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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 impt to know about benazepril - lisinopril - and accupril? (use - monitor)
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
One day
It is very harmful to the kidneys (should be flushed out with fluids).

2. What is an example of an antipsychotic/neuroleptic?
Clozapine
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 herb used to increase memory for alzheimers and as an anticoagulant.
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.

3. What are 2 examples of erythromycin antibiotics?
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
It is an antiviral used to treat herpes. It is toxic to the kidneys

4. What teaching should be done regarding transdermal patches?
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.
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.
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
Check patch for leaks - place in appropriate location - make sure skin is clean and dry - when removing a patch fold it in half and discard in safe container (needle dispenser or flush not garbage) DO Not apply heat to patches (esp. fentanyl) bc medi

5. What is important to teach you client about nicotine gum?
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
Aldactone
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.
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

6. What letter on the end of a test indicate Iodine?
Glucagon
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
It is an herb used for memory improvement - increased blood flow to brain - antioxidant effects - and increased metabolism effects. 1-3 months use for effect and use cautiously in ppl at risk for bleeding.
Gram (ex: pyelogram)

7. What is important to know about Zirthromax (z - pac - zycam - z - max)? (Use - monitor - dont take w/)
2 pints
454 grams
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 H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.

8. What are 4 examples of an NSAIDs?
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
MOTRIN - Feldene - Indomethocin - and Advil.
Pryidium
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.

9. What are 2 examples of an antiplatelet?
4:00 pm (mid afternoon)
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.
Persantine and Plavix

10. Celsius= Farenheit .....?
(F-32) divided by 1.8
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
2 #3 tylenols because it contains the same amount of codeine.
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.

11. What Is IMPORTANT TO Know ABOUT MAGNESIUM SULFATE? (use - watch - antidote)
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.
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)
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
Potassium chloride and potassium

12. What is important to know about procardia? (administered - use - action - SE)
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.
(cardiac med) .125- .250 mg QD
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.
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.

13. What is important to know about nebupent? (use - routes - check)
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.
Increased Blood sugar - increased Na - increased H20 - and increased BP.
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.
Valium

14. What is important to know about a lidocaine patch?
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.
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
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.
MOTRIN - Feldene - Indomethocin - and Advil.

15. What is an example of a thyroid hormone?
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
Synthroid
One day
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.

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.
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
8 ounces
It is very harmful to the kidneys (should be flushed out with fluids).

17. What are 3 types of TB meds?
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
INH - Vitamin B6 - and Rifampin
Methergine
4:00 pm (mid afternoon)

18. What is Garlic and it's uses?

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19. What is an example of an MAOI?
Parnate
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.
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
Coumadin and Heparin

20. What is an example of an antacid?
Amphojel
(analgesic) 600 mg QID (with RAH)
Codeine - Demerol - Percodan/Percocet - and Morphine.
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.

21. What is important to know about nitroglycerin? (use - store - when take - SE)
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
(analgesic) 600 mg QID (with RAH)
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.

22. What is important to know about clozapine? (check - watch for)
Coumadin and Heparin
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
AZT/Retrovir and Norvir
It is heparin like. The injection should be given in the abdomen and isn't massaged.

23. What is a toxic level of digoxin?
(analgesic) 600 mg Q6H
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
Q3 days
Lantus

24. What is important to know about zyprexa? (use - check - contraindication - SE - teach)
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.
Allopurinol and COLCHICINE
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.
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)

25. How many pints in 1 quart?
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.
MOTRIN - Feldene - Indomethocin - and Advil.
20 mcg/ml and up (therapeutic range is 10-15).
2 pints

26. What should be checked with aminoglycosides?
I&O and S. CR(?)
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
Viagra and Levitra/Celias

27. Can salt substitutes be given to Addison's patients?
Parnate
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
No bc they are made with potassium salt.
Singulair

28. What is an example of an antipsychotic/antimanic?
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
LITHIUM
Propylthiouracil/PTU
The patient needs to consume 8-10 glasses of water a day.

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

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30. What is important to know about Paxil? (Use - teach)
Carafate - Penicillin - and Isoniazid (INH).
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
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 an example of an antiviral?
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
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 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.
Valtrex

32. What is impt to know about prozac? (when take - teach)
They are TB medications. They are okay to take while pregnant.
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.
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
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.

33. What is important to know about Iron? (take with - SE)
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
Questran

34. What is impt to know about avandia? (use - check - SE)
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.
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.
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.

35. What is an example of a parathyroid agent?
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).
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.
Calcitonin - Salmon
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.

36. What are 2 examples of H2 Histamine Antagonist Receptors?
It is a potassium removing resin that takes 6-8 hours to work.
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.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
Zantac and Tagamet

37. What is Echinacea and its uses? Who Shouldn't use it?
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 antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
Increased fiber - increased fluids - exercise. Not Colace.

38. What are 2 types of SSRI antidepressants?
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
Gram (ex: pyelogram)
Paxil and Prozac/fluoxetine
29.573 mls

39. What do steroid names end in?
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.
One
It is an antilipemic used to decrease lipids. SE include decreased absorption of vitamin A - D - E - &K and may see bruising. Diet includes increased vitamin A - D - E -&K foods.
NO!!!!!

40. What is important to know about Fosamax? (use - teach - SE)
A patient with chronic renal failure and Addison's disease because potassium can harm them.
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.
16 ounces
OLOL

41. What is an example of an antiplasmotic?
Baclofen
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.
Gantrisin
Pancrealipase/viokase

42. What is important to know about atenolol - INDERAL - lopressor - toprol? (use - contraindications)
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
It is heparin like. The injection should be given in the abdomen and isn't massaged.
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.
It is an ovulation suppressant used to treat endometriosis.

43. What are two examples of anti - smoking meds?
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.
Chantix and Zyban
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
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.

44. What are 4 examples of antibiotics?
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.
Diamox
It is a vitamin and can be taken after food to reduce flushing.
Penicillin - Amoxicillin - Ampicillin - and Augmentin.

45. What is impt to know about Valium? (norm dose - check)
20 mcg/ml and up (therapeutic range is 10-15).
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.
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.

46. What does olestra do?
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
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.
Prevents absorption of fat from the GI tract.
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.

47. What is a normal adult dose of motrin?
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.
Propylthiouracil/PTU
(analgesic) 600 mg Q6H
Nebupent

48. What is important to know about Epogen? ( use - outcome)
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.
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.
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
Aspirin (ASA) and Tylenol

49. What is important to know about resperidone? (use - check)
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
Azulfidine
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.

50. What is important to know about Calcitonin - Salmon? (use - action - teach)
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
Gentamycin - Kanamycin Sulfate - Neomycin Sulfate - and Streptomycin Sulfate
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
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.