& 4 MARYVILLE / COMPREHENSIVE STUDY GUIDE –
EXPERT STRATEGIES, REVIEW PRACTICE
QUESTIONS FOR GUARANTEED SUCCESS
/ NEWEST 2026/2027 NURS 615 PHARM EXAM 1
A 12 mos old is being tx with Amoxilfor AOM. His parents call
and say he has diarrhea. The appropriate response would be:
1. advise parents that some diarrhea with amoxil is normal and
suggest daily probiotics
2. change the abx to one that is less irritating to the GI tract
3. order stool cultures
4. Recommend increased fluid and fiber - ANSWER-1. advise
parents that some diarrhea with amoxil is normal and
suggest daily probiotics
Lauren is 14 and has a 4 day history of a cough, low grade
fever, and rhinorrhea. She has greenish/yellow mucous when
coughing or blowing her nose. The appropriate abx would be:
1. Amoxil
2. Augmentin
3. Septra
4. None - ANSWER-4. None
Joanna had a small ventricle septal defect (VSD) repaired when
she was 3 years old and has no residual cardiac problems. She
,is now 28 and is requesting prophylactic antibiotics for an
upcoming dental visit. The appropriate antibiotic to prescribe
according to current American College of Cardiology and
American Heart Association guidelines is:
1. None, no antibiotic is required for dental procedures
2. Amoxicillin 2 grams 1 hour before the procedure
3. Ampicillin 2 grams IM or IV 30 minutes before the procedure
4. Azithromycin 1 gram 1 hour before the procedure - ANSWER-
1. None, no antibiotic is required for dental procedures
To prevent further development of antibacterial resistance it is
recommended that fluroquinolones be reserved for treatment
of:
1. UTI in young women
2. URI in adults
3. skin and soft tissue infections in adults
4. CAP in pts with comorbitities - ANSWER-4. CAP in pts with
comorbitities
Fluroquinolones have a black box warning reguarding
___________ even
months after
treatment.
1. renal
dysfunction
2. hepatic
toxicity
,3. tendon
rupture
4. development of glaucoma - ANSWER-3.
tendon rupture
Janet was treated with Clinda for an infection. She calls
because she is having frequesnt diarrhea and she thinks there
is blood in it. What is the appropriate care?
1. encourage increased fluids and fiber
2. assess for psuedomembranous colitis
3. advise to eat yogurt daily to restore her gut bacteria 4. start
her on anti-diarrheal meds - ANSWER-2. assess for
psuedomembranous colitis
Keng has chronic hepatitis that has led to mildly impaired liver
function. He has an infection that would be best treated by a
macrolide. Which would be the best choice for a patient with
liver dysfunction?
1. Azithromycin (Zithromax)
2. Clarithromycin (Biaxin)
3. Erythromycin (E-mycin)
4. None of the above - ANSWER-3. Erythromycin (E-mycin) -
LIVER LOVER!
Jamie has glucose-6-phosphate dehydrogenase
deficiency (G6PD) and requires an antibiotic. Which class
of antibiotics should be avoided in this patient? 1.
Penicillins
, 2. Macrolides
3. Cephalosporins
4. Sulfonamides - ANSWER-4. Sulfonamides
(G6PD looks like heinz ketchup bottles under microscope.
Heinz smells like sulfer...)
If a patient is allergic to sulfonamides they will most likely have
cross sensitivity
to
1. loop diuretics
2. sulfonylureas
3. thiazide
diuretics
4. all of the above - ANSWER-4. all of the
above
(Sulfa = NO
kidney)
Tetracyclines should not be prescribed to children younger
than 8 because:
1. risk of developing cartilage problems
2. development of diarrhea
3. risk of kernicterus
4. adverse effects on bone growth - ANSWER-4. adverse effects
on bone growth
Teteracyclines such as minocycline are
safe to use in: