PROFESSIONAL NURSING FINAL 3 2026
COMPREHENSIVE TEST PAPER QUESTIONS
WITH VERIFIED ANSWERS
◉ Carbapenems - Examples. Answer: Ertapenem (Invanz),
Imipenem-cilastatin (Primaxin), Meropenem (Merrem)
◉ Cephalosporins. Answer: Similar to penicillins (beta-lactam
antibiotic); Organized by generations with varying spectrums
◉ Cephalosporins - Interactions. Answer: Increased nephrotoxicity
with aminoglycosides, increased bleeding with warfarin
◉ Cephalosporins - Generation Overview. Answer: First Generation:
Mostly gram-positive, some gram-negative; Second Generation:
Broader gram-positive and gram-negative; Third Generation: Broad-
spectrum, effective against Pseudomonas; Fourth Generation: Broad-
spectrum, highly resistant to beta-lactamases
◉ Cephalosporins - Examples. Answer: Cefazolin, Cephalexin
(Keflex), Cefoxitin, Ceftriaxone (Rocephin), Cefotaxime, Cefdinir
(Omnicef), Cefepime, Ceftaroline
,◉ Fluoroquinolones. Answer: Spectrum: Broad-spectrum (gram-
positive and gram-negative); Action: Bactericidal - interfere with
DNA
◉ Fluoroquinolones - Uses. Answer: UTI, respiratory, skin infections;
anthrax prevention/treatment
◉ Fluoroquinolones - Contraindications. Answer: Pregnancy,
lactation, renal impairment
◉ Fluoroquinolones - Major Warning. Answer: Associated with
damage to developing cartilage
◉ Fluoroquinolones - Adverse Effects. Answer: Tendinitis, tendon
rupture, peripheral neuropathy, prolonged QT, CNS effects, liver
toxicity
◉ Interactions. Answer: Decreased effect with multivitamins,
prolonged QT with other QT-prolonging drugs
◉ Examples of Fluoroquinolones. Answer: Ciprofloxacin (Cipro),
Levofloxacin (Levaquin), Moxifloxacin (Avelox)
, ◉ Penicillins. Answer: First antibiotic developed for clinical use
◉ Action of Penicillins. Answer: Bactericidal - interfere with cell wall
synthesis
◉ Uses of Penicillins. Answer: Streptococcal, pneumococcal,
staphylococcal infections
◉ Gold Standard for Otitis Media. Answer: Amoxicillin for otitis
media and community-acquired pneumonia
◉ Examples of Penicillins. Answer: Penicillin G benzathine (Bicillin),
Penicillin V, Amoxicillin (Amoxil), Ampicillin, Nafcillin (penicillinase-
resistant)
◉ Sulfonamides. Answer: Bacteriostatic - inhibit folic acid synthesis
◉ Uses of Sulfonamides. Answer: Inexpensive and effective for UTIs
◉ Contraindications for Sulfonamides. Answer: Pregnancy, sulfa
allergy, kidney stones, renal disease, older adults
◉ Adverse Effects of Sulfonamides. Answer: Bone marrow
suppression, photosensitivity, GI disturbance, CNS effects