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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 nicotine gum used for?
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
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 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.
OLOL

2. What is an example of a bronchodilator/spasmolytic?
Acutane
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
AMINOPHYLLINE (TheOPHYLLINE)
Protonix

3. What is important to know about Gardasil? (use - SE - dosing - contraindications)
Avoid milk and milk products (2 hrs prior to or after administration).
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 -
Digoxin and Colchicine
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.

4. What is a toxic level of dilantin?
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
DIGOXIN
Lactalose
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.

5. What is important to know about Danazol? (use)
(analgesic) 50-100 mg-8H
It is an ovulation suppressant used to treat endometriosis.
Diamox
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.

6. What is an example of an adrenergic medication?
Sudafed
Allopurinol and COLCHICINE
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
It melts to half its volume!

7. What Is IMPORTANT TO Know ABOUT MAGNESIUM SULFATE? (use - watch - antidote)
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
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 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
Nausea - Sleep disturbances - constipation - gas - and vomiting.

8. What do steroid names end in?
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
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.
One
A patient with chronic renal failure and Addison's disease because potassium can harm them.

9. What 8 medications should be taken with food?
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.
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
No bc they are made with potassium salt.
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.

10. What is important to know about pancrealipase/viokase? (use - when administered)
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
Lidocaine and Quinidine
Blood sugar
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.

11. What is important to know about BIAXIN? (USE)
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.

12. What is important to know about Chantix and Zyban? (use - teach - SE)
Potassium chloride and potassium
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
0.5-1 ml
Lidocaine and Quinidine

13. What is an example of an antiprotozoal?
Avoid milk and milk products (2 hrs prior to or after administration).
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
Nebupent
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.

14. What is important to know about levodopa? (use - SE - avoid)
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
Glyset and Glyburide
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).

15. What is important to know about garlic? (use - contraindications)
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
Ipecac syrup
Aricept
AZT/Retrovir and Norvir

16. What is important to know about nebupent? (use - routes - check)
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 should be covered by an occlusive dressing to keep it in place and assist absorption.
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
Lactalose

17. What is a normal adult dose of digoxin?
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
It is used to treat ulcerative colitis.
(cardiac med) .125- .250 mg QD
No because they have opposing actions and would cancel each other out.

18. What is an example of a steroid?
BETAMETHASOne
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
Imdur (Isosorbide)

19. What are 8 examples of Beta blockers (antihypertensives)?
Amphojel
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
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.

20. What are 3 examples of Cephalosporins (Abx)?
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
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.
16 ounces

21. How many ounces in 1 cup?
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
Ancef - keflex - and ceclor
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
8 ounces

22. What do beta blocker names end in?
Pancrealipase/viokase
OLOL
2 cups
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.

23. What is an example of a hormone?
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
Epogen
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.
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

24. What is important to know about Norvir? (use)
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.
It is an antiretroviral used to treat HIV.
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
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.

25. What is important to know about St. John's Wort? (use - watch)
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
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
NO!!!!!

26. What is the order of steps for giving a subcutaneous injection?
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.
Prevents absorption of fat from the GI tract.
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.
2 pints

27. What are 4 examples of aminoglycosides?
Neupogen
Viagra and Levitra/Celias
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
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.

28. What are the two major side effects of aminoglycosides?
It is a bronchodilator used to prevent asthma attacks and prophylaxis.
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.
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).

29. What is Kava and its uses/concerns?
Carafate
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 a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.

30. What is an example of an antiglaucoma/diuretic medication?
Diamox
2 pints
(C x 1.8) + 32
Coumadin and Heparin

31. What is important to know about streptomycin? (check)
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
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
0.5-1 ml
Questran

32. What is important to know about Ritalin? (use - given to elderly - check)
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 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 is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.

33. What are 6 examples of antipsychotics?
1 shot glass=1 oz
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
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.
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.

34. What medication should be taken 30 minutes before a meal?
Amphotericin B
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
INH - Vitamin B6 - and Rifampin
Reglan

35. How long does it take the dyes/contrast from tests to clear the body?
20 mcg/ml and up (therapeutic range is 10-15).
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
One day
Avoid milk and milk products (2 hrs prior to or after administration).

36. Is there any concern for a female who needs a test with dye/contrast and is considering pregnancy?
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
Aldactone
Actonel and Boniva
No because the dye exits the body in one day!

37. What is important to know about glucagon? (use)
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.
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
BETAMETHASOne

38. What are appropriate sites for subQ injections?
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
Lactalose
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.
NO!!!!!

39. What is important to know about Morphine? ( Check - dose - contraindications)
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 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 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 an antiretroviral used for AIDS treatment and reduction of maternal/fetal transmission. Only give to pregnant women after the 14th week and monitor CBC.

40. What is an example of a hemantinic med?
Iron
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
Codeine - Demerol - Percodan/Percocet - and Morphine.

41. What is important to know about Lantus? (how take)
Parnate
Prevents absorption of fat from the GI tract.
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.
It is an antiretroviral used to treat HIV.

42. What are 2 examples of bone reabsorption inhibitors?
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
Evista and Fosamax
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.

43. What is an example of an antilipemic?
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.
Questran
Gantrisin

44. What is important to know about Epogen? ( use - outcome)
4:00 pm (mid afternoon)
BETAMETHASOne
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
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.

45. What is important to know about a lidocaine patch?
0.5-1 ml
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
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.
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.

46. What is important to know about atenolol - INDERAL - lopressor - toprol? (use - contraindications)
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.
(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.
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.

47. What is important to know about Zirthromax (z - pac - zycam - z - max)? (Use - monitor - dont take w/)
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
Ancef - keflex - and ceclor
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 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.

48. What should be checked with aminoglycosides?
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.
Atropine
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
I&O and S. CR(?)

49. What is important to know about kayexelate? (time to work)
Protonix
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
It is a potassium removing resin that takes 6-8 hours to work.
Coumadin and Heparin

50. What is important to know about a scopolamine patch?
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 used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.