• Question 1
• Which drug should the APRN select to treat a patient with an infected post
operative surgical wound infected with a positive culture result for MRSA?
Most post operative skin infections are caused by staphylococcus. Cephalosporins
have traditionally been utilized to treat these infections be-cause the penetrate skin
tissue very well. If there is concern that MRSA is the causative agent, then
Bactrim, doxycycline, or clindamycin should be utilized. Treatment should
continue for a minimum of 10 days. Any drainage from the would should be
sent for culture and sensitivity.
Question 2
What statement is correct about cephalosporins? •
If the risk of MRSA is elevated, an antibiotic that provides coverage
should be selected such as clindamycin or
sulfamethoxazole/trimethoprim.
Question 3
The NP is assessing a patient receiving benzodiazepines who is experiencing
confusion, dizziness, slurred speech, and difficulty breathing. What medication should
the NP order to counter the effects?
Flumazenil/Romazicon
Question 4
The APRN should educate a diabetic patient that beta blockers may mask the signs
and symptoms of
, Hypoglycemia
Question 5
The NP is managing a male patient with bilateral lower extremity swelling, erythema,
and draining blisters. The patient states the blisters have been there about a week but
now there is redness around the blisters and moving up the leg. He has been having
chills and thinks he has been running a temperature but does not own a thermometer.
Vital signs are within normal limits except for an elevated temperature of 101.1 The
patient has no known drug allergies. What medication should the NP prescribe?
Cellulitis is treated with Cephalexin
Question 6
When prescribing sildenafil (Viagra) to a patient, the patient should be screened for
which of the following? Select all that apply.
Question 7
The NP is discharging a patient newly diagnosed with end stage renal disease that has
been started on hemodialysis. The patient states he has frequent constipation at home.
What over the counter product should the NP instruct the patient to AVOID?
MilkofmagnesiaorCitromag (magnesium citrate)