1
NLN MEDICATION EXAM LATEST WITH ACTUAL
QUESTIONS AND CORRECT ANSWERS|100%
GUARANTEED TO PASS CONCEPTS|GRADED A+
•
Routes - Slowest to Fastest - (answers)Transdermal --> sub-q --> IM --> buccal -
-> inhalation --> IV
6 Rights of Medication Administration - (answers)1. Right Person
2. Right medication
3. Right dose
4. Right time
5. Right route
6. Right medication
3 Medication Checks - (answers)1. When removing medication from
drawer/cart/pixis
2. Before dispensing medication
3. After dispensing medication but before giving it
Allergic/Hypersensitivity Reactions - (answers)Immune response - not a side
effect
Determined by degree of sensitization of the immune system
Sensitivity can change over time
mild itching to severe rash to anaphylaxsis
Absorption - (answers)Process of incorporating drug into blood
, 2
Distribution - (answers)Movement of drugs through the body
Transport via blood to site of action
Metabolism - (answers)Ability to change a drug biologically from its original
form into a water-soluble form so it can be excreted by the kidneys
Excretion - (answers)Removal of drugs from the body
Agranulocytosis/Neutropenia/Agranulocytopenia - (answers)Acute decrease
int eh number of granulocytes/leukopenia (WBCs) in peripheral blood
Causes: treatment with broad spectrum penicillin, sulfonamides, or
cephalosporin; bone marrow transplant; chemotherapy; radiation
Generally impaired resulting from bone marrow depression by drugs and
chemicals or replacement by a neoplasm
Lymphadenopathy or lypmphadenitis may be prevalent
Could --> respiratory infection, ulceration of mouth, colon, high fever, or UTI
May be asymptomatic
Chelating Agents - (answers)A substance whose molecules can form several
bonds to a single metal ion
Involves oral administration or injection of Ethylene Diamine tetra Acetic Avide
may be used to treat hardening of the arteries, heart attack, stroke, arthritis,
and gangrene - removes excess calcium from body
Used for lead poisoning and hypercalcemia
Ethylenediaminetetraacetic Acid (EDTA) - (answers)Use in children with a lead
level between 45-70 micron/dL
Binds to lead in blood and excreted by bowel and kidney
, 3
May be toxic to the kidney - monitor urine output
Give IV - dose depends on weight of child, severity of poison
- Give q4h 5 days
- Second course may be needed if there is a rebound in blood level
Give oral and IV fluid to enhance excretion
Do not use with hypocalcemia or hypokalemia
Used to treat lead poisoning and hyperkalmeia
British AntiLeistie (BAL) - (answers)Do not give with iron supplement
Avoid in patients with plant allergy
Give IM
Treats poisoning with heavy metals (arsenic, gold, mercury)
Succimer (Chemer/Chemet) - (answers)Chemet = oral
Used to treat lead poisoning
Do not give in patient with encephalopathy
Epistaxis - (answers)Nose bleed
Posterior is more serious
D/t rupture of blood vessels within richly perfused nasal mucosa
Blood can come up through eye, or flow down into stomach --> n/v
Treatment: cauterization with silver nitrate, calcium alginate mesh, nasal cavity
packed with sterile dressing ribbon gauze, absorbent dressing or saline sprayed
into the nose
Ice pack to forehead or back of neck
pinch septum for 5 minutes
Do not pack nose with tissue or gauze
, 4
Half-life - (answers)Time it takes for a medication to lose 1/2 its
pharmacological or physiologic effect
Paradoxical Reaction - (answers)Response to drug that is the opposite of the
usual response
-teron - (answers)Androgens
-pril - (answers)ACE inhibitors
-pressin - (answers)Antidiuretic hormoens
-statin - (answers)Antilipidemic
-vir - (answers)Antiviral
-pam - (answers)Benzodiazepines (mostly)
-lol - (answers)eta Blockers
-pine - (answers)Calcium Channel Blockers
Diltiazem (Caridzem) - (answers)Calcium Channel Blocker - exception
Verapamil (Isoptin) - (answers)Calcium Channel Blocker - exception
NLN MEDICATION EXAM LATEST WITH ACTUAL
QUESTIONS AND CORRECT ANSWERS|100%
GUARANTEED TO PASS CONCEPTS|GRADED A+
•
Routes - Slowest to Fastest - (answers)Transdermal --> sub-q --> IM --> buccal -
-> inhalation --> IV
6 Rights of Medication Administration - (answers)1. Right Person
2. Right medication
3. Right dose
4. Right time
5. Right route
6. Right medication
3 Medication Checks - (answers)1. When removing medication from
drawer/cart/pixis
2. Before dispensing medication
3. After dispensing medication but before giving it
Allergic/Hypersensitivity Reactions - (answers)Immune response - not a side
effect
Determined by degree of sensitization of the immune system
Sensitivity can change over time
mild itching to severe rash to anaphylaxsis
Absorption - (answers)Process of incorporating drug into blood
, 2
Distribution - (answers)Movement of drugs through the body
Transport via blood to site of action
Metabolism - (answers)Ability to change a drug biologically from its original
form into a water-soluble form so it can be excreted by the kidneys
Excretion - (answers)Removal of drugs from the body
Agranulocytosis/Neutropenia/Agranulocytopenia - (answers)Acute decrease
int eh number of granulocytes/leukopenia (WBCs) in peripheral blood
Causes: treatment with broad spectrum penicillin, sulfonamides, or
cephalosporin; bone marrow transplant; chemotherapy; radiation
Generally impaired resulting from bone marrow depression by drugs and
chemicals or replacement by a neoplasm
Lymphadenopathy or lypmphadenitis may be prevalent
Could --> respiratory infection, ulceration of mouth, colon, high fever, or UTI
May be asymptomatic
Chelating Agents - (answers)A substance whose molecules can form several
bonds to a single metal ion
Involves oral administration or injection of Ethylene Diamine tetra Acetic Avide
may be used to treat hardening of the arteries, heart attack, stroke, arthritis,
and gangrene - removes excess calcium from body
Used for lead poisoning and hypercalcemia
Ethylenediaminetetraacetic Acid (EDTA) - (answers)Use in children with a lead
level between 45-70 micron/dL
Binds to lead in blood and excreted by bowel and kidney
, 3
May be toxic to the kidney - monitor urine output
Give IV - dose depends on weight of child, severity of poison
- Give q4h 5 days
- Second course may be needed if there is a rebound in blood level
Give oral and IV fluid to enhance excretion
Do not use with hypocalcemia or hypokalemia
Used to treat lead poisoning and hyperkalmeia
British AntiLeistie (BAL) - (answers)Do not give with iron supplement
Avoid in patients with plant allergy
Give IM
Treats poisoning with heavy metals (arsenic, gold, mercury)
Succimer (Chemer/Chemet) - (answers)Chemet = oral
Used to treat lead poisoning
Do not give in patient with encephalopathy
Epistaxis - (answers)Nose bleed
Posterior is more serious
D/t rupture of blood vessels within richly perfused nasal mucosa
Blood can come up through eye, or flow down into stomach --> n/v
Treatment: cauterization with silver nitrate, calcium alginate mesh, nasal cavity
packed with sterile dressing ribbon gauze, absorbent dressing or saline sprayed
into the nose
Ice pack to forehead or back of neck
pinch septum for 5 minutes
Do not pack nose with tissue or gauze
, 4
Half-life - (answers)Time it takes for a medication to lose 1/2 its
pharmacological or physiologic effect
Paradoxical Reaction - (answers)Response to drug that is the opposite of the
usual response
-teron - (answers)Androgens
-pril - (answers)ACE inhibitors
-pressin - (answers)Antidiuretic hormoens
-statin - (answers)Antilipidemic
-vir - (answers)Antiviral
-pam - (answers)Benzodiazepines (mostly)
-lol - (answers)eta Blockers
-pine - (answers)Calcium Channel Blockers
Diltiazem (Caridzem) - (answers)Calcium Channel Blocker - exception
Verapamil (Isoptin) - (answers)Calcium Channel Blocker - exception
