NCLEX Medications

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 2 examples of tricyclic antidepressants?
Anafranil and elavil
Clomid
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.
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.


2. hat are 2 examples of Bisphosphonate?
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
Allopurinol and COLCHICINE
Actonel and Boniva
OLOL


3. 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
OLOL
Baclofen
It is heparin like. The injection should be given in the abdomen and isn't massaged.


4. How many ounces in 1 cup?
Gram (ex: pyelogram)
8 ounces
(cardiac med) .125- .250 mg QD
0.5-1 ml


5. What is important to know about nifedipine - verapamil - and toprol? (Use and watch)
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
Gardasil
A patient with chronic renal failure and Addison's disease because potassium can harm them.
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.


6. What are considerations for lovenox?

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7. What are the two major side effects of aminoglycosides?
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
(analgesic) 50-100 mg-8H
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.
No bc they are made with potassium salt.


8. What are 4 examples of Vitamins?
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.).
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
Do smoke while wearing and don't apply to breast.
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.


9. What is important to know about Zirthromax (z - pac - zycam - z - max)? (Use - monitor - dont take w/)
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 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.
ASA and NSAIDS
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.


10. What is an example of a protectant/antiulcer?
(analgesic) 600 mg Q6H
Carafate
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.
Lantus


11. What is important to know about potassium chloride and potassium? (check)
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
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).
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
One


12. What is an example of an emetic?
Ipecac syrup
(C x 1.8) + 32
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
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.


13. What is important to know about INH - Vitamin B6 - and Rifampin? (Pregnant women?)
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.
They are TB medications. They are okay to take while pregnant.
It is an herb used to increase memory for alzheimers and as an anticoagulant.
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.


14. What is important to know about procardia? (administered - use - action - SE)
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
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 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.
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)


15. What food considerations should be made for patients on iron supplements?
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 used to increase a patients glucose level in an emergency (severe hypoglycemia).
Potassium chloride and potassium
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.


16. What is important to know about antabuse? (use - avoid w/ - d/c)
It is an antiretroviral used to treat HIV.
Nitroglycerin
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 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.


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

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18. What are 8 examples of Beta blockers (antihypertensives)?
Iron
The patient needs to consume 8-10 glasses of water a day.
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.


19. What is important to know about levodopa? (use - SE - avoid)
Glucagon
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
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.
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.


20. What should be taught regarding antibiotics and antacids?
Take 2-4 hrs apart from each other.
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
'Mycin' drugs so Gentamicin and Streptomycin
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.


21. What is saw palmetto and its uses/concerns?

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

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23. What are 2 examples of bone reabsorption inhibitors?
Evista and Fosamax
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
AMINOPHYLLINE (TheOPHYLLINE)
Levodopa


24. What is an example of an oral antidiabetic?
Avandia
It melts to half its volume!
MAGNESIUM SULFATE
PrednisOne - CortisOne - and DexamethasOne.


25. What effect do corticosteroids have on blood sugar - Na - H20 - and BP?
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
Propylthiouracil/PTU
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.
Increased Blood sugar - increased Na - increased H20 - and increased BP.


26. What is important to know about garlic? (use - contraindications)
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
Zantac and Tagamet
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.


27. What is an example of an antipsychotic/neuroleptic?
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
AZT/Retrovir and Norvir
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
Clozapine


28. How many cups in 1 quart?
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
4 cups
Parnate
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


29. If a person is prescribed lasix - streptomycin - and morphine and you go into give them there medication and they can't hear you tell them what meds you are giving. Which med should be stopped?
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
LITHIUM
Increased fiber - increased fluids - exercise. Not Colace.
Reglan


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

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31. What is a toxic level of theophylline?
20 mcg/ml and up (therapeutic range is 10-15).
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.
Gram (ex: pyelogram)
Viagra and Levitra/Celias


32. How often are fentanyl patches for pain applied?
Calcitonin - Salmon
Fluorocytosine/5 FU
Q3 days
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.


33. How long does it take the dyes/contrast from tests to clear the body?
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
One day
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.
Antabuse


34. What is important to know about protonix? (use - SE)
Lipitor - Advicor - Crestor - Questran - and Zocor
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
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.
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.


35. What is impt to know about Penicillin - Amoxicillin - Ampicillin - and Augmentin? (dont give w/ - check for)

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36. What is an appropriate injection volume for a subcutaneous injection?
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
It is a vitamin given with iron foods to help absorption.
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 is important to know about Epogen? ( use - outcome)
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.
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
Viagra and Levitra/Celias
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.


38. What is EMLA cream used for?
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
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
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.
Diamox


39. What is an example of an antiviral?
Valtrex
A patient with chronic renal failure and Addison's disease because potassium can harm them.
20 mcg/ml and up (therapeutic range is 10-15).
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.


40. What is impt to know about Valium? (norm dose - check)
No because they have opposing actions and would cancel each other out.
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
Streptokinase
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.


41. What is important to know about amphotericin B? (use - check)
It is an antifungal medication and creatinine and output should be checked when administered.
Nausea - Sleep disturbances - constipation - gas - and vomiting.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
Tricyclic antidepressant


42. What is important to know about nebupent? (use - routes - check)
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.
Carafate
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
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.


43. What is an example of a thyroid hormone?
Synthroid
The patient needs to consume 8-10 glasses of water a day.
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.
LITHIUM


44. Who is EMLA cream contraindicated in?
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
Diamox
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.
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.


45. What is an example of an antiparkinson agent?
Levodopa
It is an antiviral used to treat herpes. It is toxic to the kidneys
Increased Blood sugar - increased Na - increased H20 - and increased BP.
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.


46. What is an example of a parathyroid agent?
Aspirin (ASA) and Tylenol
Calcitonin - Salmon
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.
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.


47. What is important to know about Iron? (take with - SE)
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.


48. What is impt to know about cardizem/calan? (use - action - SE)
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.


49. What Is IMPORTANT TO Know ABOUT BRETHINE? (use - teach)

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50. What Is IMPORTANT TO Know ABOUT LASIX? (use - check - lasts - considerations - Do Not give to)
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.
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
An allergy to iodine
Propylthiouracil/PTU