lOMoARcPSD|472 462 86
NUR 210 Exam 4
Principles of Pharmacology – Galen
Updated Exam Q&A 2026 | Trusted
Flashcards Used by Top Scoring Students
1) Which nursing intervention has the highest priority for the patient who is
taking cefepime?
a. Wait until culture results are received before initiating antibiotic
b. Monitor patient for s/s of superinfection
c. Administer IV over 2 hours to prevent phlebitis
d. Instruct the patient to take the drug for 5 days only
Answer: B
Rationale: Superinfection is a common adverse effect of antibiotics. The nurse should
culture the infected area before initiating antibiotics and may begin drug therapy before
culture results are received. IV cephalosporins should be administered over 30 to 45
minutes, not 2 hours.
Cephalosporins are usually given 10 days for a full regimen.
2) A patient enters the emergency department with a draining wound. Once the
patient is admitted and assessed, the priority nursing intervention is to:
a. Administer the ordered antibiotics
b. Teach the patient about the ordered antibiotics
c. Culture the wound
d. Enforce droplet isolation precautions
Answer: C
Rationale: The priority nursing intervention is to obtain a culture and antibiotic sensitivity
testing of infective organism (C&S).
, lOMoARcPSD|472 462 86
3) Which statement will the nurse include when teaching a patient about
cephalosporin therapy?
a. “avoid ingesting buttermilk or yogurt when taking this medication”
b. “stop taking the medication when you feel better”
c. “immediately stop taking the medication if you develop nausea”
d. “inform your MD if you develop mouth ulcers”
Answer: D
Rationale: The patient should be instructed to report signs of superinfection, such as
mouth ulcers or discharge from the anal or genital area. Ingestion of buttermilk or yogurt
may prevent superinfection of the intestinal flora; the entire course of the medication
should be taken; and the medication should be taken with food if nausea develops.
4) A patient asks the nurse why she gets yeast infections after a course of
antibiotics. The nurse explains,
a. “The antibiotics lower your WBC count”
b. “People are poorly nourished and hydrated after an infection”
c. “Yeast infections happen if the antibiotic is not taken for the full course”
d. “Yeast infections are common when the normal body flora are disrupted”
Answer: D
Rationale: The patient should be advised to ingest buttermilk or yogurt to prevent this
superinfection of the body's normal flora.
5) A patient is admitted to the health care facility with methicillin-resistant Staphylococcus
aureus (MRSA). The nurse anticipates administration of which drug?
a. Nafcillin (Nallpen)
b. Vancomycin (Vancocin)
c. Aztreonam (Azactam)
d. Piperacillin-tazobactam (Zosyn)
Answer: B Rationale: The treatment of choice for MRSA is vancomycin
, lOMoARcPSD|472 462 86
Which xteaching xby xthe xnurse xhas xthe xhighest xpriority xfor xthe xpatient xtaking xazithromycin x (Zithromax)?
a. Instruct xthe xpatient xto xuse xsunblock xand xprotective xclothing xduring xsun xexposure
b. Instruct xthe xpatient xto xstore xdrug xout xof xlight xand xextreme xheat
c. Inform xpatient xthat xchildren xyounger xthan x8 xyears xshould xnot xtake xthe xdrug, xto
xavoid x tooth xdiscoloration
d. Instruct xthe xpatient xto xreport xany xloose xstools xor xdiarrhea
Answer: xD
Rationale: xThe xpatient xshould xbe xinstructed xto xreport xloose xstools xor xdiarrhea xbecause xof
xpossible x pseudomembranous xcolitis. xPhotosensitivity xduring xsun xexposure xis xcommon xwith
xtetracyclines, xwhich x should xnot xbe xgiven xto xchildren xyounger xthan x8 xyears; xthe xdrugs xare
xaffected xby xlight xand xextreme xheat.
6) Which xstatement xby xa xpatient xwho xhas xreceived xteaching xon xtetracycline xtherapy
xindicates xthat x more xteaching xis xindicated?
a. “I xwill xstore xthe xmedication xaway xfrom xlight xand xextreme xheat”
b. “I xwill xuse xan xadditional xcontraceptive xtechnique xbecause xthis xdrug xmay xcause
xthe xoral x contraceptive xI xtake xto xbe xless xeffective”
c. “I xwill xtake xthis xmedication xwith xan xantacid”
d. “If xmy xstomach xbecomes xupset xwhen xtaking xthis xmedication, xI xwill xtake xit xwith
xnon-dairy x foods”
Answer: xC
Rationale: xPatients xtaking xtetracycline xtherapy xshould xavoid xmilk xproducts, xiron, xand xantacids.
xThe x medication xshould xbe xstored xaway xfrom xlight xand xextreme xheat. xTetracycline xcan xdecrease
xthe x effectiveness xof xoral xcontraceptives.
7) A xpatient xis xordered xto xreceive xvancomycin x(Vancocin) xfor xa xsevere xinfection. xIt xis xmost
ximportant x for xthe xnurse xto xassess xthe xpatient xfor xthe xdevelopment xof:
a. Neurotoxicity
b. Hepatotoxicity
c. Ototoxicity
d. Cardiotoxicity
Answer: xC
Rationale: xVancomycin xmay xcause xnephrotoxicity xand xototoxicity. xOtotoxicity xresults xin
x damage xto xthe xauditory xor xvestibular xbranch xof xcranial xnerve xVIII. xSuch xdamage xcan xresult xin
xpermanent x hearing xloss x(auditory xbranch) xor xtemporary xor xpermanent xloss xof xbalance
x(vestibular xbranch).
NUR 210 Exam 4
Principles of Pharmacology – Galen
Updated Exam Q&A 2026 | Trusted
Flashcards Used by Top Scoring Students
1) Which nursing intervention has the highest priority for the patient who is
taking cefepime?
a. Wait until culture results are received before initiating antibiotic
b. Monitor patient for s/s of superinfection
c. Administer IV over 2 hours to prevent phlebitis
d. Instruct the patient to take the drug for 5 days only
Answer: B
Rationale: Superinfection is a common adverse effect of antibiotics. The nurse should
culture the infected area before initiating antibiotics and may begin drug therapy before
culture results are received. IV cephalosporins should be administered over 30 to 45
minutes, not 2 hours.
Cephalosporins are usually given 10 days for a full regimen.
2) A patient enters the emergency department with a draining wound. Once the
patient is admitted and assessed, the priority nursing intervention is to:
a. Administer the ordered antibiotics
b. Teach the patient about the ordered antibiotics
c. Culture the wound
d. Enforce droplet isolation precautions
Answer: C
Rationale: The priority nursing intervention is to obtain a culture and antibiotic sensitivity
testing of infective organism (C&S).
, lOMoARcPSD|472 462 86
3) Which statement will the nurse include when teaching a patient about
cephalosporin therapy?
a. “avoid ingesting buttermilk or yogurt when taking this medication”
b. “stop taking the medication when you feel better”
c. “immediately stop taking the medication if you develop nausea”
d. “inform your MD if you develop mouth ulcers”
Answer: D
Rationale: The patient should be instructed to report signs of superinfection, such as
mouth ulcers or discharge from the anal or genital area. Ingestion of buttermilk or yogurt
may prevent superinfection of the intestinal flora; the entire course of the medication
should be taken; and the medication should be taken with food if nausea develops.
4) A patient asks the nurse why she gets yeast infections after a course of
antibiotics. The nurse explains,
a. “The antibiotics lower your WBC count”
b. “People are poorly nourished and hydrated after an infection”
c. “Yeast infections happen if the antibiotic is not taken for the full course”
d. “Yeast infections are common when the normal body flora are disrupted”
Answer: D
Rationale: The patient should be advised to ingest buttermilk or yogurt to prevent this
superinfection of the body's normal flora.
5) A patient is admitted to the health care facility with methicillin-resistant Staphylococcus
aureus (MRSA). The nurse anticipates administration of which drug?
a. Nafcillin (Nallpen)
b. Vancomycin (Vancocin)
c. Aztreonam (Azactam)
d. Piperacillin-tazobactam (Zosyn)
Answer: B Rationale: The treatment of choice for MRSA is vancomycin
, lOMoARcPSD|472 462 86
Which xteaching xby xthe xnurse xhas xthe xhighest xpriority xfor xthe xpatient xtaking xazithromycin x (Zithromax)?
a. Instruct xthe xpatient xto xuse xsunblock xand xprotective xclothing xduring xsun xexposure
b. Instruct xthe xpatient xto xstore xdrug xout xof xlight xand xextreme xheat
c. Inform xpatient xthat xchildren xyounger xthan x8 xyears xshould xnot xtake xthe xdrug, xto
xavoid x tooth xdiscoloration
d. Instruct xthe xpatient xto xreport xany xloose xstools xor xdiarrhea
Answer: xD
Rationale: xThe xpatient xshould xbe xinstructed xto xreport xloose xstools xor xdiarrhea xbecause xof
xpossible x pseudomembranous xcolitis. xPhotosensitivity xduring xsun xexposure xis xcommon xwith
xtetracyclines, xwhich x should xnot xbe xgiven xto xchildren xyounger xthan x8 xyears; xthe xdrugs xare
xaffected xby xlight xand xextreme xheat.
6) Which xstatement xby xa xpatient xwho xhas xreceived xteaching xon xtetracycline xtherapy
xindicates xthat x more xteaching xis xindicated?
a. “I xwill xstore xthe xmedication xaway xfrom xlight xand xextreme xheat”
b. “I xwill xuse xan xadditional xcontraceptive xtechnique xbecause xthis xdrug xmay xcause
xthe xoral x contraceptive xI xtake xto xbe xless xeffective”
c. “I xwill xtake xthis xmedication xwith xan xantacid”
d. “If xmy xstomach xbecomes xupset xwhen xtaking xthis xmedication, xI xwill xtake xit xwith
xnon-dairy x foods”
Answer: xC
Rationale: xPatients xtaking xtetracycline xtherapy xshould xavoid xmilk xproducts, xiron, xand xantacids.
xThe x medication xshould xbe xstored xaway xfrom xlight xand xextreme xheat. xTetracycline xcan xdecrease
xthe x effectiveness xof xoral xcontraceptives.
7) A xpatient xis xordered xto xreceive xvancomycin x(Vancocin) xfor xa xsevere xinfection. xIt xis xmost
ximportant x for xthe xnurse xto xassess xthe xpatient xfor xthe xdevelopment xof:
a. Neurotoxicity
b. Hepatotoxicity
c. Ototoxicity
d. Cardiotoxicity
Answer: xC
Rationale: xVancomycin xmay xcause xnephrotoxicity xand xototoxicity. xOtotoxicity xresults xin
x damage xto xthe xauditory xor xvestibular xbranch xof xcranial xnerve xVIII. xSuch xdamage xcan xresult xin
xpermanent x hearing xloss x(auditory xbranch) xor xtemporary xor xpermanent xloss xof xbalance
x(vestibular xbranch).
