NR 566 Week 1 & 2 Qbanks Questions with Verified Answers
(Correct Update)
Question 1: Penicillin: Cross-sensitivity reactions with which drug classes
Answer: Cephalosporins & Carbapenems (Allergy may be mild or severe) *recommend to prescribe 3rd
gen cephalosporins (Cefdinir)
Question 2: A patient is taking oral ketoconazole for a systemic fungal infection. The medication
administration record notes that the patient is also taking omeprazole for reflux disease. What
instructions will the provider give the patient to maximize medication effectiveness?
a. Take the omeprazole at least 2 hours after the ketoconazole.
b. Take the omeprazole 1 hour before the ketoconazole.
c. Wear sunglasses when outdoors to manage photosensitivity.
d. Restrict intake of dairy products.
Answer: Take the omeprazole at least 2 hours after the ketoconazole.
Question 3: A patient with a history of congestive heart failure and renal impairment is
diagnosed with esophageal candidiasis. Which antifungal agent will the provider prescribe this
patient?
a. Fluconazole
b. Itraconazole
c. Voriconazole
d. Amphotericin B
Answer: a. Fluconazole
Question 4: Regarding the most common causes of adverse reactions in older adults, which of the
following would you find to be decreased and the most common cause of these problems in older
adults?
a. Body fat content INC
b. Plasma albumin levels
c. Liver function
d. Renal function/clearance
Answer: d. Renal function/clearance
Question 5: Which type of medication prescribed to a pregnant patient is more likely to have
effects on her fetus?
a. Ionized drugs
b. Lipid-soluble drugs
c. Protein-bound drugs
d. Drugs that are highly polar
Answer: b. Lipid-soluble drugs
Page 1
,Question 6: A breastfed 2-month old has an infection that requires an antibiotic. What drug
factors influence the effect of the drug on the infant?
a. Lipid solubility
b. All the answers are correct
c. Maternal drug levels
d. Half-life
Answer: b. All the answers are correct
Question 7: A patient is diagnosed with lymphagitis has an allergy to penicillin, the allergy is a
rash. What would you give this patient?
a. Penicillin VK by mouth
b. Clindamycin
c. Trimethoprim/sulfamethoxazole (TMP/SMZ)
d. Penicillin G IV
Answer: b. Clindamycin
Question 8: A 19-year old female is diagnosed with bacterial vaginosis. What is common
treatment prescribed?
a. Amoxicillin
b. Azithromycin
c. Ciprofloxacin
d. Metronidazole
Answer: d. Metronidazole
Question 9: Which statement about Ciprofloxacin is accurate?
a. Organisms that commonly cause ear infections are highly resistant
b. Most "first-time" urinary tract infections are resistant to Ciprofloxacin
c. Ciprofloxacin is active against MRSA strains of staphylococci
d. Tendinitis may occur during treatment
Answer: d. Tendinitis may occur during treatment
Question 10: Risk factors for extended spectrum Beta Lacc. tamase producing organisms include
all except:
a. Recent abdominal surgery
b. A gastrostomy tube
c. Attending daycare
d. Use of corticosteroids
Answer: Attending daycare
Page 2
, Question 11: Select the term that refers to antibiotics that b. inhibit bacterial growth:
a. Bacteriocidal
b. Bacteriostatic
c. Bacteriogenic
d. Bacteriolytic
Answer: Bacteriostatic
Question 12: Which of the following medications is classified as macrolides?
Answer: a. Tobramycin b. Gentamycin c. Azithromycin d. Vancomycin
Question 13: Fluoroquinolone antibiotics are most likely indicating in which of the conditions:
Asthma Genital infections Follicular conjunctivitis GERD
Answer: Genital infections
Question 14: Which of the following best classifies penicillin, cephalosporins, and Protein
synthesis inhibitors Mycolic acid synthesis inhibitors RNA synthesis Cell wall inhibitors
Answer: Cell wall inhibitors
Question 15: Beta lactamase inhibitors are often located in which of the following? May decrease
absorption First dose effect Often combined with penicillin antibiotics Delayed absorption of oral
drugs
Answer: Often combined with penicillin antibiotics
Question 16: Which of the following groups of antibiotics is notable for side effects such as
nephrotoxicity or ototoxicity? Beta-lactams Aminoglycosides Tetracyclines
Answer: Aminoglycosides
Question 17: Which of the following best classifies amino- Protein glycosides, macrolides and
clindamycin? Protein synthesis inhibitor Folic acid synthesis inhibitors Cell wall inhibitors
Mycolic acid synthesis inhibitors
Answer: synthesis inhibitor
Question 18: When planning care for a patient receiving a Force sulfonaminde antibiotic. Which
is the appropriate intervention? Insert foley catheter for accurate input and output measurement
Encourage liquids that produce acidic urine Encourage a diet that causes alkaline ash Force
fluids to at least 2000 ml/day
Answer: fluids to at least 2000 ml/day
Page 3
(Correct Update)
Question 1: Penicillin: Cross-sensitivity reactions with which drug classes
Answer: Cephalosporins & Carbapenems (Allergy may be mild or severe) *recommend to prescribe 3rd
gen cephalosporins (Cefdinir)
Question 2: A patient is taking oral ketoconazole for a systemic fungal infection. The medication
administration record notes that the patient is also taking omeprazole for reflux disease. What
instructions will the provider give the patient to maximize medication effectiveness?
a. Take the omeprazole at least 2 hours after the ketoconazole.
b. Take the omeprazole 1 hour before the ketoconazole.
c. Wear sunglasses when outdoors to manage photosensitivity.
d. Restrict intake of dairy products.
Answer: Take the omeprazole at least 2 hours after the ketoconazole.
Question 3: A patient with a history of congestive heart failure and renal impairment is
diagnosed with esophageal candidiasis. Which antifungal agent will the provider prescribe this
patient?
a. Fluconazole
b. Itraconazole
c. Voriconazole
d. Amphotericin B
Answer: a. Fluconazole
Question 4: Regarding the most common causes of adverse reactions in older adults, which of the
following would you find to be decreased and the most common cause of these problems in older
adults?
a. Body fat content INC
b. Plasma albumin levels
c. Liver function
d. Renal function/clearance
Answer: d. Renal function/clearance
Question 5: Which type of medication prescribed to a pregnant patient is more likely to have
effects on her fetus?
a. Ionized drugs
b. Lipid-soluble drugs
c. Protein-bound drugs
d. Drugs that are highly polar
Answer: b. Lipid-soluble drugs
Page 1
,Question 6: A breastfed 2-month old has an infection that requires an antibiotic. What drug
factors influence the effect of the drug on the infant?
a. Lipid solubility
b. All the answers are correct
c. Maternal drug levels
d. Half-life
Answer: b. All the answers are correct
Question 7: A patient is diagnosed with lymphagitis has an allergy to penicillin, the allergy is a
rash. What would you give this patient?
a. Penicillin VK by mouth
b. Clindamycin
c. Trimethoprim/sulfamethoxazole (TMP/SMZ)
d. Penicillin G IV
Answer: b. Clindamycin
Question 8: A 19-year old female is diagnosed with bacterial vaginosis. What is common
treatment prescribed?
a. Amoxicillin
b. Azithromycin
c. Ciprofloxacin
d. Metronidazole
Answer: d. Metronidazole
Question 9: Which statement about Ciprofloxacin is accurate?
a. Organisms that commonly cause ear infections are highly resistant
b. Most "first-time" urinary tract infections are resistant to Ciprofloxacin
c. Ciprofloxacin is active against MRSA strains of staphylococci
d. Tendinitis may occur during treatment
Answer: d. Tendinitis may occur during treatment
Question 10: Risk factors for extended spectrum Beta Lacc. tamase producing organisms include
all except:
a. Recent abdominal surgery
b. A gastrostomy tube
c. Attending daycare
d. Use of corticosteroids
Answer: Attending daycare
Page 2
, Question 11: Select the term that refers to antibiotics that b. inhibit bacterial growth:
a. Bacteriocidal
b. Bacteriostatic
c. Bacteriogenic
d. Bacteriolytic
Answer: Bacteriostatic
Question 12: Which of the following medications is classified as macrolides?
Answer: a. Tobramycin b. Gentamycin c. Azithromycin d. Vancomycin
Question 13: Fluoroquinolone antibiotics are most likely indicating in which of the conditions:
Asthma Genital infections Follicular conjunctivitis GERD
Answer: Genital infections
Question 14: Which of the following best classifies penicillin, cephalosporins, and Protein
synthesis inhibitors Mycolic acid synthesis inhibitors RNA synthesis Cell wall inhibitors
Answer: Cell wall inhibitors
Question 15: Beta lactamase inhibitors are often located in which of the following? May decrease
absorption First dose effect Often combined with penicillin antibiotics Delayed absorption of oral
drugs
Answer: Often combined with penicillin antibiotics
Question 16: Which of the following groups of antibiotics is notable for side effects such as
nephrotoxicity or ototoxicity? Beta-lactams Aminoglycosides Tetracyclines
Answer: Aminoglycosides
Question 17: Which of the following best classifies amino- Protein glycosides, macrolides and
clindamycin? Protein synthesis inhibitor Folic acid synthesis inhibitors Cell wall inhibitors
Mycolic acid synthesis inhibitors
Answer: synthesis inhibitor
Question 18: When planning care for a patient receiving a Force sulfonaminde antibiotic. Which
is the appropriate intervention? Insert foley catheter for accurate input and output measurement
Encourage liquids that produce acidic urine Encourage a diet that causes alkaline ash Force
fluids to at least 2000 ml/day
Answer: fluids to at least 2000 ml/day
Page 3
