NSG 318 EXAM 4 2026 MOCK PAPER
COMPREHENSIVE REVIEW NOTES ANALYTICAL
SUMMARY
◉ What are the major uses of Amoxicillin?
Answer: Treats ear, sinus, respiratory, urinary, and skin infections.
◉ What is the most serious adverse reaction to Amoxicillin?
Answer: Anaphylaxis. Cross-sensitivity with cephalosporins.
◉ What are the key nursing considerations for Amoxicillin?
Answer: Assess allergy history before administration. Monitor for
rash or dyspnea. Teach to take full course and use backup
contraception.
◉ What is the mechanism of action of Cephalosporin (Ceftriaxone)?
Answer: Inhibits bacterial cell-wall synthesis (bactericidal).
◉ What are the main side and adverse effects of Ceftriaxone?
Answer: GI distress, rash, C. diff infection, renal failure, Stevens-
Johnson syndrome.
,◉ Which interaction should patients avoid while taking Ceftriaxone?
Answer: Alcohol—causes disulfiram-like reaction (flushing, nausea,
vomiting, headache).
◉ What is the mechanism of action of Macrolide (Azithromycin)?
Answer: Inhibits bacterial protein synthesis; bacteriostatic or
bactericidal depending on dose.
◉ What are the major adverse effects of Azithromycin?
Answer: Hepatotoxicity, ototoxicity, Stevens-Johnson syndrome.
◉ What are important drug interactions for Azithromycin?
Answer: Increases levels of warfarin, theophylline, carbamazepine;
decreased absorption with antacids.
◉ What should the nurse teach a patient taking Azithromycin?
Answer: Take antacids 2 hours before or after the drug; complete
full course; report jaundice or hearing loss.
◉ What is the mechanism of action of Tetracycline (Doxycycline)?
Answer: Inhibits bacterial protein synthesis; bacteriostatic.
◉ What are the major uses of Doxycycline?
, Answer: Treats acne, STIs, cholera, rickettsia, respiratory and skin
infections.
◉ What are key side and adverse effects of Doxycycline?
Answer: GI distress, photosensitivity, hepatotoxicity, teeth
discoloration.
◉ What patient teaching is required for Doxycycline?
Answer: Avoid milk, antacids, and sunlight; contraindicated in
pregnancy and children under 8 years.
◉ What is the mechanism of action of Aminoglycoside (Gentamicin
Sulfate)?
Answer: Inhibits bacterial protein synthesis; bactericidal for serious
systemic infections.
◉ What are the major toxicities of Gentamicin?
Answer: Ototoxicity and nephrotoxicity.
◉ What nursing assessments are priorities with Gentamicin?
Answer: Monitor peak and trough levels; assess renal function and
hearing.
COMPREHENSIVE REVIEW NOTES ANALYTICAL
SUMMARY
◉ What are the major uses of Amoxicillin?
Answer: Treats ear, sinus, respiratory, urinary, and skin infections.
◉ What is the most serious adverse reaction to Amoxicillin?
Answer: Anaphylaxis. Cross-sensitivity with cephalosporins.
◉ What are the key nursing considerations for Amoxicillin?
Answer: Assess allergy history before administration. Monitor for
rash or dyspnea. Teach to take full course and use backup
contraception.
◉ What is the mechanism of action of Cephalosporin (Ceftriaxone)?
Answer: Inhibits bacterial cell-wall synthesis (bactericidal).
◉ What are the main side and adverse effects of Ceftriaxone?
Answer: GI distress, rash, C. diff infection, renal failure, Stevens-
Johnson syndrome.
,◉ Which interaction should patients avoid while taking Ceftriaxone?
Answer: Alcohol—causes disulfiram-like reaction (flushing, nausea,
vomiting, headache).
◉ What is the mechanism of action of Macrolide (Azithromycin)?
Answer: Inhibits bacterial protein synthesis; bacteriostatic or
bactericidal depending on dose.
◉ What are the major adverse effects of Azithromycin?
Answer: Hepatotoxicity, ototoxicity, Stevens-Johnson syndrome.
◉ What are important drug interactions for Azithromycin?
Answer: Increases levels of warfarin, theophylline, carbamazepine;
decreased absorption with antacids.
◉ What should the nurse teach a patient taking Azithromycin?
Answer: Take antacids 2 hours before or after the drug; complete
full course; report jaundice or hearing loss.
◉ What is the mechanism of action of Tetracycline (Doxycycline)?
Answer: Inhibits bacterial protein synthesis; bacteriostatic.
◉ What are the major uses of Doxycycline?
, Answer: Treats acne, STIs, cholera, rickettsia, respiratory and skin
infections.
◉ What are key side and adverse effects of Doxycycline?
Answer: GI distress, photosensitivity, hepatotoxicity, teeth
discoloration.
◉ What patient teaching is required for Doxycycline?
Answer: Avoid milk, antacids, and sunlight; contraindicated in
pregnancy and children under 8 years.
◉ What is the mechanism of action of Aminoglycoside (Gentamicin
Sulfate)?
Answer: Inhibits bacterial protein synthesis; bactericidal for serious
systemic infections.
◉ What are the major toxicities of Gentamicin?
Answer: Ototoxicity and nephrotoxicity.
◉ What nursing assessments are priorities with Gentamicin?
Answer: Monitor peak and trough levels; assess renal function and
hearing.
