NURS 504 Exam 5 UPDATED ACTUAL Questions and CORRECT
Answers
Question: The use of ciprofloxacin is contraindicated in pregnancy.
Correct Answer: A 30-year-old woman who is in the first trimester of pregnancy has presented to her
primary care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent
exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the client's pregnancy affect
the potential use of ciprofloxacin to treat her conjunctivitis? Ciprofloxacin is safe to use in pregnancy and
the client may use to same dose and route as a nonpregnant client. The use of ciprofloxacin is
contraindicated in pregnancy. It is safe for the client to use topical ciprofloxacin but the oral route is
potential teratogenic. The client will require a lower dose and longer course of ciprofloxacin than a
nonpregnant, adult client.
Question: interference with bacterial reproduction.
Correct Answer: A 66-year-old woman with a history of recurrent urinary tract infections has been
admitted to the hospital with a diagnosis of pyelonephritis. The client began treatment 36 hours ago with
intravenous gentamicin and is being monitored closely. The nurse is aware that the therapeutic effect of the
client's drug regimen is primarily a result of: alterations in the osmolarity of bacterial cytoplasm. lysis of the
bacterial cell walls. interference with bacterial reproduction. enhancement of the client's immune function.
Question: Serum BUN and creatinine levels
Correct Answer: A client is receiving a cephalosporin and an aminoglycoside as combination therapy.
What assessment should the nurse prioritize? Serum BUN and creatinine levels Coagulation studies Signs
of disulfiram-like reaction Complete blood count
Question: Monitoring blood creatinine levels.
Correct Answer: A 75-year-old patient with a history of renal impairment is admitted to the primary health
care center with a UTI and has been prescribed a cephalosporin. Which of the following interventions is
most important for the nurse to perform when caring for this patient? Monitoring fluid intake. Monitoring
blood creatinine levels. Testing for occult blood. Testing for increased glucose levels.
Question: the number of available effective drugs for serious or antibiotic-resistant infections.
Correct Answer: Inappropriate use of antibiotics does all of the following except increase: adverse drug
effects. health care costs. the number of available effective drugs for serious or antibiotic-resistant
infections. infections with drug-resistant microorganisms.
Question: Penicillin G is inactivated by gastric acid, therefore it is only given IM or IV.
Correct Answer: Your client is being treated for streptococcal pharyngitis and is NPO. Her health care
provider has ordered Penicillin G to be given IM. She wants to know why she cannot take her medications
via an oral route. Your best response is: Penicillin G is inactivated by gastric acid, therefore it is only given
IM or IV. Penicillin G is inactivated by gastric acid, therefore it is only given IM. Penicillin G can be given
orally but requires higher doses. Penicillin G is no longer used for this problem.
Question: bactericidal
Correct Answer: After teaching a group of nursing students about the action of penicillins, the instructor
determines that the teaching was effective when the students identify natural penicillins as exerting which
type of effect on microorganisms? bactericidal bacteriostatic fungicidal fungistatic
, Question: interfering with DNA synthesis in the bacterial cell
Correct Answer: A nursing instructor is preparing a teaching plan for a nursing pharmacology class on the
action of fluoroquinolones. Which action would the instructor most likely include? interfering with DNA
synthesis in the bacterial cell interfering with protein synthesis disrupting the bacterial cell wall blocking
ribosomal reading of mRNA
Question: The use of broad-spectrum antibiotics can create a risk for a superinfection.-
Correct Answer: A nurse has questioned why a client's health care provider has prescribed a
narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment of an infection. Which facts
provide the best rationale for the use of narrow-spectrum antibiotics whenever possible? Broad-spectrum
antibiotics confound the results of subsequent culture and sensitivity testing. Narrow-spectrum antibiotics
normally require a shorter duration of treatment. The efficacy of most narrow-spectrum antibiotics has not
been proven. The use of broad-spectrum antibiotics can create a risk for a superinfection.
Question: False
Correct Answer: Because of their low risk of toxicity, aminoglycocides are replacing many of the other
antibiotics today. True False
Question: fluconazole
Correct Answer: A woman is seen in the clinic for treatment of vaginal itching and discharge. The nurse
should be prepared to provide the client with information concerning which single-dose medication?
caspofungin terbinafine ketoconazole fluconazole
Question: To identify the organism causing the infection
Correct Answer: Culture and susceptibility tests are performed prior to the prescription of antimicrobial
drugs. What is the specific purpose of the culture? To identify the organism causing the infection To
determine the severity of the infection To identify the drugs that might be effective in treatment To
determine the body's response to the infection
Question: Nausea
Correct Answer: A 40-year-old is being treated for an ear infection with a cephalosporin. Which adverse
reactions should the nurse monitor for in the client? Hypotension Chest pain Nausea Excessive tearing
Question: What the allergic reaction was
Correct Answer: A nurse is taking a history on a client new to the clinic. The client reports being allergic
to penicillin. What would it be important for the nurse to find out? What the allergic reaction was What was
done to stop the reaction Who was the caregiver at the time of the reaction What type of allergic reaction it
was
Question: Gram-negative bacteria
Correct Answer: Compared with penicillins, cephalosporins more appropriate for treating infection by
what type of microorganism? Gram-positive bacteria Gram-negative bacteria Fungi Viruses
Question: Treatment of oropharyngeal, esophageal, and vaginal candidiasis Binds to sterols in the fungal
cell membrane Metabolized in the liver and excreted in the urine
Correct Answer: Fluconazole is the prototype for antifungals. Which are characteristics of fluconazole?
(Select all that apply.) Treatment of oropharyngeal, esophageal, and vaginal candidiasis Treatment of
malignant melanoma Binds to sterols in the fungal cell membrane Metabolized in the liver and excreted in
Answers
Question: The use of ciprofloxacin is contraindicated in pregnancy.
Correct Answer: A 30-year-old woman who is in the first trimester of pregnancy has presented to her
primary care provider with a 4-day history of a reddened, itchy left eye that is crusted with purulent
exudate. The clinician suspects a bacterial, rather than viral, etiology. How will the client's pregnancy affect
the potential use of ciprofloxacin to treat her conjunctivitis? Ciprofloxacin is safe to use in pregnancy and
the client may use to same dose and route as a nonpregnant client. The use of ciprofloxacin is
contraindicated in pregnancy. It is safe for the client to use topical ciprofloxacin but the oral route is
potential teratogenic. The client will require a lower dose and longer course of ciprofloxacin than a
nonpregnant, adult client.
Question: interference with bacterial reproduction.
Correct Answer: A 66-year-old woman with a history of recurrent urinary tract infections has been
admitted to the hospital with a diagnosis of pyelonephritis. The client began treatment 36 hours ago with
intravenous gentamicin and is being monitored closely. The nurse is aware that the therapeutic effect of the
client's drug regimen is primarily a result of: alterations in the osmolarity of bacterial cytoplasm. lysis of the
bacterial cell walls. interference with bacterial reproduction. enhancement of the client's immune function.
Question: Serum BUN and creatinine levels
Correct Answer: A client is receiving a cephalosporin and an aminoglycoside as combination therapy.
What assessment should the nurse prioritize? Serum BUN and creatinine levels Coagulation studies Signs
of disulfiram-like reaction Complete blood count
Question: Monitoring blood creatinine levels.
Correct Answer: A 75-year-old patient with a history of renal impairment is admitted to the primary health
care center with a UTI and has been prescribed a cephalosporin. Which of the following interventions is
most important for the nurse to perform when caring for this patient? Monitoring fluid intake. Monitoring
blood creatinine levels. Testing for occult blood. Testing for increased glucose levels.
Question: the number of available effective drugs for serious or antibiotic-resistant infections.
Correct Answer: Inappropriate use of antibiotics does all of the following except increase: adverse drug
effects. health care costs. the number of available effective drugs for serious or antibiotic-resistant
infections. infections with drug-resistant microorganisms.
Question: Penicillin G is inactivated by gastric acid, therefore it is only given IM or IV.
Correct Answer: Your client is being treated for streptococcal pharyngitis and is NPO. Her health care
provider has ordered Penicillin G to be given IM. She wants to know why she cannot take her medications
via an oral route. Your best response is: Penicillin G is inactivated by gastric acid, therefore it is only given
IM or IV. Penicillin G is inactivated by gastric acid, therefore it is only given IM. Penicillin G can be given
orally but requires higher doses. Penicillin G is no longer used for this problem.
Question: bactericidal
Correct Answer: After teaching a group of nursing students about the action of penicillins, the instructor
determines that the teaching was effective when the students identify natural penicillins as exerting which
type of effect on microorganisms? bactericidal bacteriostatic fungicidal fungistatic
, Question: interfering with DNA synthesis in the bacterial cell
Correct Answer: A nursing instructor is preparing a teaching plan for a nursing pharmacology class on the
action of fluoroquinolones. Which action would the instructor most likely include? interfering with DNA
synthesis in the bacterial cell interfering with protein synthesis disrupting the bacterial cell wall blocking
ribosomal reading of mRNA
Question: The use of broad-spectrum antibiotics can create a risk for a superinfection.-
Correct Answer: A nurse has questioned why a client's health care provider has prescribed a
narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment of an infection. Which facts
provide the best rationale for the use of narrow-spectrum antibiotics whenever possible? Broad-spectrum
antibiotics confound the results of subsequent culture and sensitivity testing. Narrow-spectrum antibiotics
normally require a shorter duration of treatment. The efficacy of most narrow-spectrum antibiotics has not
been proven. The use of broad-spectrum antibiotics can create a risk for a superinfection.
Question: False
Correct Answer: Because of their low risk of toxicity, aminoglycocides are replacing many of the other
antibiotics today. True False
Question: fluconazole
Correct Answer: A woman is seen in the clinic for treatment of vaginal itching and discharge. The nurse
should be prepared to provide the client with information concerning which single-dose medication?
caspofungin terbinafine ketoconazole fluconazole
Question: To identify the organism causing the infection
Correct Answer: Culture and susceptibility tests are performed prior to the prescription of antimicrobial
drugs. What is the specific purpose of the culture? To identify the organism causing the infection To
determine the severity of the infection To identify the drugs that might be effective in treatment To
determine the body's response to the infection
Question: Nausea
Correct Answer: A 40-year-old is being treated for an ear infection with a cephalosporin. Which adverse
reactions should the nurse monitor for in the client? Hypotension Chest pain Nausea Excessive tearing
Question: What the allergic reaction was
Correct Answer: A nurse is taking a history on a client new to the clinic. The client reports being allergic
to penicillin. What would it be important for the nurse to find out? What the allergic reaction was What was
done to stop the reaction Who was the caregiver at the time of the reaction What type of allergic reaction it
was
Question: Gram-negative bacteria
Correct Answer: Compared with penicillins, cephalosporins more appropriate for treating infection by
what type of microorganism? Gram-positive bacteria Gram-negative bacteria Fungi Viruses
Question: Treatment of oropharyngeal, esophageal, and vaginal candidiasis Binds to sterols in the fungal
cell membrane Metabolized in the liver and excreted in the urine
Correct Answer: Fluconazole is the prototype for antifungals. Which are characteristics of fluconazole?
(Select all that apply.) Treatment of oropharyngeal, esophageal, and vaginal candidiasis Treatment of
malignant melanoma Binds to sterols in the fungal cell membrane Metabolized in the liver and excreted in
