Test your basic knowledge |

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. Is there any concern for a female who needs a test with dye/contrast and is considering pregnancy?
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
(analgesic) 50-100 mg-8H
No because the dye exits the body in one day!

2. What is a normal adult dose of morphine sulfate?
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
Epogen
(analgesic) 2-10 mgH PRN

3. What are 2 examples of erythromycin antibiotics?
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.
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
One

4. What is a normal adult dose of Furosemide?
Gram (ex: pyelogram)
Zofran and Reglan
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
(cardiac med) 40-80 mg QD

5. How many ounces in 1 pint?
MOTRIN - Feldene - Indomethocin - and Advil.
16 ounces
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.
2 pints

6. What Is IMPORTANT TO Know ABOUT LITHIUM? (norm level - toxicity - contraindications - expected outcome)
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.
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
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.
Increased urine output - decr. ICP - decreased eye pain (glaucoma) - and stable vitals.

7. What is an example of a thrombolytic enzyme?
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 isotretinoin used for an acne patient. Teach will have red peeling face for 2 weeks after treatment. SE include depression - psychosis - and decreased wrinkles.
Streptokinase
Diamox

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

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

9. Farenheit=Celsius.....
Reglan
(C x 1.8) + 32
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
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 -

10. What are 3 types of TB meds?
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
Coumadin and Heparin
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
INH - Vitamin B6 - and Rifampin

11. What is important to know about Evista? (use - SE)
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.
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.
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.

12. Can lasix and vasopressin be given together?
Coumadin and Heparin
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
No because they have opposing actions and would cancel each other out.
No bc they are made with potassium salt.

13. What is an example of a steroid?
Tricyclic antidepressant
BETAMETHASOne
It is an antiviral used to treat herpes. It is toxic to the kidneys
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.

14. How long does it take the dyes/contrast from tests to clear the body?
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
Amphojel
Increased fiber - increased fluids - exercise. Not Colace.
One day

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

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

16. What is important to know about all steroids? (when to take - teach - check)
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
It is an antiretroviral used to treat HIV.
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.
Propylthiouracil/PTU

17. What medication may be prescribed in conjunction with Chantix and why?
Acutane
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.
Imdur (Isosorbide)

18. What are 2 examples of tricyclic antidepressants?
1 shot glass=1 oz
It melts to half its volume!
2 #3 tylenols because it contains the same amount of codeine.
Anafranil and elavil

19. What is important to know about prolixin? (use - teach)
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
2.2046 pounds
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
It is an antiemetic that is used to decrease N&V caused by chemo.

20. When giving a subQ injection DONT?
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
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.
No because the dye exits the body in one day!
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)

21. What is important to teach about a nitroglycerin patch?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

22. What is impt to know about diamox? (use)
Prostigmin
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
4 cups

23. What is important to know about Questran? (Use - SE - diet)
454 grams
Coumadin and Heparin
Glyset and Glyburide
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.

24. What is important to know about antabuse? (use - avoid w/ - d/c)
It is an ovulation stimulant used to increase fertility.
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
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.
Gantrisin

25. What is important to know about Lantus? (how take)
Baclofen
Avoid milk and milk products (2 hrs prior to or after administration).
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 antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.

26. What is important to know about tylenol? (Do not give w/ - not useful for - kinds/values).

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

27. What is an example of a thyroid hormone?
NO!!!
Synthroid
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 herb used for depression. Watch for use with other depressants or tyramine containing foods.

28. What is an example of an adrenergic medication?
(cardiac med) 2.5-10 mg
Sudafed
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.
BRETHINE

29. If someone wants to know how to measure out 1oz of medication at home What can they use?
1 shot glass=1 oz
Take 2-4 hrs apart from each other.
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.
2 cups

30. What is an example of an antipsychotic/antimanic?
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
LITHIUM
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
(C x 1.8) + 32

31. What is important to know about Norvir? (use)
Carafate - Penicillin - and Isoniazid (INH).
AMINOPHYLLINE (TheOPHYLLINE)
It is an antiretroviral used to treat HIV.
Azulfidine

32. What is important to know about St. John's Wort? (use - watch)
Amphotericin B
Patients allergic to lidocaine - prilocaine - or other amide local anesthetics.
It is an herb used for depression. Watch for use with other depressants or tyramine containing foods.
4:00 pm (mid afternoon)

33. What is St. John's Wort and its uses/concerns?
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.
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
ASA and NSAIDS
Pancrealipase/viokase

34. What is important to know about symmetrel? (use)
454 grams
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
It is an antiviral/antiparkinsonian used to treat viral flu and decrease parkinsons S&S.

35. What is important to know about potassium chloride and potassium? (check)
It melts to half its volume!
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
Valium
Glucagon

36. What is important to know about Pitressin/Vasopressin? (use - action - outcome - contraindications - check)
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 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.
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.

37. What is important to know about Synthroid? (use - teach)
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.
(C x 1.8) + 32
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 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.).

38. What is an example of an antiplasmotic?
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.
Baclofen
Persantine and Plavix
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.

39. What is important to know about viagra? (contraindications - SE)
Methergine
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
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.
An allergy to iodine

40. What is important to know about heparin? (normal lab - antidote)
Aricept
It is a vitamin and can be taken after food to reduce flushing.
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 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.

41. What is important to know about pancrealipase/viokase? (use - when administered)
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
It is a digestant - pancreatic enzyme used for pancreatitis and cystic fibrosis. It should be taken every time a patient eats.
Zantac and Tagamet
It is an antacid. ALUMINUM based side effects include constipation and binds phosphate. MAGNESIUM based side effects include diarrhea (give 30 mins after meals). Prevents absorption of other medications.

42. What is an example of an oral antidiabetic?
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
Avandia
Parnate
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.

43. What are 6 examples of antipsychotics?
Prolixin - Resperidone - Thorazine - Stelazine - Zyprexa - and Haldol.
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 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.
Do smoke while wearing and don't apply to breast.

44. 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.
A patient with chronic renal failure and Addison's disease because potassium can harm them.
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
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.

45. What is a normal adult dose of digoxin?
Persantine and Plavix
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
(cardiac med) .125- .250 mg QD
(cardiac med) 2.5-10 mg

46. What is important to know about Aldactone? (contraindications)
454 grams
It is a potassium sparing diuretic. Do Not give with renal failure and check output.
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.
Parnate

47. What is important to know about levodopa? (use - SE - avoid)
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
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.
Baclofen

48. What are two examples of anti - smoking meds?
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
Chantix and Zyban
Flomax
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.

49. What is a toxic level of dilantin?
(analgesic) 650 mg QID
No because they have opposing actions and would cancel each other out.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.

50. What is the benefit of a smaller needle for injections?
Levodopa
Potassium chloride and potassium
Less pain and decreased risk of hematoma.
It is an antiemetic that is used to decrease N&V caused by chemo.