Pharm Exam 2 Test Bank Exam
Questions with Complete Answers
The nurse is monitoring for therapeutic results of antibiotic therapy in a patient with
an infection. Which laboratory value would indicate therapeutic effectiveness of this
therapy?
a.
Increased red blood cell count
b.
Increased hemoglobin level
c.
Decreased white blood cell count
d.
Decreased platelet count - Answer-C
The nurse is reviewing the sputum culture results of a patient with pneumonia and
notes that the patient has a gram-positive infection. Which generation of
cephalosporin is most appropriate for this type of infection?
a.
First generation
b.
Second generation
c.
Third generation
d.
Fourth generation - Answer-A
A patient will be having oral surgery and has received an antibiotic to take for 1 week
before the surgery. The nurse knows that this is an example of which type of
therapy?
a.
Empiric
b.
Prophylactic
c.
Definitive
d.
Resistance - Answer-B
A patient has a urinary tract infection. The nurse knows that which class of drugs is
especially useful for such infections?
a.
Macrolides
b.
Carbapenems
c.
Sulfonamides
d.
,Tetracyclines - Answer-C
During drug therapy for pneumonia, a female patient develops a vaginal
superinfection. The nurse explains that this infection is caused by:
a.
large doses of antibiotics that kill normal flora.
b.
the infection spreading from her lungs to the new site of infection.
c.
resistance of the pneumonia-causing bacteria to the drugs.
d.
an allergic reaction to the antibiotics. - Answer-A
The nurse is preparing to use an antiseptic. Which statement is correct regarding
how antiseptics differ from disinfectants?
a.
Antiseptics are used to sterilize surgical equipment.
b.
Disinfectants are used as preoperative skin preparation.
c.
Antiseptics are used only on living tissue to kill microorganisms.
d.
Disinfectants are used only on nonliving objects to destroy organisms. - Answer-D
A patient with a long-term intravenous catheter is going home. The nurse knows that
if he is allergic to seafood, which antiseptic agent is contraindicated?
a.
Chlorhexidine gluconate (Hibiclens)
b.
Hydrogen peroxide
c.
Povidone-iodine (Betadine)
d.
Isopropyl alcohol - Answer-C
During antibiotic therapy, the nurse will monitor closely for signs and symptoms of a
hypersensitivity reaction. Which of these assessment findings may be an indication
of a hypersensitivity reaction? (Select all that apply.)
a.
Wheezing
b.
Diarrhea
c.
Shortness of breath
d.
Swelling of the tongue
e.
Itching
f.
Black, hairy tongue - Answer-A,C,D,E
,The nurse is reviewing the medication history of a patient who will be taking a
sulfonamide antibiotic. During sulfonamide therapy, a significant drug interaction may
occur with which of these drugs or drug classes? (Select all that apply.)
a.
Opioids
b.
Oral contraceptives
c.
Sulfonylureas
d.
Antihistamines
e.
Phenytoin (Dilantin)
f.
Warfarin (Coumadin) - Answer-B,C,E,F
When a patient is on aminoglycoside therapy, the nurse will monitor the patient for
which indicators of potential toxicity?
a.
Fever
b.
White blood cell count of 8000 cells/mm3
c.
Tinnitus and dizziness
d.
Decreased blood urea nitrogen (BUN) levels - Answer-C
The nurse is administering a vancomycin (Vancocin) infusion. Which measure is
appropriate for the nurse to implement in order to reduce complications that may
occur with this drug's administration?
a.
Monitoring blood pressure for hypertension during the infusion
b.
Discontinuing the drug immediately if red man syndrome occurs
c.
Restricting fluids during vancomycin therapy
d.
Infusing the drug over at least 1 hour - Answer-D
Which nursing diagnosis is appropriate for a patient who has started aminoglycoside
therapy?
a.
Constipation
b.
Risk for injury (renal damage)
c.
Disturbed body image related to gynecomastia
d.
Imbalanced nutrition, less than body requirements, related to nausea - Answer-B
, A patient who has been hospitalized for 2 weeks has developed a pressure ulcer that
contains multidrug-resistant Staphylococcus aureus (MRSA). Which drug would the
nurse expect to be chosen for therapy?
a.
Metronidazole (Flagyl)
b.
Ciprofloxacin (Cipro)
c.
Vancomycin (Vancocin)
d.
Tobramycin (Nebcin) - Answer-C
A patient is receiving aminoglycoside therapy and will be receiving a beta-lactam
antibiotic as well. The patient asks why two antibiotics have been ordered. What is
the nurse's best response?
a.
"The combined effect of both antibiotics is greater than each of them alone."
b.
"One antibiotic is not strong enough to fight the infection."
c.
"We have not yet isolated the bacteria, so the two antibiotics are given to cover a
wide range of microorganisms."
d.
"We can give a reduced amount of each one if we give them together." - Answer-A
The nurse is reviewing the medication orders for a patient who will be receiving
gentamicin therapy. Which other medication or medication class, if ordered, would
be a potential interaction concern?
a.
Calcium channel blockers
b.
Phenytoin
c.
Proton pump inhibitors
d.
Loop diuretics - Answer-D
The nurse checks the patient's laboratory work prior to administering a dose of
vancomycin (Vancocin) and finds that the trough vancomycin level is 24 mcg/mL.
What will the nurse do next?
a.
Administer the vancomycin as ordered.
b.
Hold the drug, and administer 4 hours later.
c.
Hold the drug, and notify the prescriber.
d.
Repeat the test to verify results. - Answer-C
Questions with Complete Answers
The nurse is monitoring for therapeutic results of antibiotic therapy in a patient with
an infection. Which laboratory value would indicate therapeutic effectiveness of this
therapy?
a.
Increased red blood cell count
b.
Increased hemoglobin level
c.
Decreased white blood cell count
d.
Decreased platelet count - Answer-C
The nurse is reviewing the sputum culture results of a patient with pneumonia and
notes that the patient has a gram-positive infection. Which generation of
cephalosporin is most appropriate for this type of infection?
a.
First generation
b.
Second generation
c.
Third generation
d.
Fourth generation - Answer-A
A patient will be having oral surgery and has received an antibiotic to take for 1 week
before the surgery. The nurse knows that this is an example of which type of
therapy?
a.
Empiric
b.
Prophylactic
c.
Definitive
d.
Resistance - Answer-B
A patient has a urinary tract infection. The nurse knows that which class of drugs is
especially useful for such infections?
a.
Macrolides
b.
Carbapenems
c.
Sulfonamides
d.
,Tetracyclines - Answer-C
During drug therapy for pneumonia, a female patient develops a vaginal
superinfection. The nurse explains that this infection is caused by:
a.
large doses of antibiotics that kill normal flora.
b.
the infection spreading from her lungs to the new site of infection.
c.
resistance of the pneumonia-causing bacteria to the drugs.
d.
an allergic reaction to the antibiotics. - Answer-A
The nurse is preparing to use an antiseptic. Which statement is correct regarding
how antiseptics differ from disinfectants?
a.
Antiseptics are used to sterilize surgical equipment.
b.
Disinfectants are used as preoperative skin preparation.
c.
Antiseptics are used only on living tissue to kill microorganisms.
d.
Disinfectants are used only on nonliving objects to destroy organisms. - Answer-D
A patient with a long-term intravenous catheter is going home. The nurse knows that
if he is allergic to seafood, which antiseptic agent is contraindicated?
a.
Chlorhexidine gluconate (Hibiclens)
b.
Hydrogen peroxide
c.
Povidone-iodine (Betadine)
d.
Isopropyl alcohol - Answer-C
During antibiotic therapy, the nurse will monitor closely for signs and symptoms of a
hypersensitivity reaction. Which of these assessment findings may be an indication
of a hypersensitivity reaction? (Select all that apply.)
a.
Wheezing
b.
Diarrhea
c.
Shortness of breath
d.
Swelling of the tongue
e.
Itching
f.
Black, hairy tongue - Answer-A,C,D,E
,The nurse is reviewing the medication history of a patient who will be taking a
sulfonamide antibiotic. During sulfonamide therapy, a significant drug interaction may
occur with which of these drugs or drug classes? (Select all that apply.)
a.
Opioids
b.
Oral contraceptives
c.
Sulfonylureas
d.
Antihistamines
e.
Phenytoin (Dilantin)
f.
Warfarin (Coumadin) - Answer-B,C,E,F
When a patient is on aminoglycoside therapy, the nurse will monitor the patient for
which indicators of potential toxicity?
a.
Fever
b.
White blood cell count of 8000 cells/mm3
c.
Tinnitus and dizziness
d.
Decreased blood urea nitrogen (BUN) levels - Answer-C
The nurse is administering a vancomycin (Vancocin) infusion. Which measure is
appropriate for the nurse to implement in order to reduce complications that may
occur with this drug's administration?
a.
Monitoring blood pressure for hypertension during the infusion
b.
Discontinuing the drug immediately if red man syndrome occurs
c.
Restricting fluids during vancomycin therapy
d.
Infusing the drug over at least 1 hour - Answer-D
Which nursing diagnosis is appropriate for a patient who has started aminoglycoside
therapy?
a.
Constipation
b.
Risk for injury (renal damage)
c.
Disturbed body image related to gynecomastia
d.
Imbalanced nutrition, less than body requirements, related to nausea - Answer-B
, A patient who has been hospitalized for 2 weeks has developed a pressure ulcer that
contains multidrug-resistant Staphylococcus aureus (MRSA). Which drug would the
nurse expect to be chosen for therapy?
a.
Metronidazole (Flagyl)
b.
Ciprofloxacin (Cipro)
c.
Vancomycin (Vancocin)
d.
Tobramycin (Nebcin) - Answer-C
A patient is receiving aminoglycoside therapy and will be receiving a beta-lactam
antibiotic as well. The patient asks why two antibiotics have been ordered. What is
the nurse's best response?
a.
"The combined effect of both antibiotics is greater than each of them alone."
b.
"One antibiotic is not strong enough to fight the infection."
c.
"We have not yet isolated the bacteria, so the two antibiotics are given to cover a
wide range of microorganisms."
d.
"We can give a reduced amount of each one if we give them together." - Answer-A
The nurse is reviewing the medication orders for a patient who will be receiving
gentamicin therapy. Which other medication or medication class, if ordered, would
be a potential interaction concern?
a.
Calcium channel blockers
b.
Phenytoin
c.
Proton pump inhibitors
d.
Loop diuretics - Answer-D
The nurse checks the patient's laboratory work prior to administering a dose of
vancomycin (Vancocin) and finds that the trough vancomycin level is 24 mcg/mL.
What will the nurse do next?
a.
Administer the vancomycin as ordered.
b.
Hold the drug, and administer 4 hours later.
c.
Hold the drug, and notify the prescriber.
d.
Repeat the test to verify results. - Answer-C
