PHARM FINAL TEST BANK LATEST
2026 UPDATE ACTUAL EXAM
QUESTIONS AND DETAILED
ANSWERS GRADED A+
A 28-year-old patient has been prescribed penicillin for the first time.
What nursing diagnosis would be most appropriate for this patient?
A. Acute pain related to gastrointestinal (GI) effects of the drug
B. Deficient knowledge regarding drug therapy
C. Imbalance nutrition: less than body requirements related to multiple
GI effects of the drug
D. Constipation - ANSWER- B.
Because this is the first time the patient has taken penicillin, she is
likely to have limited knowledge about the drug. She may not
understand the importance of taking the medication as ordered to
increase effectiveness of the drug or to report adverse effects.
because the patient has not started the drug yet, there is no way to
know what adverse effects, if any, she will experience. Only if she
develops acute pain related to GI effects of the drug would this be
appropriate. If GI symptoms develop it may lead to imbalanced
nutrition, but that remains to be seen. No indication about
constipation exists.
,he mother of a 5-year-old asks the nurse why it seems amoxicillin is
always prescribed when her child needs an antibiotic. What is the
priority rationale the nurse should give the mother?
A) It is better absorbed.
B) It is less costly.
C) It has a less frequent dosing schedule.
D) It tastes better in oral form. - ANSWER- Ans: A
Feedback:
Most penicillins are rapidly absorbed from the GI tract, reaching
peak levels in 1 hour. Although amoxicillin is less expensive, that
fact has far less impact on choosing the proper antibiotic than the
effectiveness of the drug. Most oral antibiotics for children are
available in pleasant tasting syrups so taste would not be a factor.
Ampicillin is often given up to 4 times a day so it actually has a
frequent dosing schedule.
25. The nurse is teaching the patient about amoxicillin prior to discharge
and includes what important teaching point?
A) Blackening of the tongue may occur but will subside when the drug
is discontinued.
B) Even if it seems like the infection is not improving, the drug is still
working.
C) Yeast infections are unlikely to occur with this medication because it
is narrow spectrum.
D) Appearance of a rash is common and does not indicate an allergic
reaction. - ANSWER- Ans: A
Feedback:
,One of the adverse effects of ampicillin is blackening of the tongue
but the discoloration goes away after stopping the drug. If it is
accompanied by swelling, the patient should be instructed to call the
prescribing health care provider immediately. Many penicillin-
resistant pathogens exist, so if the infection does not seem to be
responding to the drug, the patient should notify the health care
provider because a different antibiotic may be required. Yeast
infections are very likely after taking ampicillin because it is a
broad-spectrum antibiotic. Appearance of a rash should be
evaluated by a health care professional because allergic reactions to
this class of antibiotic are very common.
A local bioterrorism medical team is learning about germ warfare. The
team is instructed that a fluoroquinolone may be used to prevent an
outbreak of anthrax infection. What fluoroquinolone would the nurse be
most likely to administer for this purpose?
A) Ciprofloxacin (Cipro)
B) Gemifloxacin (Factive)
C) Norfloxacin (Noroxin)
D) Sparfloxacin (Zagam) - ANSWER- Ans: A
Feedback:
Ciprofloxacin (Cipro) is the most widely used fluoroquinolone and is
indicated for the prevention of anthrax infection. Gemifloxacin and
sparfloxacin are most useful in treating acute episodes of chronic
bronchitis and community-acquired pneumonia. Norfloxacin is
recommended only for certain types of urinary tract infections.
, The nurse is providing patient teaching before discharging a patient
home. The patient is taking ciprofloxacin (Cipro). What would the nurse
teach this patient is the best way to prevent crystalluria caused by
ciprofloxacin (Cipro)?
A. Eliminate red meat and seafood from the diet.
B. Encourage at least 2 liters of fluid per day.
C. Avoid caffeine and alcohol.
D. Spend time in the sun each day to optimize vitamin D levels. -
ANSWER- B. Encourage at least 2L of fluid per day
Provide the following patient teaching: Avoid driving or operating
dangerous machinery because dizziness, lethargy, and ataxia may
occur; try to drink a lot of fluids and maintain nutrition (very
important), even though nausea, vomiting, and diarrhea may occur.
There is no need to eliminate red meat, seafood, caffeine, or alcohol
from the diet, although alcohol may increase the risk of GI
irritation. Patients should be taught to avoid the sun due to possible
photosensitivity.
What is the priority reason for the nurse to consider questioning an order
for tetracycline in a child younger than 8 years of age?
A. Children younger than 8 years of age cannot take tetracyclines.
B. Weight-bearing joints have been impaired in young animals given the
drugs.
C. Tetracyclines can damage developing teeth and bone in children
younger than 8 years of age.
D. Liver and kidney function may be damaged when it is given to
children under 8 years of age. - ANSWER- ANS: C
2026 UPDATE ACTUAL EXAM
QUESTIONS AND DETAILED
ANSWERS GRADED A+
A 28-year-old patient has been prescribed penicillin for the first time.
What nursing diagnosis would be most appropriate for this patient?
A. Acute pain related to gastrointestinal (GI) effects of the drug
B. Deficient knowledge regarding drug therapy
C. Imbalance nutrition: less than body requirements related to multiple
GI effects of the drug
D. Constipation - ANSWER- B.
Because this is the first time the patient has taken penicillin, she is
likely to have limited knowledge about the drug. She may not
understand the importance of taking the medication as ordered to
increase effectiveness of the drug or to report adverse effects.
because the patient has not started the drug yet, there is no way to
know what adverse effects, if any, she will experience. Only if she
develops acute pain related to GI effects of the drug would this be
appropriate. If GI symptoms develop it may lead to imbalanced
nutrition, but that remains to be seen. No indication about
constipation exists.
,he mother of a 5-year-old asks the nurse why it seems amoxicillin is
always prescribed when her child needs an antibiotic. What is the
priority rationale the nurse should give the mother?
A) It is better absorbed.
B) It is less costly.
C) It has a less frequent dosing schedule.
D) It tastes better in oral form. - ANSWER- Ans: A
Feedback:
Most penicillins are rapidly absorbed from the GI tract, reaching
peak levels in 1 hour. Although amoxicillin is less expensive, that
fact has far less impact on choosing the proper antibiotic than the
effectiveness of the drug. Most oral antibiotics for children are
available in pleasant tasting syrups so taste would not be a factor.
Ampicillin is often given up to 4 times a day so it actually has a
frequent dosing schedule.
25. The nurse is teaching the patient about amoxicillin prior to discharge
and includes what important teaching point?
A) Blackening of the tongue may occur but will subside when the drug
is discontinued.
B) Even if it seems like the infection is not improving, the drug is still
working.
C) Yeast infections are unlikely to occur with this medication because it
is narrow spectrum.
D) Appearance of a rash is common and does not indicate an allergic
reaction. - ANSWER- Ans: A
Feedback:
,One of the adverse effects of ampicillin is blackening of the tongue
but the discoloration goes away after stopping the drug. If it is
accompanied by swelling, the patient should be instructed to call the
prescribing health care provider immediately. Many penicillin-
resistant pathogens exist, so if the infection does not seem to be
responding to the drug, the patient should notify the health care
provider because a different antibiotic may be required. Yeast
infections are very likely after taking ampicillin because it is a
broad-spectrum antibiotic. Appearance of a rash should be
evaluated by a health care professional because allergic reactions to
this class of antibiotic are very common.
A local bioterrorism medical team is learning about germ warfare. The
team is instructed that a fluoroquinolone may be used to prevent an
outbreak of anthrax infection. What fluoroquinolone would the nurse be
most likely to administer for this purpose?
A) Ciprofloxacin (Cipro)
B) Gemifloxacin (Factive)
C) Norfloxacin (Noroxin)
D) Sparfloxacin (Zagam) - ANSWER- Ans: A
Feedback:
Ciprofloxacin (Cipro) is the most widely used fluoroquinolone and is
indicated for the prevention of anthrax infection. Gemifloxacin and
sparfloxacin are most useful in treating acute episodes of chronic
bronchitis and community-acquired pneumonia. Norfloxacin is
recommended only for certain types of urinary tract infections.
, The nurse is providing patient teaching before discharging a patient
home. The patient is taking ciprofloxacin (Cipro). What would the nurse
teach this patient is the best way to prevent crystalluria caused by
ciprofloxacin (Cipro)?
A. Eliminate red meat and seafood from the diet.
B. Encourage at least 2 liters of fluid per day.
C. Avoid caffeine and alcohol.
D. Spend time in the sun each day to optimize vitamin D levels. -
ANSWER- B. Encourage at least 2L of fluid per day
Provide the following patient teaching: Avoid driving or operating
dangerous machinery because dizziness, lethargy, and ataxia may
occur; try to drink a lot of fluids and maintain nutrition (very
important), even though nausea, vomiting, and diarrhea may occur.
There is no need to eliminate red meat, seafood, caffeine, or alcohol
from the diet, although alcohol may increase the risk of GI
irritation. Patients should be taught to avoid the sun due to possible
photosensitivity.
What is the priority reason for the nurse to consider questioning an order
for tetracycline in a child younger than 8 years of age?
A. Children younger than 8 years of age cannot take tetracyclines.
B. Weight-bearing joints have been impaired in young animals given the
drugs.
C. Tetracyclines can damage developing teeth and bone in children
younger than 8 years of age.
D. Liver and kidney function may be damaged when it is given to
children under 8 years of age. - ANSWER- ANS: C
