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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 an example of a laxative/ ammonia detoxicant?
Streptokinase
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
Lactalose
It is a chemo agent. SE= N&V and decreased bone marrow function.

2. What is impt to know about quinidine? (watch for)
Neupogen
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
Anafranil and elavil
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.

3. What is black cohosh and its uses?
1 shot glass=1 oz
Propylthiouracil/PTU
One
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.

4. What medication may be prescribed in conjunction with Chantix and why?
BRETHINE
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
Mannitol
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.

5. What is an example of a potassium sparing diuretic?
Aldactone
(F-32) divided by 1.8
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
Ritalin

6. What gauge and length needle is appropriate for a 2 inch tissue fold? Insertion angle?
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 antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
25-27 gauge - 5/8 inch long - insert at 90 degree angle.

7. hat is important to know about a clonidine patch?

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8. What is impt to know about clomid?
Neupogen
It is an ovulation stimulant used to increase fertility.
NO!!!!!
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.

9. hat is an example of a biologic modifier?
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
Coumadin and Heparin
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
Neupogen

10. What is an example of an alcohol deterrent?
Antabuse
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 antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
NO!!!!!

11. What is an example of a parathyroid agent?
Codeine - Demerol - Percodan/Percocet - and Morphine.
Calcitonin - Salmon
It is an antiemetic that is used to decrease N&V caused by chemo.
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.

12. What is important to know about Carafate? (how to take)
Synthroid
Digoxin and Colchicine
Pitressin/Vasopressin
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.

13. What is impt to know about cardizem/calan? (use - action - SE)
BETAMETHASOne
DIGOXIN
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
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

14. What is an example of an antifungal med?
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).
A patient with chronic renal failure and Addison's disease because potassium can harm them.
Amphotericin B
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.

15. What is an example of a bronchodilator/spasmolytic?
AMINOPHYLLINE (TheOPHYLLINE)
(cardiac med) 40-80 mg QD
No because the dye exits the body in one day!
Avandia

16. What is important to know about prolixin? (use - teach)
DIGOXIN
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
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).
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.

17. What is important to know about Atropine? (use - contraindications)
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.
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
2 cups
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.

18. What is important to know about AZT/Retrovir? (use - when give pregnant - monitor)
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
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.

19. 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 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.
Neupogen
Ancef - keflex - and ceclor

20. What is important to know about zyprexa? (use - check - contraindication - SE - teach)
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.
454 grams
Lactalose
Atropine

21. Can salt substitutes be given to Addison's patients?
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
Baclofen
Prevents absorption of fat from the GI tract.
No bc they are made with potassium salt.

22. What is important to know about Aqua Mephyton/Vitamin K? (use - contraindication - route)
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
NO!!!
It is an herb used to increase memory for alzheimers and as an anticoagulant.
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.

23. What is important to know about neupogen? (use)
Symmetrel
(analgesic) 600 mg QID (with RAH)
It is a biologic modifier that improves a persons immune system so that they may have less infections.
BIAXIN - zithromax (aka z - max - z - pack - or zycam).

24. What is the benefit of a smaller needle for injections?
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.).
Less pain and decreased risk of hematoma.
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 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.

25. What is the order of steps for giving a subcutaneous injection?
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
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.
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.
Increased fiber - increased fluids - exercise. Not Colace.

26. What are 4 examples of anticonvulsants?
MAGNESIUM SULFATE
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
Dilantin - Neurontin - Tegretol - and Topamax

27. What needs to be checked with a patient prior to dye/contrast administration?
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
An allergy to iodine
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
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

28. What are 2 examples of antidysrhythmic medications?
Imdur (Isosorbide)
Lidocaine and Quinidine
Actonel and Boniva
It is a vitamin and can be taken after food to reduce flushing.

29. What is an example of antithyroid?
Propylthiouracil/PTU
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
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 -

30. What is important to know about prostigmin? (use/patients)
Dilantin - Neurontin - Tegretol - and Topamax
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.

31. All steroids cause an increase in what?
Symmetrel
Blood sugar
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 used to increase a patients glucose level in an emergency (severe hypoglycemia).

32. What is impt to know about Flomax? (Use - SE - Teach - dont take with).
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
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.
Nitroglycerin
Mannitol

33. What are common side effects of Chantix?
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).
Nausea - Sleep disturbances - constipation - gas - and vomiting.
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.
Nitroglycerin

34. How often are fentanyl patches for pain applied?
It is an herb used to increase memory for alzheimers and as an anticoagulant.
(cardiac med) .125- .250 mg QD
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
Q3 days

35. 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.
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
MOTRIN - Feldene - Indomethocin - and Advil.
Lidocaine and Quinidine

36. What are 5 examples of herbs?

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37. How many grams in 1 pound?
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.
454 grams
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.

38. What is important to know about Evista? (use - SE)
Do smoke while wearing and don't apply to breast.
Diamox
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.
DIGOXIN

39. What do beta blocker names end in?
Singulair
OLOL
Less pain and decreased risk of hematoma.
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.

40. What are 8 examples of Beta blockers (antihypertensives)?
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
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.

41. For which two drugs is N&V a sign of toxicity?
It is a vitamin given with iron foods to help absorption.
Amphojel
Digoxin and Colchicine
Infection!!!

42. What is impt to know about reglan? (action - when to take)
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
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.
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.
Pryidium

43. What is impt to know about amphojel? (base - SE - prevents?)
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.
Avoid milk and milk products (2 hrs prior to or after administration).
Baclofen
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.

44. What food considerations should be made for a patient on Monoamine Oxidase Inhibitors (MAOIs) (ex: Marplan - nardil - parnate - & St. John's Wort)?

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45. What is impt to know about prozac? (when take - teach)
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.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
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)
(C x 1.8) + 32

46. What is an example of a nonopioid analgesic?
Codeine - Demerol - Percodan/Percocet - and Morphine.
Pancrealipase/viokase
Reglan
Pryidium

47. What is important to know about a scopolamine patch?
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
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.
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

48. What is an example of an antiviral/antiparkinsonian?
Evista and Fosamax
It should be covered by an occlusive dressing to keep it in place and assist absorption.
Lipitor - Advicor - Crestor - Questran - and Zocor
Symmetrel

49. What is important to know about pancrealipase/viokase? (use - when administered)
ASA and NSAIDS
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.
Lantus
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.

50. What is important to know about Acutane? (use - teach - SE)
I&O and S. CR(?)
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.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
(cardiac med) 180-270 mg QD