NR 566 WEEK 1 & 2 EXAM QUESTIONS AND ANSWERS
1. Penicillin: Cross-sensitivity reactions with which drug classes:
Cephalosporins & Carbapenems
(Allergy may be mild or severe)
*recommend to prescribe 3rd gen cephalosporins (Cefdinir)
2. A patient is taking oral ketoconazole for a systemic fungal infection.
The medication administration record notes that the patient is
also taking omeprazole for reflux disease. What instructions will the
provider give the patient to maximize medication effectiveness?
a. Take the omeprazole at least 2 hours after the ketoconazole.
b. Take the omeprazole 1 hour before the ketoconazole.
c. Wear sunglasses when outdoors to manage photosensitivity.
d. Restrict intake of dairy products.: Take the omeprazole at least 2 hours after
the ketoconazole.
3. A patient with a history of congestive heart failure and renal
impairment is diagnosed with esophageal candidiasis. Which
antifungal agent will the provider prescribe this patient?
a. Fluconazole
b. Itraconazole
c. Voriconazole
d. Amphotericin B: a. Fluconazole
4. Regarding the most common causes of adverse reactions in
older adults, which of the following would you find to be decreased
,and the most common cause of these problems in older adults?
a. Body fat content INC
b. Plasma albumin levels
c. Liver function
d. Renal function/clearance: d. Renal function/clearance
5. Which type of medication prescribed to a pregnant patient is
more likely to have effects on her fetus?
a. Ionized drugs
b. Lipid-soluble drugs
c. Protein-bound drugs
d. Drugs that are highly polar: b. Lipid-soluble drugs
6. A breastfed 2-month old has an infection that requires an
antibiotic. What drug factors influence the effect of the drug on
the infant?
a. Lipid solubility
b. All the answers are correct
c. Maternal drug levels
d. Half-life: b. All the answers are correct
7. A patient is diagnosed with lymphagitis has an allergy to
penicillin, the allergy is a rash. What would you give this
patient?
a. Penicillin VK by mouth
b. Clindamycin
c. Trimethoprim/sulfamethoxazole (TMP/SMZ)
d. Penicillin G IV: b. Clindamycin
8. A 19-year old female is diagnosed with bacterial vaginosis. What is
common treatment prescribed?
,a. Amoxicillin
b. Azithromycin
c. Ciprofloxacin
d. Metronidazole: d. Metronidazole
9. Which statement about Ciprofloxacin is accurate?
a. Organisms that commonly cause ear infections are highly resistant
b. Most "first-time" urinary tract infections are resistant to
Ciprofloxacin
c. Ciprofloxacin is active against MRSA strains of staphylococci
d. Tendinitis may occur during treatment: d. Tendinitis may occur during
treatment
10. Risk factors for extended spectrum Beta Lactamase producing
organisms include all except:
a. Recent abdominal surgery
b. A gastrostomy tube
c. Attending daycare
d. Use of corticosteroids: c. Attending daycare
11. Select the term that refers to antibiotics that inhibit bacterial
growth:
a. Bacteriocidal
b. Bacteriostatic
, c. Bacteriogenic
d. Bacteriolytic: b. Bacteriostatic
12. Which of the following medications is classified as macrolides?
a. Tobramycin
b. Gentamycin
c. Azithromycin
d. Vancomycin:
13. Fluoroquinolone antibiotics are most likely indicating in which of
the con-ditions:
Asthma
Genital infections
Follicular
conjunctivitis GERD:
Genital infections
14. Which of the following best classifies penicillin, cephalosporins,
and
Protein synthesis inhibitors
Mycolic acid synthesis
inhibitors RNA synthesis
Cell wall inhibitors: Cell wall inhibitors
15. Beta lactamase inhibitors are often located in which of the
following? May decrease absorption
First dose effect
Often combined with penicillin antibiotics
Delayed absorption of oral drugs: Often combined with penicillin antibiotics
16. Which of the following groups of antibiotics is notable for side
effects such as nephrotoxicity or ototoxicity?
Beta-lactams
1. Penicillin: Cross-sensitivity reactions with which drug classes:
Cephalosporins & Carbapenems
(Allergy may be mild or severe)
*recommend to prescribe 3rd gen cephalosporins (Cefdinir)
2. A patient is taking oral ketoconazole for a systemic fungal infection.
The medication administration record notes that the patient is
also taking omeprazole for reflux disease. What instructions will the
provider give the patient to maximize medication effectiveness?
a. Take the omeprazole at least 2 hours after the ketoconazole.
b. Take the omeprazole 1 hour before the ketoconazole.
c. Wear sunglasses when outdoors to manage photosensitivity.
d. Restrict intake of dairy products.: Take the omeprazole at least 2 hours after
the ketoconazole.
3. A patient with a history of congestive heart failure and renal
impairment is diagnosed with esophageal candidiasis. Which
antifungal agent will the provider prescribe this patient?
a. Fluconazole
b. Itraconazole
c. Voriconazole
d. Amphotericin B: a. Fluconazole
4. Regarding the most common causes of adverse reactions in
older adults, which of the following would you find to be decreased
,and the most common cause of these problems in older adults?
a. Body fat content INC
b. Plasma albumin levels
c. Liver function
d. Renal function/clearance: d. Renal function/clearance
5. Which type of medication prescribed to a pregnant patient is
more likely to have effects on her fetus?
a. Ionized drugs
b. Lipid-soluble drugs
c. Protein-bound drugs
d. Drugs that are highly polar: b. Lipid-soluble drugs
6. A breastfed 2-month old has an infection that requires an
antibiotic. What drug factors influence the effect of the drug on
the infant?
a. Lipid solubility
b. All the answers are correct
c. Maternal drug levels
d. Half-life: b. All the answers are correct
7. A patient is diagnosed with lymphagitis has an allergy to
penicillin, the allergy is a rash. What would you give this
patient?
a. Penicillin VK by mouth
b. Clindamycin
c. Trimethoprim/sulfamethoxazole (TMP/SMZ)
d. Penicillin G IV: b. Clindamycin
8. A 19-year old female is diagnosed with bacterial vaginosis. What is
common treatment prescribed?
,a. Amoxicillin
b. Azithromycin
c. Ciprofloxacin
d. Metronidazole: d. Metronidazole
9. Which statement about Ciprofloxacin is accurate?
a. Organisms that commonly cause ear infections are highly resistant
b. Most "first-time" urinary tract infections are resistant to
Ciprofloxacin
c. Ciprofloxacin is active against MRSA strains of staphylococci
d. Tendinitis may occur during treatment: d. Tendinitis may occur during
treatment
10. Risk factors for extended spectrum Beta Lactamase producing
organisms include all except:
a. Recent abdominal surgery
b. A gastrostomy tube
c. Attending daycare
d. Use of corticosteroids: c. Attending daycare
11. Select the term that refers to antibiotics that inhibit bacterial
growth:
a. Bacteriocidal
b. Bacteriostatic
, c. Bacteriogenic
d. Bacteriolytic: b. Bacteriostatic
12. Which of the following medications is classified as macrolides?
a. Tobramycin
b. Gentamycin
c. Azithromycin
d. Vancomycin:
13. Fluoroquinolone antibiotics are most likely indicating in which of
the con-ditions:
Asthma
Genital infections
Follicular
conjunctivitis GERD:
Genital infections
14. Which of the following best classifies penicillin, cephalosporins,
and
Protein synthesis inhibitors
Mycolic acid synthesis
inhibitors RNA synthesis
Cell wall inhibitors: Cell wall inhibitors
15. Beta lactamase inhibitors are often located in which of the
following? May decrease absorption
First dose effect
Often combined with penicillin antibiotics
Delayed absorption of oral drugs: Often combined with penicillin antibiotics
16. Which of the following groups of antibiotics is notable for side
effects such as nephrotoxicity or ototoxicity?
Beta-lactams
