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HESI FUNDAMENTALS EXAM 2026/2027| 100% Correct Answers with Complete Solutions | NCLEX-RN Aligned | Exam

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HESI FUNDAMENTALS EXAM 2026/2027| 100% Correct Answers with Complete Solutions | NCLEX-RN Aligned | Exam

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NR566 Week 4 Midterm Final Exam 2026
Complete Actual Exam Questions 1- 100
NR566 Advanced Pharmacology For Care
Of The Family NR 566 Midterm and
Finals Questions and Answers



Common CAP pathogens - answersS. Pneumoniae (most common)
H. Influenzae (smokers/COPD)
P. Aeruginosa (CF)

CAP first line treatment - answersMacrolides, Doxycyline, Amoxicillin

what to give if 1st CAP treatment doesn't work? - answersRespiratory Fluoroquinolone if
not received abx in the past 3 months

Mycoplasma pneumoniae - answersatypical pneumonia; commonly seen in children

pediatric atypical pneumonia treatment - answersMacrolides (Erythromycin), if failed
then Respiratory fluoroquinolone

CAP treatment during pregnancy - answersAmoxicillin, cephalosporins, or Erythromycin

Treatment of chlamydial pneumonia in infant - answersMacrolide (Azithromycin): 500mg
orally on day 1 followed by 250 mg once daily on days 2-5

When to use broad/empiric spectrum antibiotics? - answersBefore cultures are resulted/
critically ill patient after first culture obtained, based on NP knowledge of patient history,
local susceptibility/geographic location

, When to use narrow spectrum antibiotics? - answersUsed when the culture and
sensitivity is resulted, and pathogen is known.

how to treat C.diff - answersStop the antibiotic that may have caused it

1st: Vancomycin 125 mg PO QID x 10 days.
2nd: Metronidazole 500mg PO TID x 10 days

address hydration

Drug class known for ALL drugs in class to promote development of C. Diff -
answers2nd and 3rd generation Cephalosporins

Penicillin: Cross-sensitivity reactions with which drug classes - answersCephalosporins
& Carbapenems
(Allergy may be mild or severe)

Safe penicillin during pregancy - answersAmoxicillin

patient education for Cephalosporins - answersReport to provider any loose stools,
complete full course of antibiotics, s/s of allergy

Cephalosporins in pregnancy - answersAll appear safe for use

patient education for Tetracyclines - answersphotosensitivity (wear sunscreen!),
complete full course, s/s of allergy

Tetracyclines in pregnancy - answersCan lead to fetal death; avoided for use

Patient education for macrolides - answersTake with meals to avoid GI upset,
contraindicated w/ warfarin

Aminoglycoside patient teaching - answersPatients should report tinnitus, high-
frequency hearing loss, persistent headache, nausea, dizziness or vertigo

sulfonamides patient teaching - answersFinish full course
Increase fluid intake to 8-10 cups/day
Take on empty stomach
Avoid sun exposure/wear sunscreen

Sulfonamides during pregnancy - answersnot to be used during 1st trimester, can cause
kernicterus in infants

Gentamicin renal dose adjustments - answersdecreased dosage for renal impaired

tinea capitis treatment - answersoral griseofulvin

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