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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. hat is important to know about a clonidine patch?

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2. Who should not take tetracycline?
It is an antiretroviral used to treat HIV.
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
Chantix and Zyban
Gantrisin

3. What is important to know about pancrealipase/viokase? (use - when administered)
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
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).

4. What is important to know about Levitra/celias? (use - SE - contraindications)
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 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.
2 #3 tylenols because it contains the same amount of codeine.
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.

5. 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 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.
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.

6. What is important to know about ipecac syrup? (use - requirements - contraindications)
Iron
They should be taken on a full stomach. Patients should avoid live viruses (OPV and Varicella) & infections. Check blood sugar and increase dose with stress. D/C slowly not abruptly.
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.

7. What food considerations should be made for a patient on tetracycline?
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
Avoid milk and milk products (2 hrs prior to or after administration).
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
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.

8. What is Valerian root and its uses/concerns?

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9. What is an example of a cardiac glycoside/antidysrhythmic?
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
DIGOXIN
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
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

10. What is important to know about nitroglycerin? (use - store - when take - 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.
Neupogen
Parnate
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.

11. What teaching should be done regarding transdermal patches?
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 hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
Levodopa
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

12. What is impt to know about amphojel? (base - SE - prevents?)
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
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 herb used to increase memory for alzheimers and as an anticoagulant.

13. What is important to know about Ritalin? (use - given to elderly - check)
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
It is a potassium removing resin that takes 6-8 hours to work.

14. How many pints in 1 quart?
Avoid milk and milk products (2 hrs prior to or after administration).
It is an ovulation stimulant used to increase fertility.
Pitressin/Vasopressin
2 pints

15. What is an example of an MAOI?
Viagra and Levitra/Celias
NO!!!!!
Parnate
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.

16. What is important to know about lidocaine? (use)
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).
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
2 pints
It is an antidysrhythmic that is the drug of choice for dysrhythmias.

17. What are 2 examples of antigout medications?
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!
Gardasil
Symmetrel
Allopurinol and COLCHICINE

18. What is important to know about nebupent? (use - routes - check)
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 potassium sparing diuretic. Do Not give with renal failure and check output.
Clozapine
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.

19. What is important to know about Neomycin? (Use - effect).
Persantine and Plavix
(Psych med) 5-10 mg-6H
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.
No bc they are made with potassium salt.

20. What is impt to know about Cozaar? (use - watch)
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
Potassium chloride and potassium
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.

21. How often are fentanyl patches for pain applied?
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
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).
Nebupent
Q3 days

22. What is an example of a hormone?
Streptokinase
Epogen
No bc they are made with potassium salt.
Zantac and Tagamet

23. If a hypoglycemic patient is not symptomatic what should be done? Symptomatic?
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
It is heparin like. The injection should be given in the abdomen and isn't massaged.
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
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.

24. What is important to know about symmetrel? (use)
It is heparin like. The injection should be given in the abdomen and isn't massaged.
Pitressin/Vasopressin
A patient with chronic renal failure and Addison's disease because potassium can harm them.
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.

25. What is important to know about potassium chloride and potassium? (check)
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.
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.
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).

26. What is important to know about glucagon? (use)
OLOL
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
Digoxin and Colchicine
2 cups

27. What is important to know about Topamax? (use - teach).
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.
454 grams
I&O and S. CR(?)
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.

28. 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 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 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.
Kayexelate

29. What is important to know about zantac? (use - how to take)
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.
Epogen
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 H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.

30. What are appropriate sites for subQ injections?
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
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.
Take 2-4 hrs apart from each other.

31. What are 2 examples of anticoagulants?
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
Coumadin and Heparin
It is an antiemetic that is used to decrease N&V caused by chemo.
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.

32. What is an example of a electrolyte/anticonvulsant/laxative?
MAGNESIUM SULFATE
INH - Vitamin B6 - and Rifampin
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.
Glucagon

33. Farenheit=Celsius.....
(C x 1.8) + 32
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
2 pints
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.

34. What is an example of a coronary vasodilator/antianginal?
No bc they are made with potassium salt.
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
Allopurinol and COLCHICINE
Nitroglycerin

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

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36. What is important to know about a lidocaine patch?
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.
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.
Gardasil
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

37. What are 6 examples of antipsychotics?
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
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 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.
Digoxin and Colchicine

38. With whom should nicotine be used cautiously in?
20 mcg/ml and up (therapeutic range is 10-15).
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.

39. What is an example of an antianginal/vasodilator?
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
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 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.
Imdur (Isosorbide)

40. What is important to know about viagra? (contraindications - SE)
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Persantine and Plavix
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
Lantus

41. What are 4 examples of an NSAIDs?
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 opiate analgesic. Check BP and respirations. Dose= 2-10 mg. Do Not give with kidney stones - gallstones - increased ICP - myasthenia gravis - or pancreatitis.
MOTRIN - Feldene - Indomethocin - and Advil.
Azulfidine

42. What is an appropriate injection volume for a subcutaneous injection?
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
0.5-1 ml
It is very harmful to the kidneys (should be flushed out with fluids).
Nausea - Sleep disturbances - constipation - gas - and vomiting.

43. What is an example of a cholinergic stimulant?
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).
Prostigmin
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
It is a potassium sparing diuretic. Do Not give with renal failure and check output.

44. What is important to know about Iron? (take with - SE)
Singulair
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
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.
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 -

45. What is impt to know about avandia? (use - check - SE)
Persantine and Plavix
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 oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
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.

46. What are 3 examples of Ca channel blockers (antihypertensives)?
(C x 1.8) + 32
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
Pryidium
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).

47. What is the benefit of a smaller needle for injections?
Gantrisin
Actonel and Boniva
Less pain and decreased risk of hematoma.
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

48. What should be checked with aminoglycosides?
I&O and S. CR(?)
Clomid
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
No bc they are made with potassium salt.

49. What is important to know about BIAXIN? (USE)
(analgesic) 650 mg QID
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
(C x 1.8) + 32
Methergine

50. What is Kava and its uses/concerns?
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
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.
Pitressin/Vasopressin
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.