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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 an alcohol deterrent?
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
Antabuse
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 bronchodilator used to prevent asthma attacks and prophylaxis.

2. What is an example of a cholinergic stimulant?
Prostigmin
Pancrealipase/viokase
Imdur (Isosorbide)
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

3. Celsius= Farenheit .....?
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.
(F-32) divided by 1.8
Pancrealipase/viokase
Iron

4. What is important to know about clozapine? (check - watch for)
2 #3 tylenols because it contains the same amount of codeine.
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.
Potassium chloride and potassium

5. What is an example of an ovulation stimulant?
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 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.
Clomid
Lipitor - Advicor - Crestor - Questran - and Zocor

6. What is important to know about Valtrex? (use - watch)
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.
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 antiviral used to treat herpes. It is toxic to the kidneys
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.

7. What is important to know about symmetrel? (use)
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.

8. What is important to know about Chantix and Zyban? (use - teach - SE)
2 #3 tylenols because it contains the same amount of codeine.
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
BRETHINE

9. How many ounces in 1 pint?
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.
Azulfidine
16 ounces
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.

10. What is important to know about resperidone? (use - check)
Clomid
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.
Epogen
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.

11. What is important to know about Mannitol? (use - if effective..)
Dilantin - Neurontin - Tegretol - and Topamax
Ipecac syrup
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.
Infection!!!

12. What do beta blocker names end in?
No because they have opposing actions and would cancel each other out.
OLOL
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.
Paxil and Prozac/fluoxetine

13. What is a normal adult dose of motrin?
It is an antiemetic that is used to decrease N&V caused by chemo.
Neupogen
(analgesic) 600 mg Q6H
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.

14. What is an example of a smooth muscle relaxer?
It is a vitamin given with iron foods to help absorption.
Avandia
Methergine
BRETHINE

15. What are two examples of anti - smoking meds?
Chantix and Zyban
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.
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
Sudafed

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

17. Who is EMLA cream contraindicated in?
An allergy to iodine
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
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.

18. What are 2 examples of antidysrhythmic medications?
It melts to half its volume!
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.
(analgesic) 600 mg QID (with RAH)
Lidocaine and Quinidine

19. What is an example of an oral antidiabetic?
Avandia
Gantrisin
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.

20. What is important to remember about the volume of ice?
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
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 -
It melts to half its volume!

21. What is important to know about Lipitor - Advicor - Crestor - Questran - and Zocor? (use - contraindications - check - take c)
Blood sugar
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.
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 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.

22. What is important to know about garlic? (use - contraindications)
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
Avandia
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.

23. All steroids cause an increase in what?
Blood sugar
1 shot glass=1 oz
Evista and Fosamax
(cardiac med) 2.5-10 mg

24. What is an example of a potassium removing resin?
Sudafed
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.
Kayexelate
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.

25. What food considerations should be made for a patient on lithium?
Ritalin
Potassium chloride and potassium
The patient needs to consume 8-10 glasses of water a day.
4:00 pm (mid afternoon)

26. What is nicotine gum used for?
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
Baclofen
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.

27. What is important to know about Baclofen? (use - SE)
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
OLOL
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 antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.

28. What Is IMPORTANT TO Know ABOUT LITHIUM? (norm level - toxicity - contraindications - expected outcome)
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 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.
Reglan
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.

29. What is an example of a hemantinic med?
LITHIUM
Iron
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

30. What is an example of an MAOI?
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
It is an antiretroviral used to treat HIV.
A patient with chronic renal failure and Addison's disease because potassium can harm them.
Parnate

31. What gauge and length needle is appropriate for a 1 inch tissue fold? Insertion angle?
25-27 gauge - 5/8 inch long - insert at 45 degrees.
Valium
Fluorocytosine/5 FU
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.

32. What are 2 examples erectile/impotence agents?
It is an anticonvulsant with a therapeutic level of 10-20. Used to decrease seizures and nerve pain. It can cause gingival hyperplasia and children should have regular dental appts. If the level is too low= seizures - too high= ataxia. Monitor renal
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
(analgesic) 2-10 mgH PRN
Viagra and Levitra/Celias

33. What are 2 examples of H2 Histamine Antagonist Receptors?
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
Zantac and Tagamet
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.

34. What is important to know about kayexelate? (time to work)
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
It is a potassium removing resin that takes 6-8 hours to work.
Clozapine
Antabuse

35. What are common side effects of Chantix?
(cardiac med) 180-270 mg QD
Nausea - Sleep disturbances - constipation - gas - and vomiting.
No bc they are made with potassium salt.
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.

36. What is important to know about singulair? (use)
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.
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
Levodopa
It is a bronchodilator used to prevent asthma attacks and prophylaxis.

37. What are 2 examples of an antiplatelet?
(cardiac med) 40-80 mg QD
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
Persantine and Plavix
Imdur (Isosorbide)

38. What is important to know about Paxil? (Use - teach)
Amphotericin B
25-27 gauge - 5/8 inch long - insert at 45 degrees.
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
Questran

39. What is important to know about Aqua Mephyton/Vitamin K? (use - contraindication - route)
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
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).
2.2046 pounds

40. How many cups in 1 quart?
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.
4 cups
DIGOXIN
It is heparin like. The injection should be given in the abdomen and isn't massaged.

41. What is an example of an ovulation suppressant?
Danazol
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
Protonix
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.

42. What is an example of an antiprotozoal?
Azulfidine
Nebupent
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
'Mycin' drugs so Gentamicin and Streptomycin

43. How many pounds in 1 kilogram?
It is an emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
2.2046 pounds
Questran

44. What is important to know about a norelgestromin patch?

45. What needs to be checked with a patient prior to dye/contrast administration?
An allergy to iodine
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
Valium
It is an antiemetic that is used to decrease N&V caused by chemo.

46. What food considerations should be made for a patient on diuretics (ex: hydrochlorothiazide - lasix - bumex)?
No because they have opposing actions and would cancel each other out.
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.
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
It is a potassium sparing diuretic. Do Not give with renal failure and check output.

47. What is important to know about Iron? (take with - SE)
MOTRIN - Feldene - Indomethocin - and Advil.
Aspirin (ASA) and Tylenol
(analgesic) 600 mg QID (with RAH)
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 an example of a hormone?
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.
Epogen
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
DIGOXIN

49. What is an example of an antilipemic?
It is an herb used to increase physical endurance - help cope with stress - improved memory - and increases cortisol. Should not be used continuously for more than 3 months without 1-2 weeks break.
Avoid milk and milk products (2 hrs prior to or after administration).
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
Questran

50. What are 2 examples of a diruretic?
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
LASIX and Mannitol
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
BRETHINE