Question 1
pts
The nurse is caring for a patient who has recurrent wound infections. The patient’s current
infection is not responding to an antibiotic that has been used successfully several times in the
past. The nurse understands that this is most likely due to:
Correct!
acquired bacterial resistance.
cross-resistance.
inherent bacterial resistance.
transferred resistance.
Question 2
pts
The nurse is preparing to administer the first dose of an antibiotic to a patient admitted for a
urinary tract infection. Which action is most important prior to administering the antibiotic?
Administering a small test dose to determine whether hypersensitivity exists
Having epinephrine available in the event of a severe hypersensitivity reaction
Monitoring baseline vital signs, including temperature and blood pressure
Correct!
Obtaining a specimen for culture and sensitivity
Question 3
pts
The nurse is teaching a patient who will be discharged home from the hospital to take
amoxicillin (Amoxil) twice daily for 10 days. Which statement by the nurse is correct?
"Discontinue the antibiotic when your temperature returns to normal and your symptoms have
improved.”
,“If diarrhea occurs, stop taking the drug immediately and contact your provider.”
Correct!
"Stop taking the drug and notify your provider if you develop a rash while taking this drug.”
“You may save any unused antibiotic to use if your symptoms recur.”
Question 4
pts
The nurse is preparing to administer the first dose of intravenous ceftriaxone (Rocephin) to a
patient. When reviewing the patient’s chart, the nurse notes that the patient previously
experienced a rash when taking amoxicillin. What is the nurse’s next action?
Request an order for (naloxone) Narcan
Ask the provider whether a cephalosporin from a different generation may be used.
Correct!
Contact the provider to report potential drug hypersensitivity.
Notify the provider and suggest an oral cephalosporin.
Question 5
pts
The nurse is preparing to give a dose of a cephalosporin medication to a patient who has been
receiving the antibiotic for 2 weeks. The nurse notes ulcers on the patient’s tongue and buccal
mucosa. Which action will the nurse take?
Hold the drug and notify the provider.
Obtain an order to culture the oral lesions.
Gather emergency equipment to prepare for anaphylaxis.
Correct!
Report a possible superinfection side effect of the cephalosporin.
, Question 6
pts
The nurse is providing teaching to a patient who will begin taking a cephalosporin to treat an
infection. Which statement by the patient indicates a need for furtherteaching?
Correct!
“I may stop taking the medication if my symptoms clear up.”
“I should eat yogurt while taking this medication.”
“I should stop taking the drug and call my provider if I develop a rash.”
“I will not consume alcohol while taking this medication.”
Question 7
pts
A patient is receiving high doses of a cephalosporin. Which laboratory values will this patient’s
nurse monitor closely?
Electrolytes and minerals
Correct!
Blood urea nitrogen (BUN), serum creatinine, and liver function tests
Serum calcium and magnesium
Serum glucose and lipids
Question 8
pts
The nurse is caring for a patient who is receiving a high dose of intravenous azithromycin
(Zithromax) to treat an infection. The patient is also taking acetaminophen for pain. The nurse
should expect to review which lab values when monitoring for this drug’s side/adverse effects?
WBC count
pts
The nurse is caring for a patient who has recurrent wound infections. The patient’s current
infection is not responding to an antibiotic that has been used successfully several times in the
past. The nurse understands that this is most likely due to:
Correct!
acquired bacterial resistance.
cross-resistance.
inherent bacterial resistance.
transferred resistance.
Question 2
pts
The nurse is preparing to administer the first dose of an antibiotic to a patient admitted for a
urinary tract infection. Which action is most important prior to administering the antibiotic?
Administering a small test dose to determine whether hypersensitivity exists
Having epinephrine available in the event of a severe hypersensitivity reaction
Monitoring baseline vital signs, including temperature and blood pressure
Correct!
Obtaining a specimen for culture and sensitivity
Question 3
pts
The nurse is teaching a patient who will be discharged home from the hospital to take
amoxicillin (Amoxil) twice daily for 10 days. Which statement by the nurse is correct?
"Discontinue the antibiotic when your temperature returns to normal and your symptoms have
improved.”
,“If diarrhea occurs, stop taking the drug immediately and contact your provider.”
Correct!
"Stop taking the drug and notify your provider if you develop a rash while taking this drug.”
“You may save any unused antibiotic to use if your symptoms recur.”
Question 4
pts
The nurse is preparing to administer the first dose of intravenous ceftriaxone (Rocephin) to a
patient. When reviewing the patient’s chart, the nurse notes that the patient previously
experienced a rash when taking amoxicillin. What is the nurse’s next action?
Request an order for (naloxone) Narcan
Ask the provider whether a cephalosporin from a different generation may be used.
Correct!
Contact the provider to report potential drug hypersensitivity.
Notify the provider and suggest an oral cephalosporin.
Question 5
pts
The nurse is preparing to give a dose of a cephalosporin medication to a patient who has been
receiving the antibiotic for 2 weeks. The nurse notes ulcers on the patient’s tongue and buccal
mucosa. Which action will the nurse take?
Hold the drug and notify the provider.
Obtain an order to culture the oral lesions.
Gather emergency equipment to prepare for anaphylaxis.
Correct!
Report a possible superinfection side effect of the cephalosporin.
, Question 6
pts
The nurse is providing teaching to a patient who will begin taking a cephalosporin to treat an
infection. Which statement by the patient indicates a need for furtherteaching?
Correct!
“I may stop taking the medication if my symptoms clear up.”
“I should eat yogurt while taking this medication.”
“I should stop taking the drug and call my provider if I develop a rash.”
“I will not consume alcohol while taking this medication.”
Question 7
pts
A patient is receiving high doses of a cephalosporin. Which laboratory values will this patient’s
nurse monitor closely?
Electrolytes and minerals
Correct!
Blood urea nitrogen (BUN), serum creatinine, and liver function tests
Serum calcium and magnesium
Serum glucose and lipids
Question 8
pts
The nurse is caring for a patient who is receiving a high dose of intravenous azithromycin
(Zithromax) to treat an infection. The patient is also taking acetaminophen for pain. The nurse
should expect to review which lab values when monitoring for this drug’s side/adverse effects?
WBC count
