MARYVILLE NUR 615 EVALUATION EXAMS 2026/2027
QUESTIONS AND SOLUTIONS RATED A+
✔✔What factors place a patient at risk for antibiotic resistance? - ✔✔Recent antibiotic
use, being younger than 2 or over 65 years of age, day care center attendance,
exposure to young children, multiple medical comorbidities, recent hospitalization, and
immunosuppression.
Excessive and inappropriate use of antibiotics (viruses, inadequate dosing, increased
empirical coverage)
✔✔What is the safest antibiotics to prescribe to a pregnant woman? - ✔✔Penicillin and
Cephalosporins (P=PCN + Pregnancy)
✔✔Why is clavulanate (beta lactams inhibitor) added to amoxicillin? - ✔✔Due to the
increasing beta-lactamase productions among gram-negative pathogens and
anaerobes, when combined with clavulanate they prevent destruction of beta lactam
antibiotics
✔✔What antibiotics are best for children? - ✔✔penicillin and cephalosporins
✔✔According to the American College of Cardiology and the American Heart
Association, what are the guidelines related to prophylactic antibiotics prior to a dental
procedures? - ✔✔Prosthetic cardiac valves
Prosthetic cardiac material
History of infective endocarditis
Cardiac transplant
Congenital heart disease
Unpaired cyanotic congenital heart disease (Palliative shunts and conduits)
Any congenital heart defect with residual shunt or valvular regurgitation at site of or
adjacent to prosthetic patch or device
✔✔What patient teaching will you provide a patient who is experiencing non-infectious
diarrhea related to antibiotic administration? - ✔✔Assess for C. Diff, increase water
intake, eat yogurt to increase gut flora. Continue taking medications. (Common with
Cephalosporins, clindamyacin, and fluroquinolone)
✔✔What is the most serious adverse effect for a patient taking fluoroquinolones? -
✔✔Useful in hospital acquired infections. Black box: tendonitis and tendon rupture.
"quinolones are bad for bones"
✔✔What medication are fluroquinoloes (Cipro) known to interact with? - ✔✔Warfarin
✔✔What population should not be administered tetracyclines? Why? - ✔✔Pregnant
women - can cause skeletal muscle retardation and yellow staining of teeth
, Children - can cause decrease in bone growth and staining of teeth
✔✔What should you avoid taking tetracyclines with? - ✔✔Milk and antacids
✔✔What are the most common drug interactions with levofloxacin? - ✔✔Corticosteriods
- increase risk for tendon rupture
Antacids - decrease absorption
Antiarrythmics - can cause fatal arrhythmia
Warfarin - increased bleeding
✔✔A patient administered aminoglycoside (gentamyacin) complains of sudden hearing
loss. What should the nurse practitioner do? - ✔✔Stop the medication as they patient is
experiencing ototoxicity
✔✔Which medications interact with linezolid? - ✔✔MAOIs, SSRIs, Tyramine rich foods
(Aged cheese, wine, alcohol). Also avoid pethidine or meperidone due to risk of
serotonin syndrome
✔✔What is the treatment with doxycycline for treatment of lyme disease? - ✔✔100 mg
PO BID x 21 days
✔✔What are the main side effects of doxycycline? - ✔✔Anorexia, nausea, vomiting,
diarrhea, dizziness, vertigo, photosensitivity
✔✔Differentiate between oral and parenteral vancomyacin? - ✔✔IV for systemic
therapy as it does not absorb via intestines. Oral vancomyacin is only given for C. Diff
infection to reach site
✔✔What is the mechanism of action of azithromyacin? - ✔✔Macrolides bind to P site of
50S ribosome subunit and may inhibit RNA dependent protein synthesis by preventing
peptidyal-tRNA from ribosomes.
✔✔What antibiotics block bacterialcidal protein? - ✔✔PCN, cephalosporins,
fluroquinalines, lincosamides, macrolides, tetracyclines, sulfonamides, clindamyacin,
ethambutrol, bactinomyacin, clariumfinocrol,
✔✔What are the side effects of azithromyacin? - ✔✔GI associated - Nausea, vomitting,
abd pain, cramping, diarrhea. Can also cause hepatitis and hepatic failure
✔✔What vitamin will decrease peripheral neuropathy? - ✔✔Vitamin B6 - Pyroxodine
✔✔What lab values should be assessed when administering valacyclovir? - ✔✔BUN
and Creatinine
QUESTIONS AND SOLUTIONS RATED A+
✔✔What factors place a patient at risk for antibiotic resistance? - ✔✔Recent antibiotic
use, being younger than 2 or over 65 years of age, day care center attendance,
exposure to young children, multiple medical comorbidities, recent hospitalization, and
immunosuppression.
Excessive and inappropriate use of antibiotics (viruses, inadequate dosing, increased
empirical coverage)
✔✔What is the safest antibiotics to prescribe to a pregnant woman? - ✔✔Penicillin and
Cephalosporins (P=PCN + Pregnancy)
✔✔Why is clavulanate (beta lactams inhibitor) added to amoxicillin? - ✔✔Due to the
increasing beta-lactamase productions among gram-negative pathogens and
anaerobes, when combined with clavulanate they prevent destruction of beta lactam
antibiotics
✔✔What antibiotics are best for children? - ✔✔penicillin and cephalosporins
✔✔According to the American College of Cardiology and the American Heart
Association, what are the guidelines related to prophylactic antibiotics prior to a dental
procedures? - ✔✔Prosthetic cardiac valves
Prosthetic cardiac material
History of infective endocarditis
Cardiac transplant
Congenital heart disease
Unpaired cyanotic congenital heart disease (Palliative shunts and conduits)
Any congenital heart defect with residual shunt or valvular regurgitation at site of or
adjacent to prosthetic patch or device
✔✔What patient teaching will you provide a patient who is experiencing non-infectious
diarrhea related to antibiotic administration? - ✔✔Assess for C. Diff, increase water
intake, eat yogurt to increase gut flora. Continue taking medications. (Common with
Cephalosporins, clindamyacin, and fluroquinolone)
✔✔What is the most serious adverse effect for a patient taking fluoroquinolones? -
✔✔Useful in hospital acquired infections. Black box: tendonitis and tendon rupture.
"quinolones are bad for bones"
✔✔What medication are fluroquinoloes (Cipro) known to interact with? - ✔✔Warfarin
✔✔What population should not be administered tetracyclines? Why? - ✔✔Pregnant
women - can cause skeletal muscle retardation and yellow staining of teeth
, Children - can cause decrease in bone growth and staining of teeth
✔✔What should you avoid taking tetracyclines with? - ✔✔Milk and antacids
✔✔What are the most common drug interactions with levofloxacin? - ✔✔Corticosteriods
- increase risk for tendon rupture
Antacids - decrease absorption
Antiarrythmics - can cause fatal arrhythmia
Warfarin - increased bleeding
✔✔A patient administered aminoglycoside (gentamyacin) complains of sudden hearing
loss. What should the nurse practitioner do? - ✔✔Stop the medication as they patient is
experiencing ototoxicity
✔✔Which medications interact with linezolid? - ✔✔MAOIs, SSRIs, Tyramine rich foods
(Aged cheese, wine, alcohol). Also avoid pethidine or meperidone due to risk of
serotonin syndrome
✔✔What is the treatment with doxycycline for treatment of lyme disease? - ✔✔100 mg
PO BID x 21 days
✔✔What are the main side effects of doxycycline? - ✔✔Anorexia, nausea, vomiting,
diarrhea, dizziness, vertigo, photosensitivity
✔✔Differentiate between oral and parenteral vancomyacin? - ✔✔IV for systemic
therapy as it does not absorb via intestines. Oral vancomyacin is only given for C. Diff
infection to reach site
✔✔What is the mechanism of action of azithromyacin? - ✔✔Macrolides bind to P site of
50S ribosome subunit and may inhibit RNA dependent protein synthesis by preventing
peptidyal-tRNA from ribosomes.
✔✔What antibiotics block bacterialcidal protein? - ✔✔PCN, cephalosporins,
fluroquinalines, lincosamides, macrolides, tetracyclines, sulfonamides, clindamyacin,
ethambutrol, bactinomyacin, clariumfinocrol,
✔✔What are the side effects of azithromyacin? - ✔✔GI associated - Nausea, vomitting,
abd pain, cramping, diarrhea. Can also cause hepatitis and hepatic failure
✔✔What vitamin will decrease peripheral neuropathy? - ✔✔Vitamin B6 - Pyroxodine
✔✔What lab values should be assessed when administering valacyclovir? - ✔✔BUN
and Creatinine
