NR 566 Midterm Exam Questions with Verified Answers (Correct
Update)
Question 1: Carbapenems Patients placed
Answer: using valproate to control seizures should not be on imipenem.
Question 2: Vancomycin Use
Answer: with caution in patients with renal impairment.
Question 3: Cephalosporins Contraindicated actions
Answer: for patients with a history of allergic reto this drug class or severe reactions to penicillin.
Question 4: Tetracyclines Contraindicated dren
Answer: ind with s pregnant women and in chilyounger than 8 years.
Question 5: Macrolides Use
Answer: with caution in patients with QT prolongation.
Question 6: Aminoglycosides Used preexisting totoxic
Answer: with caution in patients with renal impairment, hearing impairment, and those receiving cyand
neurotoxic drugs
Question 7: Trimethoprim/Sulfam Contraindicated the younger
Answer: for nursing mothers, pregnant women in first trimester and also those near term, and infants
than 2 months.
Question 8: Penicillin High Risk for Toxicity Renal Acutely Very Very
Answer: Impairment ill young Old
Question 9: Which patients should penicillins Patients be used with extreme caution?
cephalosporins,
Answer: with a history of severe allergic reactions to or carbapenems.
Question 10: Cephalosporins All
Answer: appear to be safe for use in pregnancy
Page 1
,Question 11: Penicillins Although women, or
Answer: there are no well-controlled studies in pregnant evidence we do have suggests there is no
second third trimester fetal risk.
Question 12: Tetracyclines Animal harm avoided
Answer: studies reveal that these drugs can cause fetal in pregnancy. Thus this class of drugs should be
in during pregnancy.
Question 13: Aminoglycosides There can
Answer: is evidence that use of this drug class in pregnancy harm the fetus so they should not be used.
Question 14: Sulfonamides Systemic pecially term,
Answer: drugs in this class may cause birth defects, esif taken during the first semester. If taken near the
infant may develop kernicterus.
Question 15: Acute otitis externa presents with Rapid-onset what symptoms that differentiates it
from otitis media to determine diagnosis and treatment?
Answer: ear pain that include pruritis.
Question 16: What baseline data is needed 2 to prescribe trimethoprim/sulexists famethoxazole?
(Select all that for apply) in
Answer: Establish an infection appropriate for this drug class Complete blood count with white cell
ditterential prolonged therapy Renal function if there is concern may be compromised
Question 17: Which antibiotic class is most like- Penicillin ly to be given to someone with
amoxicillin otitis media if there are no conin traindications?
Answer: After 3 days of observation, start 10 days of or amoxicillin/clavulanate. Information found the
course module.
Question 18: What is the likely causative agent Streptococcus for acute otitis media?
Answer: pneumoniae
Question 19: Third-generation drugs
Answer: Cephalosporins Cephalosporins are used to treat bacterial infections in neonates as well as
infants.
Question 20: Used safely in infants with bacte-
Answer: Penicillins rial infections, including syphilis, meningitis, and group A streptococcus.
Page 2
, Question 21: Approved to treat bacterial infec-
Answer: Aminoglycosides tions in infants younger than 8 days. Dosing is based on weight and length of
gestation.
Question 22: Used in infants younger than 2
Answer: Sulfonamides months can cause kernicterus, a potentially fatal condition.
Question 23: Treatment of serious infections,
Answer: Vancomycin including C. diff. infection, infection with methicillin-resistant S. aureus, and
serious infections caused by susceptible organisms in patients allergic to penicillin.
Question 24: Treatment of infections sensitive
Answer: Tetracyclines to this class, acne, and periodontal disease.
Question 25: Treatment of respiratory infec-
Answer: Macrolides tions, infections caused by H. pylori, disseminated Mycobacterium, and as
alternatives to penicillin in patients with penicillin allergy.
Question 26: Treatment of serious infections
Answer: Aminoglycosides 26. caused by gram-negative aerobic bacilli.
Question 27: In patients with a creatinine clear- Reduced ance of 15-30 mL/min taking Bactrim,
how should the dosing be adjusted?
Answer: by 50%
Question 28: Penicillin G
Answer: Penicillin
Question 29: Cephalexin
Answer: Cephalosporins
Question 30: Imipenem
Answer: Carbapenems
Question 31: Doxycycline
Answer: Tetracyclines
Page 3
Update)
Question 1: Carbapenems Patients placed
Answer: using valproate to control seizures should not be on imipenem.
Question 2: Vancomycin Use
Answer: with caution in patients with renal impairment.
Question 3: Cephalosporins Contraindicated actions
Answer: for patients with a history of allergic reto this drug class or severe reactions to penicillin.
Question 4: Tetracyclines Contraindicated dren
Answer: ind with s pregnant women and in chilyounger than 8 years.
Question 5: Macrolides Use
Answer: with caution in patients with QT prolongation.
Question 6: Aminoglycosides Used preexisting totoxic
Answer: with caution in patients with renal impairment, hearing impairment, and those receiving cyand
neurotoxic drugs
Question 7: Trimethoprim/Sulfam Contraindicated the younger
Answer: for nursing mothers, pregnant women in first trimester and also those near term, and infants
than 2 months.
Question 8: Penicillin High Risk for Toxicity Renal Acutely Very Very
Answer: Impairment ill young Old
Question 9: Which patients should penicillins Patients be used with extreme caution?
cephalosporins,
Answer: with a history of severe allergic reactions to or carbapenems.
Question 10: Cephalosporins All
Answer: appear to be safe for use in pregnancy
Page 1
,Question 11: Penicillins Although women, or
Answer: there are no well-controlled studies in pregnant evidence we do have suggests there is no
second third trimester fetal risk.
Question 12: Tetracyclines Animal harm avoided
Answer: studies reveal that these drugs can cause fetal in pregnancy. Thus this class of drugs should be
in during pregnancy.
Question 13: Aminoglycosides There can
Answer: is evidence that use of this drug class in pregnancy harm the fetus so they should not be used.
Question 14: Sulfonamides Systemic pecially term,
Answer: drugs in this class may cause birth defects, esif taken during the first semester. If taken near the
infant may develop kernicterus.
Question 15: Acute otitis externa presents with Rapid-onset what symptoms that differentiates it
from otitis media to determine diagnosis and treatment?
Answer: ear pain that include pruritis.
Question 16: What baseline data is needed 2 to prescribe trimethoprim/sulexists famethoxazole?
(Select all that for apply) in
Answer: Establish an infection appropriate for this drug class Complete blood count with white cell
ditterential prolonged therapy Renal function if there is concern may be compromised
Question 17: Which antibiotic class is most like- Penicillin ly to be given to someone with
amoxicillin otitis media if there are no conin traindications?
Answer: After 3 days of observation, start 10 days of or amoxicillin/clavulanate. Information found the
course module.
Question 18: What is the likely causative agent Streptococcus for acute otitis media?
Answer: pneumoniae
Question 19: Third-generation drugs
Answer: Cephalosporins Cephalosporins are used to treat bacterial infections in neonates as well as
infants.
Question 20: Used safely in infants with bacte-
Answer: Penicillins rial infections, including syphilis, meningitis, and group A streptococcus.
Page 2
, Question 21: Approved to treat bacterial infec-
Answer: Aminoglycosides tions in infants younger than 8 days. Dosing is based on weight and length of
gestation.
Question 22: Used in infants younger than 2
Answer: Sulfonamides months can cause kernicterus, a potentially fatal condition.
Question 23: Treatment of serious infections,
Answer: Vancomycin including C. diff. infection, infection with methicillin-resistant S. aureus, and
serious infections caused by susceptible organisms in patients allergic to penicillin.
Question 24: Treatment of infections sensitive
Answer: Tetracyclines to this class, acne, and periodontal disease.
Question 25: Treatment of respiratory infec-
Answer: Macrolides tions, infections caused by H. pylori, disseminated Mycobacterium, and as
alternatives to penicillin in patients with penicillin allergy.
Question 26: Treatment of serious infections
Answer: Aminoglycosides 26. caused by gram-negative aerobic bacilli.
Question 27: In patients with a creatinine clear- Reduced ance of 15-30 mL/min taking Bactrim,
how should the dosing be adjusted?
Answer: by 50%
Question 28: Penicillin G
Answer: Penicillin
Question 29: Cephalexin
Answer: Cephalosporins
Question 30: Imipenem
Answer: Carbapenems
Question 31: Doxycycline
Answer: Tetracyclines
Page 3
