NR 566 MIDTERM STUDY GUIDE COMPLETE EXAM STUDY
GUIDE WITH PRACTICE QUESTIONS AND VERIFIED ANSWERS
2025–2026
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
GUIDE WITH PRACTICE QUESTIONS AND VERIFIED ANSWERS
2025–2026
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
