NLN MEDICATION TEST PAPER EXAM 2025/2026
QUESTIONS AND ANSWERS GRADED A++
✔✔Famotidine (Pepcid) - ✔✔histamine, decreases gastric acid output, metabolized in
liver, avoid antacid use within 1 hour
onset 1 h
peak 1-3 h
duration 10-12 h
half life 2.5-4
✔✔Fluoxetine Hydrochloride (Prozac) - ✔✔tricyclic/SSRI, adverse effect - cardiac
toxicity, selective serotonin syndrome; give at noon if it causes insomnia, do not
combine with MAOI
half life 1-6 days
onset 2-3 weeks
peak 4-8 h
✔✔Fluphenazine (Prolixin) - ✔✔antipsychotic, effect can be seen in 1-2 days but takes
weeks for the full effect, injectable form for long term maintenance, can cause NMS,
monitor LFTs
✔✔Lasix - ✔✔watch for hypokalemia, take with food or milk, orthostatic precautions,
replace potassium
✔✔Gentamicin - ✔✔aminoglycoside antibiotic (broad), nephrotoxic, ototoxic, report sore
throat, watery stools, N/V - super infection
✔✔Peak/Trough - ✔✔drawn 15-30 mins after starting
30 mins before next dose
✔✔Glipizide - ✔✔oral antidiabetic, sulfonyluria, monitor hypoglycemia
✔✔Glucagon - ✔✔anti-hypoglycemic; incompatible with sodium chloride solution
✔✔Glyburide - ✔✔oral antidiabetic, more potent drug, monitor hypoglycemia, used in
type 2 diabetes, give with first or main meal
✔✔Haldol - ✔✔can cause blurred vision, constipation, drowsiness, EPS, NMS, give with
food or milk
✔✔aPTT ranges - ✔✔normal 25-40
coagulated 60-80
, ✔✔Hydrochlorothiazide - ✔✔hypokalemia, limit sodium intake, photosensitivity, give
with food
✔✔Hydroxyzine HCl - ✔✔antiemetic, antihistamine; can cause drowsiness or dry mouth
✔✔Somogyi - ✔✔rebound response with high sugar due to low level at night
✔✔Regular/Humulin R - ✔✔short acting, only insulin given IV
✔✔NPH/Humulin N - ✔✔intermediate acting, 30 mins before meal
✔✔Lantus - ✔✔long acting at bedtime once, do not mix with any other insulin
✔✔Ipecac Syrup - ✔✔emetic, antidote, not very automatic - consult poison control first
✔✔Lidocaine - ✔✔antiarrhythmic/anesthetic, therapeutic level 1.5-6 mcg/mL, stop
infusion if EKG changes, correct hypokalemia before giving
✔✔Lithium - ✔✔therapeutic level 0.8-1.5, short half life and high toxicity, effect seen 5-7
days after, takes 2-3 weeks for full effect, lithium level every 3 months initially then
every 6, caution with elderly, cardiac, thyroid, diabetes, pregnancy
✔✔Lorazepam - ✔✔avoid alcohol, taper dose, watch for suicidal risk
✔✔Mag Sulfate - ✔✔mag level 1.8-3, anticonvulsant; watch for resp depression,
decreased reflexes, sedation, confusion, altered output, muscle weakness
✔✔Mannitol - ✔✔used in renal failure, oliguria, high ICP
test dose is given that should result in 30-50 mL output 2-3 hours after administration,
hyponatremia may occur, rebound increase in ICP, thrombophlebitis, CHF
do not use narcotics
✔✔MS Contin - ✔✔sustained release morphine
✔✔Nedocromil (Tilade - ✔✔inhaled non-steroidal medication, asthma prophylaxis, bitter
taste, rinse mouth after, do not use for acute attack
✔✔Nifedipine - ✔✔CCB, can cause gingival hyperplasia, do not give 1-2 weeks after
acute MI, report edema/weight gain
✔✔Pitocin - ✔✔contractions shouls stop 2-3 mins after stopping meds, hypertensive
crisis can occur
QUESTIONS AND ANSWERS GRADED A++
✔✔Famotidine (Pepcid) - ✔✔histamine, decreases gastric acid output, metabolized in
liver, avoid antacid use within 1 hour
onset 1 h
peak 1-3 h
duration 10-12 h
half life 2.5-4
✔✔Fluoxetine Hydrochloride (Prozac) - ✔✔tricyclic/SSRI, adverse effect - cardiac
toxicity, selective serotonin syndrome; give at noon if it causes insomnia, do not
combine with MAOI
half life 1-6 days
onset 2-3 weeks
peak 4-8 h
✔✔Fluphenazine (Prolixin) - ✔✔antipsychotic, effect can be seen in 1-2 days but takes
weeks for the full effect, injectable form for long term maintenance, can cause NMS,
monitor LFTs
✔✔Lasix - ✔✔watch for hypokalemia, take with food or milk, orthostatic precautions,
replace potassium
✔✔Gentamicin - ✔✔aminoglycoside antibiotic (broad), nephrotoxic, ototoxic, report sore
throat, watery stools, N/V - super infection
✔✔Peak/Trough - ✔✔drawn 15-30 mins after starting
30 mins before next dose
✔✔Glipizide - ✔✔oral antidiabetic, sulfonyluria, monitor hypoglycemia
✔✔Glucagon - ✔✔anti-hypoglycemic; incompatible with sodium chloride solution
✔✔Glyburide - ✔✔oral antidiabetic, more potent drug, monitor hypoglycemia, used in
type 2 diabetes, give with first or main meal
✔✔Haldol - ✔✔can cause blurred vision, constipation, drowsiness, EPS, NMS, give with
food or milk
✔✔aPTT ranges - ✔✔normal 25-40
coagulated 60-80
, ✔✔Hydrochlorothiazide - ✔✔hypokalemia, limit sodium intake, photosensitivity, give
with food
✔✔Hydroxyzine HCl - ✔✔antiemetic, antihistamine; can cause drowsiness or dry mouth
✔✔Somogyi - ✔✔rebound response with high sugar due to low level at night
✔✔Regular/Humulin R - ✔✔short acting, only insulin given IV
✔✔NPH/Humulin N - ✔✔intermediate acting, 30 mins before meal
✔✔Lantus - ✔✔long acting at bedtime once, do not mix with any other insulin
✔✔Ipecac Syrup - ✔✔emetic, antidote, not very automatic - consult poison control first
✔✔Lidocaine - ✔✔antiarrhythmic/anesthetic, therapeutic level 1.5-6 mcg/mL, stop
infusion if EKG changes, correct hypokalemia before giving
✔✔Lithium - ✔✔therapeutic level 0.8-1.5, short half life and high toxicity, effect seen 5-7
days after, takes 2-3 weeks for full effect, lithium level every 3 months initially then
every 6, caution with elderly, cardiac, thyroid, diabetes, pregnancy
✔✔Lorazepam - ✔✔avoid alcohol, taper dose, watch for suicidal risk
✔✔Mag Sulfate - ✔✔mag level 1.8-3, anticonvulsant; watch for resp depression,
decreased reflexes, sedation, confusion, altered output, muscle weakness
✔✔Mannitol - ✔✔used in renal failure, oliguria, high ICP
test dose is given that should result in 30-50 mL output 2-3 hours after administration,
hyponatremia may occur, rebound increase in ICP, thrombophlebitis, CHF
do not use narcotics
✔✔MS Contin - ✔✔sustained release morphine
✔✔Nedocromil (Tilade - ✔✔inhaled non-steroidal medication, asthma prophylaxis, bitter
taste, rinse mouth after, do not use for acute attack
✔✔Nifedipine - ✔✔CCB, can cause gingival hyperplasia, do not give 1-2 weeks after
acute MI, report edema/weight gain
✔✔Pitocin - ✔✔contractions shouls stop 2-3 mins after stopping meds, hypertensive
crisis can occur
