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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 the benefit of a smaller needle for injections?
Ritalin
It is an SSRI antidepressant used for anxiety. Teach that no driving until used to med effects.
No bc they are made with potassium salt.
Less pain and decreased risk of hematoma.

2. What is important to know about Carafate? (how to take)
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
Neupogen
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
Levodopa

3. What is important to know about Aqua Mephyton/Vitamin K? (use - contraindication - route)
It is an antifungal medication and creatinine and output should be checked when administered.
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 -
Gram (ex: pyelogram)
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.

4. What is an example of a calcium supplement?
Os Cal
It is heparin like. The injection should be given in the abdomen and isn't massaged.
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.
Azulfidine

5. How many cups in 1 quart?
4 cups
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
It is an ovulation stimulant used to increase fertility.
It is an herb used for PTSD - sleeping disorders - anxiety - restlessness - URI - and acne. Should not be used in glaucoma pts and shouldn't be taken with sleeping pills and antianxiety or antidepressant drugs. Takes 2 weeks to kick in and take at ni

6. Celsius= Farenheit .....?
Increased Blood sugar - increased Na - increased H20 - and increased BP.
Parnate
(F-32) divided by 1.8
Kayexelate

7. What is impt to know about Cozaar? (use - watch)
One
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.
(analgesic) 50-100 mg-8H
Garlic - Gingko - St. John's Wort - Black Cocash - ad Saw Palmento.

8. Is there any concern for a female who needs a test with dye/contrast and is considering pregnancy?
It is used for motion induced nausea and vomiting. Apply behind one ear at least 4 hours before traveling.
A normal dose is 5-10 mg and you must check for S&S of patient overdose.
Valium
No because the dye exits the body in one day!

9. What is important to know about Aspirin? (avoid - check - do not give w/).
25-27 gauge - 5/8 inch long - insert at 45 degrees.
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.
Aricept
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.

10. What is important to know about protonix? (use - SE)
NO!!!!!
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
It is an antigluacoma/diuretic med that is used to decrease the aqueaous humor caused by glaucoma.
Avoid milk and milk products (2 hrs prior to or after administration).

11. 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.
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.
One day
Parnate

12. What is an example of an antiinflammatory?
It is an H2 histamine antagonist receptor used to decrease HCL acid and can be taken before or with food.
Azulfidine
Danazol
(analgesic) 50-100 mg-8H

13. What is important to know about Lantus? (how take)
4 cups
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.
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 antibiotic in which you should avoid milk products and DO Not give to pregnant women.

14. What gauge and length needle is appropriate for a 2 inch tissue fold? Insertion angle?
25-27 gauge - 5/8 inch long - insert at 90 degree angle.
It is an H2 histamine antagonist receptor used to decrease GERD or heal/prevent ulcers. It can be taken with or without food.
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.
No bc they are made with potassium salt.

15. What is a normal adult dose of motrin?
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
Increased fiber - increased fluids - exercise. Not Colace.
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.
(analgesic) 600 mg Q6H

16. What is important to know about thorazine and stelazine? (use - teach - watch)
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
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.
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
Clozapine

17. What is a normal adult dose of digoxin?
It is a beta blocker (antihypertensive) used to treat angina and decrease BP. It increases oxygenation to the myocardium. SE includes hypotension.
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.
No bc they are made with potassium salt.
(cardiac med) .125- .250 mg QD

18. What 3 medications should be taken on an empty stomach (at least 1 hr before meal)?
Carafate - Penicillin - and Isoniazid (INH).
It is an herb used for PTSD - sleeping disorders - anxiety - restlessness - URI - and acne. Should not be used in glaucoma pts and shouldn't be taken with sleeping pills and antianxiety or antidepressant drugs. Takes 2 weeks to kick in and take at ni
It is a chemo agent. SE= N&V and decreased bone marrow function.
PrednisOne - CortisOne - and DexamethasOne.

19. What is an example of a cerebral stimulant?
Azulfidine
It is an antiemetic that is used to decrease N&V caused by chemo.
Ritalin
It is an ovulation suppressant used to treat endometriosis.

20. What food considerations should be made for a patient on tetracycline?
Avoid citrus foods - check for bleeding and tinnitus in ears - and DO Not give to kids.
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
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.
Avoid milk and milk products (2 hrs prior to or after administration).

21. What medication should be taken 30 minutes before a meal?
Reglan
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.
LASIX and Mannitol
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.

22. How do you know that Tegretol is working effectively for trigeminal neuralgia?

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23. What is important to know about Ritalin? (use - given to elderly - check)
Ipecac syrup
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
It is an ovulation stimulant used to increase fertility.
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.

24. What is important to know about Fluorocytosine/ 5 FU? (use - SE)
It is a chemo agent. SE= N&V and decreased bone marrow function.
(Psych med) 5-10 mg-6H
Pitressin/Vasopressin
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.

25. What 7 meds should alcohol be avoided while taking?
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.
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.
(cardiac med) 40-80 mg QD
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.

26. What is important to know about glucagon? (use)
It is an adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.
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 used to increase a patients glucose level in an emergency (severe hypoglycemia).
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)

27. What is the only diuretic that will pull fluid from the brain or the eyes?
(analgesic) 50-100 mg-8H
Mannitol
Codeine - Demerol - Percodan/Percocet - and Morphine.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.

28. What is important to know about Fosamax? (use - teach - SE)
Aqua Mephyton/Vitamin K - Niacin - Vitamin B6 - and Vitamin C
Avoid taking with (and up to 1 hour after) milk - eggs - coffee - or tea. Liquid iron should be added to water or juice and given through a straw to prevent stains.
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.
Just bc the patch is removed doesn't stop the drugs release into the bloodstream.

29. What are 4 examples of opiate analgesics?
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
Codeine - Demerol - Percodan/Percocet - and Morphine.
Aspirin (ASA) and Tylenol
BIAXIN - zithromax (aka z - max - z - pack - or zycam).

30. What is an example of an antifungal med?
Amphotericin B
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.
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.

31. What is impt to know about anafranil? (drug type)
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
Tricyclic antidepressant
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
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.

32. What is important to know about kayexelate? (time to work)
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.
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.
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
It is a potassium removing resin that takes 6-8 hours to work.

33. What is important to know about streptomycin? (check)
It is an antibiotic (aminoglycoside) in which you should check renal and ear function with medication administration.
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
An herb that has estrogen like effects and is used for menopause (HOT FLASHES) - menstrual cramps - and diarrhea.
It is a sulfa antibiotic and you should avoid Vit. C and sun with use. Fluids should be increased during use.

34. What is an example of an alcohol deterrent?
Antabuse
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!
INH - Vitamin B6 - and Rifampin
29.573 mls

35. What is important to know about prolixin? (use - teach)
It is an antipsychotic that is used to treat schizophrenia and psychotic symptoms. It lasts many weeks after being d/ced.
Gardasil
Atropine
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.

36. How many ounces in 1 pint?
16 ounces
Aspirin (incr. bleed) - Coumadin (incr. bleed) - Dilantin (seizure) - Flagyl - Isoniazid (INH) (liver damage) - tranquilizers (sedation) - and Tylenol.
Amphotericin B
(analgesic) 600 mg Q6H

37. What Is IMPORTANT TO Know ABOUT HALDOL?
Q3 days
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
Pregnancy - lactation - nonsmokers - serious arrhythmias - angina - vasospastic disease - active temporomandibular joint disease - and use in individuals less than 18 years of age.
Lantus

38. What is an example of a electrolyte/anticonvulsant/laxative?
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
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.
MAGNESIUM SULFATE
Calcitonin - Salmon

39. What is a normal adult dose of acetaminophen?
(analgesic) 650 mg QID
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 a reversible cholinesterase inhibitor used for alzheimer's. It should be taken at bedtime.
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)

40. What is impt to know about Dilantin? (level - SE - monitor - dont take w/).
2.0 ng/ml and up (therapeutic range is .5-1.9 ng)
Diamox
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
(cardiac med) .125- .250 mg QD

41. What are 4 examples of antibiotics?
Penicillin - Amoxicillin - Ampicillin - and Augmentin.
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.
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
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.

42. What is an example of a smooth muscle relaxer?
BRETHINE
They block beta receptors in the heart causing decr. HR - decr. force of contraction - and decr. rate of AV conduction.
Methergine
AKA losarten. It is an antihypertensive that is used to decrease BP. Watch for hypotension.

43. What is important to know about Azulfidine? (Use)
Nausea - Sleep disturbances - constipation - gas - and vomiting.
It is used to treat ulcerative colitis.
Chantix and Zyban
Mannitol

44. What is impt to know about amphojel? (base - SE - prevents?)
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
Synthroid
1 shot glass=1 oz
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.

45. What is an example of an antiviral?
Valtrex
Remove before bedtime - mild headaches are common - and don't use the patch to treat an anginal attack (they are used to prevent not treat).
Levodopa
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

46. What is an example of a bronchodilator/spasmolytic?
AMINOPHYLLINE (TheOPHYLLINE)
Valium
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.).
Glyset and Glyburide

47. Should grapefruit juice be used to give medication?
NO!!!
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
A patient with chronic renal failure and Addison's disease because potassium can harm them.
Zantac and Tagamet

48. What is important to know about streptokinase? (use - check)
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.
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.
Adjunct with behavioral modification in smokers wishing to give up the smoking habit.

49. What locations should be avoided when placing transdermal patches?

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50. What is impt to know about cardizem/calan? (use - action - SE)
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.
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 MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
Procardia