NURS 329 ACTUAL TEST PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED
A+
⩥ If someone is allergic to PCN which other antibiotic might they
also be allergic to?
A) Carpapenem
B) Gentamicin
C) Cephalosporins
D) Azithromycin. Answer: C) Cephalosporins
⩥ Which of the following types of penicillin can be given
intravenously (IV)?
A) Potassium penicillin
B) Procaine penicillin
C) Benzathine penicillin
D) Sodium penicillin. Answer: A and D
⩥ A patient is prescribed cefixime. The nurse should teach the patient
to immediately report any signs of what?
,A. Milk intolerance
B. Skin rash, hives, or itching
C. Constipation, nausea, or vomiting
D. Headache, contusions, or seizures. Answer: B. Skin rash, hives, or
itching
Rationale: Hypersensitivity reactions are common with
cephalosporins. Patients should be instructed to report any signs of
allergy, such as skin rash, itching, or hives. Cefditoren contains a milk
protein and should not be prescribed for patients with a milk protein
allergy. Cefoperazone and cefotetan can promote bleeding. Diarrhea
associated with antibiotic-associated pseudomembranous colitis
(AAPMC) is a possible side effect with cephalosporins.
⩥ A patient is prescribed vancomycin orally for antibiotic-associated
pseudomembranous colitis. The nurse will monitor the patient for
what?
A. Leukopenia
B. "Red man" syndrome
C. Liver impairment
D. Ototoxicity. Answer: D. Ototoxicity
Rationale: The most serious adverse effect of vancomycin is
ototoxicity. "Red man" syndrome occurs only with rapid intravenous
,administration. Thrombocytopenia is an adverse effect of
vancomycin.
⩥ Which statement about allergic reactions to penicillin does the
nurse identify as true?
A.Anaphylactic reactions occur more frequently with penicillins than
with any other drug.
B.Allergy to penicillin always increases over time.
C.Benadryl is the drug of choice for anaphylaxis due to penicillin
allergy.
D.Patients allergic to penicillin are also allergic to vancomycin..
Answer: A.Anaphylactic reactions occur more frequently with
penicillins than with any other drug.
Rationale: Anaphylactic reactions occur more frequently with
penicillins than with any other drug. Allergy to penicillin can decrease
over time. Epinephrine is the drug of choice for anaphylaxis.
Vancomycin, erythromycin, and clindamycin are effective and safe
alternatives for patients with penicillin allergy.
⩥ A prescriber states that a patient will need to receive penicillin
intravenously. The nurse anticipates administering which drug?
A. Penicillin V
B. Procaine penicillin G
, C. Benzathine penicillin G
D. Potassium penicillin G. Answer: D. Potassium penicillin G
⩥ A patient with a history of a severe anaphylactic reaction to
penicillin has an order to receive cephalosporin. What should the
nurse do?
A. Administer the cephalosporin as ordered.
B. Contact the health care provider for a different antibiotic.
C. Administer a test dose of cephalosporin to determine reactivity.
D. Have an epinephrine dose available when administering the
cephalosporin.. Answer: B. Contact the health care provider for a
different antibiotic.
Rationale: A few patients with penicillin allergy (about 1%) display
cross-sensitivity to cephalosporins. If at all possible, patients with
penicillin allergy should not be treated with any member of the
penicillin family. Use of cephalosporins depends on the intensity of
the allergic response to penicillin; if the penicillin allergy is mild, use
of cephalosporins is probably safe. However, if the allergy is severe,
cephalosporins should be avoided.
⩥ A patient is prescribed cefazolin. It is most important for the nurse
to teach the patient to avoid which substance while taking cefazolin?
A. Warfarin
QUESTIONS WITH SOLUTIONS GRADED
A+
⩥ If someone is allergic to PCN which other antibiotic might they
also be allergic to?
A) Carpapenem
B) Gentamicin
C) Cephalosporins
D) Azithromycin. Answer: C) Cephalosporins
⩥ Which of the following types of penicillin can be given
intravenously (IV)?
A) Potassium penicillin
B) Procaine penicillin
C) Benzathine penicillin
D) Sodium penicillin. Answer: A and D
⩥ A patient is prescribed cefixime. The nurse should teach the patient
to immediately report any signs of what?
,A. Milk intolerance
B. Skin rash, hives, or itching
C. Constipation, nausea, or vomiting
D. Headache, contusions, or seizures. Answer: B. Skin rash, hives, or
itching
Rationale: Hypersensitivity reactions are common with
cephalosporins. Patients should be instructed to report any signs of
allergy, such as skin rash, itching, or hives. Cefditoren contains a milk
protein and should not be prescribed for patients with a milk protein
allergy. Cefoperazone and cefotetan can promote bleeding. Diarrhea
associated with antibiotic-associated pseudomembranous colitis
(AAPMC) is a possible side effect with cephalosporins.
⩥ A patient is prescribed vancomycin orally for antibiotic-associated
pseudomembranous colitis. The nurse will monitor the patient for
what?
A. Leukopenia
B. "Red man" syndrome
C. Liver impairment
D. Ototoxicity. Answer: D. Ototoxicity
Rationale: The most serious adverse effect of vancomycin is
ototoxicity. "Red man" syndrome occurs only with rapid intravenous
,administration. Thrombocytopenia is an adverse effect of
vancomycin.
⩥ Which statement about allergic reactions to penicillin does the
nurse identify as true?
A.Anaphylactic reactions occur more frequently with penicillins than
with any other drug.
B.Allergy to penicillin always increases over time.
C.Benadryl is the drug of choice for anaphylaxis due to penicillin
allergy.
D.Patients allergic to penicillin are also allergic to vancomycin..
Answer: A.Anaphylactic reactions occur more frequently with
penicillins than with any other drug.
Rationale: Anaphylactic reactions occur more frequently with
penicillins than with any other drug. Allergy to penicillin can decrease
over time. Epinephrine is the drug of choice for anaphylaxis.
Vancomycin, erythromycin, and clindamycin are effective and safe
alternatives for patients with penicillin allergy.
⩥ A prescriber states that a patient will need to receive penicillin
intravenously. The nurse anticipates administering which drug?
A. Penicillin V
B. Procaine penicillin G
, C. Benzathine penicillin G
D. Potassium penicillin G. Answer: D. Potassium penicillin G
⩥ A patient with a history of a severe anaphylactic reaction to
penicillin has an order to receive cephalosporin. What should the
nurse do?
A. Administer the cephalosporin as ordered.
B. Contact the health care provider for a different antibiotic.
C. Administer a test dose of cephalosporin to determine reactivity.
D. Have an epinephrine dose available when administering the
cephalosporin.. Answer: B. Contact the health care provider for a
different antibiotic.
Rationale: A few patients with penicillin allergy (about 1%) display
cross-sensitivity to cephalosporins. If at all possible, patients with
penicillin allergy should not be treated with any member of the
penicillin family. Use of cephalosporins depends on the intensity of
the allergic response to penicillin; if the penicillin allergy is mild, use
of cephalosporins is probably safe. However, if the allergy is severe,
cephalosporins should be avoided.
⩥ A patient is prescribed cefazolin. It is most important for the nurse
to teach the patient to avoid which substance while taking cefazolin?
A. Warfarin
