NUR 210 Exam 4 Actual Questions and Correct
Answers (Verified Answers) Already Graded A+ |
New Update 2026/2027
Question 1
The nurse is caring for a client who previously experienced an allergy
while taking penicillin. Which of the following actions is appropriate for the
nurse to take before the administration of a newly prescribed
cephalosporin?
A. Ask the pharmacist for an antihistamine on hand in case of a reaction
B. Contact the primary health care provider to report findings and for
additional information
C. Document and update a suspected cephalosporin allergy on the client
record
D. Explain to the client the differences in mechanisms of actions for the 2
antibiotics
Correct Answer: B. Contact the primary health care provider to
report findings and for additional information
Rationale: There is a potential for cross-sensitivity between
penicillin and cephalosporins. The nurse must notify the provider to
determine if the benefit outweighs the risk or if an alternative
antibiotic is needed.
,Question 2
The nurse is caring for a client who has been receiving a cephalosporin
medication for 2 weeks. The nurse notes white patches and ulcers on the
client's tongue and buccal mucosa. Which of the following actions by the
nurse is best?
A. Provide oral care and document findings
B. Obtain a lab specimen of the oral lesions
C. Discontinue the medication immediately
D. Report the findings to the primary health care provider
Correct Answer: D. Report the findings to the primary health care
provider
Rationale: White patches and ulcers on the tongue and buccal
mucosa are signs of oral candidiasis (thrush), a superinfection that
can occur with prolonged antibiotic use. The provider must be
notified for appropriate treatment.
Question 3
The nurse is caring for a client who has been prescribed azithromycin.
Which of the following laboratory test results should be carefully
monitored for the development of a potential adverse reaction?
A. Bleeding time
B. Triglyceride levels
C. Liver enzymes
D. Pancreatic enzymes
,Correct Answer: C. Liver enzymes
Rationale: Azithromycin, a macrolide antibiotic, can cause
hepatotoxicity. Liver function tests should be monitored.
Question 4
The nursing is caring for a female client who is taking trimethoprim
sulfamethoxazole to treat a urinary tract infection. The client reports
vaginal itching and discharge. Which of the following actions by the nurse
is best?
A. Report a possible superinfection to the primary health care provider.
B. Ask the client if she might be pregnant.
C. Assess the client for the likelihood of a sexually transmitted illness.
D. Reassure the client that this is a normal side effect.
Correct Answer: A. Report a possible superinfection to the primary
health care provider.
Rationale: Vaginal itching and discharge are signs of a
superinfection, such as a yeast infection, which can occur when
antibiotics disrupt normal flora. The provider should be notified.
Question 5
The nurse is caring for a client who has been prescribed doxycycline for
the treatment of a sexually transmitted infection. The nurse should
monitor the client for which of the following side effects?
A. Gingivitis
B. Acne outbreak
, C. Muscle aches
D. Tooth/nail staining
Correct Answer: D. Tooth/nail staining
Rationale: Doxycycline, a tetracycline antibiotic, can cause tooth
discoloration and enamel hypoplasia, especially in children under 8
years old.
Question 6
The nurse is teaching a client who will be discharged home from the
hospital to take amoxicillin twice daily for 10 days. Which of the following
dietary statements by the nurse is correct?
A. Avoid drinking too much citrus juices while taking this medication
B. Avoid eating too much beef and red meats while on this medication
C. Avoid drinking any coffee, tea, or colas while taking this medication
D. Avoid eating foods high in vitamin K such as green leafy vegetables
Correct Answer: A. Avoid drinking too much citrus juices while
taking this medication
Rationale: Citrus juices can decrease the absorption of penicillins
like amoxicillin. It is best to take the medication with water.
Question 7
The nurse is caring for a client who has been prescribed vancomycin. It
indicates that the client is experiencing a therapeutic effect of this drug if
the client experiences a decrease in
A. Restlessness at night
B. Fever episodes
Answers (Verified Answers) Already Graded A+ |
New Update 2026/2027
Question 1
The nurse is caring for a client who previously experienced an allergy
while taking penicillin. Which of the following actions is appropriate for the
nurse to take before the administration of a newly prescribed
cephalosporin?
A. Ask the pharmacist for an antihistamine on hand in case of a reaction
B. Contact the primary health care provider to report findings and for
additional information
C. Document and update a suspected cephalosporin allergy on the client
record
D. Explain to the client the differences in mechanisms of actions for the 2
antibiotics
Correct Answer: B. Contact the primary health care provider to
report findings and for additional information
Rationale: There is a potential for cross-sensitivity between
penicillin and cephalosporins. The nurse must notify the provider to
determine if the benefit outweighs the risk or if an alternative
antibiotic is needed.
,Question 2
The nurse is caring for a client who has been receiving a cephalosporin
medication for 2 weeks. The nurse notes white patches and ulcers on the
client's tongue and buccal mucosa. Which of the following actions by the
nurse is best?
A. Provide oral care and document findings
B. Obtain a lab specimen of the oral lesions
C. Discontinue the medication immediately
D. Report the findings to the primary health care provider
Correct Answer: D. Report the findings to the primary health care
provider
Rationale: White patches and ulcers on the tongue and buccal
mucosa are signs of oral candidiasis (thrush), a superinfection that
can occur with prolonged antibiotic use. The provider must be
notified for appropriate treatment.
Question 3
The nurse is caring for a client who has been prescribed azithromycin.
Which of the following laboratory test results should be carefully
monitored for the development of a potential adverse reaction?
A. Bleeding time
B. Triglyceride levels
C. Liver enzymes
D. Pancreatic enzymes
,Correct Answer: C. Liver enzymes
Rationale: Azithromycin, a macrolide antibiotic, can cause
hepatotoxicity. Liver function tests should be monitored.
Question 4
The nursing is caring for a female client who is taking trimethoprim
sulfamethoxazole to treat a urinary tract infection. The client reports
vaginal itching and discharge. Which of the following actions by the nurse
is best?
A. Report a possible superinfection to the primary health care provider.
B. Ask the client if she might be pregnant.
C. Assess the client for the likelihood of a sexually transmitted illness.
D. Reassure the client that this is a normal side effect.
Correct Answer: A. Report a possible superinfection to the primary
health care provider.
Rationale: Vaginal itching and discharge are signs of a
superinfection, such as a yeast infection, which can occur when
antibiotics disrupt normal flora. The provider should be notified.
Question 5
The nurse is caring for a client who has been prescribed doxycycline for
the treatment of a sexually transmitted infection. The nurse should
monitor the client for which of the following side effects?
A. Gingivitis
B. Acne outbreak
, C. Muscle aches
D. Tooth/nail staining
Correct Answer: D. Tooth/nail staining
Rationale: Doxycycline, a tetracycline antibiotic, can cause tooth
discoloration and enamel hypoplasia, especially in children under 8
years old.
Question 6
The nurse is teaching a client who will be discharged home from the
hospital to take amoxicillin twice daily for 10 days. Which of the following
dietary statements by the nurse is correct?
A. Avoid drinking too much citrus juices while taking this medication
B. Avoid eating too much beef and red meats while on this medication
C. Avoid drinking any coffee, tea, or colas while taking this medication
D. Avoid eating foods high in vitamin K such as green leafy vegetables
Correct Answer: A. Avoid drinking too much citrus juices while
taking this medication
Rationale: Citrus juices can decrease the absorption of penicillins
like amoxicillin. It is best to take the medication with water.
Question 7
The nurse is caring for a client who has been prescribed vancomycin. It
indicates that the client is experiencing a therapeutic effect of this drug if
the client experiences a decrease in
A. Restlessness at night
B. Fever episodes
