PNM 300 REAL EXAM QUESTIONS AND ANSWERS 2025|WELL STRUTURED|100%
PASS
QUESTIONS ANSWERS
Patients who are allergic to penicillin may
also be hypersensitive to which drugs?
a. Tetracyclines
C.
b. Sulfonamides
c. Cephalosporins
d. Imipenem-cilastatin
A patient has been prescribed a tetracy-
cline. What important information should
the nurse tell the patient about taking this
medication?
Acidic foods, such as citrus fruit juices,
a. B.
help to enhance absorption.
dairy products decrease levels of tetracy-
b. Milk and cheese products result in de-
cline
creased levels of tetracycline.
c. Antacids taken with the medication
help to reduce gastrointestinal distress.
d. The medication should be taken with
high-fibre foods to prevent constipation.
Which drug may result in an interaction if
taken with penicillin?
a. Antacids
b. acetaminophen (Tylenol®) D.
c. digoxin (Lanoxin®)
d. Nonsteroidal anti-inflammatory drugs
(NSAIDs)
A patient taking an antibiotic suddenly
develops hives. The hives are an exam-
ple of which reactions?
a. A desired reaction B.
b. An allergic reaction
c. An idiosyncratic reaction
d. An unpredictable reaction
A patient is admitted with a fever of 39°C
of unknown origin. The assessment re-
veals bilateral crackles and a productive
cough. The physician has ordered spu-
tum and blood cultures and the adminis-
, PNM 300 REAL EXAM QUESTIONS AND ANSWERS 2025|WELL STRUTURED|100%
PASS
QUESTIONS ANSWERS
tration of ampicillin 500 mg intravenous
stat and then every 6 hours. Which is the
correct sequence for the nurse to follow
to complete these orders?
a. Blood culture, ampicillin dose, sputum
culture
D.
b. Sputum culture, ampicillin dose, blood
culture
c. Ampicillin dose, blood and sputum cul-
tures
d. Blood and sputum cultures, ampicillin
dose
During antibiotic therapy, a significant
drug interaction may occur with which
drug group? B.
a. Anticoagulants Effectiveness of oral contraceptives may
b. Estrogen-containing contraceptives be decreased with certain antibiotics.
c. Antihypertensives
d. Antihistamines
A patient with an infection is being by
monitored by the nurse for therapeutic
results of antibiotic therapy. Which labo-
ratory value indicates the effectiveness C.
of this therapy? A decreased WBC count is an indication
a. Increased red blood cell (RBC) count of the reduction of infection and the ther-
b. Increased white blood cell (WBC) apeutic effect of antibiotic therapy.
count
c. Decreased WBC count
d. Decreased platelet count
How are the four generations of
D. By antimicrobial activity...
cephalosporins differentiated?
Depending on the generation, these
a. By varying levels of toxicity
drugs may be active against gram-pos-
b. By adverse-effect profiles
itive, gram-negative, or anaerobic bacte-
c. By ²l-actam resistance
ria.
d. By antimicrobial activity
A patient has received an antibiotic to
take for 1 week before planned oral
surgery. This is an example of what type
, PNM 300 REAL EXAM QUESTIONS AND ANSWERS 2025|WELL STRUTURED|100%
PASS
QUESTIONS ANSWERS
of therapy?
a. Empirical therapy
B.
b. Prophylactic therapy
Prophylactic = PREVENTION
c. Bactericidal therapy
d. Resistance therapy
Which class of antibiotics is often used
with ²l-actamase inhibitors to extend the D.
effectiveness of the antibiotics? Because ²l-actamase inhibitors block the
a. Cephalosporins effect of the enzyme ²l-actamase, peni-
b. Tetracyclines cillin antibiotics have an extended useful-
c. Sulfonamides ness against the bacteria.
d. Penicillins
During drug therapy for pneumonia, a
female patient develops a superinfection.
She asks the nurse how this could have
happened. Which is the nurse's best ex-
planation to the patient?
a. Large doses of antibiotics kill normal
flora. A.
b. The infection has spread from her
lungs to the new site of infection.
c. The pneumonia-causing bacteria are
resistant to the drugs.
d. She is having an allergic reaction to
the antibiotics.
During antibiotic therapy, the nurse
should monitor the patient closely for
signs and symptoms of a hypersensitivity
A, C, E, F, H
reaction. What may be an indication of a
-wheezing
hypersensitivity reaction? (Select all that
-SOB
apply.)
-swelling of the tongue
a. Wheezing
-itching
b. Diarrhea
-angioedema (swelling of face, tongue,
c. Shortness of breath
hands)
d. Swelling of the feet
e. Swelling of the tongue
f. Itching
PASS
QUESTIONS ANSWERS
Patients who are allergic to penicillin may
also be hypersensitive to which drugs?
a. Tetracyclines
C.
b. Sulfonamides
c. Cephalosporins
d. Imipenem-cilastatin
A patient has been prescribed a tetracy-
cline. What important information should
the nurse tell the patient about taking this
medication?
Acidic foods, such as citrus fruit juices,
a. B.
help to enhance absorption.
dairy products decrease levels of tetracy-
b. Milk and cheese products result in de-
cline
creased levels of tetracycline.
c. Antacids taken with the medication
help to reduce gastrointestinal distress.
d. The medication should be taken with
high-fibre foods to prevent constipation.
Which drug may result in an interaction if
taken with penicillin?
a. Antacids
b. acetaminophen (Tylenol®) D.
c. digoxin (Lanoxin®)
d. Nonsteroidal anti-inflammatory drugs
(NSAIDs)
A patient taking an antibiotic suddenly
develops hives. The hives are an exam-
ple of which reactions?
a. A desired reaction B.
b. An allergic reaction
c. An idiosyncratic reaction
d. An unpredictable reaction
A patient is admitted with a fever of 39°C
of unknown origin. The assessment re-
veals bilateral crackles and a productive
cough. The physician has ordered spu-
tum and blood cultures and the adminis-
, PNM 300 REAL EXAM QUESTIONS AND ANSWERS 2025|WELL STRUTURED|100%
PASS
QUESTIONS ANSWERS
tration of ampicillin 500 mg intravenous
stat and then every 6 hours. Which is the
correct sequence for the nurse to follow
to complete these orders?
a. Blood culture, ampicillin dose, sputum
culture
D.
b. Sputum culture, ampicillin dose, blood
culture
c. Ampicillin dose, blood and sputum cul-
tures
d. Blood and sputum cultures, ampicillin
dose
During antibiotic therapy, a significant
drug interaction may occur with which
drug group? B.
a. Anticoagulants Effectiveness of oral contraceptives may
b. Estrogen-containing contraceptives be decreased with certain antibiotics.
c. Antihypertensives
d. Antihistamines
A patient with an infection is being by
monitored by the nurse for therapeutic
results of antibiotic therapy. Which labo-
ratory value indicates the effectiveness C.
of this therapy? A decreased WBC count is an indication
a. Increased red blood cell (RBC) count of the reduction of infection and the ther-
b. Increased white blood cell (WBC) apeutic effect of antibiotic therapy.
count
c. Decreased WBC count
d. Decreased platelet count
How are the four generations of
D. By antimicrobial activity...
cephalosporins differentiated?
Depending on the generation, these
a. By varying levels of toxicity
drugs may be active against gram-pos-
b. By adverse-effect profiles
itive, gram-negative, or anaerobic bacte-
c. By ²l-actam resistance
ria.
d. By antimicrobial activity
A patient has received an antibiotic to
take for 1 week before planned oral
surgery. This is an example of what type
, PNM 300 REAL EXAM QUESTIONS AND ANSWERS 2025|WELL STRUTURED|100%
PASS
QUESTIONS ANSWERS
of therapy?
a. Empirical therapy
B.
b. Prophylactic therapy
Prophylactic = PREVENTION
c. Bactericidal therapy
d. Resistance therapy
Which class of antibiotics is often used
with ²l-actamase inhibitors to extend the D.
effectiveness of the antibiotics? Because ²l-actamase inhibitors block the
a. Cephalosporins effect of the enzyme ²l-actamase, peni-
b. Tetracyclines cillin antibiotics have an extended useful-
c. Sulfonamides ness against the bacteria.
d. Penicillins
During drug therapy for pneumonia, a
female patient develops a superinfection.
She asks the nurse how this could have
happened. Which is the nurse's best ex-
planation to the patient?
a. Large doses of antibiotics kill normal
flora. A.
b. The infection has spread from her
lungs to the new site of infection.
c. The pneumonia-causing bacteria are
resistant to the drugs.
d. She is having an allergic reaction to
the antibiotics.
During antibiotic therapy, the nurse
should monitor the patient closely for
signs and symptoms of a hypersensitivity
A, C, E, F, H
reaction. What may be an indication of a
-wheezing
hypersensitivity reaction? (Select all that
-SOB
apply.)
-swelling of the tongue
a. Wheezing
-itching
b. Diarrhea
-angioedema (swelling of face, tongue,
c. Shortness of breath
hands)
d. Swelling of the feet
e. Swelling of the tongue
f. Itching
