NURS 334 Exam 2 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Antibiotics IMP are not .., - CORRECT ANSWER - Bacteria specific (some have a broader
spectrum than others, so they can kill more bacteria inc. good bacteria)
Where does our immune system start? - CORRECT ANSWER - In our gut with good bacteria
What symptom can develop from killing the good bacteria in the gut? - CORRECT
ANSWER - Diarrhea
What do probiotics do? - CORRECT ANSWER - Replace the good flora in our guts
What are some examples of probiotics? - CORRECT ANSWER - Yogurt (high in lacto
facillis) or daily probiotic pills
What aggressive form of diarrhea can antibiotic use cause? - CORRECT ANSWER - C. Diff
overgrowth and older adults are more susceptible
Antibiotics can interfere with the effectiveness of what medication? - CORRECT ANSWER -
Oral contraceptives (birth control)
What is a beta-lactam? - CORRECT ANSWER - Enzyme that is produced by the bacteria
itself (can cause C. Diff)
What category is beta-lactams for pregnancy? - CORRECT ANSWER - Category B
What ADRs can beta-lactams cause? - CORRECT ANSWER - NVD, vaginal infection, jock
itch, rash, hypernatremia (high sodium blood levels)
,Where are beta-lactams metabolized? - CORRECT ANSWER - Through the GI tract
If someone develops a rash the 1st time you give a drug what do you do? - CORRECT
ANSWER - Cross that drug off and discontinue future administrations because they may
develop anaphylaxis the next time
What are two drug examples of beta-lactams? - CORRECT ANSWER - Penicillin and
cephalosporins
If a drug name contains "-cillin" then it is considered a - CORRECT ANSWER - Form of
penicillin/beta-lactam
If a drug name contains "-cef" or "ceph-" then it is considered a - CORRECT ANSWER -
Cephalosporin/beta-lactam
When was penicillin discovered and what was it originally made from? - CORRECT
ANSWER - 40's and moldy bread
What can -cillins cure? - CORRECT ANSWER - Syphilis (originated from sheep and was
forcefully tested on African Americans)
What is the potential problem with long-term use of -cillins? - CORRECT ANSWER -
Antibiotic resistance (which can lead to sepsis and death)
Where are -cillins excreted? - CORRECT ANSWER - Kidneys
What lab values do we check before administering -cillins? - CORRECT ANSWER -
BUN/Crea
What cephalosporin is commonly prescribed? - CORRECT ANSWER - Ancef --> IV,
Cephalexin (Keflex)
, What does cephalosporins treat? - CORRECT ANSWER - Upper respiratory infections, .....
What pregnancy category is aminoglycosides/fluroquinolones? - CORRECT ANSWER -D
Why are aminoglycosides/fluroquinolones category D pregnancy drugs? - CORRECT
ANSWER - They can penetrate the CNS and they are the most potentially toxic drug group
What is a drug example of aminoglycosides? - CORRECT ANSWER - Gentamycin
What is a drug example of fluroquinolones? - CORRECT ANSWER - Ciprofloxacin or
Levofloxacin (Levaquin)
What should you AVOID when taking fluroquinolones? - CORRECT ANSWER - Dairy
products (interfere with the interaction and work of cipro), iron, aluminum, and St. John Wort
(herbal supplement)
T/F Fluroquinolones should be taken with food - CORRECT ANSWER - True
T/F Antacids can be taken with fluroquinlones - CORRECT ANSWER - True (but you have
to take them with caution)
What is Ciprofloxacin and Levofloxacin (Levaquin) used for? - CORRECT ANSWER - UTIs,
bronchitis, sinusitis, etc.
ADRs of Ciprofloxacin/Levofloxacin (Levaquin) - CORRECT ANSWER - NVD, rash,
headache, anxiety/confusion (older adults more prone), dizziness, ruptured achilles tendon
Exam Questions and CORRECT Answers
Antibiotics IMP are not .., - CORRECT ANSWER - Bacteria specific (some have a broader
spectrum than others, so they can kill more bacteria inc. good bacteria)
Where does our immune system start? - CORRECT ANSWER - In our gut with good bacteria
What symptom can develop from killing the good bacteria in the gut? - CORRECT
ANSWER - Diarrhea
What do probiotics do? - CORRECT ANSWER - Replace the good flora in our guts
What are some examples of probiotics? - CORRECT ANSWER - Yogurt (high in lacto
facillis) or daily probiotic pills
What aggressive form of diarrhea can antibiotic use cause? - CORRECT ANSWER - C. Diff
overgrowth and older adults are more susceptible
Antibiotics can interfere with the effectiveness of what medication? - CORRECT ANSWER -
Oral contraceptives (birth control)
What is a beta-lactam? - CORRECT ANSWER - Enzyme that is produced by the bacteria
itself (can cause C. Diff)
What category is beta-lactams for pregnancy? - CORRECT ANSWER - Category B
What ADRs can beta-lactams cause? - CORRECT ANSWER - NVD, vaginal infection, jock
itch, rash, hypernatremia (high sodium blood levels)
,Where are beta-lactams metabolized? - CORRECT ANSWER - Through the GI tract
If someone develops a rash the 1st time you give a drug what do you do? - CORRECT
ANSWER - Cross that drug off and discontinue future administrations because they may
develop anaphylaxis the next time
What are two drug examples of beta-lactams? - CORRECT ANSWER - Penicillin and
cephalosporins
If a drug name contains "-cillin" then it is considered a - CORRECT ANSWER - Form of
penicillin/beta-lactam
If a drug name contains "-cef" or "ceph-" then it is considered a - CORRECT ANSWER -
Cephalosporin/beta-lactam
When was penicillin discovered and what was it originally made from? - CORRECT
ANSWER - 40's and moldy bread
What can -cillins cure? - CORRECT ANSWER - Syphilis (originated from sheep and was
forcefully tested on African Americans)
What is the potential problem with long-term use of -cillins? - CORRECT ANSWER -
Antibiotic resistance (which can lead to sepsis and death)
Where are -cillins excreted? - CORRECT ANSWER - Kidneys
What lab values do we check before administering -cillins? - CORRECT ANSWER -
BUN/Crea
What cephalosporin is commonly prescribed? - CORRECT ANSWER - Ancef --> IV,
Cephalexin (Keflex)
, What does cephalosporins treat? - CORRECT ANSWER - Upper respiratory infections, .....
What pregnancy category is aminoglycosides/fluroquinolones? - CORRECT ANSWER -D
Why are aminoglycosides/fluroquinolones category D pregnancy drugs? - CORRECT
ANSWER - They can penetrate the CNS and they are the most potentially toxic drug group
What is a drug example of aminoglycosides? - CORRECT ANSWER - Gentamycin
What is a drug example of fluroquinolones? - CORRECT ANSWER - Ciprofloxacin or
Levofloxacin (Levaquin)
What should you AVOID when taking fluroquinolones? - CORRECT ANSWER - Dairy
products (interfere with the interaction and work of cipro), iron, aluminum, and St. John Wort
(herbal supplement)
T/F Fluroquinolones should be taken with food - CORRECT ANSWER - True
T/F Antacids can be taken with fluroquinlones - CORRECT ANSWER - True (but you have
to take them with caution)
What is Ciprofloxacin and Levofloxacin (Levaquin) used for? - CORRECT ANSWER - UTIs,
bronchitis, sinusitis, etc.
ADRs of Ciprofloxacin/Levofloxacin (Levaquin) - CORRECT ANSWER - NVD, rash,
headache, anxiety/confusion (older adults more prone), dizziness, ruptured achilles tendon
