NR 566 MIDTERM STUDY GUIDE
EXAM QUESTIONS & ACCURATE
COMPLETE ANSWERS
Common CAP pathogens - correct answer ✔✔S. Pneumoniae (most common)
H. Influenzae (smokers/COPD)
P. Aeruginosa (CF)
CAP first line treatment - correct answer ✔✔Macrolides, Doxycyline, Amoxicillin
what to give if 1st CAP treatment doesn't work? - correct answer ✔✔Respiratory
Fluoroquinolone if not received abx in the past 3 months
Mycoplasma pneumoniae - correct answer ✔✔atypical pneumonia; commonly seen in children
pediatric atypical pneumonia treatment - correct answer ✔✔Macrolides (Erythromycin), if
failed then Respiratory fluoroquinolone
CAP treatment during pregnancy - correct answer ✔✔Amoxicillin, cephalosporins, or
Erythromycin
Treatment of chlamydial pneumonia in infant - correct answer ✔✔Macrolide (Azithromycin):
500mg orally on day 1 followed by 250 mg once daily on days 2-5
When to use broad/empiric spectrum antibiotics? - correct answer ✔✔Before cultures are
resulted/ critically ill patient after first culture obtained, based on NP knowledge of patient
history, local susceptibility/geographic location
, When to use narrow spectrum antibiotics? - correct answer ✔✔Used when the culture and
sensitivity is resulted, and pathogen is known.
how to treat C.diff - correct answer ✔✔Stop the antibiotic that may have caused it
1st: Vancomycin 125 mg PO QID x 10 days.
2nd: Metronidazole 500mg PO TID x 10 days
address hydration
Drug class known for ALL drugs in class to promote development of C. Diff - correct answer
✔✔2nd and 3rd generation Cephalosporins
Penicillin: Cross-sensitivity reactions with which drug classes - correct answer
✔✔Cephalosporins & Carbapenems
(Allergy may be mild or severe)
Safe penicillin during pregancy - correct answer ✔✔Amoxicillin
patient education for Cephalosporins - correct answer ✔✔Report to provider any loose stools,
complete full course of antibiotics, s/s of allergy
Cephalosporins in pregnancy - correct answer ✔✔All appear safe for use
patient education for Tetracyclines - correct answer ✔✔photosensitivity (wear sunscreen!),
complete full course, s/s of allergy
EXAM QUESTIONS & ACCURATE
COMPLETE ANSWERS
Common CAP pathogens - correct answer ✔✔S. Pneumoniae (most common)
H. Influenzae (smokers/COPD)
P. Aeruginosa (CF)
CAP first line treatment - correct answer ✔✔Macrolides, Doxycyline, Amoxicillin
what to give if 1st CAP treatment doesn't work? - correct answer ✔✔Respiratory
Fluoroquinolone if not received abx in the past 3 months
Mycoplasma pneumoniae - correct answer ✔✔atypical pneumonia; commonly seen in children
pediatric atypical pneumonia treatment - correct answer ✔✔Macrolides (Erythromycin), if
failed then Respiratory fluoroquinolone
CAP treatment during pregnancy - correct answer ✔✔Amoxicillin, cephalosporins, or
Erythromycin
Treatment of chlamydial pneumonia in infant - correct answer ✔✔Macrolide (Azithromycin):
500mg orally on day 1 followed by 250 mg once daily on days 2-5
When to use broad/empiric spectrum antibiotics? - correct answer ✔✔Before cultures are
resulted/ critically ill patient after first culture obtained, based on NP knowledge of patient
history, local susceptibility/geographic location
, When to use narrow spectrum antibiotics? - correct answer ✔✔Used when the culture and
sensitivity is resulted, and pathogen is known.
how to treat C.diff - correct answer ✔✔Stop the antibiotic that may have caused it
1st: Vancomycin 125 mg PO QID x 10 days.
2nd: Metronidazole 500mg PO TID x 10 days
address hydration
Drug class known for ALL drugs in class to promote development of C. Diff - correct answer
✔✔2nd and 3rd generation Cephalosporins
Penicillin: Cross-sensitivity reactions with which drug classes - correct answer
✔✔Cephalosporins & Carbapenems
(Allergy may be mild or severe)
Safe penicillin during pregancy - correct answer ✔✔Amoxicillin
patient education for Cephalosporins - correct answer ✔✔Report to provider any loose stools,
complete full course of antibiotics, s/s of allergy
Cephalosporins in pregnancy - correct answer ✔✔All appear safe for use
patient education for Tetracyclines - correct answer ✔✔photosensitivity (wear sunscreen!),
complete full course, s/s of allergy
