NR 566 EXAM SCRIPT TESTED QUESTIONS
AND SOLUTIONS 100 PERCENT CORRECT
◉ CAP first line treatment. Answer: Macrolides, Doxycyline,
Amoxicillin
◉ what to give if 1st CAP treatment doesn't work?. Answer:
Respiratory Fluoroquinolone if not received abx in the past 3 months
◉ Mycoplasma pneumoniae. Answer: atypical pneumonia; commonly
seen in children
◉ pediatric atypical pneumonia treatment. Answer: Macrolides
(Erythromycin), if failed then Respiratory fluoroquinolone
◉ CAP treatment during pregnancy. Answer: Amoxicillin,
cephalosporins, or Erythromycin
◉ Treatment of chlamydial pneumonia in infant. Answer: Macrolide
(Azithromycin): 500mg orally on day 1 followed by 250 mg once
daily on days 2-5
◉ When to use broad/empiric spectrum antibiotics?. Answer: Before
cultures are resulted/ critically ill patient after first culture obtained,
, based on NP knowledge of patient history, local
susceptibility/geographic location
◉ When to use narrow spectrum antibiotics?. Answer: Used when the
culture and sensitivity is resulted, and pathogen is known.
◉ how to treat C.diff. Answer: Stop the antibiotic that may have
caused it
1st: Vancomycin 125 mg PO QID x 10 days.
2nd: Metronidazole 500mg PO TID x 10 days
address hydration
◉ Drug class known for ALL drugs in class to promote development
of C. Diff. Answer: 2nd and 3rd generation Cephalosporins
◉ Penicillin: Cross-sensitivity reactions with which drug classes.
Answer: Cephalosporins & Carbapenems
(Allergy may be mild or severe)
◉ Safe penicillin during pregancy. Answer: Amoxicillin
◉ patient education for Cephalosporins. Answer: Report to provider
any loose stools, complete full course of antibiotics, s/s of allergy
AND SOLUTIONS 100 PERCENT CORRECT
◉ CAP first line treatment. Answer: Macrolides, Doxycyline,
Amoxicillin
◉ what to give if 1st CAP treatment doesn't work?. Answer:
Respiratory Fluoroquinolone if not received abx in the past 3 months
◉ Mycoplasma pneumoniae. Answer: atypical pneumonia; commonly
seen in children
◉ pediatric atypical pneumonia treatment. Answer: Macrolides
(Erythromycin), if failed then Respiratory fluoroquinolone
◉ CAP treatment during pregnancy. Answer: Amoxicillin,
cephalosporins, or Erythromycin
◉ Treatment of chlamydial pneumonia in infant. Answer: Macrolide
(Azithromycin): 500mg orally on day 1 followed by 250 mg once
daily on days 2-5
◉ When to use broad/empiric spectrum antibiotics?. Answer: Before
cultures are resulted/ critically ill patient after first culture obtained,
, based on NP knowledge of patient history, local
susceptibility/geographic location
◉ When to use narrow spectrum antibiotics?. Answer: Used when the
culture and sensitivity is resulted, and pathogen is known.
◉ how to treat C.diff. Answer: Stop the antibiotic that may have
caused it
1st: Vancomycin 125 mg PO QID x 10 days.
2nd: Metronidazole 500mg PO TID x 10 days
address hydration
◉ Drug class known for ALL drugs in class to promote development
of C. Diff. Answer: 2nd and 3rd generation Cephalosporins
◉ Penicillin: Cross-sensitivity reactions with which drug classes.
Answer: Cephalosporins & Carbapenems
(Allergy may be mild or severe)
◉ Safe penicillin during pregancy. Answer: Amoxicillin
◉ patient education for Cephalosporins. Answer: Report to provider
any loose stools, complete full course of antibiotics, s/s of allergy
