NR 566 MIDTERM EXAM AND NR 566 FINAL EXAM
NEWEST 2025 WITH COMPLETE QUESTIONS AND
100% CORRECT VERIFIED ANSWERS/WELL
GRADED A+//LATEST VERSION
The patient was treated with an antibiotic in the last 90 days of contracting CAP what
type of antibiotics should be prescribed? - CORRECT ANSWERS -quinolone (ex.
fluoroquinolone)
Tendonitis/tendon rupture is highly associated with which antibiotic class? - CORRECT
ANSWERS -fluoroquinolone (why they should be avoided in pregnancy)
Anthelmintic safe for pregnancy - CORRECT ANSWERS -Praziquantel
anthelmintic safe for breastfeeding - CORRECT ANSWERS -Mebendazole
pyrantel pamoate
anthelmintic caution with breastfeeding/pregnancy - CORRECT ANSWERS -
albendazole
ivermectin
diethylcarbamazine
Risks with diagnosing - CORRECT ANSWERS -lactic acidosis, severe hepatomegaly
with steatosis, severe pancreatitis
Voriconazole (-azoles) should NOT be combined with what - CORRECT ANSWERS -
drugs that are P450 inducers (Phenobarbital), reduce levels of Voriconazole
What is Enterobius vermicularis? - CORRECT ANSWERS -Pinworm infestation
(Nematode)
Most common in US
pinworms in ileus and large intestine
symptoms - perianal itching and sleep disturbance
Once itching/on hands can spread through touching
Who would you expect to have Enterobius vermicularis? - CORRECT ANSWERS -
Primarily in children (spread through daycares/schools)
How to treat Enterobius vermicularis? - CORRECT ANSWERS -Medication:
albendazole, mebendazole, pyrantel pamoate
Hand washing, all family members should be treated at same time
,Monitoring needs for long term antifungal use - CORRECT ANSWERS -Liver function -
AST, ALT, alkaline phosphate, and bilirubin
How to treat systemic fungal infections - CORRECT ANSWERS -Treating systemic
mycoses can be difficult: these infections often resist treatment and hence may require
prolonged therapy with drugs that frequently prove toxic.
Aspergillosis - voriconazole
candidiasis- amphotericin B or fluconazole plus or minus flucytosine
Histoplasmosis- amphotericin B or itraconazole
adverse effects of abacavir - CORRECT ANSWERS -Lactic acidosis, a severe
hepatomegaly with steatosis
What pathogen is highly associated with CAP in general population? - CORRECT
ANSWERS -streptococcus pneumoniae
Other common pathogens with CAP - CORRECT ANSWERS -atypical bacteria
(mycoplasma pneumonia)
viruses (influenza, respiratory syncytial virus)
First line treatment CAP in previous healthy adults - CORRECT ANSWERS -Amoxicillin,
doxycycline, macrolides (DAM)
Treatment of CAP in pregnancy - CORRECT ANSWERS -amoxicillin, cephalosporins,
erythromycin (ACE)
Treatment for mycoplasma pneumonia in the pediatric patient - CORRECT ANSWERS -
Macrolides (erythromycin, clarithromycin, azithromycin)
treatment of chlamydial pneumonia in infant - CORRECT ANSWERS -Erythromycin
base/ethylsuccinate
Broad spectrum antibiotics - when to use? - CORRECT ANSWERS -empiric therapy
When you don't know which bacteria it is
more likely to facilitate emergence of drug-resistant organisms and superinfections
prescribe these before culture results back
suspects patient has UTI
Narrow spectrum antibiotics - when to use? - CORRECT ANSWERS -When the
pathogen is known
Preferred
What are empiric antibiotics? - CORRECT ANSWERS -Broad Spectrum antibiotics that
are given BEFORE the results are in for certain circumstances.
Also can be prescribed when the NP believes it is a certain disease.
A)Prescription for an antibiotic for severe infection based on knowledge
, B)Prescription of an antibiotic for severe infection based on clinical evaluation
C)Prescription of antibiotic for severe infection based on most likely causative agent
When to prescribe empiric antibiotics? - CORRECT ANSWERS -E for Emergency
E for enticpation
Embulatory patients
Pt has severe infxn, initiate treatment before test results available
How to treat C Diff - CORRECT ANSWERS -Stop taking the abx that caused it
flagyl and vancomycin
Drug class known for all drugs in class to promote development of C diff - CORRECT
ANSWERS -cephalosporins (especially second or third generations)
Penicillin's have cross-sensitivity with which drug class? - CORRECT ANSWERS -
cephalosporins
Can you take penicillin's if pregnant? - CORRECT ANSWERS -Yes
Can you prescribe cephalosporins if pregnant? - CORRECT ANSWERS -yes
Patient education needed for cephalosporins - CORRECT ANSWERS -Can promote C
diff, instruct patients to report increase in stool frequency
Can you prescribe tetracyclines in pregnant patients - CORRECT ANSWERS -No - can
cause tooth staining
Patient education for tetracyclines - CORRECT ANSWERS -Photosensitivity. Advise
patients to avoid prolonged exposure to sunlight, to wear protective clothing, and to
apply sunscreen to exposed skin/avoid tanning beds.
Instruct patients not to take this medication together with calcium supplements, milk
products, iron supplements, magnesium-containing laxatives, and most antacids.
Advise patients to notify the provider if diarrhea occurs, as this is an indication of
potentially life-threatening superinfection of the bowel.
Macrolides patient education - CORRECT ANSWERS -increased risk of Torsades due
to prolonged QT
Which macrolide is ok for pregnancy? - CORRECT ANSWERS -erythromycin
Aminoglycosides patient education (ex. gentamicin, tobramycin, amikacin) - CORRECT
ANSWERS -use is associated with ototoxicity and nephrotoxicity
NEWEST 2025 WITH COMPLETE QUESTIONS AND
100% CORRECT VERIFIED ANSWERS/WELL
GRADED A+//LATEST VERSION
The patient was treated with an antibiotic in the last 90 days of contracting CAP what
type of antibiotics should be prescribed? - CORRECT ANSWERS -quinolone (ex.
fluoroquinolone)
Tendonitis/tendon rupture is highly associated with which antibiotic class? - CORRECT
ANSWERS -fluoroquinolone (why they should be avoided in pregnancy)
Anthelmintic safe for pregnancy - CORRECT ANSWERS -Praziquantel
anthelmintic safe for breastfeeding - CORRECT ANSWERS -Mebendazole
pyrantel pamoate
anthelmintic caution with breastfeeding/pregnancy - CORRECT ANSWERS -
albendazole
ivermectin
diethylcarbamazine
Risks with diagnosing - CORRECT ANSWERS -lactic acidosis, severe hepatomegaly
with steatosis, severe pancreatitis
Voriconazole (-azoles) should NOT be combined with what - CORRECT ANSWERS -
drugs that are P450 inducers (Phenobarbital), reduce levels of Voriconazole
What is Enterobius vermicularis? - CORRECT ANSWERS -Pinworm infestation
(Nematode)
Most common in US
pinworms in ileus and large intestine
symptoms - perianal itching and sleep disturbance
Once itching/on hands can spread through touching
Who would you expect to have Enterobius vermicularis? - CORRECT ANSWERS -
Primarily in children (spread through daycares/schools)
How to treat Enterobius vermicularis? - CORRECT ANSWERS -Medication:
albendazole, mebendazole, pyrantel pamoate
Hand washing, all family members should be treated at same time
,Monitoring needs for long term antifungal use - CORRECT ANSWERS -Liver function -
AST, ALT, alkaline phosphate, and bilirubin
How to treat systemic fungal infections - CORRECT ANSWERS -Treating systemic
mycoses can be difficult: these infections often resist treatment and hence may require
prolonged therapy with drugs that frequently prove toxic.
Aspergillosis - voriconazole
candidiasis- amphotericin B or fluconazole plus or minus flucytosine
Histoplasmosis- amphotericin B or itraconazole
adverse effects of abacavir - CORRECT ANSWERS -Lactic acidosis, a severe
hepatomegaly with steatosis
What pathogen is highly associated with CAP in general population? - CORRECT
ANSWERS -streptococcus pneumoniae
Other common pathogens with CAP - CORRECT ANSWERS -atypical bacteria
(mycoplasma pneumonia)
viruses (influenza, respiratory syncytial virus)
First line treatment CAP in previous healthy adults - CORRECT ANSWERS -Amoxicillin,
doxycycline, macrolides (DAM)
Treatment of CAP in pregnancy - CORRECT ANSWERS -amoxicillin, cephalosporins,
erythromycin (ACE)
Treatment for mycoplasma pneumonia in the pediatric patient - CORRECT ANSWERS -
Macrolides (erythromycin, clarithromycin, azithromycin)
treatment of chlamydial pneumonia in infant - CORRECT ANSWERS -Erythromycin
base/ethylsuccinate
Broad spectrum antibiotics - when to use? - CORRECT ANSWERS -empiric therapy
When you don't know which bacteria it is
more likely to facilitate emergence of drug-resistant organisms and superinfections
prescribe these before culture results back
suspects patient has UTI
Narrow spectrum antibiotics - when to use? - CORRECT ANSWERS -When the
pathogen is known
Preferred
What are empiric antibiotics? - CORRECT ANSWERS -Broad Spectrum antibiotics that
are given BEFORE the results are in for certain circumstances.
Also can be prescribed when the NP believes it is a certain disease.
A)Prescription for an antibiotic for severe infection based on knowledge
, B)Prescription of an antibiotic for severe infection based on clinical evaluation
C)Prescription of antibiotic for severe infection based on most likely causative agent
When to prescribe empiric antibiotics? - CORRECT ANSWERS -E for Emergency
E for enticpation
Embulatory patients
Pt has severe infxn, initiate treatment before test results available
How to treat C Diff - CORRECT ANSWERS -Stop taking the abx that caused it
flagyl and vancomycin
Drug class known for all drugs in class to promote development of C diff - CORRECT
ANSWERS -cephalosporins (especially second or third generations)
Penicillin's have cross-sensitivity with which drug class? - CORRECT ANSWERS -
cephalosporins
Can you take penicillin's if pregnant? - CORRECT ANSWERS -Yes
Can you prescribe cephalosporins if pregnant? - CORRECT ANSWERS -yes
Patient education needed for cephalosporins - CORRECT ANSWERS -Can promote C
diff, instruct patients to report increase in stool frequency
Can you prescribe tetracyclines in pregnant patients - CORRECT ANSWERS -No - can
cause tooth staining
Patient education for tetracyclines - CORRECT ANSWERS -Photosensitivity. Advise
patients to avoid prolonged exposure to sunlight, to wear protective clothing, and to
apply sunscreen to exposed skin/avoid tanning beds.
Instruct patients not to take this medication together with calcium supplements, milk
products, iron supplements, magnesium-containing laxatives, and most antacids.
Advise patients to notify the provider if diarrhea occurs, as this is an indication of
potentially life-threatening superinfection of the bowel.
Macrolides patient education - CORRECT ANSWERS -increased risk of Torsades due
to prolonged QT
Which macrolide is ok for pregnancy? - CORRECT ANSWERS -erythromycin
Aminoglycosides patient education (ex. gentamicin, tobramycin, amikacin) - CORRECT
ANSWERS -use is associated with ototoxicity and nephrotoxicity
