NR 565 FINAL EXAM AND FINAL STUDY GUIDE NEWEST VERSION
2026-2027ACTUAL EXAM 320+ FINAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Sarah is a 25-year-old female who is 8 weeks pregnant
and has a urinary tract infection. What would be the
appropriate antibiotic to prescribe for her?
1. Ciprofloxacin (Cipro)
2. Amoxicillin (Trimox)
3. Doxycycline
4. Trimethoprim-sulfamethoxazole (Septra) - correct
answer✔✔2. Amoxicillin (Trimox)
Pong-tai is a 12-month-old child who is being treated with
amoxicillin for acute otitis media. His parents call the clinic
and say he has developed diarrhea. The appropriate
action would be to:
1. Advise the parents that some diarrhea is normal with
amoxicillin and recommend probiotics daily.
2. Change the antibiotic to one that is less of a
gastrointestinal irritant.
Downloaded by Walter Peter ()
,3. Order stool cultures for suspected viral pathogens not
treated by the amoxicillin.
4. Recommend increased fluids and fiber in his diet. -
correct answer✔✔1. Advise the parents that some
diarrhea is normal with amoxicillin and recommend
probiotics daily.
Lauren is a 13-year-old child who comes to clinic with a 4-
day history of cough, low-grade fever, and rhinorrhea.
When she blows her nose or coughs the mucous is
greenish-yellow. The appropriate antibiotic to prescribe
would be:
1. Amoxicillin
2. Amoxicillin/clavulanate
3. TMP/SMZ (Septra)
4. None - correct answer✔✔4. None
Joanna had a small ventricle septal defect (VSD) repaired
when she was 3 years old and has no residual cardiac
problems. She is now 28 and is requesting prophylactic
antibiotics for an upcoming dental visit. The appropriate
antibiotic to prescribe according to current American
College of Cardiology and American Heart Association
guidelines is:
Downloaded by Walter Peter ()
,1. None, no antibiotic is required for dental procedures
2. Amoxicillin 2 grams 1 hour before the procedure
3. Ampicillin 2 grams IM or IV 30 minutes before the
procedure
4. Azithromycin 1 gram 1 hour before the procedure -
correct answer✔✔1. None, no antibiotic is required for
dental procedures
To prevent further development of antibacterial resistance
it is recommended that fluoroquinolone be reserved for the
treatment of:
1. UTI in young women
2. URI in adults
3. skin and soft tissue infections in adults
4. CA-PNA in patients with comorbidities - correct
answer✔✔4. CA-PNA in patients with comorbidities
Fluoroquinolone have a black box warning regarding
even months after treatment.
1. renal dysfunction
2. hepatic toxicity
3. tendon rupture
4. development of glaucoma - correct answer✔✔3. tendon
rupture
Janet was recently treated with clindamycin for an
infection. She calls the advice nurse because she is
Downloaded by Walter Peter ()
, having frequent diarrhea that she thinks may have blood in
it. What would be the appropriate care for her?
1. Encourage increased fluids and fiber.
2. Assess her for pseudomembranous colitis.
3. Advise her to eat yogurt daily to help restore her gut
bacteria.
4. Start her on an antidiarrheal medication. - correct
answer✔✔2. Assess her for pseudomembranous colitis.
Keng has chronic hepatitis that has led to mildly impaired
liver function. He has an infection that would be best
treated by a macrolide. Which would be the best choice for
a patient with liver dysfunction?
1. Azithromycin (Zithromax)
2. Clarithromycin (Biaxin)
3. Erythromycin (E-mycin)
4. None of the above - correct answer✔✔3. Erythromycin
(E-mycin)
Jamie has glucose-6-phosphate dehydrogenase
deficiency (G6PD) and requires an antibiotic. Which class
of antibiotics should be avoided in this patient?
Downloaded by Walter Peter ()
2026-2027ACTUAL EXAM 320+ FINAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Sarah is a 25-year-old female who is 8 weeks pregnant
and has a urinary tract infection. What would be the
appropriate antibiotic to prescribe for her?
1. Ciprofloxacin (Cipro)
2. Amoxicillin (Trimox)
3. Doxycycline
4. Trimethoprim-sulfamethoxazole (Septra) - correct
answer✔✔2. Amoxicillin (Trimox)
Pong-tai is a 12-month-old child who is being treated with
amoxicillin for acute otitis media. His parents call the clinic
and say he has developed diarrhea. The appropriate
action would be to:
1. Advise the parents that some diarrhea is normal with
amoxicillin and recommend probiotics daily.
2. Change the antibiotic to one that is less of a
gastrointestinal irritant.
Downloaded by Walter Peter ()
,3. Order stool cultures for suspected viral pathogens not
treated by the amoxicillin.
4. Recommend increased fluids and fiber in his diet. -
correct answer✔✔1. Advise the parents that some
diarrhea is normal with amoxicillin and recommend
probiotics daily.
Lauren is a 13-year-old child who comes to clinic with a 4-
day history of cough, low-grade fever, and rhinorrhea.
When she blows her nose or coughs the mucous is
greenish-yellow. The appropriate antibiotic to prescribe
would be:
1. Amoxicillin
2. Amoxicillin/clavulanate
3. TMP/SMZ (Septra)
4. None - correct answer✔✔4. None
Joanna had a small ventricle septal defect (VSD) repaired
when she was 3 years old and has no residual cardiac
problems. She is now 28 and is requesting prophylactic
antibiotics for an upcoming dental visit. The appropriate
antibiotic to prescribe according to current American
College of Cardiology and American Heart Association
guidelines is:
Downloaded by Walter Peter ()
,1. None, no antibiotic is required for dental procedures
2. Amoxicillin 2 grams 1 hour before the procedure
3. Ampicillin 2 grams IM or IV 30 minutes before the
procedure
4. Azithromycin 1 gram 1 hour before the procedure -
correct answer✔✔1. None, no antibiotic is required for
dental procedures
To prevent further development of antibacterial resistance
it is recommended that fluoroquinolone be reserved for the
treatment of:
1. UTI in young women
2. URI in adults
3. skin and soft tissue infections in adults
4. CA-PNA in patients with comorbidities - correct
answer✔✔4. CA-PNA in patients with comorbidities
Fluoroquinolone have a black box warning regarding
even months after treatment.
1. renal dysfunction
2. hepatic toxicity
3. tendon rupture
4. development of glaucoma - correct answer✔✔3. tendon
rupture
Janet was recently treated with clindamycin for an
infection. She calls the advice nurse because she is
Downloaded by Walter Peter ()
, having frequent diarrhea that she thinks may have blood in
it. What would be the appropriate care for her?
1. Encourage increased fluids and fiber.
2. Assess her for pseudomembranous colitis.
3. Advise her to eat yogurt daily to help restore her gut
bacteria.
4. Start her on an antidiarrheal medication. - correct
answer✔✔2. Assess her for pseudomembranous colitis.
Keng has chronic hepatitis that has led to mildly impaired
liver function. He has an infection that would be best
treated by a macrolide. Which would be the best choice for
a patient with liver dysfunction?
1. Azithromycin (Zithromax)
2. Clarithromycin (Biaxin)
3. Erythromycin (E-mycin)
4. None of the above - correct answer✔✔3. Erythromycin
(E-mycin)
Jamie has glucose-6-phosphate dehydrogenase
deficiency (G6PD) and requires an antibiotic. Which class
of antibiotics should be avoided in this patient?
Downloaded by Walter Peter ()
