NRS 2020: Final Exam Practice Questions with
verified answers passed
1. A patient will be discharged from the hospital with a a
prescription for TMP/SMZ (Bactrim). When providing
teaching for this patient, the nurse will tell the patient
that it will be important to:
a. drink 8 to 10 glasses of water each day.
b. eat foods that are high in potassium.
c. take the medication with food.
d. take folic acid supplements.
2. Before administering intravenous (IV) penicillin, the b
nurse should do what?
a. Flush the IV site with normal saline.
b. Assess the patient for allergies.
c. Review the patient's intake and output record.
d. Determine the latest creatinine clearance result
3. Thirty minutes after receiving an intramuscular (IM) d
injection of penicillin G (Pfizerpen), a patient reports
itching and redness at the injection site. Which action
should the nurse take first?
a. Elevate the lower legs.
b. Place an ice pack on the site.
c. Make sure the patient stays calm.
d. Administer subcutaneous epinephrine
4. A patient is receiving penicillin G (Bicillin C-R). Which a
assessment should the nurse monitor as an indicator
of an undesired effect?
a. Cardiac rhythm
,NRS 2020: Final Exam Practice Questions with
verified answers passed
b. Serum sodium level
c. Lung sounds
d. Red blood cell (RBC) count
5. A nurse should teach a patient to observe for which a
side effect when taking amoxicillin (Polycillin)?
a. Skin rash and loose stool
b. Reddened tongue and gums
c. Digit numbness and tingling
d. Bruising and petechiae
6. Both IV ampicillin/sulbactam (Unasyn) and gentam- a
icin (Garamycin) are ordered for a patient. When
administering these medications, the nurse will do
what?
a. Ensure that separate IV solutions are used.
b. Use two different peripheral IV sites.
c. Administer the gentamicin first.
d. There are no necessary precautions.
7. Which instructions should a nurse provide to a patient b
who is to start taking amoxicillin/clavulanate (Aug-
mentin)?
a. "Take Augmentin once per day and only at bed-
time."
b. "Augmentin may be taken with food or meals."
c. "Avoid taking Augmentin with grapefruit juice."
d. "Use a minimal amount of liquid to swallow the
Augmentin."
,NRS 2020: Final Exam Practice Questions with
verified answers passed
8. When performing a skin test for penicillin allergy, the b, c, d
nurse will do what? (Select all that apply.)
a. Inject a tiny amount of the allergen subcutaneous-
ly.
b. Observe for a local allergic response.
c. Have epinephrine readily available.
d. Have respiratory support readily available.
e. Administer diphenhydramine (Benadryl) as the
first-line agent should anaphylaxis occur.
9. The nurse identifies which statements about peni- a, b, e
cillins as true? (Select all that apply.)
a. Penicillins are the safest antibiotics available.
b. The principal adverse effect of penicillins is allergic
reaction.
c. A patient who is allergic to penicillin always has a
cross-allergy to cephalosporins.
d. A patient who is allergic to penicillin is also allergic
to vancomycin, erythromycin, and clindamycin.
e. Penicillins are normally eliminated rapidly by the
kidneys but can accumulate to harmful levels if renal
function is severely impaired.
10. A nurse observes a red streak and palpates the vein c
as hard and cordlike at the intravenous (IV) site of a
patient receiving cephalosporins. Which assessment
should the nurse make about the IV site?
a. An allergic reaction has developed to the drug solu-
tion.
b. The drug has infiltrated the extravascular tissues.
, NRS 2020: Final Exam Practice Questions with
verified answers passed
c. Phlebitis of the vein used for the antibiotic has de-
veloped.
d. Local infection from bacterial contamination has
occurred.
11. A patient develops flushing, rash, and pruritus during a
an IV infusion of vancomycin (Vancocin). Which action
should a nurse take?
a. Reduce the infusion rate.
b. Administer diphenhydramine (Benadryl).
c. Change the IV tubing.
d. Check the patency of the IV.
12. Before administering a cephalosporin to a patient, it c
is most important for the nurse to assess the patient
for an allergy history to what?
a. Soy products
b. Peanuts
c. Penicillins
d. Opioids
13. It is most important for the nurse to assess a d
patient receiving a cephalosporin for the develop-
ment of which manifestation of antibiotic-associated
pseudomembranous colitis (AAPMC)?
a. Rigidity
b. Ileus
c. Ascites
d. Diarrhea
verified answers passed
1. A patient will be discharged from the hospital with a a
prescription for TMP/SMZ (Bactrim). When providing
teaching for this patient, the nurse will tell the patient
that it will be important to:
a. drink 8 to 10 glasses of water each day.
b. eat foods that are high in potassium.
c. take the medication with food.
d. take folic acid supplements.
2. Before administering intravenous (IV) penicillin, the b
nurse should do what?
a. Flush the IV site with normal saline.
b. Assess the patient for allergies.
c. Review the patient's intake and output record.
d. Determine the latest creatinine clearance result
3. Thirty minutes after receiving an intramuscular (IM) d
injection of penicillin G (Pfizerpen), a patient reports
itching and redness at the injection site. Which action
should the nurse take first?
a. Elevate the lower legs.
b. Place an ice pack on the site.
c. Make sure the patient stays calm.
d. Administer subcutaneous epinephrine
4. A patient is receiving penicillin G (Bicillin C-R). Which a
assessment should the nurse monitor as an indicator
of an undesired effect?
a. Cardiac rhythm
,NRS 2020: Final Exam Practice Questions with
verified answers passed
b. Serum sodium level
c. Lung sounds
d. Red blood cell (RBC) count
5. A nurse should teach a patient to observe for which a
side effect when taking amoxicillin (Polycillin)?
a. Skin rash and loose stool
b. Reddened tongue and gums
c. Digit numbness and tingling
d. Bruising and petechiae
6. Both IV ampicillin/sulbactam (Unasyn) and gentam- a
icin (Garamycin) are ordered for a patient. When
administering these medications, the nurse will do
what?
a. Ensure that separate IV solutions are used.
b. Use two different peripheral IV sites.
c. Administer the gentamicin first.
d. There are no necessary precautions.
7. Which instructions should a nurse provide to a patient b
who is to start taking amoxicillin/clavulanate (Aug-
mentin)?
a. "Take Augmentin once per day and only at bed-
time."
b. "Augmentin may be taken with food or meals."
c. "Avoid taking Augmentin with grapefruit juice."
d. "Use a minimal amount of liquid to swallow the
Augmentin."
,NRS 2020: Final Exam Practice Questions with
verified answers passed
8. When performing a skin test for penicillin allergy, the b, c, d
nurse will do what? (Select all that apply.)
a. Inject a tiny amount of the allergen subcutaneous-
ly.
b. Observe for a local allergic response.
c. Have epinephrine readily available.
d. Have respiratory support readily available.
e. Administer diphenhydramine (Benadryl) as the
first-line agent should anaphylaxis occur.
9. The nurse identifies which statements about peni- a, b, e
cillins as true? (Select all that apply.)
a. Penicillins are the safest antibiotics available.
b. The principal adverse effect of penicillins is allergic
reaction.
c. A patient who is allergic to penicillin always has a
cross-allergy to cephalosporins.
d. A patient who is allergic to penicillin is also allergic
to vancomycin, erythromycin, and clindamycin.
e. Penicillins are normally eliminated rapidly by the
kidneys but can accumulate to harmful levels if renal
function is severely impaired.
10. A nurse observes a red streak and palpates the vein c
as hard and cordlike at the intravenous (IV) site of a
patient receiving cephalosporins. Which assessment
should the nurse make about the IV site?
a. An allergic reaction has developed to the drug solu-
tion.
b. The drug has infiltrated the extravascular tissues.
, NRS 2020: Final Exam Practice Questions with
verified answers passed
c. Phlebitis of the vein used for the antibiotic has de-
veloped.
d. Local infection from bacterial contamination has
occurred.
11. A patient develops flushing, rash, and pruritus during a
an IV infusion of vancomycin (Vancocin). Which action
should a nurse take?
a. Reduce the infusion rate.
b. Administer diphenhydramine (Benadryl).
c. Change the IV tubing.
d. Check the patency of the IV.
12. Before administering a cephalosporin to a patient, it c
is most important for the nurse to assess the patient
for an allergy history to what?
a. Soy products
b. Peanuts
c. Penicillins
d. Opioids
13. It is most important for the nurse to assess a d
patient receiving a cephalosporin for the develop-
ment of which manifestation of antibiotic-associated
pseudomembranous colitis (AAPMC)?
a. Rigidity
b. Ileus
c. Ascites
d. Diarrhea
