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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 Flomax? (Use - SE - Teach - dont take with).
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
Advil - Aspirin - Feldene - Motrin - Naprosyn (Naproxen) - steroids - NSAIDs and Tagamet.
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
Persantine and Plavix

2. What is an example of a med used to increase sugar?
Calcitonin - Salmon
No bc they are made with potassium salt.
'Mycin' drugs so Gentamicin and Streptomycin
Glucagon

3. What are 2 types of SSRI antidepressants?
(cardiac med) 2.5-10 mg
Protonix
Paxil and Prozac/fluoxetine
It is an ovulation stimulant used to increase fertility.

4. What are 2 examples of H2 Histamine Antagonist Receptors?
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
Zantac and Tagamet
(analgesic) 650 mg QID
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.

5. What is an example of a proton pump inhibitor?
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.
Protonix
They are electrolytes. Check I&O - serum creatinine - and abnormal pulse (if IV runs too fast).
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

6. What is important to know about coumadin? (normal lab - not consume - antidote)
MOTRIN - Feldene - Indomethocin - and Advil.
Vitamin K counteracts its effect. PT level should be 1 1/2 to 2 1/2 times normal value =expected (< 1 1/2 = increased clotting - > 2 1/2= hemorrhage). DO Not consume large amounts of salad ginkgo or garlic while on.
Avandia
It is an antipsychotic/neuroleptic. Check labs & agranulocytosis. Watch for infection.

7. What is important to know about thorazine and stelazine? (use - teach - watch)
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.
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.
Iron
AZT/Retrovir and Norvir

8. What is impt to know about Dilantin? (level - SE - monitor - dont take w/).
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 emetic used to induce vomiting. The patient must be awake and it should not be given with milk or carbonated beverages.
It is an antiemetic that slows emptying of the stomach and should be taken before meals.
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

9. If a person is prescribed lasix - streptomycin - and morphine and you go into give them there medication and they can't hear you tell them what meds you are giving. Which med should be stopped?
It is heparin like. The injection should be given in the abdomen and isn't massaged.
Administer irritating meds - aspirate after inserting the needle - and DONT MASSAGE The SITE (can cause tissue damage and rapid absorption).
Consume foods high in potassium: chocolate - broccoli - potatoes - fruits and veggies - and nuts.
The streptomycin bc aminoglycosides can cause hearing loss (ototoxicity)

10. What is important to know about gentamicin? (SE - Check - Do not take w/).
It is an antibiotic (aminoglycoside) in which SE include ototoxicity - nephrotoxicity - and vertigo. Check I&O & serum creatinine. DO Not give to patients with chronic renal failure.
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 adrenergic medication used to relieve sinus congestion. The toxic effects of this medication are insomnia and hyperactivity.
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.

11. What is an example of an antiviral/antiparkinsonian?
Pitressin/Vasopressin
Symmetrel
25-27 gauge - 5/8 inch long - insert at 45 degrees.
It is a bronchodilator used to prevent asthma attacks and prophylaxis.

12. What is impt to know about imdur (isosorbide)? (use - watch for).
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.
They are antianginals/vasodilators that are used when chest pain is present. Watch for HYPOTENSION.
It is an antifungal medication and creatinine and output should be checked when administered.
Q3 days

13. What is Garlic and it's uses?

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14. How many pounds in 1 kilogram?
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 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
2.2046 pounds
2 pints

15. What is important to know about Azulfidine? (Use)
(cardiac med) 40-80 mg QD
It is an antiviral used to treat herpes. It is toxic to the kidneys
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.
It is used to treat ulcerative colitis.

16. What is an example of a cardiac glycoside/antidysrhythmic?
Do smoke while wearing and don't apply to breast.
DIGOXIN
It is a hemantinic that should be taken with vitamin C to help with absorption. SE includes false positive for blood in stool.
Avoid drastic changes in vitamin K consumption: beef liver - broccoli - brussels - cabbage - collard greens - leafy veggies - kale - spinach - turnip greens - and soybean oil.

17. What is an example of a laxative/ ammonia detoxicant?
Calcitonin - Salmon
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.
Lactalose
They are antipsychotic meds used for psychotic disorders - nonpsychotic anxiety - and schizos. USE sunscreen. Watch for tardive dyskinesia.

18. What Is IMPORTANT TO Know ABOUT AMINOPHYLLINE (TheOPHYLLINE)? (norm level - avoid - give with care to - toxicity S&S).
Carafate
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.
They are used to stop smoking. Know Teaching. SE include N&V - sleep disturbances - constipation - gas - depressed mood - or suicidal thoughts.
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.

19. What must you watch for when on corticosteroids?
AMINOPHYLLINE (TheOPHYLLINE)
2.0 mEq/L and up (therapeutic range is .5-1.5 mEq)
Infection!!!
(analgesic) 650 mg QID

20. hat is an example of a biologic modifier?
Potassium chloride and potassium
Neupogen
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 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.).

21. What is a normal adult dose of motrin?
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
(analgesic) 600 mg Q6H
'Mycin' drugs so Gentamicin and Streptomycin
It is a biologic modifier that improves a persons immune system so that they may have less infections.

22. What is an example of an ovulation stimulant?
454 grams
Clomid
Aspirin (ASA) and Tylenol
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.

23. What is an example of antithyroid?
It is an antipsychotic used to treat schizophrenia symptoms . Check BP lying and standing.
Propylthiouracil/PTU
Glyset and Glyburide
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.

24. What is an example of an antifungal med?
Do smoke while wearing and don't apply to breast.
Imdur (Isosorbide)
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.
Amphotericin B

25. Can digoxin and epinephrine given together?
Codeine - Demerol - Percodan/Percocet - and Morphine.
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 MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
No because they have opposing actions and would cancel each other out.

26. What are 2 examples of tricyclic antidepressants?
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.
25-27 gauge - 5/8 inch long - insert at 45 degrees.
Anafranil and elavil
It is an ovulation suppressant used to treat endometriosis.

27. How many cups in 1 pint?
It is an MAOI used to treat depression. Watch for aged food (cheese - wine - etc.)
2 cups
NO!!!!!
Pancrealipase/viokase

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

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29. What do steroid names end in?
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.
FENTANYL: pain relief - LIDOCAINE: relief of neuropathic pain with neuralgia - NICOTINE: smoking cessation aid - and NITROGLYCERIN: angina prevention.
Amphotericin B
One

30. What Is IMPORTANT TO Know ABOUT LASIX? (use - check - lasts - considerations - Do Not give to)
16 ounces
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.
Prostigmin
Coumadin and Heparin

31. What do beta blocker names end in?
OLOL
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.
Pryidium
Imdur (Isosorbide)

32. What is important to know about zyprexa? (use - check - contraindication - SE - teach)
Kayexelate
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 NSAID. The MAX DOSE is 2400 mg/24 hours.
No because they have opposing actions and would cancel each other out.

33. What is important to know about lidocaine? (use)
Antabuse
Acutane
2 #3 tylenols because it contains the same amount of codeine.
It is an antidysrhythmic that is the drug of choice for dysrhythmias.

34. What is an example of an adrenergic blocker?
Persantine and Plavix
Flomax
Clozapine
A Vitamin given IM to babies. Do not give with coumadin. Give IM bc IV will cause shock.

35. What is an example of an antipsychotic/antimanic?
Nitroglycerin
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.
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
LITHIUM

36. What is important to know about INH - Vitamin B6 - and Rifampin? (Pregnant women?)
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).
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
10 am (midmorning)
They are TB medications. They are okay to take while pregnant.

37. 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 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 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.

38. What is important to know about Fosamax? (use - teach - SE)
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.
Ototoxicity (hearing loss may be irreversible) and Nephrotoxicity (oliguria may lead to kidney damage).
2 cups
Places that are prone to friction (waistline) - breasts (for patches containing estrogen or nicotine) - and try to avoid hairy areas (if you must don't shave just clip the hair close to the skin).

39. What is a toxic level of dilantin?
It is a protectant/antiulcer. It should be given on an empty stomach one hour before food.
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
20 mcg/ml and up (therapeutic range is 10-19.9 mcg)
It is used for hypertension. Apply to upper outer arm or chest for 7 days and don't stop treatment abruptly.

40. Can an LPN administer all medications?
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.
No. They can administer all but IV meds. It is understood that the RN will cover those IV meds for the LPNs patients.
It is a proton pump inhibitor that is used for GERD. SE includes watching for loose skin.
Zofran and Reglan

41. What is important to know about Pryidium? (use)
It is a hormone used to stimulate bone barrow to make RBCs. Outcome= patient has decreased SOB and color is better.
It is used to decrease S&S of UTI. Should be d/ced when S&S are gone.
16 ounces
They are TB medications. They are okay to take while pregnant.

42. What is important to know about BIAXIN? (USE)
It is an erythromycin antibiotic that is used to decrease HELICOBACTER PYLORI and for gastric ulcer treatment.
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 an ovulation stimulant used to increase fertility.
In patient taking cholesterol lowering meds because they decrease absorption of vitamins ADE&K.

43. What is important to know about Ritalin? (use - given to elderly - check)
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
Nifedinpine (procardia) - Verapamil - and Toprol (metoprolol/lopressor).
It is a cerebral stimulant used for ADD patient to decrease activity. When given to elderly will increase activity level. Check CBC.
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.).

44. What is important to know about persantine and plavix? (contraindications)
20 mcg/ml and up (therapeutic range is 10-15).
They are antiplatelet drugs. DO Not give with GARLIC or coumadin and never take the two together or with ASA.
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.
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.

45. What are 2 examples of an antiplatelet?
Persantine and Plavix
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 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.
Pitressin/Vasopressin

46. What Is IMPORTANT TO Know ABOUT MOTRIN? (max dose)
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
It is an NSAID. The MAX DOSE is 2400 mg/24 hours.
Gram (ex: pyelogram)
OLOL

47. What are the side effects of beta blockers?
They are beta blockers (antihypertensives) used to decrease BP. Monitor for hypotension.
Antabuse
BRADYCARDIA (CHECK PULSE BEFORE And AFTER ADMINISTRATION) - lethargy - GI disturbance - CHF - decr. BP - and depression.
Levodopa

48. What is impt to know about neurontin? (Use)
Fluorocytosine/5 FU
Places that are prone to friction (waistline) - breasts (for patches containing estrogen or nicotine) - and try to avoid hairy areas (if you must don't shave just clip the hair close to the skin).
It is an anticonvulsant that is used to prevent seizures and decrease pain of neuropathy.
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.

49. What is important to know about Acutane? (use - teach - SE)
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
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.
Amphotericin B
0.5-1 ml

50. What is an example of an MAOI?
It is an antibiotic (aminoglycoside) in which SE include ototoxicity - nephrotoxicity - and vertigo. Check I&O & serum creatinine. DO Not give to patients with chronic renal failure.
2.2046 pounds
Parnate
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.