NCLEX PHARMACOLOGY MEDICATIONS
KAPLAN NCLEX RN STUDY GUIDE EXAM
QUESTIONS AND SOLUTIONS
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
Page 1 of 65
,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
Page 2 of 65
,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
Page 3 of 65
, garlic
ginger
ginseng
Psyllium hydrophilic mucilloid --ANSWER--laxative
bulk-forming
safest laxative
increases water absorption or retention within the stool
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
Page 4 of 65
KAPLAN NCLEX RN STUDY GUIDE EXAM
QUESTIONS AND SOLUTIONS
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
Page 1 of 65
,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
Page 2 of 65
,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
Page 3 of 65
, garlic
ginger
ginseng
Psyllium hydrophilic mucilloid --ANSWER--laxative
bulk-forming
safest laxative
increases water absorption or retention within the stool
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
Page 4 of 65
