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Int. Pharmacotherapy Exam 1 2026 Study Guide
Download now
Champlain Nursing School
HIGH YIELDS QUESTIONS
Exam
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
, Page 2 of 47
INT. PHARMACOTHERAPY EXAM 1
Your patient has a 5 x 8 cm area of intact skin on the shin that is warm to
touch, painful, and inflammed. Which is correct?
- Plan to start antibiotics versus S. aureus; assess vital signs; swab lesion
- Plan to start antibiotics versus streptococci; assess vital signs; swab lesion
- Plan for I & D; send material for culture
- Plan to start antibiotics versus streptococci; assess vital signs
Plan to start antibiotics versus streptococci; assess vital signs
- It is nonpurulent, so no need for S. aureus coverage
- Swabbing is not helpful in nonpurulent because you will only find the regular skin
flora
You are asked for drug therapy recommendations for a patient with mild
purulent SSTI who will be treated in the outpatient setting. Which is best?
- doxycycline 100mg PO BID
- linezolid 600mg PO BID
- cephalexin 500mg PO four times daily
- amoxicillin 875mg/clavulanate 125mg PO BID
doxycycline 100mg PO BID
- Doxy is inexpensive and well-tolerated (counsel on esophagitis, sit upright after
taking)
- Linezolid would also work; however, it is more expensive
- Know we want to cover MRSA
- Cephalexin and amox/clav do not cover MRSA
- amox/clav: the addition of clav allows it to increase spectrum to include beta-
lactamase-producing organisms and MSSA (not MRSA)
- If it is mild and a single lesion, then just I&D, but if there is more than 1 lesion, then
add antibiotics
A 57-year-old man with a past medical history of hypertension, osteoarthritis,
and migraine headaches presents to your ambulatory care clinic for arm pain.
On physical exam, you notice redness and warmth on his left arm; the patient
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recalls scraping this arm during yard work and says pain has increased in the
past day. All of his lab values are within normal limits; his HR is 78, his RR is
14, his temp is 37 degrees C. The patient has no drug allergies. Which of the
following treatment strategies is most appropriate at this time?
- IV ceftriaxone
- Oral doxycycline
- Oral amoxicillin
- IV vancomycin
Oral amoxicillin
- if penicillin allergic then clindamycin
According to the IDSA guideline, which of the following is an indication to
obtain a culture for a skin and soft tissue infection (SSTI)?
- Folliculitis that can be treated with topical therapy
- Non-purulent cellulitis with intact skin
- Purulent drainage that can be accessed during I&D
Purulent drainage that can be accessed during I&D
Which of the following statements most accurately describes the antibiotic
choices for purulent and non-purulent cellulitis?
- Mild to moderate non-purulent infections are typically treated with beta-
lactams unless the patient has risk factors for MRSA.
- Clindamycin is the first-line treatment for mild purulent cellulitis.
- Vancomycin is the first-line treatment for moderate to severe purulent and
non-purulent cellulitis.
- Purulent infections require treatment with an intravenous antibiotic.
Mild to moderate non-purulent infections are typically treated with beta-lactams
unless the patient has risk factors for MRSA.
Which oral antibiotic provides reliable coverage for both MSSA and MRSA in
outpatient purulent SSTI treatment?
- Amoxicillin
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- Doxycycline
- Cephalexin
- Penicillin VK
Doxycycline
A 67-year-old patient in the postoperative area has a blood glucose of 225
mg/dL following GI surgery. The patient is stable and is taking oral meds and
food. What is the appropriate glucose goal for this patient?
- <250 mg/dL
- 100-180 mg/dL
- 80-110 mg/dL
- 110-140 mg/dL
100-180 mg/dL
Which of the following is TRUE regarding continuous IV insulin in critically ill
patients?
- It should target a glucose goal of 80-110 mg/dL for critically ill patients
- It consists of regular insulin at a starting dose of 0.05-0.1 units/kg/hr
- Blood glucose checks should occur every 4 hours while infusion is running
- It should be transitioned to subcutaneous insulin by adding up the recent
infusion rate and reducing by 50%
It consists of regular insulin at a starting dose of 0.05-0.1 units/kg/hr
Which of the following are key components of treatment for patients
hospitalized with diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic
state (HHS) in addition to insulin therapy? Select all that apply.
- Potassium supplementation
- Administration of glucagon
- Aggressive fluid resuscitation
- Immediate cessation of all oral intake
- Potassium supplementation
- Aggressive fluid resuscitation
How would your management of acute hyperglycemia change if the patient
was admitted to the ICU?
- Start an insulin infusion, goal 140-180
Int. Pharmacotherapy Exam 1 2026 Study Guide
Download now
Champlain Nursing School
HIGH YIELDS QUESTIONS
Exam
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
, Page 2 of 47
INT. PHARMACOTHERAPY EXAM 1
Your patient has a 5 x 8 cm area of intact skin on the shin that is warm to
touch, painful, and inflammed. Which is correct?
- Plan to start antibiotics versus S. aureus; assess vital signs; swab lesion
- Plan to start antibiotics versus streptococci; assess vital signs; swab lesion
- Plan for I & D; send material for culture
- Plan to start antibiotics versus streptococci; assess vital signs
Plan to start antibiotics versus streptococci; assess vital signs
- It is nonpurulent, so no need for S. aureus coverage
- Swabbing is not helpful in nonpurulent because you will only find the regular skin
flora
You are asked for drug therapy recommendations for a patient with mild
purulent SSTI who will be treated in the outpatient setting. Which is best?
- doxycycline 100mg PO BID
- linezolid 600mg PO BID
- cephalexin 500mg PO four times daily
- amoxicillin 875mg/clavulanate 125mg PO BID
doxycycline 100mg PO BID
- Doxy is inexpensive and well-tolerated (counsel on esophagitis, sit upright after
taking)
- Linezolid would also work; however, it is more expensive
- Know we want to cover MRSA
- Cephalexin and amox/clav do not cover MRSA
- amox/clav: the addition of clav allows it to increase spectrum to include beta-
lactamase-producing organisms and MSSA (not MRSA)
- If it is mild and a single lesion, then just I&D, but if there is more than 1 lesion, then
add antibiotics
A 57-year-old man with a past medical history of hypertension, osteoarthritis,
and migraine headaches presents to your ambulatory care clinic for arm pain.
On physical exam, you notice redness and warmth on his left arm; the patient
, Page 3 of 47
recalls scraping this arm during yard work and says pain has increased in the
past day. All of his lab values are within normal limits; his HR is 78, his RR is
14, his temp is 37 degrees C. The patient has no drug allergies. Which of the
following treatment strategies is most appropriate at this time?
- IV ceftriaxone
- Oral doxycycline
- Oral amoxicillin
- IV vancomycin
Oral amoxicillin
- if penicillin allergic then clindamycin
According to the IDSA guideline, which of the following is an indication to
obtain a culture for a skin and soft tissue infection (SSTI)?
- Folliculitis that can be treated with topical therapy
- Non-purulent cellulitis with intact skin
- Purulent drainage that can be accessed during I&D
Purulent drainage that can be accessed during I&D
Which of the following statements most accurately describes the antibiotic
choices for purulent and non-purulent cellulitis?
- Mild to moderate non-purulent infections are typically treated with beta-
lactams unless the patient has risk factors for MRSA.
- Clindamycin is the first-line treatment for mild purulent cellulitis.
- Vancomycin is the first-line treatment for moderate to severe purulent and
non-purulent cellulitis.
- Purulent infections require treatment with an intravenous antibiotic.
Mild to moderate non-purulent infections are typically treated with beta-lactams
unless the patient has risk factors for MRSA.
Which oral antibiotic provides reliable coverage for both MSSA and MRSA in
outpatient purulent SSTI treatment?
- Amoxicillin
, Page 4 of 47
- Doxycycline
- Cephalexin
- Penicillin VK
Doxycycline
A 67-year-old patient in the postoperative area has a blood glucose of 225
mg/dL following GI surgery. The patient is stable and is taking oral meds and
food. What is the appropriate glucose goal for this patient?
- <250 mg/dL
- 100-180 mg/dL
- 80-110 mg/dL
- 110-140 mg/dL
100-180 mg/dL
Which of the following is TRUE regarding continuous IV insulin in critically ill
patients?
- It should target a glucose goal of 80-110 mg/dL for critically ill patients
- It consists of regular insulin at a starting dose of 0.05-0.1 units/kg/hr
- Blood glucose checks should occur every 4 hours while infusion is running
- It should be transitioned to subcutaneous insulin by adding up the recent
infusion rate and reducing by 50%
It consists of regular insulin at a starting dose of 0.05-0.1 units/kg/hr
Which of the following are key components of treatment for patients
hospitalized with diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic
state (HHS) in addition to insulin therapy? Select all that apply.
- Potassium supplementation
- Administration of glucagon
- Aggressive fluid resuscitation
- Immediate cessation of all oral intake
- Potassium supplementation
- Aggressive fluid resuscitation
How would your management of acute hyperglycemia change if the patient
was admitted to the ICU?
- Start an insulin infusion, goal 140-180
