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CJE Pharmacology Review Comprehensive Study Guide Advanced Nursing Exam Prep Medication Classes and Clinical Applications

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This document provides a comprehensive pharmacology review focused on medication classifications, naming conventions, and key nursing considerations across major drug classes. It covers antibiotics, cardiovascular drugs, diuretics, psychotropics, respiratory medications, endocrine therapies, and antidotes. The guide also includes therapeutic ranges, side effects, contraindications, and critical safety interventions, making it highly relevant for exam preparation and clinical decision-making in advanced nursing practice.

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CJE PHARMACOLOGY REVIEW
COMPREHENSIVE
STUDY GUIDE

SECTION 1: DRUG CLASSIFICATIONS & NAMING CONVENTIONS



QUESTION 1

What are the major antibiotic/antibacterial medication classes and their naming conventions?

ANSWER

• Tetracyclines (-cycline): doxycycline, tetracycline
• Sulfonamides (sulf-): sulfasalazine
• Cephalosporins (-cef, ceph-): cefazolin, cephalexin
• Penicillins (-cillin): ampicillin, oxacillin
• Aminoglycosides/Macrolides (-micin, -mycin): gentamicin, erythromycin
• Fluoroquinolones (-floxacin): ciprofloxacin, levofloxacin

RATIONALE / EXPLANATION

Recognizing drug name patterns helps identify the drug class, mechanism, side effects, and
nursing considerations without memorizing individual drugs.



QUESTION 2

What are the antiviral medication classes and their naming conventions?

ANSWER

• Antiviral Undefined Group (vir-, -vir): oseltamivir, zanamivir
• Anti-Herpes Virus Agents (-clovir): acyclovir, famciclovir
• Protease Inhibitors (-navir): atazanavir, nelfinavir
• HIV/AIDS Antiretrovirals (-vudine): zidovudine, stavudine

RATIONALE / EXPLANATION

Antiviral naming patterns indicate the type of virus targeted. -clovir drugs target herpes viruses; -
navir and -vudine drugs are used for HIV treatment.




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,QUESTION 3

What are the anesthetic and anti-anxiety medication classes?

ANSWER

• Local Anesthetics (-caine): lidocaine, bupivacaine
• Barbiturates CNS Depressant (-barbital): amobarbital, secobarbital
• Benzodiazepines for Anxiety/Sedation (-zolam, -zepam): alprazolam,
lorazepam

RATIONALE / EXPLANATION

-caine drugs block nerve conduction locally. Barbiturates and benzodiazepines are CNS
depressants; benzos are safer and more commonly used today.



QUESTION 4

What are the antidepressant medication classes and their naming conventions?

ANSWER

• SSRIs (-oxetine, -talopram, -zodone): fluoxetine, escitalopram, vilazodone
• SNRIs/DNRIs (-faxine, -zodone, -nacipran): venlafaxine, nefazodone,
milnacipran
• Tricyclic Antidepressants TCAs (-triptyline, -pramine): amitriptyline,
clomipramine

RATIONALE / EXPLANATION

SSRIs are first-line for depression. TCAs are older with more side effects. All antidepressants
take weeks to work and require gradual tapering.



QUESTION 5

What are the analgesic/opioid medication classes?

ANSWER

• Opioids (-done, -one): oxycodone, hydromorphone, fentanyl, codeine
• NSAIDs (-profen): ibuprofen, fenoprofen
• Salicylates: aspirin
• Nonsalicylates: acetaminophen

RATIONALE / EXPLANATION

Opioids are CNS depressants for severe pain. NSAIDs and salicylates have anti-inflammatory


Page 2 of 35

,properties. Acetaminophen lacks anti-inflammatory effect but is safer for GI.



QUESTION 6

What are the upper and lower respiratory medication classes?

ANSWER

Upper Respiratory:
• H1 Antagonist Antihistamines (-tadine, -tirizine): loratadine, cetirizine
• Nasal Decongestants (-ephrine, -zoline): phenylephrine, oxymetazoline

Lower Respiratory:
• Beta2-Agonist Bronchodilators (-terol): albuterol, levalbuterol
• Xanthine Derivatives (-phylline): aminophylline
• Cholinergic Blockers (-tropium): tiotropium
• Leukotriene Modifiers (-lukast): montelukast

RATIONALE / EXPLANATION

-terol drugs (SABA/LABA) are bronchodilators for asthma/COPD. -tropium drugs block
parasympathetic activity to reduce secretions.



QUESTION 7

What are the GI and antidiabetic medication naming conventions?

ANSWER

GI Medications:
• H2 Blockers (-tidine): cimetidine, famotidine
• Proton Pump Inhibitors (-prazole): omeprazole, pantoprazole

Antidiabetic Medications:
• Thiazolidinediones (-glitazone): rosiglitazone, pioglitazone
• DPP-4 Inhibitors (-gliptin): sitagliptin, linagliptin

RATIONALE / EXPLANATION

PPIs are more potent acid suppressors than H2 blockers. -glitazone drugs improve insulin
sensitivity; -gliptin drugs enhance incretin hormones.




Page 3 of 35

, SECTION 2: CARDIAC & ANTIHYPERTENSIVE MEDICATIONS



QUESTION 8

What are the cardiac/antihypertensive medication classes and naming conventions?

ANSWER

• ACE inhibitors (-pril): enalapril, captopril
• Beta-blockers (-olol): metoprolol, nadolol
• ARBs (-sartan): losartan, olmesartan
• Calcium Channel Blockers (-pine, -amil): amlodipine, verapamil
• Vasopressin Antagonists (-vaptan): conivaptan, tolvaptan
• Alpha-1 Blockers (-osin): prazosin, doxazosin
• Loop Diuretics (-ide, -semide): furosemide, bumetanide
• Thiazide Diuretics (-thiazide): hydrochlorothiazide
• K+-Sparing Diuretics (-actone): spironolactone

RATIONALE / EXPLANATION

Multiple drug classes treat HTN through different mechanisms. Often combined for synergistic
effect and to minimize side effects.



QUESTION 9

What are the ACE inhibitor side effects and nursing considerations?

ANSWER

Uses: Hypertension and Heart Failure

Remember "ACE":
• A - Angioedema
• C - Cough (DRY)
• E - Elevated K+

Nursing Considerations:
• Monitor for swelling (angioedema is life-threatening)
• Monitor potassium levels

RATIONALE / EXPLANATION



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