NRS 2020 FINAL EXAM 2026/2027 100%
ACCURATE FALL-WINTER EXAM REVIEW
|ALREADY GRADED A
A patient will be discharged from the hospital with a prescription for TMP/SMZ
(Bactrim). When providing teaching for this patient, the nurse will tell the patient
that it will be important to:
a. drink 8 to 10 glasses of water each day.
b. eat foods that are high in potassium.
c. take the medication with food.
d. take folic acid supplements.
a
Before administering intravenous (IV) penicillin, the nurse should do what?
a. Flush the IV site with normal saline.
b. Assess the patient for allergies.
c. Review the patient's intake and output record.
d. Determine the latest creatinine clearance result
b
Thirty minutes after receiving an intramuscular (IM) injection of penicillin G
(Pfizerpen), a patient reports itching and redness at the injection site. Which
action should the nurse take first?
a. Elevate the lower legs.
b. Place an ice pack on the site.
c. Make sure the patient stays calm.
d. Administer subcutaneous epinephrine
d
A patient is receiving penicillin G (Bicillin C-R). Which assessment should the
nurse monitor as an indicator of an undesired effect?
a. Cardiac rhythm
b. Serum sodium level
c. Lung sounds
d. Red blood cell (RBC) count
a
A nurse should teach a patient to observe for which side effect when taking
amoxicillin (Polycillin)?
a. Skin rash and loose stool
b. Reddened tongue and gums
,c. Digit numbness and tingling
d. Bruising and petechiae
a
Both IV ampicillin/sulbactam (Unasyn) and gentamicin (Garamycin) are ordered
for a patient. When administering these medications, the nurse will do what?
a. Ensure that separate IV solutions are used.
b. Use two different peripheral IV sites.
c. Administer the gentamicin first.
d. There are no necessary precautions.
a
Which instructions should a nurse provide to a patient who is to start taking
amoxicillin/clavulanate (Augmentin)?
a. "Take Augmentin once per day and only at bedtime."
b. "Augmentin may be taken with food or meals."
c. "Avoid taking Augmentin with grapefruit juice."
d. "Use a minimal amount of liquid to swallow the Augmentin."
b
When performing a skin test for penicillin allergy, the nurse will do what? (Select
all that apply.)
a. Inject a tiny amount of the allergen subcutaneously.
b. Observe for a local allergic response.
c. Have epinephrine readily available.
d. Have respiratory support readily available.
e. Administer diphenhydramine (Benadryl) as the first-line agent should
anaphylaxis occur.
b, c, d
The nurse identifies which statements about penicillins as true? (Select all that
apply.)
a. Penicillins are the safest antibiotics available.
b. The principal adverse effect of penicillins is allergic reaction.
c. A patient who is allergic to penicillin always has a cross-allergy to
cephalosporins.
d. A patient who is allergic to penicillin is also allergic to vancomycin,
erythromycin, and clindamycin.
e. Penicillins are normally eliminated rapidly by the kidneys but can accumulate
to harmful levels if renal function is severely impaired.
a, b, e
A nurse observes a red streak and palpates the vein as hard and cordlike at the
intravenous (IV) site of a patient receiving cephalosporins. Which assessment
should the nurse make about the IV site?
a. An allergic reaction has developed to the drug solution.
,b. The drug has infiltrated the extravascular tissues.
c. Phlebitis of the vein used for the antibiotic has developed.
d. Local infection from bacterial contamination has occurred.
c
A patient develops flushing, rash, and pruritus during an IV infusion of
vancomycin (Vancocin). Which action should a nurse take?
a. Reduce the infusion rate.
b. Administer diphenhydramine (Benadryl).
c. Change the IV tubing.
d. Check the patency of the IV.
a
Before administering a cephalosporin to a patient, it is most important for the
nurse to assess the patient for an allergy history to what?
a. Soy products
b. Peanuts
c. Penicillins
d. Opioids
c
It is most important for the nurse to assess a patient receiving a cephalosporin
for the development of which manifestation of antibiotic-associated
pseudomembranous colitis (AAPMC)?
a. Rigidity
b. Ileus
c. Ascites
d. Diarrhea
d
When ceftriaxone is administered intravenously, it is most important for the nurse
to avoid mixing it with what?
a. Ringer's lactate
b. Normal saline
c. Sterile water
d. D5 0.45% NS
a
Which instructions will the nurse include when teaching a patient about
cephalosporin therapy? (Select all that apply.)
a. "Notify your healthcare provider if you develop diarrhea."
b. "Take aspirin if you develop a headache."
c. "Notify your healthcare provider if you develop a rash."
d. "Cephalosporins may not be taken with food."
e. "Do not take cephalosporins if you have lactose intolerance."
a, c
, Which instruction should a nurse include in the discharge teaching for a patient
who is to start taking tetracycline (Sumycin)?
a. "You may stop taking the pills when you begin to feel better."
b. "Use sunscreen and protective clothing when outdoors."
c. "You'll have to come back to the clinic for weekly blood work."
d. "Take the medication with yogurt or milk so you won't have nausea."
b
A nurse assessing a patient who is 12 years old should associate which
complication with the patient's receiving tetracycline (Sumycin) as a younger
child?
a. Delay in long bone growth
b. Early onset of puberty
c. Severe face and body acne
d. Discoloration of the teeth
d
Which laboratory result should a nurse monitor more frequently when a patient is
receiving erythromycin (Biaxin) and warfarin (Coumadin)?
a. Activated partial thromboplastin time (aPTT)
b. Platelet count
c. Erythrocyte sedimentation rate (ESR)
d. International normalized ratio (INR)
d
Which cardiovascular finding does the nurse identify as a possible adverse effect
of erythromycin (Ery-Tab) therapy?
a. Heart rate of 52 beats per minute
b. Prolonged QT interval
c. Jugular vein distention
d. Grade III diastolic murmur
b
A nurse is administering a daily dose of tobramycin (Nebcin) at 1000. At which
time should the nurse obtain the patient's blood sample to determine the trough
level?
a. 0800
b. 0900
c. 1130
d. 1200
b
A patient who is receiving an aminoglycoside (gentamicin) has a urinalysis result
with all of these findings. Which finding should a nurse associate most clearly
with an adverse effect of gentamicin?
ACCURATE FALL-WINTER EXAM REVIEW
|ALREADY GRADED A
A patient will be discharged from the hospital with a prescription for TMP/SMZ
(Bactrim). When providing teaching for this patient, the nurse will tell the patient
that it will be important to:
a. drink 8 to 10 glasses of water each day.
b. eat foods that are high in potassium.
c. take the medication with food.
d. take folic acid supplements.
a
Before administering intravenous (IV) penicillin, the nurse should do what?
a. Flush the IV site with normal saline.
b. Assess the patient for allergies.
c. Review the patient's intake and output record.
d. Determine the latest creatinine clearance result
b
Thirty minutes after receiving an intramuscular (IM) injection of penicillin G
(Pfizerpen), a patient reports itching and redness at the injection site. Which
action should the nurse take first?
a. Elevate the lower legs.
b. Place an ice pack on the site.
c. Make sure the patient stays calm.
d. Administer subcutaneous epinephrine
d
A patient is receiving penicillin G (Bicillin C-R). Which assessment should the
nurse monitor as an indicator of an undesired effect?
a. Cardiac rhythm
b. Serum sodium level
c. Lung sounds
d. Red blood cell (RBC) count
a
A nurse should teach a patient to observe for which side effect when taking
amoxicillin (Polycillin)?
a. Skin rash and loose stool
b. Reddened tongue and gums
,c. Digit numbness and tingling
d. Bruising and petechiae
a
Both IV ampicillin/sulbactam (Unasyn) and gentamicin (Garamycin) are ordered
for a patient. When administering these medications, the nurse will do what?
a. Ensure that separate IV solutions are used.
b. Use two different peripheral IV sites.
c. Administer the gentamicin first.
d. There are no necessary precautions.
a
Which instructions should a nurse provide to a patient who is to start taking
amoxicillin/clavulanate (Augmentin)?
a. "Take Augmentin once per day and only at bedtime."
b. "Augmentin may be taken with food or meals."
c. "Avoid taking Augmentin with grapefruit juice."
d. "Use a minimal amount of liquid to swallow the Augmentin."
b
When performing a skin test for penicillin allergy, the nurse will do what? (Select
all that apply.)
a. Inject a tiny amount of the allergen subcutaneously.
b. Observe for a local allergic response.
c. Have epinephrine readily available.
d. Have respiratory support readily available.
e. Administer diphenhydramine (Benadryl) as the first-line agent should
anaphylaxis occur.
b, c, d
The nurse identifies which statements about penicillins as true? (Select all that
apply.)
a. Penicillins are the safest antibiotics available.
b. The principal adverse effect of penicillins is allergic reaction.
c. A patient who is allergic to penicillin always has a cross-allergy to
cephalosporins.
d. A patient who is allergic to penicillin is also allergic to vancomycin,
erythromycin, and clindamycin.
e. Penicillins are normally eliminated rapidly by the kidneys but can accumulate
to harmful levels if renal function is severely impaired.
a, b, e
A nurse observes a red streak and palpates the vein as hard and cordlike at the
intravenous (IV) site of a patient receiving cephalosporins. Which assessment
should the nurse make about the IV site?
a. An allergic reaction has developed to the drug solution.
,b. The drug has infiltrated the extravascular tissues.
c. Phlebitis of the vein used for the antibiotic has developed.
d. Local infection from bacterial contamination has occurred.
c
A patient develops flushing, rash, and pruritus during an IV infusion of
vancomycin (Vancocin). Which action should a nurse take?
a. Reduce the infusion rate.
b. Administer diphenhydramine (Benadryl).
c. Change the IV tubing.
d. Check the patency of the IV.
a
Before administering a cephalosporin to a patient, it is most important for the
nurse to assess the patient for an allergy history to what?
a. Soy products
b. Peanuts
c. Penicillins
d. Opioids
c
It is most important for the nurse to assess a patient receiving a cephalosporin
for the development of which manifestation of antibiotic-associated
pseudomembranous colitis (AAPMC)?
a. Rigidity
b. Ileus
c. Ascites
d. Diarrhea
d
When ceftriaxone is administered intravenously, it is most important for the nurse
to avoid mixing it with what?
a. Ringer's lactate
b. Normal saline
c. Sterile water
d. D5 0.45% NS
a
Which instructions will the nurse include when teaching a patient about
cephalosporin therapy? (Select all that apply.)
a. "Notify your healthcare provider if you develop diarrhea."
b. "Take aspirin if you develop a headache."
c. "Notify your healthcare provider if you develop a rash."
d. "Cephalosporins may not be taken with food."
e. "Do not take cephalosporins if you have lactose intolerance."
a, c
, Which instruction should a nurse include in the discharge teaching for a patient
who is to start taking tetracycline (Sumycin)?
a. "You may stop taking the pills when you begin to feel better."
b. "Use sunscreen and protective clothing when outdoors."
c. "You'll have to come back to the clinic for weekly blood work."
d. "Take the medication with yogurt or milk so you won't have nausea."
b
A nurse assessing a patient who is 12 years old should associate which
complication with the patient's receiving tetracycline (Sumycin) as a younger
child?
a. Delay in long bone growth
b. Early onset of puberty
c. Severe face and body acne
d. Discoloration of the teeth
d
Which laboratory result should a nurse monitor more frequently when a patient is
receiving erythromycin (Biaxin) and warfarin (Coumadin)?
a. Activated partial thromboplastin time (aPTT)
b. Platelet count
c. Erythrocyte sedimentation rate (ESR)
d. International normalized ratio (INR)
d
Which cardiovascular finding does the nurse identify as a possible adverse effect
of erythromycin (Ery-Tab) therapy?
a. Heart rate of 52 beats per minute
b. Prolonged QT interval
c. Jugular vein distention
d. Grade III diastolic murmur
b
A nurse is administering a daily dose of tobramycin (Nebcin) at 1000. At which
time should the nurse obtain the patient's blood sample to determine the trough
level?
a. 0800
b. 0900
c. 1130
d. 1200
b
A patient who is receiving an aminoglycoside (gentamicin) has a urinalysis result
with all of these findings. Which finding should a nurse associate most clearly
with an adverse effect of gentamicin?
