic) 600 mg Q6H

15. What is a toxic level of digoxin?
OLOL
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
It is an antiemetic that is used to decrease N&V caused by chemo.

16. What is an example of a Dry secretions medication?
Sudafed
Atropine
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
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.

17. What is an example of a digestant - pancreatic enzyme?
Pancrealipase/viokase
Glyset and Glyburide
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
Aldactone

18. What are 4 examples of antibiotics?
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.
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
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 proton pump inhibitor that is used for GERD. SE includes watching for loose skin.

19. For which two drugs is N&V a sign of toxicity?
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.
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.
Evista and Fosamax
Digoxin and Colchicine

20. What letter on the end of a test indicate Iodine?
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
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.
NO!!!!!
Gram (ex: pyelogram)

21. What is impt to know about quinidine? (watch for)
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.
It is a biologic modifier that improves a persons immune system so that they may have less infections.
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.

22. All steroids cause an increase in what?
It is a chemo agent. SE= N&V and decreased bone marrow function.
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.
Blood sugar
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.

23. What is important to know about Epogen? ( use - outcome)
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
Anafranil and elavil
An allergy to iodine
2.2046 pounds

24. What is an example of a thyroid hormone?
Synthroid
Gardasil
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 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.

25. What is important to know about nebupent? (use - routes - check)
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
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.
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
Do smoke while wearing and don't apply to breast.

26. What Is IMPORTANT TO Know ABOUT LITHIUM? (norm level - toxicity - contraindications - expected outcome)
Gardasil
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.
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
Avandia

27. What are 3 examples of beta blockers?
Viagra and Levitra/Celias
Clomid
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
Prevents absorption of fat from the GI tract.

28. What is important to know about St. John's Wort? (use - watch)
ASA and NSAIDS
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
It is a chemo agent. SE= N&V and decreased bone marrow function.
(Psych med) 5-10 mg-6H

29. What is an example of a reversible cholinesterase inhibitor?
Mannitol
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
Atropine
Aricept

30. What is an example of a bronchodilator/spasmolytic?
AMINOPHYLLINE (TheOPHYLLINE)
Coumadin and Heparin
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.

31. Should grapefruit juice be used to give medication?
NO!!!
25-27 gauge - 5/8 inch long - insert at 45 degrees.
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.
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).

32. When giving a subQ injection DONT?
Atropine
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
They are TB medications. They are okay to take while pregnant.
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).

33. What is important to know about Lipitor - Advicor - Crestor - Questran - and Zocor? (use - contraindications - check - take c)
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
Synthroid
They are antilipidemics used to help manage/decrease cholesterol levels. For All DO Not take when pregnant or nursing. Check liver studies. Can take with or without food.
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.

34. What is an example of a potassium removing resin?
Kayexelate
It is an herb used to increase memory for alzheimers and as an anticoagulant.
Methergine
It is a chemo agent. SE= N&V and decreased bone marrow function.

35. With whom should nicotine be used cautiously in?
It is heparin like. The injection should be given in the abdomen and isn't massaged.
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
Amphojel
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.

36. What is important to teach about a nitroglycerin patch?

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37. What effect do corticosteroids have on blood sugar - Na - H20 - and BP?
Increased Blood sugar - increased Na - increased H20 - and increased BP.
Digoxin and Colchicine
Mannitol
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.

38. What is important to know about coumadin? (normal lab - not consume - antidote)
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.
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
Zantac and Tagamet
Nebupent

39. What is impt to know about Actonel and Boniva? (Use - teaching - SE)
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
They are antilipidemics used to help manage/decrease cholesterol levels. For All DO Not take when pregnant or nursing. Check liver studies. Can take with or without food.
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.
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.

40. What is an example of a thrombolytic enzyme?
INH - Vitamin B6 - and Rifampin
Os Cal
Streptokinase
Infection!!!

41. What is an example of an isotretinoin?
Allopurinol and COLCHICINE
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
4:00 pm (mid afternoon)
Acutane

42. What food considerations should be made for a patient on tetracycline?
Avoid milk and milk products (2 hrs prior to or after administration).
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 emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
Procardia

43. 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.
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
MOTRIN - Feldene - Indomethocin - and Advil.

44. What is important to know about a scopolamine patch?
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.
(F-32) divided by 1.8
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
Ipecac syrup

45. What is an example of an adrenergic blocker?
Flomax
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
Ritalin

46. What is black cohosh and its uses?
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
Remove before bedtime - mild headaches are common - and don't use the patch to treat an anginal attack (they are used to prevent not treat).
It is very harmful to the kidneys (should be flushed out with fluids).
NO!!!!!

47. Can lasix and vasopressin be given together?
It is an antiretroviral used to treat HIV.
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
No because they have opposing actions and would cancel each other out.
The patient needs to consume 8-10 glasses of water a day.

48. What is an example of an antianginal/vasodilator?
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
Imdur (Isosorbide)
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.
Gram (ex: pyelogram)

49. What is impt to know about benazepril - lisinopril - and accupril? (use - monitor)
2 pints
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.
No because they have opposing actions and would cancel each other out.
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.

50. What is an example of an antipsychotic/neuroleptic?
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
Ancef - keflex - and ceclor
Questran
Clozapine