NCLEX Medications

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. How is nicotine gum initiated?
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.
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)
Methergine
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.


2. If a hypoglycemic patient is not symptomatic what should be done? Symptomatic?
LASIX and Mannitol
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.


3. What is an example of an ACE inhibiter (antihypertensive)?
PrednisOne - CortisOne - and DexamethasOne.
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Procardia


4. What is important to know about viagra? (contraindications - SE)
An allergy to iodine
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
Calcitonin - Salmon
A normal dose is 5-10 mg and you must check for S&S of patient overdose.


5. What is important to know about Vitamin B6? (use - contraindication)
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
It is a biologic modifier that improves a persons immune system so that they may have less infections.


6. What is an example of a calcium supplement?
29.573 mls
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.
Potassium chloride and potassium
Os Cal


7. What should be done right after the EMLA cream is applied?
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
It should be covered by an occlusive dressing to keep it in place and assist absorption.
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
One


8. What is impt to know about imdur (isosorbide)? (use - watch for).
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
IT Is A STEROID THAT Is USED TO HASTEN FETAL LUNG MATURITY. SE include increased blood sugar so Check moms blood sugar. REQUIRES 24 HOURS TO Work. IF MOM Is GOING TO DELiver In 12 HOURS IT SHOULDN'T BE GIVEN.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
Do smoke while wearing and don't apply to breast.


9. What is important to know about protonix? (use - SE)
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
Parnate
Antabuse
Aldactone


10. What is important to know about Gardasil? (use - SE - dosing - contraindications)
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.
No because they have opposing actions and would cancel each other out.
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 -
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.


11. Can digoxin and epinephrine given together?
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
Ipecac syrup
No because they have opposing actions and would cancel each other out.
It is an herb used to increase memory for alzheimers and as an anticoagulant.


12. Who should not take tetracycline?
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
PrednisOne - CortisOne - and DexamethasOne.
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.


13. What is important to know about prostigmin? (use/patients)
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
Glucagon
4 cups
Carafate


14. What is important to know about Pryidium? (use)
It is a diuretic used to decrease circulating volume. CHECK K+ And MONITOR EKG. IT LastS SIX HOURS. SCHEDULE ACTIVITIES FOR 6 HOURS AFTER The MED WAS Taken. Will have low specific gravity. Do Not give with Bumex and Do Not use with ICP or glaucoma.
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
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
Codeine - Demerol - Percodan/Percocet - and Morphine.


15. When giving a subQ injection DONT?
IT Is A STEROID THAT Is USED TO HASTEN FETAL LUNG MATURITY. SE include increased blood sugar so Check moms blood sugar. REQUIRES 24 HOURS TO Work. IF MOM Is GOING TO DELiver In 12 HOURS IT SHOULDN'T BE GIVEN.
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).


16. What is important to know about nitroglycerin? (use - store - when take - SE)
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.
Fluorocytosine/5 FU
Questran
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.).


17. What is important to know about Mannitol? (use - if effective..)
LITHIUM
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).
OLOL
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.


18. What food considerations should be made for a patient on lithium?
No because they have opposing actions and would cancel each other out.
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 antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
The patient needs to consume 8-10 glasses of water a day.


19. What is important to know about Ritalin? (use - given to elderly - check)
(F-32) divided by 1.8
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
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.
It is an ovulation stimulant used to increase fertility.


20. What meds should not be taken with corticosteroids?
INH - Vitamin B6 - and Rifampin
(Psych med) 5-10 mg-6H
ASA and NSAIDS
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.


21. What are 2 examples of antipyretic/antiplatelet/antiinflammatory/analgesic?
Aspirin (ASA) and Tylenol
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
2 pints
Mannitol


22. What is an example of an antacid?
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
Amphojel
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 a thrombolytic enzyme used for MI - CVA - & PE. It must be started within 6 hours and PT and PTT levels should be checked.


23. What are 4 examples of opiate analgesics?
Take 2-4 hrs apart from each other.
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
Codeine - Demerol - Percodan/Percocet - and Morphine.


24. What is important to know about clozapine? (check - watch for)
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
Baclofen
Evista and Fosamax


25. What is important to know about Niacin? (how to take)
It is a vitamin and can be taken after food to reduce flushing.
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
Reglan
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.


26. What Is IMPORTANT TO Know ABOUT BRETHINE? (use - teach)

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27. What is a normal adult dose of motrin?
(analgesic) 600 mg Q6H
Potassium chloride and potassium
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.
454 grams


28. What is an example of an antiviral?
LITHIUM
Neupogen
Valtrex
Synthroid


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

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30. What is important to know about thorazine and stelazine? (use - teach - watch)
Lactalose
Digoxin and Colchicine
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
Propylthiouracil/PTU


31. How many ounces in 1 cup?
8 ounces
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
Zofran and Reglan
Fluorocytosine/5 FU


32. What is important to know about lidocaine? (use)
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
It is an herb that stimulates the immune system used for infections and wound healing. Patients with HIV - MS - or autoimmune diseases SHOULD Not USE!
Persantine and Plavix
It is an antidysrhythmic that is the drug of choice for dysrhythmias.


33. What is important to know about tegretol? (use - check - at risk for - prevent)
INH - Vitamin B6 - and Rifampin
Epogen
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
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.


34. What is the action of beta blockers?
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
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.


35. What is a toxic level of digoxin?
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.


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

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37. What is an example of a cholinergic stimulant?
Zofran and Reglan
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
Prostigmin
Reglan


38. What is an example of a reversible cholinesterase inhibitor?
Aricept
ASA and NSAIDS
Coumadin and Heparin
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.


39. With whom should nicotine be used cautiously in?
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.
No because they have opposing actions and would cancel each other out.
Methergine
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.


40. What teaching should be done regarding Chantix?

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41. What is a normal adult dose of Diazepam?
It is an antiretroviral used to treat HIV.
Ancef - keflex - and ceclor
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
(Psych med) 5-10 mg-6H


42. What is impt to know about Cozaar? (use - watch)
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
29.573 mls


43. hat is an example of a biologic modifier?
Neupogen
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 insulin that should be taken at the same time everyday. Can take with or without food. It is a 24 hour insulin. Do not mix with any other insulin including regular.
Methergine


44. What is saw palmetto and its uses/concerns?

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45. What is the only diuretic that will pull fluid from the brain or the eyes?
Gantrisin
Pitressin/Vasopressin
Mannitol
It is a potassium sparing diuretic. Do Not give with renal failure and check output.


46. What is St. John's Wort and its uses/concerns?
Potassium chloride and potassium
Nitroglycerin
Sudafed
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.


47. What is important to know about a nicotine patch?

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48. What is impt to know about diamox? (use)
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
It is heparin like. The injection should be given in the abdomen and isn't massaged.
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
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


49. What is an example of an antianginal/vasodilator?
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
Imdur (Isosorbide)
Viagra and Levitra/Celias
Digoxin and Colchicine


50. How many ounces in 1 pint?
Flomax
Amphojel
16 ounces
PrednisOne - CortisOne - and DexamethasOne.