NUR 2474 PHARMACOLOGY FINAL 2026
ACTUAL TEST PAPER QUESTIONS SOLUTIONS
VERIFIED COMPLETE STUDY PACKAGE
◉ The nurse is caring for a patient who is receiving vancomycin
(Vancocin). The nurse notes that the patient is experiencing flushing,
rash, pruritus, and urticaria. The patient's heart rate is 120 beats per
minute, and the blood pressure is 92/57 mm Hg. The nurse
understands that these findings are consistent with:
a.allergic reaction.
b.red man syndrome.
c.rhabdomyolysis.
d.Stevens-Johnson syndrome..
Answer: b.red man syndrome.
◉ A patient is to undergo orthopedic surgery, and the prescriber will
order a cephalosporin to be given preoperatively as prophylaxis
against infection. The nurse expects the provider to order which
cephalosporin?
a.First-generation cephalosporin
,b.Second-generation cephalosporin
c.Third-generation cephalosporin
d.Fourth-generation cephalosporin.
Answer: a.First-generation cephalosporin
◉ A patient receiving a cephalosporin develops a secondary
intestinal infection caused by Clostridium difficile. What is an
appropriate treatment for this patient?
a.Adding an antibiotic, such as vancomycin (Vancocin), to the
patient's regimen
b.Discontinuing the cephalosporin and beginning metronidazole
(Flagyl)
c.Discontinuing all antibiotics and providing fluid replacement
d.Increasing the dose of the cephalosporin and providing isolation
measures.
Answer: b.Discontinuing the cephalosporin and beginning
metronidazole (Flagyl)
◉ Besides the cost of administering a given drug, which are
considerations when a provider selects a cephalosporin to treat an
infection? (Select all that apply.)
a.Adverse effects
,b.Antimicrobial spectrum
c.Brand name
d.Manufacturer
e.Pharmacokinetics.
Answer: a.Adverse effects
b.Antimicrobial spectrum
e.Pharmacokinetics
◉ A patient has an infection caused by Pseudomonas aeruginosa.
The prescriber has ordered piperacillin and amikacin, both to be
given intravenously. What will the nurse do?
a.Make sure to administer the drugs at different times using
different IV tubing.
b.Suggest giving larger doses of piperacillin and discontinuing the
amikacin.
c.Suggest that a fixed-dose combination of piperacillin and
tazobactam (Zosyn) be used.
d.Watch the patient closely for allergic reactions, because this risk is
increased with this combination..
Answer: a.Make sure to administer the drugs at different times using
different IV tubing.
, ◉ A nurse assisting a nursing student with medications asks the
student to describe how penicillins (PCNs) work to treat bacterial
infections. The student is correct in responding that penicillins:
a.disinhibit transpeptidases.
b.disrupt bacterial cell wall synthesis.
c.inhibit autolysins.
d.inhibit host cell wall function..
Answer: b.disrupt bacterial cell wall synthesis.
◉ A patient is about to receive penicillin G for an infection that is
highly sensitive to this drug. While obtaining the patient's
medication history, the nurse learns that the patient experienced a
rash when given amoxicillin (Amoxil) as a child 20 years earlier.
What will the nurse do?
a.Ask the provider to order a cephalosporin.
b.Reassure the patient that allergic responses diminish over time.
c.Request an order for a skin test to assess the current risk.
d.Suggest using a desensitization schedule to administer the drug..
Answer: c.Request an order for a skin test to assess the current risk.
◉ A patient with no known drug allergies is receiving amoxicillin
(Amoxil) PO twice daily. Twenty minutes after being given a dose,
ACTUAL TEST PAPER QUESTIONS SOLUTIONS
VERIFIED COMPLETE STUDY PACKAGE
◉ The nurse is caring for a patient who is receiving vancomycin
(Vancocin). The nurse notes that the patient is experiencing flushing,
rash, pruritus, and urticaria. The patient's heart rate is 120 beats per
minute, and the blood pressure is 92/57 mm Hg. The nurse
understands that these findings are consistent with:
a.allergic reaction.
b.red man syndrome.
c.rhabdomyolysis.
d.Stevens-Johnson syndrome..
Answer: b.red man syndrome.
◉ A patient is to undergo orthopedic surgery, and the prescriber will
order a cephalosporin to be given preoperatively as prophylaxis
against infection. The nurse expects the provider to order which
cephalosporin?
a.First-generation cephalosporin
,b.Second-generation cephalosporin
c.Third-generation cephalosporin
d.Fourth-generation cephalosporin.
Answer: a.First-generation cephalosporin
◉ A patient receiving a cephalosporin develops a secondary
intestinal infection caused by Clostridium difficile. What is an
appropriate treatment for this patient?
a.Adding an antibiotic, such as vancomycin (Vancocin), to the
patient's regimen
b.Discontinuing the cephalosporin and beginning metronidazole
(Flagyl)
c.Discontinuing all antibiotics and providing fluid replacement
d.Increasing the dose of the cephalosporin and providing isolation
measures.
Answer: b.Discontinuing the cephalosporin and beginning
metronidazole (Flagyl)
◉ Besides the cost of administering a given drug, which are
considerations when a provider selects a cephalosporin to treat an
infection? (Select all that apply.)
a.Adverse effects
,b.Antimicrobial spectrum
c.Brand name
d.Manufacturer
e.Pharmacokinetics.
Answer: a.Adverse effects
b.Antimicrobial spectrum
e.Pharmacokinetics
◉ A patient has an infection caused by Pseudomonas aeruginosa.
The prescriber has ordered piperacillin and amikacin, both to be
given intravenously. What will the nurse do?
a.Make sure to administer the drugs at different times using
different IV tubing.
b.Suggest giving larger doses of piperacillin and discontinuing the
amikacin.
c.Suggest that a fixed-dose combination of piperacillin and
tazobactam (Zosyn) be used.
d.Watch the patient closely for allergic reactions, because this risk is
increased with this combination..
Answer: a.Make sure to administer the drugs at different times using
different IV tubing.
, ◉ A nurse assisting a nursing student with medications asks the
student to describe how penicillins (PCNs) work to treat bacterial
infections. The student is correct in responding that penicillins:
a.disinhibit transpeptidases.
b.disrupt bacterial cell wall synthesis.
c.inhibit autolysins.
d.inhibit host cell wall function..
Answer: b.disrupt bacterial cell wall synthesis.
◉ A patient is about to receive penicillin G for an infection that is
highly sensitive to this drug. While obtaining the patient's
medication history, the nurse learns that the patient experienced a
rash when given amoxicillin (Amoxil) as a child 20 years earlier.
What will the nurse do?
a.Ask the provider to order a cephalosporin.
b.Reassure the patient that allergic responses diminish over time.
c.Request an order for a skin test to assess the current risk.
d.Suggest using a desensitization schedule to administer the drug..
Answer: c.Request an order for a skin test to assess the current risk.
◉ A patient with no known drug allergies is receiving amoxicillin
(Amoxil) PO twice daily. Twenty minutes after being given a dose,
