NSG 318 FINAL EXAM WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS| CURRENTLY TESTING
VERSION | ALREADY GRADED
A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS 2026
acquired resistance
type of resistance that is caused by prior exposure to an antibiotic. this can cause an
antibiotic to not be effective as it once was for a certain bacteria
Acyclovir (Zovarix)
antiviral drug used for the treatment of herpes simplex virus and varicella
important to increase fluids
phlebitis (check site before and throughout therapy), increased bleeding time
nephrotoxic
Amoxicillin
penicillin that is commonly used for otitis media, tonsilitis, and urinary tract infections
broad-spectrum
monitor urinary output (if less than 30mL/hr, decrease the dose)
tongue/tooth discoloration
superinfection - vaginitis
anaphylactic reaction
a reaction to a drug that may begin with shortness of breath and can lead to vascular
collapse, laryngeal edema, bronchospasms, and cardiac arrest.
antacids
1|Page
,OTC drugs that should not be taken at the same time as azithromycin (Zithromax) or
levofloxacin (Levaquin)
Azithromycin (Zithromax)
antibiotic that inhibits the steps of protein synthesis and is used for bacterial
conjuctivitis, STIs, and skin infections, NOT UTIs works well for those who are allergic to
penicillin/cephalosporin
1 hr before/2 hr after meals and with water
C diff, tinnitus, photosensitivity
broad spectrum antibiotic
effective against gram-positive and gram-negative bacteria
BUN, CR, liver enzymes
labs needed before giving antibiotics to determine the ability to metabolize and excrete
the drug
Ceftriaxone (Rocephin)
broad spectrum antibiotic that is used for OM, meningitis, and surgical infection
prophylaxis that have a disulfiram-like reaction
Cephalosporins
if a client is allergic to penicillin they can also be allergic to this classification of drug
disulfiram like reaction
superinfection: stomatitis
hepatotoxic
clostridium difficile
superinfection
multiple episodes of watery, diarrhea that may be bloody, abdominal cramping, and a
possible increased temperature
disulfiram-like reaction
2|Page
, a reaction that a client may have with metronidazide (Flagyl) or ceftriaxone and drinking
alcohol
doxycycline
antibiotic that is used to treat acne, E. coli, MRSA, STIs and anthrax that should not be
taken with milk, penicillins, and oral contraceptives
teratogenic effects, avoid if <8yrs (permanent discoloration)
photosensitivity
fluconazole (Difulcan)
azole antifungal
used for candida infections and prophylactically for those undergoing bone marrow
transplant. drinks w caffeine are contraindicated when taking this drug.
gentamicin sulfate
antibiotic that is administered via IM or IV and used for endocardiits, septicemia,
bone/joint infection, and meningitis, NOT OM. may cause alopecia, photosensitivity,
tinnitus (especially with furosemide), nephrotoxic
invermectin (stromectol)
an anthelmic medication used to treat clients with parasitic worms such as roundworm
injection site redness
expected side effect of isoniazid and ceftriaxone that the nurse should monitor but does
not require discontinuation of medication
levofloxacin (Levaquin)
antibiotic that interferes with enzyme DNA gyrase and is used to treat cellulitis, impetigo
and skin infections. may cause abdominal cramps, restlessness, depression,
photosensitivity, tinnitus and injection site reaction.
obtain specimen and cultures, increase fluids
metronidazide (Flagyl)
3|Page
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS| CURRENTLY TESTING
VERSION | ALREADY GRADED
A+|NEWEST|EXPERT VERIFIED FOR
GUARANTEED PASS 2026
acquired resistance
type of resistance that is caused by prior exposure to an antibiotic. this can cause an
antibiotic to not be effective as it once was for a certain bacteria
Acyclovir (Zovarix)
antiviral drug used for the treatment of herpes simplex virus and varicella
important to increase fluids
phlebitis (check site before and throughout therapy), increased bleeding time
nephrotoxic
Amoxicillin
penicillin that is commonly used for otitis media, tonsilitis, and urinary tract infections
broad-spectrum
monitor urinary output (if less than 30mL/hr, decrease the dose)
tongue/tooth discoloration
superinfection - vaginitis
anaphylactic reaction
a reaction to a drug that may begin with shortness of breath and can lead to vascular
collapse, laryngeal edema, bronchospasms, and cardiac arrest.
antacids
1|Page
,OTC drugs that should not be taken at the same time as azithromycin (Zithromax) or
levofloxacin (Levaquin)
Azithromycin (Zithromax)
antibiotic that inhibits the steps of protein synthesis and is used for bacterial
conjuctivitis, STIs, and skin infections, NOT UTIs works well for those who are allergic to
penicillin/cephalosporin
1 hr before/2 hr after meals and with water
C diff, tinnitus, photosensitivity
broad spectrum antibiotic
effective against gram-positive and gram-negative bacteria
BUN, CR, liver enzymes
labs needed before giving antibiotics to determine the ability to metabolize and excrete
the drug
Ceftriaxone (Rocephin)
broad spectrum antibiotic that is used for OM, meningitis, and surgical infection
prophylaxis that have a disulfiram-like reaction
Cephalosporins
if a client is allergic to penicillin they can also be allergic to this classification of drug
disulfiram like reaction
superinfection: stomatitis
hepatotoxic
clostridium difficile
superinfection
multiple episodes of watery, diarrhea that may be bloody, abdominal cramping, and a
possible increased temperature
disulfiram-like reaction
2|Page
, a reaction that a client may have with metronidazide (Flagyl) or ceftriaxone and drinking
alcohol
doxycycline
antibiotic that is used to treat acne, E. coli, MRSA, STIs and anthrax that should not be
taken with milk, penicillins, and oral contraceptives
teratogenic effects, avoid if <8yrs (permanent discoloration)
photosensitivity
fluconazole (Difulcan)
azole antifungal
used for candida infections and prophylactically for those undergoing bone marrow
transplant. drinks w caffeine are contraindicated when taking this drug.
gentamicin sulfate
antibiotic that is administered via IM or IV and used for endocardiits, septicemia,
bone/joint infection, and meningitis, NOT OM. may cause alopecia, photosensitivity,
tinnitus (especially with furosemide), nephrotoxic
invermectin (stromectol)
an anthelmic medication used to treat clients with parasitic worms such as roundworm
injection site redness
expected side effect of isoniazid and ceftriaxone that the nurse should monitor but does
not require discontinuation of medication
levofloxacin (Levaquin)
antibiotic that interferes with enzyme DNA gyrase and is used to treat cellulitis, impetigo
and skin infections. may cause abdominal cramps, restlessness, depression,
photosensitivity, tinnitus and injection site reaction.
obtain specimen and cultures, increase fluids
metronidazide (Flagyl)
3|Page