NURS 5433 FNP II Final Exam
Questions And Verified Answers
\Q\.gram positive bacteria - ANSWERS✔-staph
strep
enterococcus
- everything else is gram negative
\Q\.penicillins - ANSWERS✔-MOA: inhibit bacterial wall synthesis by binding to and activating
enzymes that are essential for cell wall function
effective against gram positive bacteria
- strep throat
- ear infections
- syphillis
\Q\.cephalosporins - ANSWERS✔-MOA: inhibit cell wall synthesis
broad spectrum, effective against pos and neg bacteria, later generations are more effective
against gram neg
treat respiratory infections, UTIs, skin infections, bacterial meningitis, pneumonia
\Q\.cephalosporin generations - ANSWERS✔-1 - cephalexin
2 - cefuroxime
,3 - ceftriaxone
4 - cefepime
\Q\.macrolides - ANSWERS✔-MOA: inhibit bacterial protein synthesis
effective against primarily gram pos but some gram neg
erythromycin, azithromycin, clarithromycin
treat respiratory infections, bronchitis, pna, skin infections, STIs
\Q\.flouroquinolones - ANSWERS✔-MOA: inhibit bacterial DNA synthesis
broad spectrum +/-
ciprofloxacin, levofloxacin, moxifloxacin
UTIs, GI infections, respiratory infections, skin infections
Risk of tendon rupture! Last resort abx
\Q\.tetracyclines - ANSWERS✔-MOA: inhibit bacterial synthesis
broad spectrum +/-
tetracycline, doxycycline, minocycline
,acne, respiratory infections, lyme, rocky mountain spotted fever, STIs
don't use in kids <8 y.o. unless RMSF
\Q\.aminoglycosides - ANSWERS✔-MOA: inhibit bacterial protein synthesis
gram negative bacteria
tobramicin, gentamicin, amikacin
treat sepsis, pna, UTIs, often in combo with another med
risk of ototoxicity, nephrotoxicity, neuromuscular blockade
\Q\.sulfonamides - ANSWERS✔-MOA: inhibits synthesis of folic acid in bacteria
gram + and some gram neg
bactrim, sulfamethoxazole
UTIs, ear infections, PNA
\Q\.Live attenuated vaccines - ANSWERS✔-MMR, varicella, nasal flu, rotavirus, yellow fever,
smallpox
, can cause fever and rash - normal!
must be given on the same day or at least 4 weeks apart, too close together can interfere with
effectiveness
AVOID in pregnancy and immunocompromised
do not give before 1 year old
\Q\.When do you start giving flu vaccine? - ANSWERS✔-6 months old
\Q\.Do you vaccinate if the child is ill or febrile? - ANSWERS✔-Yes
\Q\.kawasaki disease - ANSWERS✔-acute inflammatory condition that affects kids <5 y.o,
inflammation of blood vessels, can lead to heart problems
s/s:
fever >5 days
conjunctivitis
strawberry tongue
cracked lips, erythema in oral cavity
rash
edema and erythema of hands, feet
peeling fingertips
cervical lymphadenopathy
irritability
Questions And Verified Answers
\Q\.gram positive bacteria - ANSWERS✔-staph
strep
enterococcus
- everything else is gram negative
\Q\.penicillins - ANSWERS✔-MOA: inhibit bacterial wall synthesis by binding to and activating
enzymes that are essential for cell wall function
effective against gram positive bacteria
- strep throat
- ear infections
- syphillis
\Q\.cephalosporins - ANSWERS✔-MOA: inhibit cell wall synthesis
broad spectrum, effective against pos and neg bacteria, later generations are more effective
against gram neg
treat respiratory infections, UTIs, skin infections, bacterial meningitis, pneumonia
\Q\.cephalosporin generations - ANSWERS✔-1 - cephalexin
2 - cefuroxime
,3 - ceftriaxone
4 - cefepime
\Q\.macrolides - ANSWERS✔-MOA: inhibit bacterial protein synthesis
effective against primarily gram pos but some gram neg
erythromycin, azithromycin, clarithromycin
treat respiratory infections, bronchitis, pna, skin infections, STIs
\Q\.flouroquinolones - ANSWERS✔-MOA: inhibit bacterial DNA synthesis
broad spectrum +/-
ciprofloxacin, levofloxacin, moxifloxacin
UTIs, GI infections, respiratory infections, skin infections
Risk of tendon rupture! Last resort abx
\Q\.tetracyclines - ANSWERS✔-MOA: inhibit bacterial synthesis
broad spectrum +/-
tetracycline, doxycycline, minocycline
,acne, respiratory infections, lyme, rocky mountain spotted fever, STIs
don't use in kids <8 y.o. unless RMSF
\Q\.aminoglycosides - ANSWERS✔-MOA: inhibit bacterial protein synthesis
gram negative bacteria
tobramicin, gentamicin, amikacin
treat sepsis, pna, UTIs, often in combo with another med
risk of ototoxicity, nephrotoxicity, neuromuscular blockade
\Q\.sulfonamides - ANSWERS✔-MOA: inhibits synthesis of folic acid in bacteria
gram + and some gram neg
bactrim, sulfamethoxazole
UTIs, ear infections, PNA
\Q\.Live attenuated vaccines - ANSWERS✔-MMR, varicella, nasal flu, rotavirus, yellow fever,
smallpox
, can cause fever and rash - normal!
must be given on the same day or at least 4 weeks apart, too close together can interfere with
effectiveness
AVOID in pregnancy and immunocompromised
do not give before 1 year old
\Q\.When do you start giving flu vaccine? - ANSWERS✔-6 months old
\Q\.Do you vaccinate if the child is ill or febrile? - ANSWERS✔-Yes
\Q\.kawasaki disease - ANSWERS✔-acute inflammatory condition that affects kids <5 y.o,
inflammation of blood vessels, can lead to heart problems
s/s:
fever >5 days
conjunctivitis
strawberry tongue
cracked lips, erythema in oral cavity
rash
edema and erythema of hands, feet
peeling fingertips
cervical lymphadenopathy
irritability
