Test Bank on Pharmacotherapeutics for Advanced Practice Nurse Prescribers, 5th edition Woo Robinson 2025/2026

TEST BANK ON PHARMACOTHERAPEUTICS
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FOR ADVANCED PRACTICE NURSE
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PRESCRIBERS, 5TH EDITION WOO ROBINSON i i i i i




2025/2026




CHAPTER 1. DRUGS USED IN TREATING BACTERIAL
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DISEASES


MULTIPLE CHOICE i




IDENTIFY THE CHOICE THAT BEST COMPLETES THE
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STATEMENT OR ANSWERS THE QUESTION i i i i i




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,1. Factors that place a patient at risk of developing an antimicrobial-resistant organism
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include:
1. Age over 50 years i i i




2. School attendance 3. Travel within the U.S. i i i i i




4. Inappropriate use of antimicrobials
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i i 2. Infants and young children are at higher risk of developing antibiotic-resistant
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infections due to: i i




1. Developmental differences in pharmacokinetics of the antibiotics in children i i i i i i i i




2. The fact that children this age are more likely to be in daycare and exposed to
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pathogens from other children i i i




3. Parents of young children insisting on preventive antibiotics so they don’t miss work
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when their child is sick
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4. Immunosuppression from the multiple vaccines they receive in the first 2 years of i i i i i i i i i i i i i




life
i i 3. Providers should use an antibiogram when prescribing. An antibiogram is:
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1. The other name for the Centers for Disease Control guidelines for prescribing
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antibiotics
2. An algorithm used for prescribing antibiotics for certain infections
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3. The reference also known as the Pink Book, published by the Centers for Disease
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Control
4. A chart of the local resistance patterns to antibiotics developed by laboratories
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i i 4. There is often cross-sensitivity and cross-resistance between penicillins and
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cephalosporins because: i




1. Renal excretion is similar in both classes of drugs.
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2. When these drug classes are metabolized in the liver they both produce resistant
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enzymes.
3. Both drug classes contain a beta-lactam ring that is vulnerable to beta-lactamase-
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producing organisms. i

,4. There is not an issue with cross-resistance between the penicillins and
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cephalosporins.


i 5. Jonathan has been diagnosed with strep throat and needs a prescription for
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an antibiotic. He says the last time he had penicillin he developed a red, blotchy rash. An
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appropriate antibiotic to prescribe would be:
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1. Penicillin VK, because his rash does not sound like a serious rash
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2. Amoxicillin
3. Cefadroxil (Duricef) i




4. Azithromycin
i 6. Sarah is a 25-year-old female who is 8 weeks pregnant and has a urinary
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tract infection. What would be the appropriate antibiotic to prescribe for her?
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1. Ciprofloxacin (Cipro) i




2. Amoxicillin (Trimox) i




3. Doxycycline
4. Trimethoprim-sulfamethoxazole (Septra) i



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7. Pong-tai is a 12-month-old child who is being treated with amoxicillin for acute
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otitis media. His parents call the clinic and say he has developed diarrhea. The appropriate
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action would be to:
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1. Advise the parents that some diarrhea is normal with amoxicillin and recommend
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probiotics daily. i




2. Change the antibiotic to one that is less of a gastrointestinal irritant.
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3. Order stool cultures for suspected viral pathogens not treated by the amoxicillin.
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4. Recommend increased fluids and fiber in his diet. i i i i i i i

, 8. Lauren is a 13-year-old child who comes to clinic with a 4-day history of cough, low-
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grade fever, and rhinorrhea. When she blows her nose or coughs the mucous is greenish-
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yellow. The appropriate antibiotic to prescribe would be:
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1. Amoxicillin
2. Amoxicillin/clavulanate
3. TMP/SMZ (Septra) i




4. None
9. Joanna had a small ventricle septal defect (VSD) repaired when she was 3 years old
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and has no residual cardiac problems. She is now 28 and is requesting prophylactic
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antibiotics for an upcoming dental visit. The appropriate antibiotic to prescribe according to
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i current American College of Cardiology and American Heart Association guidelines is:
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1. None, no antibiotic is required for dental procedures
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2. Amoxicillin 2 grams 1 hour before the procedure i i i i i i i




3. Ampicillin 2 grams IM or IV 30 minutes before the procedure i i i i i i i i i i




4. Azithromycin 1 gram 1 hour before the procedure i i i i i i i




10. To prevent further development of antibacterial resistance it is recommended that
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fluoroquinolones be reserved for treatment of: i i i i i




1. Urinary tract infections in young women i i i i i




2. Upper respiratory infections in adults
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3. Skin and soft tissue infections in adults
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4. Community-acquired pneumonia in patients with comorbidities i i i i i




11. Fluoroquinolones have a Black Box Warning regarding i i i i i i even months after
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treatment.
1. Renal dysfunction i




2. Hepatic toxicity i




3. Tendon rupture i




4. Development of glaucoma i i