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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 are 2 examples erectile/impotence agents?
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
Calcitonin - Salmon
Viagra and Levitra/Celias
Coumadin and Heparin

2. What is impt to know about elavil? (teach - SE - Diet)
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
It is a tricyclic antidepressant that needs at least 2 weeks for meds to take effect. SE include hypotension - dry mouth leading to constipation. Diet high in fiber and take meds in PM.
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.
Penicillin - Amoxicillin - Ampicillin - and Augmentin.

3. What is a normal adult dose of meperidine?
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
(analgesic) 50-100 mg-8H

4. What Is IMPORTANT TO Know ABOUT HALDOL?
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
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 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 tricyclic antidepressant that needs at least 2 weeks for meds to take effect. SE include hypotension - dry mouth leading to constipation. Diet high in fiber and take meds in PM.

5. How many ounces in 1 cup?
(cardiac med) 2.5-10 mg
Antabuse
8 ounces
Pancrealipase/viokase

6. What is impt to know about reglan? (action - when to take)
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
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.
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
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.

7. What is impt to know about Valium? (norm dose - check)
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
(analgesic) 600 mg QID (with RAH)
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 potassium removing resin that takes 6-8 hours to work.

8. What is important to know about Baclofen? (use - SE)
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
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).
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!
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.

9. hat is important to know about a clonidine patch?

10. What are the indications for patches: fentanyl - lidocaine - nicotine - and nitroglycerin?
Blood sugar
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.

11. What food considerations should be made for a patient on Monoamine Oxidase Inhibitors (MAOIs) (ex: Marplan - nardil - parnate - & St. John's Wort)?

12. What is the benefit of a smaller needle for injections?
It is a vitamin and can be taken after food to reduce flushing.
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
Less pain and decreased risk of hematoma.
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.

13. If regular insulin is given in the AM when might you see S&S of hypoglycemia?
Calcitonin - Salmon
10 am (midmorning)
ASA and NSAIDS
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 -

14. What is an example of a nonopioid analgesic?
Digoxin and Colchicine
(cardiac med) 180-270 mg QD
Pryidium
Potassium chloride and potassium

15. What do beta blocker names end in?
OLOL
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)

16. What is important to know about clozapine? (check - watch for)
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
(analgesic) 50-100 mg-8H

17. What are 4 examples of anticonvulsants?
Increased fiber - increased fluids - exercise. Not Colace.
Dilantin - Neurontin - Tegretol - and Topamax
Valium
Nausea - Sleep disturbances - constipation - gas - and vomiting.

18. What is impt to know about imdur (isosorbide)? (use - watch for).
Kayexelate
Gardasil
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.

19. What is an example of an isotretinoin?
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.
Acutane
It is a vitamin given with iron foods to help absorption.
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

20. What is important to know about Paxil? (Use - teach)
It is a chemo agent. SE= N&V and decreased bone marrow function.
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.
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)

21. What are appropriate sites for subQ injections?
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
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.
29.573 mls
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.

22. What is ginseng and its uses/concerns?
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.
Digoxin and Colchicine
MOTRIN - Feldene - Indomethocin - and Advil.
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.

23. What teaching should be done regarding Chantix?

24. What is important to know about BIAXIN? (USE)
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
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.
Methergine
Zofran and Reglan

25. What are 2 examples of H2 Histamine Antagonist Receptors?
Zantac and Tagamet
(analgesic) 600 mg QID (with RAH)
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
One day

26. What is an example of an emetic?
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
Ipecac syrup
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.

27. What is important to know about Azulfidine? (Use)
It is used to treat ulcerative colitis.
Sudafed
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.
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.

28. What is impt to know about Actonel and Boniva? (Use - teaching - SE)
It is an antiviral used to treat herpes. It is toxic to the kidneys
It is an antifungal medication and creatinine and output should be checked when administered.
(cardiac med) .125- .250 mg QD
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.

29. What are the side effects of beta blockers?
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
454 grams
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
Epogen

30. What is important to know about a lidocaine patch?
Methergine
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.
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.
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.

31. What is important to know about Mannitol? (use - if effective..)
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).
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.
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.
Methergine

32. What is important to know about Methergine? (use - check - expect)
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 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.
Increased fiber - increased fluids - exercise. Not Colace.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.

33. What is impt to know about cardizem/calan? (use - action - SE)
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 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 beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
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

34. What 8 medications should be taken with food?
Prostigmin
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
One day
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.

35. In What type of patient should high potassium foods be avoided?

36. If NPH is given in the AM when might you see S&S of hypoglycemia?
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.
4:00 pm (mid afternoon)
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
Take 2-4 hrs apart from each other.

37. What must you watch for when on corticosteroids?
Infection!!!
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
A patient with chronic renal failure and Addison's disease because potassium can harm them.
It should be covered by an occlusive dressing to keep it in place and assist absorption.

38. What Is IMPORTANT TO Know ABOUT LITHIUM? (norm level - toxicity - contraindications - expected outcome)
Avoid milk and milk products (2 hrs prior to or after administration).
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
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 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

39. What is an example of an adrenergic blocker?
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
Flomax
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.
Dilantin - Neurontin - Tegretol - and Topamax

40. If someone wants to know how to measure out 1oz of medication at home What can they use?
1 shot glass=1 oz
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 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.
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.

41. How many pints in 1 quart?
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 opiate analgesic. The normal dose is 25-100 mg-4 hrs.
2 pints
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C

42. What is important to know about lidocaine? (use)
(F-32) divided by 1.8
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
Atropine

43. What is a toxic level of theophylline?
20 mcg/ml and up (therapeutic range is 10-15).
Acutane
Symmetrel
Pancrealipase/viokase

44. What is important to know about Niacin? (how to take)
Infection!!!
It is a vitamin and can be taken after food to reduce flushing.
(analgesic) 600 mg QID (with RAH)
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.

45. What is an example of a pituitary hormone?
It is an antiretroviral used to treat HIV.
Pitressin/Vasopressin
It is an herb used to prevent CVA. It is an anticoagulant so should not be taken with coumadin.
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).

46. What is important to know about Evista? (use - SE)
Lantus
Q3 days
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.
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.

47. What is an example of insulin?
OLOL
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
Lantus
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.

48. What letter on the end of a test indicate Iodine?
Gram (ex: pyelogram)
(analgesic) 50-100 mg-8H
Gardasil
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.

49. What is important to know about Chantix and Zyban? (use - teach - SE)
AMINOPHYLLINE (TheOPHYLLINE)
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
Evista and Fosamax

50. What 7 meds should alcohol be avoided while taking?
Viagra and Levitra/Celias
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.
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.