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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 garlic? (use - contraindications)
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.
It is a vitamin given with iron foods to help absorption.
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.

2. What are 2 examples of an oral hypoglycemic?
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
Glyset and Glyburide
It is an antiviral used to treat herpes. It is toxic to the kidneys
(cardiac med) 40-80 mg QD

3. What is an example of a reversible cholinesterase inhibitor?
No because they have opposing actions and would cancel each other out.
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
(Psych med) 5-10 mg-6H
Aricept

4. What are 2 examples of aminoglycoside antibiotics?

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5. What is an example of a chemo agent?
Fluorocytosine/5 FU
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
Aspirin (ASA) and Tylenol
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.

6. What are 2 examples of a antiretroviral?
Carafate
AZT/Retrovir and Norvir
Gram (ex: pyelogram)
Synthroid

7. What is important to know about lactalose? (use)
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.).
Increased fiber - increased fluids - exercise. Not Colace.
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.
Blood sugar

8. What is important to know about glucagon? (use)
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.
(analgesic) 600 mg Q6H
Singulair
It is used to increase a patients glucose level in an emergency (severe hypoglycemia).

9. What is the benefit of a smaller needle for injections?
Digoxin and Colchicine
Synthroid
Less pain and decreased risk of hematoma.
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

10. What is an example of a bronchodilator?
Singulair
A patient with chronic renal failure and Addison's disease because potassium can harm them.
NO!!!!!
Dilantin - Neurontin - Tegretol - and Topamax

11. What is an example of a nonopioid analgesic?
Pryidium
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
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.
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.

12. What is important to know about pancrealipase/viokase? (use - when administered)
BETAMETHASOne
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
Fluorocytosine/5 FU

13. What is important to know about neupogen? (use)
LASIX and Mannitol
It is a biologic modifier that improves a persons immune system so that they may have less infections.
Synthroid
It is used to treat ulcerative colitis.

14. What is important to teach you client about nicotine gum?
Pancrealipase/viokase
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).
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.
Avandia

15. What are 3 examples of Cephalosporins (Abx)?
It should be covered by an occlusive dressing to keep it in place and assist absorption.
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.
Ancef - keflex - and ceclor
It is an antiretroviral used to treat HIV.

16. What is an example of an antipsychotic/antimanic?
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.
(F-32) divided by 1.8
LITHIUM

17. What 8 medications should be taken with food?
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
Ancef - keflex - and ceclor
Clozapine
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

18. What are 2 examples of antidysrhythmic medications?
(analgesic) 2-10 mgH PRN
Lidocaine and Quinidine
Q3 days
It is an antiemetic that slows emptying of the stomach and should be taken before meals.

19. What are two examples of anti - smoking meds?
Coumadin and Heparin
Lipitor - Advicor - Crestor - Questran - and Zocor
Chantix and Zyban
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.

20. What is a toxic level of dilantin?
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).

21. What are 3 examples of Ca channel blockers (antihypertensives)?
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
(analgesic) 600 mg QID (with RAH)
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.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.

22. Can digoxin and epinephrine given together?
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.
(cardiac med) 180-270 mg QD
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.
No because they have opposing actions and would cancel each other out.

23. What is important to know about kayexelate? (time to work)
No because the dye exits the body in one day!
Questran
It is a potassium removing resin that takes 6-8 hours to work.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)

24. With whom should nicotine be used cautiously in?
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
Zantac and Tagamet
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.

25. What are 2 examples of antipyretic/antiplatelet/antiinflammatory/analgesic?
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
Amphotericin B
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
Aspirin (ASA) and Tylenol

26. How do you know that mannitol is working effectively?
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.
(cardiac med) 2.5-10 mg
Amphojel
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.

27. What is impt to know about reglan? (action - when to take)
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
1 shot glass=1 oz
Blood sugar
It is an antiemetic that slows emptying of the stomach and should be taken before meals.

28. What must you watch for when on corticosteroids?
Infection!!!
Lidocaine and Quinidine
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.
Pitressin/Vasopressin

29. What is important to know about lidocaine? (use)
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
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.
Epogen
Codeine - Demerol - Percodan/Percocet - and Morphine.

30. What Is IMPORTANT TO Know ABOUT LASIX? (use - check - lasts - considerations - Do Not give to)
MAGNESIUM SULFATE
(cardiac med) .125- .250 mg QD
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.
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.

31. What are 2 examples of erythromycin antibiotics?
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 a vitamin given with iron foods to help absorption.
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
Protonix

32. What is an example of antithyroid?
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
Chantix and Zyban
Propylthiouracil/PTU
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.

33. What are 2 examples of anticoagulants?
Valtrex
Coumadin and Heparin
Levodopa
Tricyclic antidepressant

34. What is important to know about Aspirin? (avoid - check - do not give w/).
8 ounces
Blood sugar
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.
(analgesic) 600 mg Q6H

35. What is an example of an antacid?
Amphojel
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
AZT/Retrovir and Norvir
Q3 days

36. How many cups in 1 quart?
4 cups
Evista and Fosamax
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.
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).

37. What is an example of a vaccine?
Pryidium
Gardasil
It is a vitamin and can be taken after food to reduce flushing.
Glucagon

38. What is important to know about Neomycin? (Use - effect).
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.
The patient needs to consume 8-10 glasses of water a day.
0.5-1 ml
Aldactone

39. What are 3 types of TB meds?
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
It is an alcohol deterrent medication to prevent alcohol abuse. It should not be taken with alcohol or cough syrup and must be d/c for 2 weeks before taking a drink.
INH - Vitamin B6 - and Rifampin
Aricept

40. What Is IMPORTANT TO Know ABOUT MOTRIN? (max dose)
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Evista and Fosamax
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
One

41. What is important to know about Ritalin? (use - given to elderly - check)
(analgesic) 600 mg QID (with RAH)
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
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 anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.

42. What Is IMPORTANT TO Know ABOUT MAGNESIUM SULFATE? (use - watch - antidote)
Procardia
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
One day
One

43. What is impt to know about Flomax? (Use - SE - Teach - dont take with).
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.).
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.
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
(analgesic) 650 mg QID

44. If someone wants to know how to measure out 1oz of medication at home What can they use?
The patient needs to consume 8-10 glasses of water a day.
1 shot glass=1 oz
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.
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.

45. What is a normal adult dose of Coumadin (warfarin)?
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
Methergine
Epogen
(cardiac med) 2.5-10 mg

46. What are 3 examples of beta blockers?
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.
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.
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
It is an herb that INHIBITS PLATELET AGGREGATION. It is used to lower cholesterol - treat hypertension - atherosclerosis - and URIs. It is REAllY effective against helicobacter pylori infections or ulcers (evens ones that some meds don't work on!)

47. What is important to know about all steroids? (when to take - teach - check)
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.
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.
Q3 days
It is used to treat ulcerative colitis.

48. What is important to know about a oxybutynin patch?

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49. What is important to know about symmetrel? (use)
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
(analgesic) 50-100 mg-8H
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.

50. What is a normal adult dose of motrin?
Increased Blood sugar - increased Na - increased H20 - and increased BP.
I&O and S. CR(?)
Diamox
(analgesic) 600 mg Q6H