ACTUAL Exam Questions and CORRECT
Answers
Broad spectrum - CORRECT ANSWER -gram + and gram -, has a wider variety of
microbial bacteria it can kill
Narrow spectrum - CORRECT ANSWER -+ or - but more specific in the types of bacteria
SE of penicillins - CORRECT ANSWER -GI, oral contraceptives not effective
What should you do if someone is allergic to penicillin and they have an order for it - CORRECT
ANSWER -hold, verify the allergy and reaction, and tell the doctor they need to change it
and why
If allergic to penicillins most likely allergic to - CORRECT ANSWER -cephalosporins
For mycins these labs should be evaluated - CORRECT ANSWER -Creatinine, BUN, and
peak and trough
Adverse effects of mycins - CORRECT ANSWER -ototoxicity and nephrotoxicity
What do we do if we receive a high peak level? - CORRECT ANSWER -hold the med and
call provider
Blood cultures are taken to check - CORRECT ANSWER -what bacteria it is prior to
giving an antibiotic
, Aminoglycosides and toxicity/adverse effects - CORRECT ANSWER -ototoxicity
(tinnitus) and nephrotoxicity
Ciprofloxacin and what to look out for - CORRECT ANSWER -tendon rupture and stay
away from antacids and push fluids and report muscle pain.
Acyclovir is an - CORRECT ANSWER -antiviral
Acyclovir is toxic in the - CORRECT ANSWER -kidneys
Anything nephrotoxic should be administered - CORRECT ANSWER -slowly
What antibacterial is most commonly used for UTI - CORRECT ANSWER -Sulfa Drugs
(Bactrim)
If you gave the patient the wrong med assess - CORRECT ANSWER -vital signs and lung
sounds
Cyclines can cause - CORRECT ANSWER -sunburns, are teratogenic, and they turn the
teeth yellow (especially peds)
Macrolides and what to watch out for - CORRECT ANSWER -QT prolongation, cardiac
dysrhythmias, take an EKG.
SE of sulfas - CORRECT ANSWER -photosensitivity, rash (steven johnsons), n/v/d
Sulfas should not be taken with - CORRECT ANSWER -dairy/calcium and Glyburide
(DM medication)