NCLEX Pharmacology- Medications:
Kaplan -NCLEX RN- Exam with
Guaranteed Pass Solutions 2026 Set.
Clozapine - Answer Class: Atypical Antipsychotic
Use: schizophrenia
Adverse effect: ECG changes - QT prolongation
Nursing considerations: leukopenia (weekly WBC checks), weight gain, drowsiness
Colchicine - Answer anti-inflammatory
treatment for gout
Allopurinol - Answer Uric acid reducer
treatment for gout and kidney stones
NSAIDS - Answer ibuprofen
Watch for interactions with the four "G's"
increases risk of bleeding
ginkgo
garlic
ginger
ginseng
Psyllium hydrophilic mucilloid - Answer laxative
bulk-forming
safest laxative
increases water absorption or retention within the stool
Docusate sodium - Answer laxative
,emollient laxative of the fecal-softener type
could result in dependency
bowel damage
electrolyte imbalance
Magnesium hydroxide - Answer laxative
saline laxative
hypertonic and works osmotically by drawing water into the intestine and surrounding tissues
stool consistency is affected becoming watery
bowel distention causes perstalsis
chronic use = electrolyte imbalance and dependency
Bisacodyl - Answer laxative
Stimulant laxative
causes an irritation via nerve stimulation directly on intestine wall
Black Cohosh - Answer herb
useful with menopausal symptoms but interaction with antihypertensive drugs causing
hypotension
Isoprotenerol - Answer beta 1 and beta 2 adrenergic receptors
used for bradycardia, torsades de points, beta blocker toxicity (too much of beta blockers lowers
heart rate)
given after maximum dose of atropine given
Adverse effects: raises heart rate so tachycardia, angina, bronchial asthma, pulmonary edema
Norepinephrine - Answer vasoconstrictor
,used for severe hypotension or cardiogenic shock
NEVER GIVE A CONSTRICTOR TO A DRY HEART, give blood or fluid before giving
Infuse with dextrose solution, not saline
Monitor bp and heart rate
protect from light
Adverse effects: reflex hypotension or bradycardia (need to taper off)
Dopamine - Answer vasoconstrictor
used in renal failure and shock
NEVER GIVE A CONSTRICTOR TO A DRY HEART, give blood or fluid before giving
Adverse effects: reflex hypotension or bradycardia (need to taper off)
Do NOT give with sodium bicarb in same IV line, bicarb will deactivate dopamine
Epinephrine - Answer non-selctive adrenergic agonist
stimulates alpha and beta adrenergic receptors
used for anaphylaxis and used for vfib, asystole, PEA
causes bronchodilation, vasoconstriction
Adverse effects: just like having an adrenilane rush so patient can be very jittery, irritable,
fearful, tachycardia, dysrythmias, hypertension
Diphenhydramine - Answer antihistamine
given in conjuction with epinephrine to treat anaphylactic shock
, will address tissue induced histamine and skin pruitis
IM or IV for shock
Dobutamine - Answer beta 1 - adrenergic agonist
increases force of contraction of heart
improved cardiac output
increases heart rate
Andrenergics Med Names - Answer Norepinephrine, Phenyl (tissue necrosis if it leaks into
tissue out of IV), Dopamine (tissue necrosis if it leaks into tissue out of IV,
Do NOT give with sodium bicarb in same IV line), Epinephrine (given during vfib or PEA),
Dobutamine, Isoproterenol
Andrenergics Actions - Answer Stimulates Beta-2 Receptors in Lungs (causes brochodilation)
Andrenergics Uses - Answer COPD, Cardiac Arrest
Andrenergics Side Effects - Answer Dysrhythmias, Tremors, Anticholinergic Effects (dry
mouth, urinary retention), Hypertension, Hypotension
Andrenergics Nursing Considerations - Answer Monitor B/P, Monitor Peripheral Pluses, Check
Output, use IV infusion pumps
Antianxiety Med Names - Answer Pams and Lams, Chlordiazepoxide (short term), Buspirone
(long term), Hydroxyzine (long term), Meprobamate (anxiolytics nonbenzos) (herbals:) kava,
melatonin
Antianxiety Actions - Answer affect neurotransmitters (CNS depressent)
Antianxiety Uses - Answer anxiety disorders, manic episodes, panic attacks
Antianxiety Side Effects - Answer Sedation (no driving), confusion, hepatic dysfunction
Kaplan -NCLEX RN- Exam with
Guaranteed Pass Solutions 2026 Set.
Clozapine - Answer Class: Atypical Antipsychotic
Use: schizophrenia
Adverse effect: ECG changes - QT prolongation
Nursing considerations: leukopenia (weekly WBC checks), weight gain, drowsiness
Colchicine - Answer anti-inflammatory
treatment for gout
Allopurinol - Answer Uric acid reducer
treatment for gout and kidney stones
NSAIDS - Answer ibuprofen
Watch for interactions with the four "G's"
increases risk of bleeding
ginkgo
garlic
ginger
ginseng
Psyllium hydrophilic mucilloid - Answer laxative
bulk-forming
safest laxative
increases water absorption or retention within the stool
Docusate sodium - Answer laxative
,emollient laxative of the fecal-softener type
could result in dependency
bowel damage
electrolyte imbalance
Magnesium hydroxide - Answer laxative
saline laxative
hypertonic and works osmotically by drawing water into the intestine and surrounding tissues
stool consistency is affected becoming watery
bowel distention causes perstalsis
chronic use = electrolyte imbalance and dependency
Bisacodyl - Answer laxative
Stimulant laxative
causes an irritation via nerve stimulation directly on intestine wall
Black Cohosh - Answer herb
useful with menopausal symptoms but interaction with antihypertensive drugs causing
hypotension
Isoprotenerol - Answer beta 1 and beta 2 adrenergic receptors
used for bradycardia, torsades de points, beta blocker toxicity (too much of beta blockers lowers
heart rate)
given after maximum dose of atropine given
Adverse effects: raises heart rate so tachycardia, angina, bronchial asthma, pulmonary edema
Norepinephrine - Answer vasoconstrictor
,used for severe hypotension or cardiogenic shock
NEVER GIVE A CONSTRICTOR TO A DRY HEART, give blood or fluid before giving
Infuse with dextrose solution, not saline
Monitor bp and heart rate
protect from light
Adverse effects: reflex hypotension or bradycardia (need to taper off)
Dopamine - Answer vasoconstrictor
used in renal failure and shock
NEVER GIVE A CONSTRICTOR TO A DRY HEART, give blood or fluid before giving
Adverse effects: reflex hypotension or bradycardia (need to taper off)
Do NOT give with sodium bicarb in same IV line, bicarb will deactivate dopamine
Epinephrine - Answer non-selctive adrenergic agonist
stimulates alpha and beta adrenergic receptors
used for anaphylaxis and used for vfib, asystole, PEA
causes bronchodilation, vasoconstriction
Adverse effects: just like having an adrenilane rush so patient can be very jittery, irritable,
fearful, tachycardia, dysrythmias, hypertension
Diphenhydramine - Answer antihistamine
given in conjuction with epinephrine to treat anaphylactic shock
, will address tissue induced histamine and skin pruitis
IM or IV for shock
Dobutamine - Answer beta 1 - adrenergic agonist
increases force of contraction of heart
improved cardiac output
increases heart rate
Andrenergics Med Names - Answer Norepinephrine, Phenyl (tissue necrosis if it leaks into
tissue out of IV), Dopamine (tissue necrosis if it leaks into tissue out of IV,
Do NOT give with sodium bicarb in same IV line), Epinephrine (given during vfib or PEA),
Dobutamine, Isoproterenol
Andrenergics Actions - Answer Stimulates Beta-2 Receptors in Lungs (causes brochodilation)
Andrenergics Uses - Answer COPD, Cardiac Arrest
Andrenergics Side Effects - Answer Dysrhythmias, Tremors, Anticholinergic Effects (dry
mouth, urinary retention), Hypertension, Hypotension
Andrenergics Nursing Considerations - Answer Monitor B/P, Monitor Peripheral Pluses, Check
Output, use IV infusion pumps
Antianxiety Med Names - Answer Pams and Lams, Chlordiazepoxide (short term), Buspirone
(long term), Hydroxyzine (long term), Meprobamate (anxiolytics nonbenzos) (herbals:) kava,
melatonin
Antianxiety Actions - Answer affect neurotransmitters (CNS depressent)
Antianxiety Uses - Answer anxiety disorders, manic episodes, panic attacks
Antianxiety Side Effects - Answer Sedation (no driving), confusion, hepatic dysfunction
