NR 566 MIDTERM EXAM 2026/2027 / ADVANCED PHARMACOLOGY
FOR CARE OF THE FAMILY NR566 ACTUAL MIDTERM EXAM TEST
BANK AND A NEW UPDATED STUDY GUIDE COMPLETE ACCURATE
EXAM APPROVED QUESTIONS AND CORRECT DETAILED ANSWERS
(100% CORRECT VERIFIED SOLUTIONS) LATEST UPDATED
VERSION |GUARANTEED SUCCESS.
What drug class is known to promote the development of C. Diff?
Most likely are Clindamycin
Second and third generation cephalosporin’s
Fluoroquinolones (ex: levofloxacin)
Penicillin: Discuss Cross-sensitivity reactions with which drug classes
Patients allergic to one penicillin should be considered allergic to all
other penicillin's.
1% of patients have a cross-sensitivity to cephalosporin’s (when
indicated, ORAL is preferred)
,The use of cephalosporin’s depends on the intensity of the penicillin
allergy.
Are Penicillin’s safe for pregnant women?
Answer- There are no well-controlled studies in pregnant women, and
evidence has suggested that there is no second or third trimester fetal
risk.
Cephalosporin’s: What type of patient education will you provide?
Answer- Do not drink alcohol while taking cefazolin and cefotetan
(Disulfiram-like reactions may occur).
Cefotetan, Cefazolin, and Ceftriaxone can promote bleeding as they
contain a side chain that interferes with Vitamin K metabolism, which
can inhibit the formation of clotting factors.
Answer- Caution must be taken when these drugs are taken with other
anticoagulants or medications that promote bleeding
Cephalosporin’s: Are they safe to prescribe to pregnant patients?
,All cephalosporin’s appear safe for use in pregnancy.
Telavancin: carries a black box warning for use in pregnancy secondary
to risk for adverse developmental outcomes
Tetracycline’s: What Patient Education Will You Provide?
Do not administer with calcium supplements, milk products (calcium),
iron supplements, magnesium-containing laxatives, or most antacids
(magnesium or aluminum).
Increased sensitivity of the skin to ultraviolet light may cause
exaggerated sunburn. It is advised to avoid prolonged exposure to
sunlight, wear protective clothing, and apply sunscreen.
Tetracycline’s: Can you prescribe tetracycline’s in pregnant women?
What should you tell the patient?
Can suppress the growth of long bones in premature infants.
May cause staining in deciduous teeth in pregnant women after the
fourth month of gestation but will not affect permanent teeth.
, Pregnant women are at high risk for hepatotoxicity.
Contraindicated in pregnant women
Macrolides: What Patient education will you provide?
Risk for severe GI disturbance
Risk for QT prolongation
Erythromycin is a CYP450 Inhibitor
Aminoglycosides: What patient education will you provide?
May cause toxicity to the kidneys and ears.
Advise patients to report first signs of ototoxicity (tinnitus, headache, or
both)
FOR CARE OF THE FAMILY NR566 ACTUAL MIDTERM EXAM TEST
BANK AND A NEW UPDATED STUDY GUIDE COMPLETE ACCURATE
EXAM APPROVED QUESTIONS AND CORRECT DETAILED ANSWERS
(100% CORRECT VERIFIED SOLUTIONS) LATEST UPDATED
VERSION |GUARANTEED SUCCESS.
What drug class is known to promote the development of C. Diff?
Most likely are Clindamycin
Second and third generation cephalosporin’s
Fluoroquinolones (ex: levofloxacin)
Penicillin: Discuss Cross-sensitivity reactions with which drug classes
Patients allergic to one penicillin should be considered allergic to all
other penicillin's.
1% of patients have a cross-sensitivity to cephalosporin’s (when
indicated, ORAL is preferred)
,The use of cephalosporin’s depends on the intensity of the penicillin
allergy.
Are Penicillin’s safe for pregnant women?
Answer- There are no well-controlled studies in pregnant women, and
evidence has suggested that there is no second or third trimester fetal
risk.
Cephalosporin’s: What type of patient education will you provide?
Answer- Do not drink alcohol while taking cefazolin and cefotetan
(Disulfiram-like reactions may occur).
Cefotetan, Cefazolin, and Ceftriaxone can promote bleeding as they
contain a side chain that interferes with Vitamin K metabolism, which
can inhibit the formation of clotting factors.
Answer- Caution must be taken when these drugs are taken with other
anticoagulants or medications that promote bleeding
Cephalosporin’s: Are they safe to prescribe to pregnant patients?
,All cephalosporin’s appear safe for use in pregnancy.
Telavancin: carries a black box warning for use in pregnancy secondary
to risk for adverse developmental outcomes
Tetracycline’s: What Patient Education Will You Provide?
Do not administer with calcium supplements, milk products (calcium),
iron supplements, magnesium-containing laxatives, or most antacids
(magnesium or aluminum).
Increased sensitivity of the skin to ultraviolet light may cause
exaggerated sunburn. It is advised to avoid prolonged exposure to
sunlight, wear protective clothing, and apply sunscreen.
Tetracycline’s: Can you prescribe tetracycline’s in pregnant women?
What should you tell the patient?
Can suppress the growth of long bones in premature infants.
May cause staining in deciduous teeth in pregnant women after the
fourth month of gestation but will not affect permanent teeth.
, Pregnant women are at high risk for hepatotoxicity.
Contraindicated in pregnant women
Macrolides: What Patient education will you provide?
Risk for severe GI disturbance
Risk for QT prolongation
Erythromycin is a CYP450 Inhibitor
Aminoglycosides: What patient education will you provide?
May cause toxicity to the kidneys and ears.
Advise patients to report first signs of ototoxicity (tinnitus, headache, or
both)
