EXAM 2 TEST BANK QUESTIONS AND
ANSWERS
A patient comes to the clinic to talk with the nurse about planned overseas travel.
The patient
tells the nurse that he or she is planning a trip to an area of the world where malaria
is common. 26. He wants to know how to prevent contracting the disease. What
should the nurse respond?
A) We can ask the physician to give you some anti-infectives in case you get
malaria.
B) We can ask the physician for some anti-infectives for you to take prophylactically.
C) Dont worry, if you get malaria they have some good doctors where you are going.
D) If you get malaria, you can always be treated on the way home. - Answer-b
The nurse is caring for a patient who is receiving a broad-spectrum anti-infective
agents. The
nurse would assess the patient for what common adverse effect of broad spectrum
anti-infective 27. agents?
A) Destruction of pathogens
B) Decrease in infection
C) Destruction of the normal flora
D) Decrease in inflammation - Answer-c
Selective toxicity, or the ability to affect certain proteins or enzyme systems in the
infecting
organism, is a much sought-after quality in an anti-infective agent. How many anti-
infective 28. agents have this quality?
A) 75%
B) 50%
C) 25%
D) 0% - Answer-d
The nursing instructor teaches the students about selective toxicity when one of the
students
asks, What happens when a drug doesnt have selective toxicity? What is the
instructors best 29. response?
A) Healthy cells are damaged.
B) All pathogens are destroyed in the body.
C) Reduced enzymes are produced.
D) Protein malnutrition - Answer-a
The nursing instructor is talking with the students about anti-infective medication and
explains 30. that drugs that are very selective in their actions are said to be what?
A) Broad spectrum
B) Narrow spectrum
C) Bactericidal
D) Bacteriostatic - Answer-b
,The nurse administers polymyxin B to a patient with a gram-negative bacterial
infection. What
symptoms would cause the nurse to suspect drug fever, hold the medication, and
call the health 31. care provider immediately? (Select all that apply.)
A) Fever
B) Dizziness
C) Ataxia
D) Increased activity
E) Reduced urine output - Answer-a,b,c,e
The charge nurse, working on a pediatric unit, sees an order was written to
administer chloramphenicol (Chloromycetin) to one of the children assigned to a new
graduate nurse. The charge nurse would make sure the new graduate was familiar
with what possible adverse effects of this medication? (Select all that apply.)
A) Gray syndrome
B) Bone marrow depression
C) Aplastic anemia
D) Liver failure
E) Hearing loss - Answer-a,b,c
The patient in the clinic receives a prescription for an anti-infective to treat a urinary
tract infection. The patient asks the nurse, Would you ask the doctor to give me
refills on this prescription? I get a urinary tract infection almost once a year it seems
and Id like to have a refill I can store for the next time so I dont have to come back to
the clinic. What is the nurses
33. priority response?
A) Sure, Id be glad to ask. How many refills would you like to have?
B) Most medications, if not used, should be discarded after a year so it is better to
get a new prescription next year when you need it.
C) This antibiotic doesnt destroy every pathogen that could cause a urinary tract
infection so it is better to get the right antibiotic next time.
D) Saving antibiotics for another time and self-diagnosing when antibiotics are
needed lead to resistant organisms that no longer respond to drugs. - Answer-d
The nurse admits a patient with septicemia (i.e., infection in the bloodstream). The
patient denies any allergies and the doctor has ordered cefuroxime based on blood
culture results that report the active pathogen is susceptible to this drug. The patient
asks what antibiotic was ordered, and when the nurse says cefuroxime, the patient
says, Call my doctor and tell him I want vancomycin because Ive been reading about
drug-resistant bacteria and I dont want to take any chances. What is the nurses best
response?
A) Vancomycin is a powerful drug with many adverse effects and it is reserved for
when no other drug will work against the infection.
B) There are some resistant infections that require vancomycin so you are right to
prefer a stronger antibiotic.
C) I appreciate your concern but your doctor ordered the right medication for you so
dont worry about it.
D) You cant believe anything you read on the Internet because - Answer-a
,The mother brings her 18-month-old toddler to the pediatrician because the child has
a fever and has been tugging on his or her left ear. Examination of the tympanic
membrane confirms an ear infection and the toddler also has a cold with nasal
congestion, rhinorrhea, and a cough. The provider tells the mother to apply heat and
gives her a prescription for an otic anesthetic to make the ear more comfortable until
the infection resolves. The mother is not happy and says she wants a prescription for
an antibiotic. What important teaching points will the nurse include in the teaching
plan? (Select all that apply.)
A) Ear infections that accompany viral respiratory infections do not respond to
antibiotics.
B) Habitual use of antibiotics for viral infections contribute to development of
resistant strains.
C) Adverse effects from antibiotics in children can cause diarrhea and dehydration.
D) Antibiotics will only be prescri - Answer-a,b,c
A 32-year-old female patient is admitted to the floor with a superinfection. Her orders
read
tigecycline (Tygacil) 100 mg IV followed by 50 mg IV every 12 hours infused over 30
to 60 1. minutes for 5 days. What would be important for the nurse to educate this
patient about?
A)
Analgesics
B)
Antihistamines
C)
Contraceptives
D)
Decongestants - Answer-c
A patient with a gram-negative infection is being treated with an aminoglycoside.
What system should the nurse expect to monitor closely while the patient is taking
this medication?
A)
Respiratory system
B)
Ophthalmic system
C)
Renal system
D)
Musculoskeletal system - Answer-c
How would the nurse describe selective toxicity?
A)
Selective toxicity interferes with a biochemical reaction common to many different
organisms.
B)
Selective toxicity will decrease invading bacteria by interfering with the pathogens
ability to reproduce.
C)
, Selective toxicity will eliminate bacteria by interrupting protein synthesis and
damaging the pathogens cell wall.
D) Selective toxicity is the ability of the drug to kill foreign cells without causing harm
to ones own body cells - Answer-d
A patient is receiving meropenem (Merrem IV). What drug-related reaction will the
nurse assess for?
A) Gastrointestinal toxicity
B) Hepatic toxicity
C) Nephrotoxicity
D) Neurotoxicity - Answer-A
A patient is admitted to the unit and the nurse assesses whether he or she is at
increased risk for infection when what factors are determined? (Select all that apply.)
A) Malnutrition
B) Hypertension
C) Suppression of immune system
D) Advanced age
E) Decreased amylase levels - Answer-A,C,D
The nurse is caring for a patient receiving penicillin. The nurse knows this type of
antibiotic 12. works by what mechanism?
A) Inhibiting growth and development of the organism
B) Inhibiting protein synthesis
C) Inhibiting cell wall biosynthesis
D) Stimulating bacterial reproduction - Answer-C
A nurse collects a culture sample of infected tissue. What does the result of testing
the culture 13. contribute to the patients care?
A) Identifies the specific organism causing the infection
B) Pinpoints the exact site of the infection
C) Identifies individualized patient factors contributing to infection
D) Describes the length of time the patient has experienced infection - Answer-A
A patient calls the clinic to talk to the nurse. The patient states that he or she saw the
physician last week and was prescribed penicillin for a strep throat. The patient goes
on to say that they feel so much better they stopped taking the drug today, even
though there are a few pills left.What is the nurses best response?
A) Okay, thank you for letting me know. I will document in your medical record that
the treatment was effective.
B) It is important that you take all the medication so all the germs are killed.
Otherwise they could come right back and be even stronger.
C) What you have described is the halo effect of the drug, making you feel better
when you are still infected. Youll feel sick again when the drug is out of your system.
D) You will need to come to the clinic and be evaluated by your physician to make
sure the infection is really gone. - Answer-B
When administering anti-infectives to patients, the nurse is aware of the risk for what
potentially fatal adverse effect?
A) Gastrointestinal toxicity
ANSWERS
A patient comes to the clinic to talk with the nurse about planned overseas travel.
The patient
tells the nurse that he or she is planning a trip to an area of the world where malaria
is common. 26. He wants to know how to prevent contracting the disease. What
should the nurse respond?
A) We can ask the physician to give you some anti-infectives in case you get
malaria.
B) We can ask the physician for some anti-infectives for you to take prophylactically.
C) Dont worry, if you get malaria they have some good doctors where you are going.
D) If you get malaria, you can always be treated on the way home. - Answer-b
The nurse is caring for a patient who is receiving a broad-spectrum anti-infective
agents. The
nurse would assess the patient for what common adverse effect of broad spectrum
anti-infective 27. agents?
A) Destruction of pathogens
B) Decrease in infection
C) Destruction of the normal flora
D) Decrease in inflammation - Answer-c
Selective toxicity, or the ability to affect certain proteins or enzyme systems in the
infecting
organism, is a much sought-after quality in an anti-infective agent. How many anti-
infective 28. agents have this quality?
A) 75%
B) 50%
C) 25%
D) 0% - Answer-d
The nursing instructor teaches the students about selective toxicity when one of the
students
asks, What happens when a drug doesnt have selective toxicity? What is the
instructors best 29. response?
A) Healthy cells are damaged.
B) All pathogens are destroyed in the body.
C) Reduced enzymes are produced.
D) Protein malnutrition - Answer-a
The nursing instructor is talking with the students about anti-infective medication and
explains 30. that drugs that are very selective in their actions are said to be what?
A) Broad spectrum
B) Narrow spectrum
C) Bactericidal
D) Bacteriostatic - Answer-b
,The nurse administers polymyxin B to a patient with a gram-negative bacterial
infection. What
symptoms would cause the nurse to suspect drug fever, hold the medication, and
call the health 31. care provider immediately? (Select all that apply.)
A) Fever
B) Dizziness
C) Ataxia
D) Increased activity
E) Reduced urine output - Answer-a,b,c,e
The charge nurse, working on a pediatric unit, sees an order was written to
administer chloramphenicol (Chloromycetin) to one of the children assigned to a new
graduate nurse. The charge nurse would make sure the new graduate was familiar
with what possible adverse effects of this medication? (Select all that apply.)
A) Gray syndrome
B) Bone marrow depression
C) Aplastic anemia
D) Liver failure
E) Hearing loss - Answer-a,b,c
The patient in the clinic receives a prescription for an anti-infective to treat a urinary
tract infection. The patient asks the nurse, Would you ask the doctor to give me
refills on this prescription? I get a urinary tract infection almost once a year it seems
and Id like to have a refill I can store for the next time so I dont have to come back to
the clinic. What is the nurses
33. priority response?
A) Sure, Id be glad to ask. How many refills would you like to have?
B) Most medications, if not used, should be discarded after a year so it is better to
get a new prescription next year when you need it.
C) This antibiotic doesnt destroy every pathogen that could cause a urinary tract
infection so it is better to get the right antibiotic next time.
D) Saving antibiotics for another time and self-diagnosing when antibiotics are
needed lead to resistant organisms that no longer respond to drugs. - Answer-d
The nurse admits a patient with septicemia (i.e., infection in the bloodstream). The
patient denies any allergies and the doctor has ordered cefuroxime based on blood
culture results that report the active pathogen is susceptible to this drug. The patient
asks what antibiotic was ordered, and when the nurse says cefuroxime, the patient
says, Call my doctor and tell him I want vancomycin because Ive been reading about
drug-resistant bacteria and I dont want to take any chances. What is the nurses best
response?
A) Vancomycin is a powerful drug with many adverse effects and it is reserved for
when no other drug will work against the infection.
B) There are some resistant infections that require vancomycin so you are right to
prefer a stronger antibiotic.
C) I appreciate your concern but your doctor ordered the right medication for you so
dont worry about it.
D) You cant believe anything you read on the Internet because - Answer-a
,The mother brings her 18-month-old toddler to the pediatrician because the child has
a fever and has been tugging on his or her left ear. Examination of the tympanic
membrane confirms an ear infection and the toddler also has a cold with nasal
congestion, rhinorrhea, and a cough. The provider tells the mother to apply heat and
gives her a prescription for an otic anesthetic to make the ear more comfortable until
the infection resolves. The mother is not happy and says she wants a prescription for
an antibiotic. What important teaching points will the nurse include in the teaching
plan? (Select all that apply.)
A) Ear infections that accompany viral respiratory infections do not respond to
antibiotics.
B) Habitual use of antibiotics for viral infections contribute to development of
resistant strains.
C) Adverse effects from antibiotics in children can cause diarrhea and dehydration.
D) Antibiotics will only be prescri - Answer-a,b,c
A 32-year-old female patient is admitted to the floor with a superinfection. Her orders
read
tigecycline (Tygacil) 100 mg IV followed by 50 mg IV every 12 hours infused over 30
to 60 1. minutes for 5 days. What would be important for the nurse to educate this
patient about?
A)
Analgesics
B)
Antihistamines
C)
Contraceptives
D)
Decongestants - Answer-c
A patient with a gram-negative infection is being treated with an aminoglycoside.
What system should the nurse expect to monitor closely while the patient is taking
this medication?
A)
Respiratory system
B)
Ophthalmic system
C)
Renal system
D)
Musculoskeletal system - Answer-c
How would the nurse describe selective toxicity?
A)
Selective toxicity interferes with a biochemical reaction common to many different
organisms.
B)
Selective toxicity will decrease invading bacteria by interfering with the pathogens
ability to reproduce.
C)
, Selective toxicity will eliminate bacteria by interrupting protein synthesis and
damaging the pathogens cell wall.
D) Selective toxicity is the ability of the drug to kill foreign cells without causing harm
to ones own body cells - Answer-d
A patient is receiving meropenem (Merrem IV). What drug-related reaction will the
nurse assess for?
A) Gastrointestinal toxicity
B) Hepatic toxicity
C) Nephrotoxicity
D) Neurotoxicity - Answer-A
A patient is admitted to the unit and the nurse assesses whether he or she is at
increased risk for infection when what factors are determined? (Select all that apply.)
A) Malnutrition
B) Hypertension
C) Suppression of immune system
D) Advanced age
E) Decreased amylase levels - Answer-A,C,D
The nurse is caring for a patient receiving penicillin. The nurse knows this type of
antibiotic 12. works by what mechanism?
A) Inhibiting growth and development of the organism
B) Inhibiting protein synthesis
C) Inhibiting cell wall biosynthesis
D) Stimulating bacterial reproduction - Answer-C
A nurse collects a culture sample of infected tissue. What does the result of testing
the culture 13. contribute to the patients care?
A) Identifies the specific organism causing the infection
B) Pinpoints the exact site of the infection
C) Identifies individualized patient factors contributing to infection
D) Describes the length of time the patient has experienced infection - Answer-A
A patient calls the clinic to talk to the nurse. The patient states that he or she saw the
physician last week and was prescribed penicillin for a strep throat. The patient goes
on to say that they feel so much better they stopped taking the drug today, even
though there are a few pills left.What is the nurses best response?
A) Okay, thank you for letting me know. I will document in your medical record that
the treatment was effective.
B) It is important that you take all the medication so all the germs are killed.
Otherwise they could come right back and be even stronger.
C) What you have described is the halo effect of the drug, making you feel better
when you are still infected. Youll feel sick again when the drug is out of your system.
D) You will need to come to the clinic and be evaluated by your physician to make
sure the infection is really gone. - Answer-B
When administering anti-infectives to patients, the nurse is aware of the risk for what
potentially fatal adverse effect?
A) Gastrointestinal toxicity
