NUR 210 Pharm exam 4 Questions & Answers Test
QUESTIONS AND VERIFIED SOLUTIONS |2026|
ELABORATED &DETAILED ANSWERS!!
1. Which can cause discoloration of teeth?
Doxycycline
Azithromycin
Clindamycin
Valacyclovir
2. Describe the significance of monitoring peak and trough levels for certain
antibiotics.
It is a routine procedure for all antibiotics regardless of their
classification.
Monitoring is only important for oral antibiotics.
Monitoring peak and trough levels helps ensure therapeutic
effectiveness while minimizing toxicity.
It is only necessary for antibiotics with severe side effects.
3. A patient with a known milk allergy is prescribed a tetracycline antibiotic.
What nursing intervention should be prioritized?
Monitor the patient for allergic reactions to the antibiotic.
Educate the patient to avoid dairy products during the course of the
antibiotic.
Administer the antibiotic with milk to enhance absorption.
Suggest increasing dairy intake to prevent side effects.
,4. Which antibiotic is recommended to be administered on an empty stomach
to increase total absorption and to be given after antacids?
Tetracycline (Adoxa)
Doxycycline (Vibramycin)
Minocycline (Minocin)
Gentamicin (Garamycin)
5. What is a common side effect associated with the use of phenytoin?
Nausea
Dizziness
Rash
Gingival hyperplasia
6. A patient on phenytoin presents with swollen gums. What nursing
intervention is most appropriate?
Instruct the patient to stop taking phenytoin immediately.
Advise the patient to maintain good oral hygiene and schedule a
dental appointment.
Suggest the patient take an over-the-counter pain reliever.
Recommend the patient increase their fluid intake.
7. If a patient accidentally takes Azithromycin with a meal and fruit juice, what
potential impact could this have on the medication's effectiveness?
The effectiveness of Azithromycin may be reduced due to impaired
absorption.
The patient will experience increased side effects.
, The medication will work faster due to the presence of food.
There will be no impact on the effectiveness of Azithromycin.
8. Which antibiotic class is known to have a potential interaction with milk
products?
Penicillins
Macrolides
Cephalosporins
Tetracyclines
9. Which antibiotic is known to potentially cause peripheral neuropathy as a
side effect?
Vancomycin
Metronidazole
Ciprofloxacin
Amoxicillin
10. Describe the importance of administering Azithromycin on an empty
stomach and avoiding fruit juice.
Fruit juice enhances the absorption of Azithromycin.
Administering Azithromycin on an empty stomach enhances its
absorption and effectiveness, while fruit juice can interfere with its
action.
Azithromycin can be taken at any time without affecting its efficacy.
Taking Azithromycin with food increases its side effects.
, 11. A patient is prescribed sulfamethoxazole for a urinary tract infection. What
nursing intervention should be prioritized to prevent crystalluria?
Administer the medication with food.
Limit the patient's physical activity.
Monitor the patient's blood pressure.
Encourage increased fluid intake.
12. What is the name of the antibiotic that is commonly associated with
thrombophlebitis?
Vancomycin
Cephalosporin
Tetracycline
Penicillin
13. A patient is receiving vancomycin for a severe infection. What would be the
appropriate nursing intervention regarding the monitoring of this antibiotic?
Administer the drug without monitoring.
Only monitor if the patient shows side effects.
Schedule peak and trough level tests before and after
administration.
Monitor blood pressure instead of drug levels.
14. Photosensitivity is most likely to occur with
Ampicillin
Tetracycline
QUESTIONS AND VERIFIED SOLUTIONS |2026|
ELABORATED &DETAILED ANSWERS!!
1. Which can cause discoloration of teeth?
Doxycycline
Azithromycin
Clindamycin
Valacyclovir
2. Describe the significance of monitoring peak and trough levels for certain
antibiotics.
It is a routine procedure for all antibiotics regardless of their
classification.
Monitoring is only important for oral antibiotics.
Monitoring peak and trough levels helps ensure therapeutic
effectiveness while minimizing toxicity.
It is only necessary for antibiotics with severe side effects.
3. A patient with a known milk allergy is prescribed a tetracycline antibiotic.
What nursing intervention should be prioritized?
Monitor the patient for allergic reactions to the antibiotic.
Educate the patient to avoid dairy products during the course of the
antibiotic.
Administer the antibiotic with milk to enhance absorption.
Suggest increasing dairy intake to prevent side effects.
,4. Which antibiotic is recommended to be administered on an empty stomach
to increase total absorption and to be given after antacids?
Tetracycline (Adoxa)
Doxycycline (Vibramycin)
Minocycline (Minocin)
Gentamicin (Garamycin)
5. What is a common side effect associated with the use of phenytoin?
Nausea
Dizziness
Rash
Gingival hyperplasia
6. A patient on phenytoin presents with swollen gums. What nursing
intervention is most appropriate?
Instruct the patient to stop taking phenytoin immediately.
Advise the patient to maintain good oral hygiene and schedule a
dental appointment.
Suggest the patient take an over-the-counter pain reliever.
Recommend the patient increase their fluid intake.
7. If a patient accidentally takes Azithromycin with a meal and fruit juice, what
potential impact could this have on the medication's effectiveness?
The effectiveness of Azithromycin may be reduced due to impaired
absorption.
The patient will experience increased side effects.
, The medication will work faster due to the presence of food.
There will be no impact on the effectiveness of Azithromycin.
8. Which antibiotic class is known to have a potential interaction with milk
products?
Penicillins
Macrolides
Cephalosporins
Tetracyclines
9. Which antibiotic is known to potentially cause peripheral neuropathy as a
side effect?
Vancomycin
Metronidazole
Ciprofloxacin
Amoxicillin
10. Describe the importance of administering Azithromycin on an empty
stomach and avoiding fruit juice.
Fruit juice enhances the absorption of Azithromycin.
Administering Azithromycin on an empty stomach enhances its
absorption and effectiveness, while fruit juice can interfere with its
action.
Azithromycin can be taken at any time without affecting its efficacy.
Taking Azithromycin with food increases its side effects.
, 11. A patient is prescribed sulfamethoxazole for a urinary tract infection. What
nursing intervention should be prioritized to prevent crystalluria?
Administer the medication with food.
Limit the patient's physical activity.
Monitor the patient's blood pressure.
Encourage increased fluid intake.
12. What is the name of the antibiotic that is commonly associated with
thrombophlebitis?
Vancomycin
Cephalosporin
Tetracycline
Penicillin
13. A patient is receiving vancomycin for a severe infection. What would be the
appropriate nursing intervention regarding the monitoring of this antibiotic?
Administer the drug without monitoring.
Only monitor if the patient shows side effects.
Schedule peak and trough level tests before and after
administration.
Monitor blood pressure instead of drug levels.
14. Photosensitivity is most likely to occur with
Ampicillin
Tetracycline
