TEST BANK
All Chapters Included
Pharmacotherapeutics for
Advanced Practice Nurse Prescribers
5TH Edition
Woo Robinson
,Chapter 1. Drugs Used in Treating Bacterial Diseases
Multiple Choice
Identify the choice that best completes the statement or answers the question
1. Factors that place a patient at risk of developing an antimicrobial-resistant organism
include:
1. Age over 50 years
2. School attendance
3. Travel within the U.S.
4. Inappropriate use of antimicrobials
ANSWER: 4
2. Infants and young children are at higher risk of developing antibiotic-resistant
infections due to:
1. Developmental differences in pharmacokinetics of the antibiotics in children
2. The fact that children this age are more likely to be in daycare
and exposed topathogens from other children
3. Parents of young children insisting on preventive antibiotics so they
don’t miss workwhen their child is sick
4. Immunosuppression from the multiple vaccines they receive in the first 2 years of
life
ANSWER: 2
3. Providers should use an antibiogram when prescribing. An antibiogram is:
1. The other name for the Centers for Disease Control guidelines for prescribing
antibiotics
2. An algorithm used for prescribing antibiotics for certain infections
3. The reference also known as the Pink Book, published by the Centers for Disease
Control
4. A chart of the local resistance patterns to antibiotics developed by laboratories
, ANSWER: 4
4. There is often cross-sensitivity and cross-resistance between penicillins and
cephalosporins because:
1. Renal excretion is similar in both classes of drugs.
2. When these drug classes are metabolized in the liver they both
produce resistantenzymes.
3. Both drug classes contain a beta-lactam ring that is vulnerable to
beta-lactamase-producing organisms.
4. There is not an issue with cross-resistance between the penicillins and
cephalosporins.
ANSWER: 3
5. Jonathan has been diagnosed with strep throat and needs a prescription for
an antibiotic. He saysthe last time he had penicillin he developed a red, blotchy
rash. An appropriate antibiotic to prescribe would be:
1. Penicillin VK, because his rash does not sound like a serious rash
2. Amoxicillin
3. Cefadroxil (Duricef)
4. Azithromycin
ANSWER: 4
6. Sarah is a 25-year-old female who is 8 weeks pregnant and has a urinary
tract infection. Whatwould be the appropriate antibiotic to prescribe for her?
1. Ciprofloxacin (Cipro)
2. Amoxicillin (Trimox)
3. Doxycycline
4. Trimethoprim-sulfamethoxazole (Septra)
ANSWER: 2
, 7. Pong-tai is a 12-month-old child who is being treated with amoxicillin for acute
otitis media. His parentscall 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 probioticsdaily.
2. Change the antibiotic to one that is less of a gastrointestinal irritant.
3. Order stool cultures for suspected viral pathogens not treated by the amoxicillin.
4. Recommend increased fluids and fiber in his diet.
ANSWER: 1
8. Lauren is a 13-year-old child who comes to clinic with a 4-day history of cough,
low-grade fever, andrhinorrhea. 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
ANSWER: 4
9. Joanna had a small ventricle septal defect (VSD) repaired when she was 3 years old
and has no residualcardiac 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:
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
ANSWER: 1
10. To prevent further development of antibacterial resistance it is recommended that
All Chapters Included
Pharmacotherapeutics for
Advanced Practice Nurse Prescribers
5TH Edition
Woo Robinson
,Chapter 1. Drugs Used in Treating Bacterial Diseases
Multiple Choice
Identify the choice that best completes the statement or answers the question
1. Factors that place a patient at risk of developing an antimicrobial-resistant organism
include:
1. Age over 50 years
2. School attendance
3. Travel within the U.S.
4. Inappropriate use of antimicrobials
ANSWER: 4
2. Infants and young children are at higher risk of developing antibiotic-resistant
infections due to:
1. Developmental differences in pharmacokinetics of the antibiotics in children
2. The fact that children this age are more likely to be in daycare
and exposed topathogens from other children
3. Parents of young children insisting on preventive antibiotics so they
don’t miss workwhen their child is sick
4. Immunosuppression from the multiple vaccines they receive in the first 2 years of
life
ANSWER: 2
3. Providers should use an antibiogram when prescribing. An antibiogram is:
1. The other name for the Centers for Disease Control guidelines for prescribing
antibiotics
2. An algorithm used for prescribing antibiotics for certain infections
3. The reference also known as the Pink Book, published by the Centers for Disease
Control
4. A chart of the local resistance patterns to antibiotics developed by laboratories
, ANSWER: 4
4. There is often cross-sensitivity and cross-resistance between penicillins and
cephalosporins because:
1. Renal excretion is similar in both classes of drugs.
2. When these drug classes are metabolized in the liver they both
produce resistantenzymes.
3. Both drug classes contain a beta-lactam ring that is vulnerable to
beta-lactamase-producing organisms.
4. There is not an issue with cross-resistance between the penicillins and
cephalosporins.
ANSWER: 3
5. Jonathan has been diagnosed with strep throat and needs a prescription for
an antibiotic. He saysthe last time he had penicillin he developed a red, blotchy
rash. An appropriate antibiotic to prescribe would be:
1. Penicillin VK, because his rash does not sound like a serious rash
2. Amoxicillin
3. Cefadroxil (Duricef)
4. Azithromycin
ANSWER: 4
6. Sarah is a 25-year-old female who is 8 weeks pregnant and has a urinary
tract infection. Whatwould be the appropriate antibiotic to prescribe for her?
1. Ciprofloxacin (Cipro)
2. Amoxicillin (Trimox)
3. Doxycycline
4. Trimethoprim-sulfamethoxazole (Septra)
ANSWER: 2
, 7. Pong-tai is a 12-month-old child who is being treated with amoxicillin for acute
otitis media. His parentscall 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 probioticsdaily.
2. Change the antibiotic to one that is less of a gastrointestinal irritant.
3. Order stool cultures for suspected viral pathogens not treated by the amoxicillin.
4. Recommend increased fluids and fiber in his diet.
ANSWER: 1
8. Lauren is a 13-year-old child who comes to clinic with a 4-day history of cough,
low-grade fever, andrhinorrhea. 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
ANSWER: 4
9. Joanna had a small ventricle septal defect (VSD) repaired when she was 3 years old
and has no residualcardiac 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:
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
ANSWER: 1
10. To prevent further development of antibacterial resistance it is recommended that
