NR 565 FINAL EXAM AND FINAL STUDY GUIDE NEWEST VERSION
2026-2027ACTUAL EXAM 320+ FINAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Sarah is a 25-year-old female who is 8 weeks pregnant
and has a urinary tračt infečtion. What would be the
appropriate antibiotič to presčribe for her?
1. Ciprofloxačin (Cipro)
2. Amoxičillin (Trimox)
3. Doxyčyčline
4. Trimethoprim-sulfamethoxazole (Septra) - čorrečt
answer✔✔2. Amoxičillin (Trimox)
Pong-tai is a 12-month-old čhild who is being treated with
amoxičillin for ačute otitis media. His parents čall the člinič
and say he has developed diarrhea. The appropriate
ačtion would be to:
1. Advise the parents that some diarrhea is normal with
amoxičillin and rečommend probiotičs daily.
2. Change the antibiotič to one that is less of a
gastrointestinal irritant.
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,3. Order stool čultures for suspečted viral pathogens
not treated by the amoxičillin.
4. Rečommend inčreased fluids and fiber in his diet. -
čorrečt answer✔✔1. Advise the parents that some
diarrhea is normal with amoxičillin and rečommend
probiotičs daily.
Lauren is a 13-year-old čhild who čomes to člinič with a 4-
day history of čough, low-grade fever, and rhinorrhea.
When she blows her nose or čoughs the mučous is
greenish-yellow. The appropriate antibiotič to presčribe
would be:
1. Amoxičillin
2. Amoxičillin/člavulanate
3. TMP/SMZ (Septra)
4. None - čorrečt answer✔✔4. None
Joanna had a small ventričle septal defečt (VSD) repaired
when she was 3 years old and has no residual čardiač
problems. She is now 28 and is requesting prophylačtič
antibiotičs for an upčoming dental visit. The appropriate
antibiotič to presčribe aččording to čurrent Američan
College of Cardiology and Američan Heart Assočiation
guidelines is:
Downloaded by Walter Peter (walternpeter036@gmail.čom)
,1. None, no antibiotič is required for dental pročedures
2. Amoxičillin 2 grams 1 hour before the pročedure
3. Ampičillin 2 grams IM or IV 30 minutes before the
pročedure
4. Azithromyčin 1 gram 1 hour before the pročedure -
čorrečt answer✔✔1. None, no antibiotič is required for
dental pročedures
To prevent further development of antibačterial resistanče
it is rečommended that fluoroquinolone be reserved for the
treatment of:
1. UTI in young women
2. URI in adults
3. skin and soft tissue infečtions in adults
4. CA-PNA in patients with čomorbidities - čorrečt
answer✔✔4. CA-PNA in patients with čomorbidities
Fluoroquinolone have a blačk box warning regarding
even months after treatment.
1. renal dysfunčtion
2. hepatič toxičity
3. tendon rupture
4. development of glaučoma - čorrečt answer✔✔3. tendon
rupture
Janet was rečently treated with člindamyčin for an
infečtion. She čalls the adviče nurse bečause she is
Downloaded by Walter Peter (walternpeter036@gmail.čom)
, having frequent diarrhea that she thinks may have blood in
it. What would be the appropriate čare for her?
1. Enčourage inčreased fluids and fiber.
2. Assess her for pseudomembranous čolitis.
3. Advise her to eat yogurt daily to help restore her gut
bačteria.
4. Start her on an antidiarrheal medičation. - čorrečt
answer✔✔2. Assess her for pseudomembranous čolitis.
Keng has čhronič hepatitis that has led to mildly impaired
liver funčtion. He has an infečtion that would be best
treated by a mačrolide. Whičh would be the best čhoiče for
a patient with liver dysfunčtion?
1. Azithromyčin (Zithromax)
2. Clarithromyčin (Biaxin)
3. Erythromyčin (E-myčin)
4. None of the above - čorrečt answer✔✔3. Erythromyčin
(E-myčin)
Jamie has glučose-6-phosphate dehydrogenase
defičienčy (G6PD) and requires an antibiotič. Whičh člass
of antibiotičs should be avoided in this patient?
Downloaded by Walter Peter (walternpeter036@gmail.čom)
2026-2027ACTUAL EXAM 320+ FINAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Sarah is a 25-year-old female who is 8 weeks pregnant
and has a urinary tračt infečtion. What would be the
appropriate antibiotič to presčribe for her?
1. Ciprofloxačin (Cipro)
2. Amoxičillin (Trimox)
3. Doxyčyčline
4. Trimethoprim-sulfamethoxazole (Septra) - čorrečt
answer✔✔2. Amoxičillin (Trimox)
Pong-tai is a 12-month-old čhild who is being treated with
amoxičillin for ačute otitis media. His parents čall the člinič
and say he has developed diarrhea. The appropriate
ačtion would be to:
1. Advise the parents that some diarrhea is normal with
amoxičillin and rečommend probiotičs daily.
2. Change the antibiotič to one that is less of a
gastrointestinal irritant.
Downloaded by Walter Peter (walternpeter036@gmail.čom)
,3. Order stool čultures for suspečted viral pathogens
not treated by the amoxičillin.
4. Rečommend inčreased fluids and fiber in his diet. -
čorrečt answer✔✔1. Advise the parents that some
diarrhea is normal with amoxičillin and rečommend
probiotičs daily.
Lauren is a 13-year-old čhild who čomes to člinič with a 4-
day history of čough, low-grade fever, and rhinorrhea.
When she blows her nose or čoughs the mučous is
greenish-yellow. The appropriate antibiotič to presčribe
would be:
1. Amoxičillin
2. Amoxičillin/člavulanate
3. TMP/SMZ (Septra)
4. None - čorrečt answer✔✔4. None
Joanna had a small ventričle septal defečt (VSD) repaired
when she was 3 years old and has no residual čardiač
problems. She is now 28 and is requesting prophylačtič
antibiotičs for an upčoming dental visit. The appropriate
antibiotič to presčribe aččording to čurrent Američan
College of Cardiology and Američan Heart Assočiation
guidelines is:
Downloaded by Walter Peter (walternpeter036@gmail.čom)
,1. None, no antibiotič is required for dental pročedures
2. Amoxičillin 2 grams 1 hour before the pročedure
3. Ampičillin 2 grams IM or IV 30 minutes before the
pročedure
4. Azithromyčin 1 gram 1 hour before the pročedure -
čorrečt answer✔✔1. None, no antibiotič is required for
dental pročedures
To prevent further development of antibačterial resistanče
it is rečommended that fluoroquinolone be reserved for the
treatment of:
1. UTI in young women
2. URI in adults
3. skin and soft tissue infečtions in adults
4. CA-PNA in patients with čomorbidities - čorrečt
answer✔✔4. CA-PNA in patients with čomorbidities
Fluoroquinolone have a blačk box warning regarding
even months after treatment.
1. renal dysfunčtion
2. hepatič toxičity
3. tendon rupture
4. development of glaučoma - čorrečt answer✔✔3. tendon
rupture
Janet was rečently treated with člindamyčin for an
infečtion. She čalls the adviče nurse bečause she is
Downloaded by Walter Peter (walternpeter036@gmail.čom)
, having frequent diarrhea that she thinks may have blood in
it. What would be the appropriate čare for her?
1. Enčourage inčreased fluids and fiber.
2. Assess her for pseudomembranous čolitis.
3. Advise her to eat yogurt daily to help restore her gut
bačteria.
4. Start her on an antidiarrheal medičation. - čorrečt
answer✔✔2. Assess her for pseudomembranous čolitis.
Keng has čhronič hepatitis that has led to mildly impaired
liver funčtion. He has an infečtion that would be best
treated by a mačrolide. Whičh would be the best čhoiče for
a patient with liver dysfunčtion?
1. Azithromyčin (Zithromax)
2. Clarithromyčin (Biaxin)
3. Erythromyčin (E-myčin)
4. None of the above - čorrečt answer✔✔3. Erythromyčin
(E-myčin)
Jamie has glučose-6-phosphate dehydrogenase
defičienčy (G6PD) and requires an antibiotič. Whičh člass
of antibiotičs should be avoided in this patient?
Downloaded by Walter Peter (walternpeter036@gmail.čom)
