Adult-Gerontology Acute Care Nurse Practitioner
Certification (AGACNP-BC®) Exam 2025/2026 |
100% Verified Questions & Answers | Latest Edition
Tetracylines - ANSWER Suppress bacterial growth by inhibiting protein synthesis. Cat D,
don't use < 8yrs. Skeletal defects. Causes yellow theeth discoloration. Doxycyline for chlamydia
STDs, atypical pna, UTI, otitis media, PCP in AIDS, Lyme. Tetra for acne tx 13/14 y.o.
S/E Photosensativity use sun block. Esophageal ulceration whole tablet drink with 8oz glass of
water. Take empty stomach 1hr before or 2hrs after meal. Decrease effectiveness of oral
contraceptives.
Macrolides - ANSWER Clarithromycyn (Biaxin),Erythromycin; CYP 34A inhibitors.
Azithromycin (Zithromax), Indications: Biaxin (PO): URI, including strep, as adjunt treatment
for H. pylori Zithromax (IV): gram-negative and gram-positive organisms; Adverse reactions:
pseudo-membrane colitis, phlebitis, superinfection, dizziness, dyspnea; give biaxin XL with
food, space MAO inhibitors 14 days before start and after end of Biaxin; report diarrhea,
abdominal cramping; monitor liver/renal labs; PO Zithromax give on empty stomach. QT
prolong, ototoxicity, choletstatic jaundice, gi distress.
,Ketex (Telithromycin)- tx mild-mod CAP Adults. narrow indication. C/I myestenia gravis pts.
heptatis or jaundice pts.
Interact with anitcoags, dig, theophylline, astimizole, carbamazepine, cisapride, triazolam,
terfenade.
Cephalosporins - ANSWER Betalactam family of ABX. Interfere cell wall synthesis of
bacteria.
1st gen- active gram + bacteria Keflex tx cellulitis uti in preg.
2nd gen- broad spectrum tx gram + & - bacterial infections. Cefuroxime (ceftin), Cefprozil
(cefzil), Cefaclor (ceclor). Sinusitis, AOM, CAP, chronic bronchitis, skin infections.
3rd gen- treats gram - less potent towards gram +. Ceftriaxone (Rocephin) STDs gonnorrhea,
PID, urethritis. Cefixime (suprax) ENT OAM in children, acute sinusitis. Cefdinir (Omnicef)
pyelonephritis, CAP.
,Penicillins - ANSWER beta lactams that inhibit bacterial ell wall synthesis by binding to one
or more penicillin binding proteins, which in turn prevents the final transpeptidation step of
peptidoglycan synthesis in bacterial cell walls.
Amoxicillin & Ampicillin extended spectrum effective against gram + and some gram - bacteria.
Tx otitis media, sinusitus. Penicillin V tx strep. Benzathine Penicillin G IM for syphillis.
Dicloaxacillin for cellulitis,ersipelas.
Adverse effects: Diarrhea, Cdiff, Vaginitis candida.
Do not treat mono with amox tx with penicillin vk causes rash.
Fluoroquinolones - ANSWER Gram - & Atypical bacteria.
Ciprofloxacin, norfloxacin, levofloxacin, ofloxacin, moxifloxacin, gemifloxacin, enoxacin
causes tendonitis, tendon rupture, tooth damage
Tx Chlamydia, Mycoplasma, Legionella, utis, pylenephritis, pna, sinusitus.
, High risk achilles tendon rupture. Avoid use with QT prolong drugs (amiodorone, macrolides,
TCA, Antiphsycotics). Risk sudden death from arrythmia (torsa de pointes). Coadministration
with antacids decreases effectiveness of drug. monitor INR on coumadin.
C/I children less 18 yrs, preg, breast feeding, myasthenia gravis.
Sulfonamides - ANSWER Trimethoprim-sulfamethoxazole (TMP-SMX) Bactrim DS BID-
prophylaxis treatment of PCP, MRSA cellulitis, UTIs, pyelonephritis
Uses 1. Urinary tract infections. 2. Ulcerative colitis and Crohn's disease. 3. Bowel prep before
colon surgery to kill intestinal bacteria. B. Examples of Drugs (Note the Sulfa and Gant) 1.
Sulfisoxazole (Gantrisin) 2. Sulfasalazine (Azulfidine) a. Sulfasalazine (Azulfidine)(contains
salicylate) 3. Sulfamethoxazole (Gantanol) is given primarily in combination with Trimethoprim
(Proloprim) as Septra or Bactrim. C. Side effects / nursing care 1. Photosensitivity- rash 2.
Nausea and vomiting 3. Kidney stones- push fluids 4. Tell patients to avoid direct sunlight while
taking sulfonamides. 5. Encourage fluids to avoid crystal formation and renal dysfunction.
C/I G6PD anemia causes hemolysis, newborns <2 months, preg 3rd tri causes
hyperbilirubenemia/ kernicterus. hypersen to sulfa drugs.
skin rash steven jhonson syndrome, interacts with warfarin increases INR.
Certification (AGACNP-BC®) Exam 2025/2026 |
100% Verified Questions & Answers | Latest Edition
Tetracylines - ANSWER Suppress bacterial growth by inhibiting protein synthesis. Cat D,
don't use < 8yrs. Skeletal defects. Causes yellow theeth discoloration. Doxycyline for chlamydia
STDs, atypical pna, UTI, otitis media, PCP in AIDS, Lyme. Tetra for acne tx 13/14 y.o.
S/E Photosensativity use sun block. Esophageal ulceration whole tablet drink with 8oz glass of
water. Take empty stomach 1hr before or 2hrs after meal. Decrease effectiveness of oral
contraceptives.
Macrolides - ANSWER Clarithromycyn (Biaxin),Erythromycin; CYP 34A inhibitors.
Azithromycin (Zithromax), Indications: Biaxin (PO): URI, including strep, as adjunt treatment
for H. pylori Zithromax (IV): gram-negative and gram-positive organisms; Adverse reactions:
pseudo-membrane colitis, phlebitis, superinfection, dizziness, dyspnea; give biaxin XL with
food, space MAO inhibitors 14 days before start and after end of Biaxin; report diarrhea,
abdominal cramping; monitor liver/renal labs; PO Zithromax give on empty stomach. QT
prolong, ototoxicity, choletstatic jaundice, gi distress.
,Ketex (Telithromycin)- tx mild-mod CAP Adults. narrow indication. C/I myestenia gravis pts.
heptatis or jaundice pts.
Interact with anitcoags, dig, theophylline, astimizole, carbamazepine, cisapride, triazolam,
terfenade.
Cephalosporins - ANSWER Betalactam family of ABX. Interfere cell wall synthesis of
bacteria.
1st gen- active gram + bacteria Keflex tx cellulitis uti in preg.
2nd gen- broad spectrum tx gram + & - bacterial infections. Cefuroxime (ceftin), Cefprozil
(cefzil), Cefaclor (ceclor). Sinusitis, AOM, CAP, chronic bronchitis, skin infections.
3rd gen- treats gram - less potent towards gram +. Ceftriaxone (Rocephin) STDs gonnorrhea,
PID, urethritis. Cefixime (suprax) ENT OAM in children, acute sinusitis. Cefdinir (Omnicef)
pyelonephritis, CAP.
,Penicillins - ANSWER beta lactams that inhibit bacterial ell wall synthesis by binding to one
or more penicillin binding proteins, which in turn prevents the final transpeptidation step of
peptidoglycan synthesis in bacterial cell walls.
Amoxicillin & Ampicillin extended spectrum effective against gram + and some gram - bacteria.
Tx otitis media, sinusitus. Penicillin V tx strep. Benzathine Penicillin G IM for syphillis.
Dicloaxacillin for cellulitis,ersipelas.
Adverse effects: Diarrhea, Cdiff, Vaginitis candida.
Do not treat mono with amox tx with penicillin vk causes rash.
Fluoroquinolones - ANSWER Gram - & Atypical bacteria.
Ciprofloxacin, norfloxacin, levofloxacin, ofloxacin, moxifloxacin, gemifloxacin, enoxacin
causes tendonitis, tendon rupture, tooth damage
Tx Chlamydia, Mycoplasma, Legionella, utis, pylenephritis, pna, sinusitus.
, High risk achilles tendon rupture. Avoid use with QT prolong drugs (amiodorone, macrolides,
TCA, Antiphsycotics). Risk sudden death from arrythmia (torsa de pointes). Coadministration
with antacids decreases effectiveness of drug. monitor INR on coumadin.
C/I children less 18 yrs, preg, breast feeding, myasthenia gravis.
Sulfonamides - ANSWER Trimethoprim-sulfamethoxazole (TMP-SMX) Bactrim DS BID-
prophylaxis treatment of PCP, MRSA cellulitis, UTIs, pyelonephritis
Uses 1. Urinary tract infections. 2. Ulcerative colitis and Crohn's disease. 3. Bowel prep before
colon surgery to kill intestinal bacteria. B. Examples of Drugs (Note the Sulfa and Gant) 1.
Sulfisoxazole (Gantrisin) 2. Sulfasalazine (Azulfidine) a. Sulfasalazine (Azulfidine)(contains
salicylate) 3. Sulfamethoxazole (Gantanol) is given primarily in combination with Trimethoprim
(Proloprim) as Septra or Bactrim. C. Side effects / nursing care 1. Photosensitivity- rash 2.
Nausea and vomiting 3. Kidney stones- push fluids 4. Tell patients to avoid direct sunlight while
taking sulfonamides. 5. Encourage fluids to avoid crystal formation and renal dysfunction.
C/I G6PD anemia causes hemolysis, newborns <2 months, preg 3rd tri causes
hyperbilirubenemia/ kernicterus. hypersen to sulfa drugs.
skin rash steven jhonson syndrome, interacts with warfarin increases INR.
