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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 of antigout medications?
You must stop smoking and one piece of gum is chewed whenever the urge to smoke occurs (best results when on fixed schedule:-2H with at least 9 PIECES CHEWED PER DAY)
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.
Kayexelate
Allopurinol and COLCHICINE

2. What is impt to know about reglan? (action - when to take)
Amphotericin B
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
They are TB medications. They are okay to take while pregnant.
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.

3. What are two examples of anti - smoking meds?
Dilantin - Neurontin - Tegretol - and Topamax
Used to decrease BP so need to watch for S&S of hypotension. They are used for CAD and BP.
Loose stools - vaginitis - or thrush
Chantix and Zyban

4. What is important to know about Calcitonin - Salmon? (use - action - teach)
It is an antidysrhythmic and you should watch for QRS ectopic ventricular beats.
Less pain and decreased risk of hematoma.
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.
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.

5. What is important to know about Mannitol? (use - if effective..)
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.
Singulair
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 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.

6. How many pints in 1 quart?
It is a vitamin given with iron foods to help absorption.
2 pints
'Mycin' drugs so Gentamicin and Streptomycin
One

7. What is important to know about streptokinase? (use - check)
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.
Codeine - Demerol - Percodan/Percocet - and Morphine.
Prostigmin
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.

8. What is impt to know about imdur (isosorbide)? (use - watch for).
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
Baclofen
Coumadin and Heparin

9. What is impt to know about avandia? (use - check - SE)
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.
It is an oral antidiabetic that is used in type 2 diabetes. Liver studies should be checked. SE include ovulation in non - ovulating women.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
454 grams

10. What are the two major side effects of aminoglycosides?
Gantrisin
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
It is a vitamin and can be taken after food to reduce flushing.
It melts to half its volume!

11. What is impt to know about Valium? (norm dose - check)
Pryidium
Valium
25-27 gauge - 5/8 inch long - insert at 45 degrees.
A normal dose is 5-10 mg and you must check for S&S of patient overdose.

12. What is an example of a hemantinic med?
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
Upper arms - abdomen - upper thighs - top of buttocks - back by shoulder blades.
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.
Iron

13. What is impt to know about Dilantin? (level - SE - monitor - dont take w/).
It is a vitamin given with iron foods to help absorption.
MOTRIN - Feldene - Indomethocin - and Advil.
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
Danazol

14. What is important to know about tetracycline? (Avoid - do not give w/).
They are antibiotics. Don't give with cephalosporins (ancef - keflex - and ceclor) and watch for thrush.
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
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.

15. What are 4 examples of anticonvulsants?
Digoxin and Colchicine
It is a biologic modifier that improves a persons immune system so that they may have less infections.
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
Dilantin - Neurontin - Tegretol - and Topamax

16. What Is IMPORTANT TO Know ABOUT HALDOL?
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
Clomid
Danazol
PrednisOne - CortisOne - and DexamethasOne.

17. What is an example of an antiinflammatory?
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.
It is very harmful to the kidneys (should be flushed out with fluids).
It is a cholinergic stimulant used to prevent aspiration in myasthenia gravis patients.

18. What is impt to know about zofran? (use)
It is an antiemetic that is used to decrease N&V caused by chemo.
It is a biologic modifier that improves a persons immune system so that they may have less infections.
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 -
Parnate

19. What is important to know about a nicotine patch?

20. What is EMLA cream used for?
2 pints
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
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
No because they have opposing actions and would cancel each other out.

21. If NPH is given in the AM when might you see S&S of hypoglycemia?
Ritalin
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
4:00 pm (mid afternoon)
ASA and NSAIDS

22. What is important to know about Paxil? (Use - teach)
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 an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
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.
It is a bronchodilator/spasmolytic. The NORMAL LEVEL Is 10-20 mcg/ml. Avoid coffee - tea - chocolate - and cola. Give with care to patient with heart disease. Toxicity in adult= tachycardia. In Child= nervousness.

23. What is important to know about heparin? (normal lab - antidote)
Coumadin and Heparin
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
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.
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.

24. How many grams in 1 pound?
LASIX and Mannitol
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.
454 grams
BIAXIN - zithromax (aka z - max - z - pack - or zycam).

25. What is important to know about Atropine? (use - contraindications)
Actonel and Boniva
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 a drug used to dry secretions prior to surgery. Do Not give to patients with glaucoma.
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.

26. What is a toxic level of dilantin?
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.
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 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.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)

27. What are 2 examples of erythromycin antibiotics?
BIAXIN - zithromax (aka z - max - z - pack - or zycam).
Propanolol (inderal) - Atenolol (tenormin) - and metoprolol (lopressor).
Hypertension - PID - Oral or pharyngeal inflammation - gastritis - stomatitis - hyperthyroidism - insulin dependent diabetes - and pheochromocytoma.
(cardiac med) 40-80 mg QD

28. What are 2 examples of a antiretroviral?
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.
AZT/Retrovir and Norvir
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.
Valtrex

29. What Is IMPORTANT TO Know ABOUT MOTRIN? (max dose)
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
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.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.

30. What is important to know about procardia? (administered - use - action - SE)
(analgesic) 600 mg Q6H
It is an antiviral used to treat herpes. It is toxic to the kidneys
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 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.

31. What is impt to know about neurontin? (Use)
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!)
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 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 anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.

32. What do steroid names end in?
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 emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
'Mycin' drugs so Gentamicin and Streptomycin
One

33. What is important to know about Zirthromax (z - pac - zycam - z - max)? (Use - monitor - dont take w/)
Glyset and Glyburide
Os Cal
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 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.

34. What are 2 examples of antiemetics?
It is an antibiotic in which you should avoid milk products and DO Not give to pregnant women.
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.
Valtrex
Zofran and Reglan

35. What nursing intervention should be used for constipation from morphine?
Increased fiber - increased fluids - exercise. Not Colace.
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
Aspirin (ASA) and Tylenol
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)

36. What is important to know about Percodan/Percocet? (base)
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.
They are opiate analgesics. Percoce(T) is tylenol based and Percoda(N) is aspirin based. Stomach problems (gastric ulcer)= Percocet over Percodan bc less hard on the stomach than ASA. Dilantin hard on liver/tylenol is hard on liver so give percodan i
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
Clozapine

37. What is important to know about Aqua Mephyton/Vitamin K? (use - contraindication - route)
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.
Flomax
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.
8 ounces

38. What is an example of a potassium removing resin?
0.5-1 ml
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
It is an NSAID. It should not be given with ASA. Check for bleeding. It takes 2 weeks for pain relief.
Kayexelate

39. What is an example of a cardiac glycoside/antidysrhythmic?
MAGNESIUM SULFATE
Methergine
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
DIGOXIN

40. What are 2 examples erectile/impotence agents?
Not symptomatic= give a complex carb. If symptomatic= give OJ followed by a complex carb.
Avoid milk and milk products (2 hrs prior to or after administration).
Viagra and Levitra/Celias
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.

41. When giving a subQ injection DONT?
It is a bronchodilator used to prevent asthma attacks and prophylaxis.
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
It is an antiparkinson agent used to decrease tremors and improve gait. SE include nystagmus and hypotension. Use ted hose and avoid vitamin B6.
Gardasil

42. What medication may be prescribed in conjunction with Chantix and why?
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
It is a vitamin given to TB patient to decrease neuritis when taking INH. Do Not use with levodopa.
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.
Zyban (wellbutrin) to help combat depressed mood associated with quitting smoking.

43. What is important to know about singulair? (use)
Increased Blood sugar - increased Na - increased H20 - and increased BP.
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
It is a bronchodilator used to prevent asthma attacks and prophylaxis.

44. What is a normal adult dose of meperidine?
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
25-27 gauge - 5/8 inch long - insert at 45 degrees.
(analgesic) 50-100 mg-8H
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.

45. What are 4 examples of opiate analgesics?
It should be covered by an occlusive dressing to keep it in place and assist absorption.
Codeine - Demerol - Percodan/Percocet - and Morphine.
Symmetrel
Gram (ex: pyelogram)

46. What is Kava and its uses/concerns?
DIGOXIN
It is an herb used to decrease anxiety - assist with insomnia - and fibromyalgia. Frequent use may cause liver toxicity.
Coumadin and Heparin
Increased fiber - increased fluids - exercise. Not Colace.

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

48. What is important to know about Methergine? (use - check - expect)
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.
8 ounces
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.
2 cups

49. If regular insulin is given in the AM when might you see S&S of hypoglycemia?
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!
10 am (midmorning)
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.
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.

50. What is important to know about Lipitor - Advicor - Crestor - Questran - and Zocor? (use - contraindications - check - take c)
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
(analgesic) 50-100 mg-8H
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.
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.