NUR 566 WEEK 1 & 2 QBANKS QUESTIONS
Penicillin: Cross-sensitivity reactions with which drug classes - Answer -Cephalosporins
& Carbapenems
(Allergy may be mild or severe)
*recommend to prescribe 3rd gen cephalosporins (Cefdinir)
A patient is taking oral ketoconazole for a systemic fungal infection. The medication
administration record notes that the patient is also taking omeprazole for reflux disease.
What instructions will the provider give the patient to maximize medication
effectiveness?
A. Take the omeprazole at least 2 hours after the ketoconazole.
B. Take the omeprazole 1 hour before the ketoconazole.
C. Wear sunglasses when outdoors to manage photosensitivity.
D. Restrict intake of dairy products. - Answer -Take the omeprazole at least 2 hours
after the ketoconazole.
A patient with a history of congestive heart failure and renal impairment is diagnosed
with esophageal candidiasis. Which antifungal agent will the provider prescribe this
patient?
A. Fluconazole
B. Itraconazole
C. Voriconazole
D. Amphotericin B - Answer -a. Fluconazole
Regarding the most common causes of adverse reactions in older adults, which of the
following would you find to be decreased and the most common cause of these
problems in older adults?
A. Body fat content INC
B. Plasma albumin levels
C. Liver function
D. Renal function/clearance - Answer -d. Renal function/clearance
Select the term that refers to antibiotics that inhibit bacterial growth:
A. Bacteriocidal
B. Bacteriostatic
C. Bacteriogenic
D. Bacteriolytic - Answer -b. Bacteriostatic
Which of the following medications is classified as macrolides?
A. Tobramycin
B. Gentamycin
C. Azithromycin
D. Vancomycin - Answer -
,Fluoroquinolone antibiotics are most likely indicating in which of the conditions:
Asthma
Genital infections
Follicular conjunctivitis
GERD - Answer -Genital infections
Which type of medication prescribed to a pregnant patient is more likely to have effects
on her fetus?
A. Ionized drugs
B. Lipid-soluble drugs
C. Protein-bound drugs
D. Drugs that are highly polar - Answer -b. Lipid-soluble drugs
A breastfed 2-month old has an infection that requires an antibiotic. What drug factors
influence the effect of the drug on the infant?
A. Lipid solubility
B. All the answers are correct
C. Maternal drug levels
D. Half-life - Answer -b. All the answers are correct
A patient is diagnosed with lymphagitis has an allergy to penicillin, the allergy is a rash.
What would you give this patient?
A. Penicillin VK by mouth
B. Clindamycin
C. Trimethoprim/sulfamethoxazole (TMP/SMZ)
D. Penicillin G IV - Answer -b. Clindamycin
A 19-year old female is diagnosed with bacterial vaginosis. What is common treatment
prescribed?
A. Amoxicillin
B. Azithromycin
C. Ciprofloxacin
D. Metronidazole - Answer -d. Metronidazole
Which statement about Ciprofloxacin is accurate?
A. Organisms that commonly cause ear infections are highly resistant
B. Most "first-time" urinary tract infections are resistant to Ciprofloxacin
C. Ciprofloxacin is active against MRSA strains of staphylococci
D. Tendinitis may occur during treatment - Answer -d. Tendinitis may occur during
treatment
Risk factors for extended spectrum Beta Lactamase producing organisms include all
except:
A. Recent abdominal surgery
B. A gastrostomy tube
, C. Attending daycare
D. Use of corticosteroids - Answer -c. Attending daycare
Which of the following best classifies penicillin, cephalosporins, and
Protein synthesis inhibitors
Mycolic acid synthesis inhibitors
RNA synthesis
Cell wall inhibitors - Answer -Cell wall inhibitors
Beta lactamase inhibitors are often located in which of the following?
May decrease absorption
First dose effect
Often combined with penicillin antibiotics
Delayed absorption of oral drugs - Answer -Often combined with penicillin antibiotics
Which of the following groups of antibiotics is notable for side effects such as
nephrotoxicity or ototoxicity?
Beta-lactams
Aminoglycosides
Tetracyclines - Answer -Aminoglycosides
Which of the following best classifies aminoglycosides, macrolides and clindamycin?
Protein synthesis inhibitor
Folic acid synthesis inhibitors
Cell wall inhibitors
Mycolic acid synthesis inhibitors - Answer -Protein synthesis inhibitor
When planning care for a patient receiving a sulfonaminde antibiotic. Which is the
appropriate intervention?
Insert foley catheter for accurate input and output measurement
Encourage liquids that produce acidic urine
Encourage a diet that causes alkaline ash
Force fluids to at least 2000 ml/day - Answer -Force fluids to at least 2000 ml/day
A 30 years old pregnant female has cellulitis caused by MRSA. Which of the following
antibiotics would be the most appropriate option of outpatient therapy?
Quinupristin/dalforpristin
Doxycycline
Clindamycin
Tigecycline - Answer -Clindamycin
What is important teaching to a patient taking minocycline?
This medication can cause an increase in uric acid levels precipitating a gout attack
Penicillin: Cross-sensitivity reactions with which drug classes - Answer -Cephalosporins
& Carbapenems
(Allergy may be mild or severe)
*recommend to prescribe 3rd gen cephalosporins (Cefdinir)
A patient is taking oral ketoconazole for a systemic fungal infection. The medication
administration record notes that the patient is also taking omeprazole for reflux disease.
What instructions will the provider give the patient to maximize medication
effectiveness?
A. Take the omeprazole at least 2 hours after the ketoconazole.
B. Take the omeprazole 1 hour before the ketoconazole.
C. Wear sunglasses when outdoors to manage photosensitivity.
D. Restrict intake of dairy products. - Answer -Take the omeprazole at least 2 hours
after the ketoconazole.
A patient with a history of congestive heart failure and renal impairment is diagnosed
with esophageal candidiasis. Which antifungal agent will the provider prescribe this
patient?
A. Fluconazole
B. Itraconazole
C. Voriconazole
D. Amphotericin B - Answer -a. Fluconazole
Regarding the most common causes of adverse reactions in older adults, which of the
following would you find to be decreased and the most common cause of these
problems in older adults?
A. Body fat content INC
B. Plasma albumin levels
C. Liver function
D. Renal function/clearance - Answer -d. Renal function/clearance
Select the term that refers to antibiotics that inhibit bacterial growth:
A. Bacteriocidal
B. Bacteriostatic
C. Bacteriogenic
D. Bacteriolytic - Answer -b. Bacteriostatic
Which of the following medications is classified as macrolides?
A. Tobramycin
B. Gentamycin
C. Azithromycin
D. Vancomycin - Answer -
,Fluoroquinolone antibiotics are most likely indicating in which of the conditions:
Asthma
Genital infections
Follicular conjunctivitis
GERD - Answer -Genital infections
Which type of medication prescribed to a pregnant patient is more likely to have effects
on her fetus?
A. Ionized drugs
B. Lipid-soluble drugs
C. Protein-bound drugs
D. Drugs that are highly polar - Answer -b. Lipid-soluble drugs
A breastfed 2-month old has an infection that requires an antibiotic. What drug factors
influence the effect of the drug on the infant?
A. Lipid solubility
B. All the answers are correct
C. Maternal drug levels
D. Half-life - Answer -b. All the answers are correct
A patient is diagnosed with lymphagitis has an allergy to penicillin, the allergy is a rash.
What would you give this patient?
A. Penicillin VK by mouth
B. Clindamycin
C. Trimethoprim/sulfamethoxazole (TMP/SMZ)
D. Penicillin G IV - Answer -b. Clindamycin
A 19-year old female is diagnosed with bacterial vaginosis. What is common treatment
prescribed?
A. Amoxicillin
B. Azithromycin
C. Ciprofloxacin
D. Metronidazole - Answer -d. Metronidazole
Which statement about Ciprofloxacin is accurate?
A. Organisms that commonly cause ear infections are highly resistant
B. Most "first-time" urinary tract infections are resistant to Ciprofloxacin
C. Ciprofloxacin is active against MRSA strains of staphylococci
D. Tendinitis may occur during treatment - Answer -d. Tendinitis may occur during
treatment
Risk factors for extended spectrum Beta Lactamase producing organisms include all
except:
A. Recent abdominal surgery
B. A gastrostomy tube
, C. Attending daycare
D. Use of corticosteroids - Answer -c. Attending daycare
Which of the following best classifies penicillin, cephalosporins, and
Protein synthesis inhibitors
Mycolic acid synthesis inhibitors
RNA synthesis
Cell wall inhibitors - Answer -Cell wall inhibitors
Beta lactamase inhibitors are often located in which of the following?
May decrease absorption
First dose effect
Often combined with penicillin antibiotics
Delayed absorption of oral drugs - Answer -Often combined with penicillin antibiotics
Which of the following groups of antibiotics is notable for side effects such as
nephrotoxicity or ototoxicity?
Beta-lactams
Aminoglycosides
Tetracyclines - Answer -Aminoglycosides
Which of the following best classifies aminoglycosides, macrolides and clindamycin?
Protein synthesis inhibitor
Folic acid synthesis inhibitors
Cell wall inhibitors
Mycolic acid synthesis inhibitors - Answer -Protein synthesis inhibitor
When planning care for a patient receiving a sulfonaminde antibiotic. Which is the
appropriate intervention?
Insert foley catheter for accurate input and output measurement
Encourage liquids that produce acidic urine
Encourage a diet that causes alkaline ash
Force fluids to at least 2000 ml/day - Answer -Force fluids to at least 2000 ml/day
A 30 years old pregnant female has cellulitis caused by MRSA. Which of the following
antibiotics would be the most appropriate option of outpatient therapy?
Quinupristin/dalforpristin
Doxycycline
Clindamycin
Tigecycline - Answer -Clindamycin
What is important teaching to a patient taking minocycline?
This medication can cause an increase in uric acid levels precipitating a gout attack
