NCLEX-RN exam with 700+ correct
question and answers verified update
for 2024 revision
Fluticasone/salmeterol (Advair) - ANSWERcontains corticosteroid and bronchodilator
Long acting agonist that promotes relaxes smooth muscle over 12 hours.
NOT an emergency drug for asthma.
education: after inhalation, rinse mouth with water without swallowing (reduce risk of candidiasis),
avoid smoking, and receive pneumococcal and flue vaccines if there is a risk of infection.
Albuterol, Atrovent, Ipratopium, & sole-medrol - ANSWERrescue asthma drugs
Albuterol & Atrovent: short acting beta agonist
Ipratopium: anticholinergic agent
solu-medrol: steroid to control underlying inflammation (not immediate)
Admin Q20 mins
NORMAL to habe tremors and palpitations
Montelukast (singulair) - ANSWERgiven with beta agonist and steroid (fluticasone or budesonide) to
provide long term asthma control
Tobramycin - ANSWERantibiotic
mostly used with aerosolized form to treat CF exacerbation when Pseudomonas is the predominant
organism causing the lung infection
Rifaximin - ANSWERantibiotic
,used with hepatic enceph r/t to increased ammonia levels.
Meperidine (Demerol) - ANSWEROpioid
CONTRAindicated in sickle cell r/t large frequent doses that can cause toxic metabolite (tremors ->
seizure)
Most effective PCA - ANSWERmorphine or hydromorphone (Dilaudid)
Clopidogrel (PLavix) - ANSWERantiplatelet
Naproxen (Naprosyn) - ANSWERNSAID
Ginko Biloba - ANSWERcan increased risk for bleeding!
Vancomycin - ANSWERantibiotic
Nephrotoxic (BUN and creatinine) , monitor trough levels before the 4th dose (15-20),
Duloxetine (Cymbalta) - ANSWERserotonin-noreip reuptake inhibitor
Used: antidepressant and pain-relieving effect for fibromyalgia
Amitriptyline (Elavil) - ANSWERTricyclic antidepressant
use: antidepressant and pain relief for fibromyalgia
Pregabalin - ANSWERtricyclic antiD
use: depression and fibromyalgia
Isotretinoin (accutane) - ANSWERAcne medication
NEED TWO negative pregnancy test before starting medication
Educate: use two forms of brith control
,Can NOT donate blood for at least one month to ensure preggos do not receive donation
Pregnancy X category
Lithium - ANSWERmood stabilization to treat bipolar
Worry about the D's:
Dehydration, Decreased NA diet (increase NA in diet) , Decreased renal fnx (elderly), and Drug
interactions (Diuretics (thiazide) and NSAIDs)
therapeutic level is NARROW (0.6-1.2) >1.5 is REPORTABLE
LOOK OUT FOR : ataxia, confusion,agitation, neuromuscular excitability, and DI (polyuria and polydipsia)
Promethazine - ANSWERantiemetic
Phenytoin (dilantin) - ANSWERAnticonvulsant
provide good ORAL CARE to prevent gingival hyperplasia (no reason to d/c)
d/c: fever, skin rash, and lymphadenopathy
risk for gait disturbance
Death Rattle treatment - ANSWERAnticholingeric (atropine) OR Scopolamine patch
Dries up secretions that dying patient can no longer manage on their own.
Helps comfort the family
Capasaicin (Zostrix) - ANSWERover the counter analgesic used for minor pain.
Education: wait at least 30 mins after massaging cream into hands before washing them to ensure
adequate absorption, avoid contact with eyes, nose, and mouth (contains pepper contents), wear gloves
when applying, avoid HEATING pads (vasodilation increases absorption and can cause a chemical burn),
NORMAL to have burning, stinging, or erythema and will subside in a week, and can be used with tylenol
or nonsterodial anti-inflammatory drugs to effectively treat osteoarthritis pain.
Use regularly (3-4x/day)for week to months.
, Ondansetron (Zofran) - ANSWERantiemetic
Omeprazole (Prilosec) - ANSWERPPI decreases stomach acid production
risk for long term use:
decrease bone density (r/t decrease intestinal calcium absorption) -> increased risk of fractures
decrease in acid production increases risk for pneumonias and c.diff
Prasugrel (Effient) - ANSWERantiplatelet
Ace inhibitors, isotretinoin, and doxycycline - ANSWERNO for preggos
Ace: bad for fetal kidney development
Isotretinion: major birth defects
Doxy: impair bone maturation of fetus.
Hydrochlorothiazide - ANSWERthiazide diuretics
NO with lithium
used: HTN
SE: low K (muscle cramps) , low NA (mental status and seizures), high uric acid(worsen gout attacks), and
hyperglycemia.
chlorthalidone - ANSWERthiazide diuretics
no with lithium
SE: low K (muscle cramps and cardiac effects) low NA (mental status and seizures), high uric acid (worsen
gout attacks) and hyperglycemia
Torsemide - ANSWERloop diuretic
question and answers verified update
for 2024 revision
Fluticasone/salmeterol (Advair) - ANSWERcontains corticosteroid and bronchodilator
Long acting agonist that promotes relaxes smooth muscle over 12 hours.
NOT an emergency drug for asthma.
education: after inhalation, rinse mouth with water without swallowing (reduce risk of candidiasis),
avoid smoking, and receive pneumococcal and flue vaccines if there is a risk of infection.
Albuterol, Atrovent, Ipratopium, & sole-medrol - ANSWERrescue asthma drugs
Albuterol & Atrovent: short acting beta agonist
Ipratopium: anticholinergic agent
solu-medrol: steroid to control underlying inflammation (not immediate)
Admin Q20 mins
NORMAL to habe tremors and palpitations
Montelukast (singulair) - ANSWERgiven with beta agonist and steroid (fluticasone or budesonide) to
provide long term asthma control
Tobramycin - ANSWERantibiotic
mostly used with aerosolized form to treat CF exacerbation when Pseudomonas is the predominant
organism causing the lung infection
Rifaximin - ANSWERantibiotic
,used with hepatic enceph r/t to increased ammonia levels.
Meperidine (Demerol) - ANSWEROpioid
CONTRAindicated in sickle cell r/t large frequent doses that can cause toxic metabolite (tremors ->
seizure)
Most effective PCA - ANSWERmorphine or hydromorphone (Dilaudid)
Clopidogrel (PLavix) - ANSWERantiplatelet
Naproxen (Naprosyn) - ANSWERNSAID
Ginko Biloba - ANSWERcan increased risk for bleeding!
Vancomycin - ANSWERantibiotic
Nephrotoxic (BUN and creatinine) , monitor trough levels before the 4th dose (15-20),
Duloxetine (Cymbalta) - ANSWERserotonin-noreip reuptake inhibitor
Used: antidepressant and pain-relieving effect for fibromyalgia
Amitriptyline (Elavil) - ANSWERTricyclic antidepressant
use: antidepressant and pain relief for fibromyalgia
Pregabalin - ANSWERtricyclic antiD
use: depression and fibromyalgia
Isotretinoin (accutane) - ANSWERAcne medication
NEED TWO negative pregnancy test before starting medication
Educate: use two forms of brith control
,Can NOT donate blood for at least one month to ensure preggos do not receive donation
Pregnancy X category
Lithium - ANSWERmood stabilization to treat bipolar
Worry about the D's:
Dehydration, Decreased NA diet (increase NA in diet) , Decreased renal fnx (elderly), and Drug
interactions (Diuretics (thiazide) and NSAIDs)
therapeutic level is NARROW (0.6-1.2) >1.5 is REPORTABLE
LOOK OUT FOR : ataxia, confusion,agitation, neuromuscular excitability, and DI (polyuria and polydipsia)
Promethazine - ANSWERantiemetic
Phenytoin (dilantin) - ANSWERAnticonvulsant
provide good ORAL CARE to prevent gingival hyperplasia (no reason to d/c)
d/c: fever, skin rash, and lymphadenopathy
risk for gait disturbance
Death Rattle treatment - ANSWERAnticholingeric (atropine) OR Scopolamine patch
Dries up secretions that dying patient can no longer manage on their own.
Helps comfort the family
Capasaicin (Zostrix) - ANSWERover the counter analgesic used for minor pain.
Education: wait at least 30 mins after massaging cream into hands before washing them to ensure
adequate absorption, avoid contact with eyes, nose, and mouth (contains pepper contents), wear gloves
when applying, avoid HEATING pads (vasodilation increases absorption and can cause a chemical burn),
NORMAL to have burning, stinging, or erythema and will subside in a week, and can be used with tylenol
or nonsterodial anti-inflammatory drugs to effectively treat osteoarthritis pain.
Use regularly (3-4x/day)for week to months.
, Ondansetron (Zofran) - ANSWERantiemetic
Omeprazole (Prilosec) - ANSWERPPI decreases stomach acid production
risk for long term use:
decrease bone density (r/t decrease intestinal calcium absorption) -> increased risk of fractures
decrease in acid production increases risk for pneumonias and c.diff
Prasugrel (Effient) - ANSWERantiplatelet
Ace inhibitors, isotretinoin, and doxycycline - ANSWERNO for preggos
Ace: bad for fetal kidney development
Isotretinion: major birth defects
Doxy: impair bone maturation of fetus.
Hydrochlorothiazide - ANSWERthiazide diuretics
NO with lithium
used: HTN
SE: low K (muscle cramps) , low NA (mental status and seizures), high uric acid(worsen gout attacks), and
hyperglycemia.
chlorthalidone - ANSWERthiazide diuretics
no with lithium
SE: low K (muscle cramps and cardiac effects) low NA (mental status and seizures), high uric acid (worsen
gout attacks) and hyperglycemia
Torsemide - ANSWERloop diuretic
