NR 566 MIDTERM EXAM (2 LATEST VERSIONS 2025-2026) /
NR566 MIDTERM EXAM REVIEW /LATEST ADVANCED
PHARMACOLOGY FOR CARE OF FAMILY Questions with
Verified Answers (Correct Update)
Question 1: Community Acquired Pneumonia - Common Pathogens
Answer: -S. pneumoniae
-Mycoplasma spp.
-H. influenzae
-Staphylococcus aureus
Question 2: Community Acquired Pneumonia - 1st line treatment for previously healthy adults
and what to give if 1st drug didn't work?
Answer: 1st line: Amoxicillin, doxycycline and macrolide (Azithromycin) Second choice: Levaquin
(Fluroquinolones)
Question 3: Treatment for M. Pneumoniae in pediatric patients?
Answer: Macrolides: Azithromycin, Erythromycin, Clarithromycin
Question 4: Treatment of community acquired pneumonia in pregnancy
Answer: Amoxicillin, cephalosporins, or erythromycin
Question 5: If someone has been treated w/ an antibiotic in the previous 90 days of contracting
CAP, a quinolone would be prudent choice to prescribe. Be familiar with drug examples w/n the
antibiotic class
Answer: "floxacin" Genifloxacin Ciprofloxacin
Question 6: Treatment of chlamydial pneumonia in an infant?
Answer: Erythromycin 12.5 mg/kg PO QID x 14 days
Question 7: When to use a broad-spectrum anitbiotic?
Answer: -before cultures result
-critically ill patient
-empiric therapy
-pathogen is unknown or multiple types of bacteria suspected
-Gram + cocci and Gram - Bacilli
Page 1
, Question 8: Narrow-spectrum antibiotics
Answer: -active against only a few species of microogranisms
-used when pathogen is known
-reduces risk of disruption of normal flora and development of antibiotic resistance
-preferred when possible
-Gram + cocci, Gram - bacilli, gram - aerobes, mycobacterium TB
Question 9: Empiric antibiotics - What are they?
Answer: Broad spectrum antibiotics
-Ciprofloxacin, timethoprim/sulfamethoxazole, Amoxicillin
Question 10: When to prescribed empiric antibiotics
Answer: -patient has severe infection
-before test results are available
-based on clinical evaluation and knowledge of microbes that are most likely causing the infection
Question 11: C. Diff associated diarrhea - how to treat?
Answer: Stop prior antibiotic and start Vancomycin or Fidaxomicin or Metronidazole Chart in Book
Question 12: Drug class known for ALL drugs in class to promote development of C. Diff
Answer: -Cephalosporins Specifically: 2nd generation (Cefoxitin) and 3rd generation (Cefotaxime)
-Fluoroquinolones (Ciprofloxacin and Levofloxacin)
-Clindamycin
Question 13: Penicillin - Cross-sensitivity reaction
Answer: Cephalosporins
Question 14: Penicillin - prescribing in pregnant patients
Answer: Avoid in 1st trimester No 2nd or 3rd fetal risk
Question 15: Cephalosporins - Patient Education
Answer: -Do not take if allergic to penicillin
-Interacts w/ alcohol (disulfiram-like reaction)
-Interacts with Vitamin K clotting factors (Can promote bleeding esp. w/ NSAIDs, thrombolytics, and
anticoagulants)
-Increases risk for C. Diff, notify provider of increased stool frequency
Question 16: Cephalosporins - Pregnant patients
Answer: Safe to prescribe
Page 2
NR566 MIDTERM EXAM REVIEW /LATEST ADVANCED
PHARMACOLOGY FOR CARE OF FAMILY Questions with
Verified Answers (Correct Update)
Question 1: Community Acquired Pneumonia - Common Pathogens
Answer: -S. pneumoniae
-Mycoplasma spp.
-H. influenzae
-Staphylococcus aureus
Question 2: Community Acquired Pneumonia - 1st line treatment for previously healthy adults
and what to give if 1st drug didn't work?
Answer: 1st line: Amoxicillin, doxycycline and macrolide (Azithromycin) Second choice: Levaquin
(Fluroquinolones)
Question 3: Treatment for M. Pneumoniae in pediatric patients?
Answer: Macrolides: Azithromycin, Erythromycin, Clarithromycin
Question 4: Treatment of community acquired pneumonia in pregnancy
Answer: Amoxicillin, cephalosporins, or erythromycin
Question 5: If someone has been treated w/ an antibiotic in the previous 90 days of contracting
CAP, a quinolone would be prudent choice to prescribe. Be familiar with drug examples w/n the
antibiotic class
Answer: "floxacin" Genifloxacin Ciprofloxacin
Question 6: Treatment of chlamydial pneumonia in an infant?
Answer: Erythromycin 12.5 mg/kg PO QID x 14 days
Question 7: When to use a broad-spectrum anitbiotic?
Answer: -before cultures result
-critically ill patient
-empiric therapy
-pathogen is unknown or multiple types of bacteria suspected
-Gram + cocci and Gram - Bacilli
Page 1
, Question 8: Narrow-spectrum antibiotics
Answer: -active against only a few species of microogranisms
-used when pathogen is known
-reduces risk of disruption of normal flora and development of antibiotic resistance
-preferred when possible
-Gram + cocci, Gram - bacilli, gram - aerobes, mycobacterium TB
Question 9: Empiric antibiotics - What are they?
Answer: Broad spectrum antibiotics
-Ciprofloxacin, timethoprim/sulfamethoxazole, Amoxicillin
Question 10: When to prescribed empiric antibiotics
Answer: -patient has severe infection
-before test results are available
-based on clinical evaluation and knowledge of microbes that are most likely causing the infection
Question 11: C. Diff associated diarrhea - how to treat?
Answer: Stop prior antibiotic and start Vancomycin or Fidaxomicin or Metronidazole Chart in Book
Question 12: Drug class known for ALL drugs in class to promote development of C. Diff
Answer: -Cephalosporins Specifically: 2nd generation (Cefoxitin) and 3rd generation (Cefotaxime)
-Fluoroquinolones (Ciprofloxacin and Levofloxacin)
-Clindamycin
Question 13: Penicillin - Cross-sensitivity reaction
Answer: Cephalosporins
Question 14: Penicillin - prescribing in pregnant patients
Answer: Avoid in 1st trimester No 2nd or 3rd fetal risk
Question 15: Cephalosporins - Patient Education
Answer: -Do not take if allergic to penicillin
-Interacts w/ alcohol (disulfiram-like reaction)
-Interacts with Vitamin K clotting factors (Can promote bleeding esp. w/ NSAIDs, thrombolytics, and
anticoagulants)
-Increases risk for C. Diff, notify provider of increased stool frequency
Question 16: Cephalosporins - Pregnant patients
Answer: Safe to prescribe
Page 2
