Comprehensive Predictor/NCLEX Study
Guide with common meds, PN NCLEX
Study Guide
Heart failure is treated with ______. - ANS-Digoxin The client should have their toxicity closely
monitored. ______ may be given for antidepressant induced insomnia. - ANS-Trazadone
-afil: - ANS-Category: Erectile dysfunction
Ex: •sildenafil •tadalafil •vardenafil
Use: Sexual dysfunction (erectile)
Adverse effects: •Hypotension •Priapism (erection 4+ hr) •Vision impairment •Hearing loss
•Headache •Flushing
Pt teaching: •Take 1 hr before sex •Do not use more than once daily •Notify provider of all meds
currently on, including herbal •Stop taking med & notify prescriber immediately for priapism or
any loss of vision
-artan - ANS-Category: Angiotnesin II receptor blockers (ARBS)
Ex: •losartan •valsartan
Use: •Hypertension •HF •MI
Adverse effects: •Hypotension •Angioedema
Pt teaching: •Get up slowly •Avoid standing for long periods of time
NI: •Monitor BP •If angioedema occurs, give epi 0.5 mL if 1:1,000 solution subq
-azine: - ANS-Category: Antiemetic
For instance, propecia Use: •Reduce N&V •Post op •N/V associated w/ a dx process
Drowsiness, anticholinergic effects, severe respiratory depression in children under the age of
two, and extrapyramidal side effects (EPS) are some of the side effects. Pt teaching: •
NI:
Diphenhydramine: ANS-Category: Calcium channel blocker Ex: •nifedipine •amlodipine
Use: •Angina •Hypertension •Reflex tachycardia
Adverse effects: •Constipation •Peripheral edema •Toxicity
Pt teaching: •Don't consume grapefruit juice •Contraindicated with HF, heart block, or
bradycardia •Use cautiously with digoxin & beta blockers
NI: •Hold if BP less than 90/60 •Do not crush or chew sustained-release •Give IV over 2-3 min
•Slowly taper dose if discontinuing •Monitor HR & BP
-olol: - ANS-Category: Beta blocker
Ex: •metoprolol •atenolol •propranolol
Use: •Hypertension •Angina •Tachydysrhythmias •HF •MI
Adverse effects: •Bradycardia •Stuffy nose •AV block •Bronchospasm
Pt teaching: •Change positions slowly •Don't stop abruptly •Do not crush or chew XR
, NI: •Hold if BP <100 mm Hg or HR <60/min •Monitor DM pt's for hypoglycemia w/ propranolol
•Do not give non-selective (propranolol) to pt w/ asthma, bronchospasm, or HF
-pam, -lam: - ANS-Category: Benzodiazepine
Ex: •alprazolam •diazepam •lorazepam •chlordiazepam
Use: •GAD •Insomnia •Alcohol withdrawal
Adverse effects: •CNS depression •Paradoxical response (insomnia, excitation, euphoria)
•Withdrawal symptoms •Risk of abuse & potental for overdose
• Never abruptly stop taking your medication • Avoid alcohol NI: •Monitor vital signs & for
side/adverse effects
prazole: ANS-Category: Proton pump inhibitor Ex: •omeprazole •esomeprazole
Use: •Gerd •Gastric & duodenal ulcers
Adverse effects: •Can increase risk for osteoporosis with long-term use, pneumonia in pt's with
COPD, & acid rebound
Pt teaching: •Seek appropriate care (many take OTC) •Take AC •It decreases vitamin c & b12
•Do not crush, chew, or break tablets •Notify prescriber of any GI bleeding •Modify diet as
prescribed
NI: •Review medication regimen and reinforce teaching about precautions r/t time of
administration
-pril: - ANS-Category: ACE inhibitor
Ex: •lisinopril •enalapril •captopril
Use: •Hypertension •HF •MI
Adverse effects: •Persistent non-productive cough •Angioedema •Hypotension
Pt teaching: •Do not use in 2nd or 3rd trimester of pregnancy •Take captopril 1hr before meals
•Take same time everyday
NI: •Monitor BP •If angiodema occurs, give epi 0.5 mL of 1:1,000 solution subq
1 cup = ___ oz - ANS-8
1 oz = ___ mL - ANS-30
1 pint = ____ cups - ANS-2
1 quart = ____ pints - ANS-2
1 tbsp = _____ tsp = _____ mL - ANS-3 tsp, 15 mL
1 tsp equals _____ mL, ANS-5 A client is prescribed oral _____ for pain control. -
ANS-hydrocodone/acetaminophen
A client who has asthma is instructed to take ______ two hours before exercising to prevent
bronchospasms. - ANS-montelukast
A client who has atrial fibrillation is prescribed ______ to prevent thrombosis. - ANS-warfarin
A client who has epilepsy takes ______. Therapeutic levels of this medication should be
maintained between 10-20 mcg/mL. - ANS-phenytoin
A client who has muscle spasms is prescribed ______. - ANS-cyclobenzaprine
A client who has paroxysmal supraventricular tachycardia received an IV dysrhythmic, ______.
- ANS-adenosine
A man who has urinary hesitation and dysuria is prescribed ___________ to relieve these
symptoms of benign prostatic hyperplasia (BPH). - ANS-dutasteride
A significant risk associated with clozapine (Clozaril) administration is: - ANS-Blood dyscrasia
(disorders of the blood)
, A woman who has a trichomoniasis infection takes ___________. it is important that she refrain
from drinking alcohol during treatment. - ANS-metronidazole
Acute hemolytic blood transfusion reaction: - ANS-•Can be mild or life-threatening •Low back
pain, chills, fever •Circulatory collapse •Kindey failure •DIC •Shock, death
acyclovir (Zovirax) - ANS-antiviral
acyclovir adverse effects? - ANS-N&V, diarrhea, acute renal failure
Addison's dx s/s: - ANS-bronzelike skin pigmentation
Adverse effects of adverse effects (nitroglycerin)? - ANS-•Headache •Orthostatic hypotension
•Reflex tachycardia
•Tolerance
Adverse effects of cardiac glycosides (digoxin)? - ANS-•GI symptoms •Cardiac dysrhythmias
•Visual disturbances
Adverse effects of haloperidol (Haldol) administration include: - ANS-drowsiness; insomnia;
weakness; headache; and extrapyramidal symptoms, such as akathisia, tardive dyskinesia, and
dystonia.
Airborne precautions: - ANS-M - Measles
T - TB
V - Varicella (Chickenpox)
Private room; Negative air pressure, with 6-12 air exchanges/hr, mask, N95 for TB; Mask must
be worn when leaving leaving the room which pt has herpes zoster (disseminated)
- ANS-4-36 IU/L alanine aminotransferase (ALT) Albumin (blood administration) info: -
ANS-May be given to treat: Burns
Best lab to monitor: Albumin
Normal range: 3.5 to 5 g/dL
Albumin: - ANS-3.5-5.0 g/dL
ANS-beta-2 bronchodilator, albuterol (Proventil HFA) alendronate (Fosamax) -
ANS-biophosphonate that alters bone formation
Alkaline Phosphatase (ALP): - ANS-30-120 units/L (Higher in children)
allopurinol (Zyloprim) - ANS-used in gout
Always check for ______ before administering antibiotics. - ANS-allergies
amiodarone: - ANS-Antidysrhythmic
Uses: a-fib; v-fib; v-tachycardia
SE: lung damage; heart failure; liver & thyroid toxicity
amlodipine (Norvasc) - ANS-calcium channel blocker used for hypertension
Ammonia: - ANS-10-80 mcg/dL
Anaphylactic blood transfusion reaction: - ANS-•Wheezing, dyspnea •Chest tightness
•Cyanosis •Hypotension
Angina: - ANS-Crushing stubbing pain relieved by NTG
Ankle/Wrist restraint: - ANS-Immobilizes an extremity and may protect client from a fall
Antidote for acetaminophen(Tylenol; Paracetamol): - ANS-acetylcysteine (Mucomyst)
Antidote for anticholinergics, diphenhydramine, dimenhydrinate: - ANS-Physostigmine
Antidote for anticholinesterase: - ANS-atrophine sulfate or pralidoxime
Antidote for antifreeze: - ANS-Fomepizole, Ethanol
Antidote for arsenic, mercury, lead, and gold poisoning: - ANS-D-Penicillamine (Cuprimine)
Guide with common meds, PN NCLEX
Study Guide
Heart failure is treated with ______. - ANS-Digoxin The client should have their toxicity closely
monitored. ______ may be given for antidepressant induced insomnia. - ANS-Trazadone
-afil: - ANS-Category: Erectile dysfunction
Ex: •sildenafil •tadalafil •vardenafil
Use: Sexual dysfunction (erectile)
Adverse effects: •Hypotension •Priapism (erection 4+ hr) •Vision impairment •Hearing loss
•Headache •Flushing
Pt teaching: •Take 1 hr before sex •Do not use more than once daily •Notify provider of all meds
currently on, including herbal •Stop taking med & notify prescriber immediately for priapism or
any loss of vision
-artan - ANS-Category: Angiotnesin II receptor blockers (ARBS)
Ex: •losartan •valsartan
Use: •Hypertension •HF •MI
Adverse effects: •Hypotension •Angioedema
Pt teaching: •Get up slowly •Avoid standing for long periods of time
NI: •Monitor BP •If angioedema occurs, give epi 0.5 mL if 1:1,000 solution subq
-azine: - ANS-Category: Antiemetic
For instance, propecia Use: •Reduce N&V •Post op •N/V associated w/ a dx process
Drowsiness, anticholinergic effects, severe respiratory depression in children under the age of
two, and extrapyramidal side effects (EPS) are some of the side effects. Pt teaching: •
NI:
Diphenhydramine: ANS-Category: Calcium channel blocker Ex: •nifedipine •amlodipine
Use: •Angina •Hypertension •Reflex tachycardia
Adverse effects: •Constipation •Peripheral edema •Toxicity
Pt teaching: •Don't consume grapefruit juice •Contraindicated with HF, heart block, or
bradycardia •Use cautiously with digoxin & beta blockers
NI: •Hold if BP less than 90/60 •Do not crush or chew sustained-release •Give IV over 2-3 min
•Slowly taper dose if discontinuing •Monitor HR & BP
-olol: - ANS-Category: Beta blocker
Ex: •metoprolol •atenolol •propranolol
Use: •Hypertension •Angina •Tachydysrhythmias •HF •MI
Adverse effects: •Bradycardia •Stuffy nose •AV block •Bronchospasm
Pt teaching: •Change positions slowly •Don't stop abruptly •Do not crush or chew XR
, NI: •Hold if BP <100 mm Hg or HR <60/min •Monitor DM pt's for hypoglycemia w/ propranolol
•Do not give non-selective (propranolol) to pt w/ asthma, bronchospasm, or HF
-pam, -lam: - ANS-Category: Benzodiazepine
Ex: •alprazolam •diazepam •lorazepam •chlordiazepam
Use: •GAD •Insomnia •Alcohol withdrawal
Adverse effects: •CNS depression •Paradoxical response (insomnia, excitation, euphoria)
•Withdrawal symptoms •Risk of abuse & potental for overdose
• Never abruptly stop taking your medication • Avoid alcohol NI: •Monitor vital signs & for
side/adverse effects
prazole: ANS-Category: Proton pump inhibitor Ex: •omeprazole •esomeprazole
Use: •Gerd •Gastric & duodenal ulcers
Adverse effects: •Can increase risk for osteoporosis with long-term use, pneumonia in pt's with
COPD, & acid rebound
Pt teaching: •Seek appropriate care (many take OTC) •Take AC •It decreases vitamin c & b12
•Do not crush, chew, or break tablets •Notify prescriber of any GI bleeding •Modify diet as
prescribed
NI: •Review medication regimen and reinforce teaching about precautions r/t time of
administration
-pril: - ANS-Category: ACE inhibitor
Ex: •lisinopril •enalapril •captopril
Use: •Hypertension •HF •MI
Adverse effects: •Persistent non-productive cough •Angioedema •Hypotension
Pt teaching: •Do not use in 2nd or 3rd trimester of pregnancy •Take captopril 1hr before meals
•Take same time everyday
NI: •Monitor BP •If angiodema occurs, give epi 0.5 mL of 1:1,000 solution subq
1 cup = ___ oz - ANS-8
1 oz = ___ mL - ANS-30
1 pint = ____ cups - ANS-2
1 quart = ____ pints - ANS-2
1 tbsp = _____ tsp = _____ mL - ANS-3 tsp, 15 mL
1 tsp equals _____ mL, ANS-5 A client is prescribed oral _____ for pain control. -
ANS-hydrocodone/acetaminophen
A client who has asthma is instructed to take ______ two hours before exercising to prevent
bronchospasms. - ANS-montelukast
A client who has atrial fibrillation is prescribed ______ to prevent thrombosis. - ANS-warfarin
A client who has epilepsy takes ______. Therapeutic levels of this medication should be
maintained between 10-20 mcg/mL. - ANS-phenytoin
A client who has muscle spasms is prescribed ______. - ANS-cyclobenzaprine
A client who has paroxysmal supraventricular tachycardia received an IV dysrhythmic, ______.
- ANS-adenosine
A man who has urinary hesitation and dysuria is prescribed ___________ to relieve these
symptoms of benign prostatic hyperplasia (BPH). - ANS-dutasteride
A significant risk associated with clozapine (Clozaril) administration is: - ANS-Blood dyscrasia
(disorders of the blood)
, A woman who has a trichomoniasis infection takes ___________. it is important that she refrain
from drinking alcohol during treatment. - ANS-metronidazole
Acute hemolytic blood transfusion reaction: - ANS-•Can be mild or life-threatening •Low back
pain, chills, fever •Circulatory collapse •Kindey failure •DIC •Shock, death
acyclovir (Zovirax) - ANS-antiviral
acyclovir adverse effects? - ANS-N&V, diarrhea, acute renal failure
Addison's dx s/s: - ANS-bronzelike skin pigmentation
Adverse effects of adverse effects (nitroglycerin)? - ANS-•Headache •Orthostatic hypotension
•Reflex tachycardia
•Tolerance
Adverse effects of cardiac glycosides (digoxin)? - ANS-•GI symptoms •Cardiac dysrhythmias
•Visual disturbances
Adverse effects of haloperidol (Haldol) administration include: - ANS-drowsiness; insomnia;
weakness; headache; and extrapyramidal symptoms, such as akathisia, tardive dyskinesia, and
dystonia.
Airborne precautions: - ANS-M - Measles
T - TB
V - Varicella (Chickenpox)
Private room; Negative air pressure, with 6-12 air exchanges/hr, mask, N95 for TB; Mask must
be worn when leaving leaving the room which pt has herpes zoster (disseminated)
- ANS-4-36 IU/L alanine aminotransferase (ALT) Albumin (blood administration) info: -
ANS-May be given to treat: Burns
Best lab to monitor: Albumin
Normal range: 3.5 to 5 g/dL
Albumin: - ANS-3.5-5.0 g/dL
ANS-beta-2 bronchodilator, albuterol (Proventil HFA) alendronate (Fosamax) -
ANS-biophosphonate that alters bone formation
Alkaline Phosphatase (ALP): - ANS-30-120 units/L (Higher in children)
allopurinol (Zyloprim) - ANS-used in gout
Always check for ______ before administering antibiotics. - ANS-allergies
amiodarone: - ANS-Antidysrhythmic
Uses: a-fib; v-fib; v-tachycardia
SE: lung damage; heart failure; liver & thyroid toxicity
amlodipine (Norvasc) - ANS-calcium channel blocker used for hypertension
Ammonia: - ANS-10-80 mcg/dL
Anaphylactic blood transfusion reaction: - ANS-•Wheezing, dyspnea •Chest tightness
•Cyanosis •Hypotension
Angina: - ANS-Crushing stubbing pain relieved by NTG
Ankle/Wrist restraint: - ANS-Immobilizes an extremity and may protect client from a fall
Antidote for acetaminophen(Tylenol; Paracetamol): - ANS-acetylcysteine (Mucomyst)
Antidote for anticholinergics, diphenhydramine, dimenhydrinate: - ANS-Physostigmine
Antidote for anticholinesterase: - ANS-atrophine sulfate or pralidoxime
Antidote for antifreeze: - ANS-Fomepizole, Ethanol
Antidote for arsenic, mercury, lead, and gold poisoning: - ANS-D-Penicillamine (Cuprimine)
