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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 thyroid hormone?
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 a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
Synthroid
Take 2-4 hrs apart from each other.

2. What is an example of a coronary vasodilator/antianginal?
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!!!
Nitroglycerin
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.

3. What food considerations should be made for a patient on coumadin?
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
Do smoke while wearing and don't apply to breast.
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C

4. If a hypoglycemic patient is not symptomatic what should be done? Symptomatic?
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
Chantix and Zyban
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
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.

5. What is important to know about Aspirin? (avoid - check - do not give w/).
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
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.
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.

6. What is important to know about Parnate? (use - watch)
LASIX and Mannitol
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
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.
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.

7. What is an example of a laxative/ ammonia detoxicant?
(analgesic) 2-10 mgH PRN
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
Methergine
Lactalose

8. hat is an example of a biologic modifier?
16 ounces
Levodopa
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
Neupogen

9. 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)
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.
Methergine
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.

10. Celsius= Farenheit .....?
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
(F-32) divided by 1.8
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.

11. What is an example of an alcohol deterrent?
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
Valtrex
LITHIUM
Antabuse

12. How many cups in 1 quart?
(cardiac med) 40-80 mg QD
16 ounces
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.
4 cups

13. What are 3 examples of Ca channel blockers (antihypertensives)?
They are TB medications. They are okay to take while pregnant.
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
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
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.

14. What is an example of a pituitary hormone?
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
(analgesic) 2-10 mgH PRN
Pitressin/Vasopressin
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.

15. What do beta blocker names end in?
Aldactone
Atropine
Viagra and Levitra/Celias
OLOL

16. What is important to know about Vitamin C? (use)
Allopurinol and COLCHICINE
One day
Imdur (Isosorbide)
It is a vitamin given with iron foods to help absorption.

17. What letter on the end of a test indicate Iodine?
Amphotericin B
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.
Gram (ex: pyelogram)
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.

18. What is important to know about Feldene? (contraindication - check - teach)
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
'Mycin' drugs so Gentamicin and Streptomycin
Carafate - Penicillin - and Isoniazid (INH).

19. What is black cohosh and its uses?
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.
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.
Use caution driving until you know how it affects you. Report bothersome or persistent side effects. Take Chantix after eating and with a full glass of water. Don't stop taking Chantix even if you smoke. Take white tablets for first 7 days and blue f
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.

20. What is important to know about INH - Vitamin B6 - and Rifampin? (Pregnant women?)
They are TB medications. They are okay to take while pregnant.
Diamox
(cardiac med) 40-80 mg QD
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.

21. What are 2 examples of H2 Histamine Antagonist Receptors?
Digoxin and Colchicine
Lantus
Zantac and Tagamet
Synthroid

22. What is impt to know about Cozaar? (use - watch)
Neupogen
Ipecac syrup
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.

23. What is important to know about Pryidium? (use)
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
Valium
It is an antiretroviral used to treat HIV.
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.

24. What is important to know about symmetrel? (use)
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)
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
No because they have opposing actions and would cancel each other out.
One day

25. What is an example of a proton pump inhibitor?
BRETHINE
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 -
Protonix
Use caution driving until you know how it affects you. Report bothersome or persistent side effects. Take Chantix after eating and with a full glass of water. Don't stop taking Chantix even if you smoke. Take white tablets for first 7 days and blue f

26. What is an example of antithyroid?
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
Propylthiouracil/PTU
Dilantin - Neurontin - Tegretol - and Topamax
No because they have opposing actions and would cancel each other out.

27. What are 2 examples of a antiretroviral?
AZT/Retrovir and Norvir
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.
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
An allergy to iodine

28. What is important to know about Zirthromax (z - pac - zycam - z - max)? (Use - monitor - dont take w/)
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
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 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.

29. How many cups in 1 pint?
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
It is an ovulation stimulant used to increase fertility.
It is a vitamin and can be taken after food to reduce flushing.
2 cups

30. If regular insulin is given in the AM when might you see S&S of hypoglycemia?
I&O and S. CR(?)
10 am (midmorning)
2 cups
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.

31. What is a toxic level of theophylline?
Nebupent
Q3 days
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).

32. What is important to know about Fosamax? (use - teach - SE)
Pancrealipase/viokase
2.2046 pounds
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.
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.

33. What is important to know about Chantix and Zyban? (use - teach - SE)
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
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 a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.

34. What is important to know about Calcitonin - Salmon? (use - action - teach)
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
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.
Gardasil
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.

35. What is important to know about Gardasil? (use - SE - dosing - contraindications)
Streptokinase
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.
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 is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.

36. 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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37. What is important to know about Propylthiouracil/PTU? (use - watch - outcome - and action)
Increased fiber - increased fluids - exercise. Not Colace.
25-27 gauge - 5/8 inch long - insert at 45 degrees.
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.
(cardiac med) .125- .250 mg QD

38. For which two drugs is N&V a sign of toxicity?
It should be covered by an occlusive dressing to keep it in place and assist absorption.
INH - Vitamin B6 - and Rifampin
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
Digoxin and Colchicine

39. What are 4 examples of anticonvulsants?
Dilantin - Neurontin - Tegretol - and Topamax
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.
Use caution driving until you know how it affects you. Report bothersome or persistent side effects. Take Chantix after eating and with a full glass of water. Don't stop taking Chantix even if you smoke. Take white tablets for first 7 days and blue f
They are bisphosphonates. They are used for osteoporosis. The teaching is to sit upright for 30 mins after taking to prevent irritation. SE include trouble swallowing - chest pain - and severe or worsening heart burn.

40. What is important to know about a lidocaine patch?
It is an opiate analgesic. Check BP and respirations. Dose= 2-10 mg. Do Not give with kidney stones - gallstones - increased ICP - myasthenia gravis - or pancreatitis.
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.
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
It is an antiemetic that is used to decrease N&V caused by chemo.

41. What are 2 examples of anticoagulants?
No because they have opposing actions and would cancel each other out.
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
Coumadin and Heparin
Dilantin - Neurontin - Tegretol - and Topamax

42. What medication may be prescribed in conjunction with Chantix and why?
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
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.
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
It melts to half its volume!

43. What is a normal adult dose of Diltiazem?
(cardiac med) 180-270 mg QD
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
Avandia

44. What is an example of a chemo agent?
Fluorocytosine/5 FU
NO!!!
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
Parnate

45. Who is EMLA cream contraindicated in?
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 -
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
Diamox
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.

46. What is important to know about Methergine? (use - check - expect)
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
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
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 oxytocic agent used to increase vasoconstriction and prevent postpartal hemorrhage. Check BP. Expect uterus will be hard and there will be pain or cramps.

47. What is an example of a bronchodilator/spasmolytic?
AMINOPHYLLINE (TheOPHYLLINE)
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.
Aricept
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)

48. What is important to know about amphotericin B? (use - check)
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.
It is an antifungal medication and creatinine and output should be checked when administered.
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.

49. What do steroid names end in?
One
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
BETAMETHASOne

50. What are 2 types of SSRI antidepressants?
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
Paxil and Prozac/fluoxetine
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
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.