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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 important to know about neupogen? (use)
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
It is a biologic modifier that improves a persons immune system so that they may have less infections.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
BETAMETHASOne

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

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3. Should grapefruit juice be used to give medication?
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
ASA and NSAIDS
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
NO!!!

4. 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 -
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
Amphotericin B

5. What is an example of a hormone?
(analgesic) 50-100 mg-8H
LASIX and Mannitol
Epogen
It is an ovulation stimulant used to increase fertility.

6. What is important to know about Feldene? (contraindication - check - teach)
It is an ovulation suppressant used to treat endometriosis.
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 an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
It is an antifungal medication and creatinine and output should be checked when administered.

7. What Is IMPORTANT TO Know ABOUT BETAMETHASOne? (use - SE - check - action timing)

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8. What is important to know about Aldactone? (contraindications)
2 #3 tylenols because it contains the same amount of codeine.
Fluorocytosine/5 FU
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
It is a potassium sparing diuretic. Do Not give with renal failure and check output.

9. What are 5 examples of an antilipidemic?
Lipitor - Advicor - Crestor - Questran - and Zocor
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.
PrednisOne - CortisOne - and DexamethasOne.
NO!!!

10. What are 4 examples of aminoglycosides?
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.
No bc they are made with potassium salt.
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
Flomax

11. When giving a subQ injection DONT?
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.
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.

12. What are 2 examples of tricyclic antidepressants?
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. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
0.5-1 ml
Anafranil and elavil

13. What is an example of an antiviral/antiparkinsonian?
Symmetrel
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
(F-32) divided by 1.8
(analgesic) 600 mg QID (with RAH)

14. If regular insulin is given in the AM when might you see S&S of hypoglycemia?
Singulair
10 am (midmorning)
It is an herb that INHIBITS PLATELET AGGREGATION. It is used to lower cholesterol - treat hypertension - atherosclerosis - and URIs. It is REAllY effective against helicobacter pylori infections or ulcers (evens ones that some meds don't work on!)
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.

15. hat are 2 examples of Bisphosphonate?
Diamox
Actonel and Boniva
Protonix
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.

16. What is a normal adult dose of meperidine?
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 very harmful to the kidneys (should be flushed out with fluids).
(cardiac med) 40-80 mg QD
(analgesic) 50-100 mg-8H

17. What is important to know about Pryidium? (use)
It is an herb that INHIBITS PLATELET AGGREGATION. It is used to lower cholesterol - treat hypertension - atherosclerosis - and URIs. It is REAllY effective against helicobacter pylori infections or ulcers (evens ones that some meds don't work on!)
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.
Loose stools - vaginitis - or thrush
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.

18. What is an example of a parathyroid agent?
Neupogen
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 a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
Calcitonin - Salmon

19. How often are fentanyl patches for pain applied?
No bc they are made with potassium salt.
Q3 days
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
Increased Blood sugar - increased Na - increased H20 - and increased BP.

20. What is important to know about Fluorocytosine/ 5 FU? (use - SE)
It is a chemo agent. SE= N&V and decreased bone marrow function.
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.
Baclofen
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).

21. What is important to know about Niacin? (how to take)
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
It is very harmful to the kidneys (should be flushed out with fluids).
It is a vitamin and can be taken after food to reduce flushing.
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.

22. What are 4 examples of an NSAIDs?
MOTRIN - Feldene - Indomethocin - and Advil.
It is a chemo agent. SE= N&V and decreased bone marrow function.
2 pints
Coumadin and Heparin

23. What is an example of antithyroid?
Propylthiouracil/PTU
It is an antilipemic used to decrease lipids. SE include decreased absorption of vitamin A - D - E - &K and may see bruising. Diet includes increased vitamin A - D - E -&K foods.
PrednisOne - CortisOne - and DexamethasOne.
Dilantin - Neurontin - Tegretol - and Topamax

24. What Is IMPORTANT TO Know ABOUT MAGNESIUM SULFATE? (use - watch - antidote)
Pancrealipase/viokase
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
PrednisOne - CortisOne - and DexamethasOne.
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

25. What is important to know about Topamax? (use - teach).
Actonel and Boniva
Ancef - keflex - and ceclor
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 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.

26. What is important to know about Percodan/Percocet? (base)
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.
Nebupent
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.
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

27. What are two examples of anti - smoking meds?
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.
INH - Vitamin B6 - and Rifampin
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.
Chantix and Zyban

28. What food considerations should be made for a patient on diuretics (ex: hydrochlorothiazide - lasix - bumex)?
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
Viagra and Levitra/Celias
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.

29. Can digoxin and epinephrine given together?
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
No because they have opposing actions and would cancel each other out.
Lantus

30. What is important to know about thorazine and stelazine? (use - teach - watch)
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
Tricyclic antidepressant
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.

31. What are considerations for lovenox?

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32. What are 2 examples of antipyretic/antiplatelet/antiinflammatory/analgesic?
Aspirin (ASA) and Tylenol
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.
2 pints
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.

33. What are 4 examples of anticonvulsants?
No because the dye exits the body in one day!
Increased fiber - increased fluids - exercise. Not Colace.
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
Dilantin - Neurontin - Tegretol - and Topamax

34. What is impt to know about Cozaar? (use - watch)
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.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
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.
(analgesic) 650 mg QID

35. What is an example of a bronchodilator/spasmolytic?
No because the dye exits the body in one day!
AMINOPHYLLINE (TheOPHYLLINE)
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.

36. 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?
Lipitor - Advicor - Crestor - Questran - and Zocor
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
2 #3 tylenols because it contains the same amount of codeine.
Chantix and Zyban

37. What is important to know about zyprexa? (use - check - contraindication - SE - teach)
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
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.
(cardiac med) .125- .250 mg QD
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.

38. What is an example of an antipsychotic/neuroleptic?
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
Clozapine
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
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.

39. What is an example of a hemantinic med?
Iron
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
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.
Glyset and Glyburide

40. What is St. John's Wort and its uses/concerns?
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
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.
Glucagon
Valtrex

41. What is important to know about resperidone? (use - check)
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)
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.
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.

42. What is an example of a thyroid hormone?
Synthroid
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
Mannitol
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.

43. What are 2 examples of an antiplatelet?
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
(analgesic) 600 mg QID (with RAH)
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.
Persantine and Plavix

44. What are 2 examples of antidysrhythmic medications?
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.
Pancrealipase/viokase
Lidocaine and Quinidine
Lipitor - Advicor - Crestor - Questran - and Zocor

45. 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 sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).

46. What is important to know about Epogen? ( use - outcome)
MAGNESIUM SULFATE
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
Mannitol
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.

47. What is an example of a smooth muscle relaxer?
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.
Antabuse
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.
BRETHINE

48. What are appropriate sites for subQ injections?
Chantix and Zyban
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
Dilantin - Neurontin - Tegretol - and Topamax
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.

49. What does olestra do?
INH - Vitamin B6 - and Rifampin
Prevents absorption of fat from the GI tract.
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
Increased Blood sugar - increased Na - increased H20 - and increased BP.

50. What is an example of an antiparkinson agent?
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.
Carafate
ASA and NSAIDS
Levodopa