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. What is an example of a potassium removing resin?
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
Kayexelate
It is an antiplasmotic used for multiple sclerosis. SE include muscle rigidity or weakness - dyspnea - high fever - and hypo/hypertension.
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).


2. What food considerations should be made for a patient on diuretics (ex: hydrochlorothiazide - lasix - bumex)?
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
Lactalose
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!
Pryidium


3. What is important to know about Vitamin C? (use)
Acutane
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
It is an antifungal medication and creatinine and output should be checked when administered.
It is a vitamin given with iron foods to help absorption.


4. What is important to know about St. John's Wort? (use - watch)
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 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 an herb used for depression. Watch for use with other depressants or tyramine containing foods.
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.


5. What is important to know about a scopolamine patch?
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
Avoid milk and milk products (2 hrs prior to or after administration).
Tricyclic antidepressant
A normal dose is 5-10 mg and you must check for S&S of patient overdose.


6. What is important to know about procardia? (administered - use - action - SE)
Ipecac syrup
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
Methergine
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.


7. What gauge and length needle is appropriate for a 1 inch tissue fold? Insertion angle?
25-27 gauge - 5/8 inch long - insert at 45 degrees.
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 an antifungal medication and creatinine and output should be checked when administered.
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.


8. Should grapefruit juice be used to give medication?
Aricept
NO!!!
Digoxin and Colchicine
20 mcg/ml and up (therapeutic range is 10-15).


9. What 8 medications should be taken with food?
A patient with chronic renal failure and Addison's disease because potassium can harm them.
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
(cardiac med) 2.5-10 mg
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.


10. What is an example of an oxytocic?
Methergine
It is an antidysrhythmic that is the drug of choice for dysrhythmias.
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.
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.


11. What is St. John's Wort and its uses/concerns?
LASIX and Mannitol
It is a vitamin given with iron foods to help absorption.
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.
(F-32) divided by 1.8


12. What are 2 examples erectile/impotence agents?
Viagra and Levitra/Celias
Atropine
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
ASA and NSAIDS


13. What are 2 examples of tricyclic antidepressants?
Anafranil and elavil
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.
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.
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.


14. How often are fentanyl patches for pain applied?
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.
Q3 days
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.
Neupogen


15. What is important to know about all steroids? (when to take - teach - check)
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
Pitressin/Vasopressin
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 a vitamin given with iron foods to help absorption.


16. What are 2 examples of bone reabsorption inhibitors?
Evista and Fosamax
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
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.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.


17. What is impt to know about Sudafed? (Use and toxic effect).
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
1 shot glass=1 oz
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).


18. What is Garlic and it's uses?

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19. What is a normal adult dose of digoxin?
Aldactone
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
(cardiac med) .125- .250 mg QD
It is a vitamin given with iron foods to help absorption.


20. What medication may be prescribed in conjunction with Chantix and why?
Codeine - Demerol - Percodan/Percocet - and Morphine.
NO!!!
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.
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.


21. Can pregnant nurses handle chemo medication?
Lantus
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
NO!!!!!
4:00 pm (mid afternoon)


22. What is a normal adult dose of acetaminophen?
Cardizem/calan - benzazepril - lisinopril - accupril - atenolol - inderal - lopressor - and toprol.
Glucagon
(analgesic) 650 mg QID
Glyset and Glyburide


23. What are 2 types of SSRI antidepressants?
PrednisOne - CortisOne - and DexamethasOne.
25-27 gauge - 5/8 inch long - insert at 45 degrees.
Paxil and Prozac/fluoxetine
A normal dose is 5-10 mg and you must check for S&S of patient overdose.


24. What is important to know about prolixin? (use - teach)
It is a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
Evista and Fosamax
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.


25. What Is IMPORTANT TO Know ABOUT MAGNESIUM SULFATE? (use - watch - antidote)
Loose stools - vaginitis - or thrush
It is used for overactive bladder. The patch shouldn't be exposed to sunlight (apply to areas under clothing).
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
They are TB medications. They are okay to take while pregnant.


26. What is important to know about Gardasil? (use - SE - dosing - contraindications)
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
Lidocaine and Quinidine
BETAMETHASOne
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 -


27. What does olestra do?
'Mycin' drugs so Gentamicin and Streptomycin
Prevents absorption of fat from the GI tract.
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
One day


28. 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.
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.
Increased Blood sugar - increased Na - increased H20 - and increased BP.
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.


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

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30. What are 5 examples of herbs?

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31. What is important to know about Fluorocytosine/ 5 FU? (use - SE)
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
(analgesic) 650 mg QID
NO!!!!!
It is a chemo agent. SE= N&V and decreased bone marrow function.


32. What are the indications for patches: fentanyl - lidocaine - nicotine - and nitroglycerin?
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
Coumadin and Heparin
It is a chemo agent. SE= N&V and decreased bone marrow function.


33. Celsius= Farenheit .....?
Persantine and Plavix
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.
(F-32) divided by 1.8
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.


34. What is important to know about Demerol? (normal dose)
(analgesic) 600 mg Q6H
It is an opiate analgesic. The normal dose is 25-100 mg-4 hrs.
Glyset and Glyburide
Pregnant women bc it can cause dental problems and black/brown teeth discoloration for the baby.


35. What is important to know about Atropine? (use - contraindications)
No because the dye exits the body in one day!
(analgesic) 600 mg QID (with RAH)
(analgesic) 650 mg QID
It is a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.


36. What do beta blocker names end in?
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.
Prostigmin
Lactalose
OLOL


37. What is important to know about streptokinase? (use - check)
Symmetrel
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.
Clozapine
Evista and Fosamax


38. What are 2 examples of aminoglycoside antibiotics?

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39. What gauge and length needle is appropriate for a 2 inch tissue fold? Insertion angle?
NO!!!
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
25-27 gauge - 5/8 inch long - insert at 90 degree angle.


40. What is an example of a cerebral stimulant?
Ritalin
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
One
16 ounces


41. What is an example of a reversible cholinesterase inhibitor?
Chantix and Zyban
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
It should be covered by an occlusive dressing to keep it in place and assist absorption.
Aricept


42. What is a toxic level of dilantin?
The patient needs to consume 8-10 glasses of water a day.
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)


43. What is Gingko Biloba and its uses/concerns?
Acutane
A patient with chronic renal failure and Addison's disease because potassium can harm them.
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.
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.


44. What is important to know about Gantrisin? (avoid - What take).
Persantine and Plavix
Propylthiouracil/PTU
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 sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.


45. What teaching should be done regarding Chantix?

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46. What is an example of an adrenergic blocker?
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
(cardiac med) 180-270 mg QD
Increased Blood sugar - increased Na - increased H20 - and increased BP.
Flomax


47. What is an example of insulin?
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.
It is used for contraception in women. The user shouldn't smoke and they can expect withdrawal bleeding (menstruation) during the patch free week.
Lantus
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.


48. What food considerations should be made for a patient on coumadin?
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.


49. How long does it take the dyes/contrast from tests to clear the body?
Iron
One day
It is an herb used to increase memory for alzheimers and as an anticoagulant.
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.


50. What is important to know about Zirthromax (z - pac - zycam - z - max)? (Use - monitor - dont take w/)
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.
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
It is an antifungal medication and creatinine and output should be checked when administered.
4:00 pm (mid afternoon)