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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 a lidocaine patch?
Iron
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.
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
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.

2. What is a normal adult dose of morphine sulfate?
It should be covered by an occlusive dressing to keep it in place and assist absorption.
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
(analgesic) 2-10 mgH PRN

3. What is an example of a hormone?
Allopurinol and COLCHICINE
1 shot glass=1 oz
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
Epogen

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

5. What is important to know about Synthroid? (use - teach)
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.
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.
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.).
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.

6. What Is IMPORTANT TO Know ABOUT DIGOXIN? (norm level - SE - toxicity - contradindication)
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
2 #3 tylenols because it contains the same amount of codeine.
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.

7. What are contraindications for nicotine gum?
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
Gardasil
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.

8. What is important to know about lidocaine? (use)
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
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
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.

9. What is an example of a coronary vasodilator/antianginal?
Nitroglycerin
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.
Nausea - Sleep disturbances - constipation - gas - and vomiting.
Zantac and Tagamet

10. What is important to know about Gantrisin? (avoid - What take).
(Psych med) 5-10 mg-6H
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
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.
29.573 mls

11. What is an example of a steroid?
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 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.
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
BETAMETHASOne

12. What is an appropriate injection volume for a subcutaneous injection?
They are antilipidemics used to help manage/decrease cholesterol levels. For All DO Not take when pregnant or nursing. Check liver studies. Can take with or without food.
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.
Glucagon
0.5-1 ml

13. What is impt to know about reglan? (action - when to take)
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
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.
Os Cal
It is an antiemetic that slows emptying of the stomach and should be taken before meals.

14. Who is EMLA cream contraindicated in?
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
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.
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
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.

15. What do steroid names end in?
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.
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).
One
Zofran and Reglan

16. 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.
Os Cal
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
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)

17. What 3 medications should be taken on an empty stomach (at least 1 hr before meal)?
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
Carafate - Penicillin - and Isoniazid (INH).
Actonel and Boniva
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.

18. What food considerations should be made for a patient on tetracycline?
Avoid milk and milk products (2 hrs prior to or after administration).
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
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.
Amphojel

19. What are two examples of anti - smoking meds?
A patient with chronic renal failure and Addison's disease because potassium can harm them.
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
Chantix and Zyban
Avoid tyramine containing foods such as Avocado - sausage - fava beans - cheeses - wine - chocolate - coffee - cola - bananas - salami - sour cream - and fruit (overripe). CAN'T HAVE TYRAMINE FOR 2 WEEKS AFTER The MEDICATION Is STOPPED BC STILL In S

20. All steroids cause an increase in what?
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
Blood sugar
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).
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.

21. Celsius= Farenheit .....?
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
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.
(F-32) divided by 1.8
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.

22. What is a normal adult dose of digoxin?
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
Antabuse
(cardiac med) .125- .250 mg QD
Do smoke while wearing and don't apply to breast.

23. What is important to know about Epogen? ( use - outcome)
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
'Mycin' drugs so Gentamicin and Streptomycin
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.

24. What is important to know about streptokinase? (use - check)
Nausea - Sleep disturbances - constipation - gas - and vomiting.
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.
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
Atropine

25. 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)
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
It is an antidysrhythmic that is the drug of choice for dysrhythmias.

26. What is an example of an MAOI?
Take 2-4 hrs apart from each other.
(analgesic) 600 mg Q6H
Valium
Parnate

27. What is important to know about Iron? (take with - SE)
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
Evista and Fosamax
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 a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.

28. What is important to know about Valtrex? (use - watch)
Increased fiber - increased fluids - exercise. Not Colace.
Prevents absorption of fat from the GI tract.
It is an antiviral used to treat herpes. It is toxic to the kidneys
Epogen

29. What is an example of an ovulation stimulant?
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
Clomid
2.2046 pounds
It is an antiviral used to treat herpes. It is toxic to the kidneys

30. What is important to know about clozapine? (check - watch for)
Os Cal
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
An allergy to iodine
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.

31. What is important to know about ipecac syrup? (use - requirements - contraindications)
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 isotretinoin used for an acne patient. Teach will have red peeling face for 2 weeks after treatment. SE include depression - psychosis - and decreased wrinkles.
(analgesic) 600 mg QID (with RAH)
Epogen

32. What is important to know about pancrealipase/viokase? (use - when administered)
It is an antifungal medication and creatinine and output should be checked when administered.
Singulair
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
BIAXIN - zithromax (aka z - max - z - pack - or zycam).

33. What Is IMPORTANT TO Know ABOUT MOTRIN? (max dose)
Zantac and Tagamet
454 grams
Pitressin/Vasopressin
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.

34. What is important to know about Chantix and Zyban? (use - teach - SE)
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
Danazol
Ancef - keflex - and ceclor

35. What is impt to know about zofran? (use)
25-27 gauge - 5/8 inch long - insert at 45 degrees.
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
454 grams
It is an antiemetic that is used to decrease N&V caused by chemo.

36. What medication should be taken 30 minutes before a meal?
Pryidium
It is very harmful to the kidneys (should be flushed out with fluids).
Reglan
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.

37. What is nicotine gum used for?
Persantine and Plavix
Parnate
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.
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.

38. What is an example of an antiparkinson agent?
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
They are antilipidemics used to help manage/decrease cholesterol levels. For All DO Not take when pregnant or nursing. Check liver studies. Can take with or without food.
Levodopa
An allergy to iodine

39. What is important to know about nebupent? (use - routes - check)
Propylthiouracil/PTU
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.
25-27 gauge - 5/8 inch long - insert at 45 degrees.
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.

40. What are 2 examples of aminoglycoside antibiotics?

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41. What is an example of a bronchodilator?
Prevents absorption of fat from the GI tract.
(cardiac med) 2.5-10 mg
Singulair
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.

42. For which two drugs is N&V a sign of toxicity?
Digoxin and Colchicine
Nausea - Sleep disturbances - constipation - gas - and vomiting.
It is an antibiotic (aminoglycoside) in which SE include ototoxicity - nephrotoxicity - and vertigo. Check I&O & serum creatinine. DO Not give to patients with chronic renal failure.
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.

43. What is important to know about Questran? (Use - SE - diet)
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.
Coumadin and Heparin
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 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.

44. How many cups in 1 quart?
One
4 cups
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 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.

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

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46. What 8 medications should be taken with food?
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
Prostigmin
Actonel and Boniva
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.

47. What is important to know about Calcitonin - Salmon? (use - action - teach)
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
Zantac and Tagamet
NO!!!
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.

48. Most antibiotics will cause what? (3 things)
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
Loose stools - vaginitis - or thrush

49. What are 2 examples of a diruretic?
Amphotericin B
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
LASIX and Mannitol
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.

50. What is important to know about heparin? (normal lab - antidote)
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
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.
2.2046 pounds
20 mcg/ml and up (therapeutic range is 10-15).