NUR 2474 PHARMACOLOGY FINAL TEST PAPER
2026 FULL QUESTIONS AND SOLUTIONS
VERIFIED A+
◉ 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,
the patient complains of shortness of breath. The patient's blood
pressure is 100/58 mm Hg. What will the nurse do?
a.Contact the provider and prepare to administer epinephrine.
b.Notify the provider if the patient develops a rash.
,c.Request an order for a skin test to evaluate possible PCN allergy.
d.Withhold the next dose until symptoms subside. Answer: a.Contact
the provider and prepare to administer epinephrine.
◉ A patient with an infection caused by Pseudomonas aeruginosa is
being treated with piperacillin. The nurse providing care reviews the
patient's laboratory reports and notes that the patient's blood urea
nitrogen and serum creatinine levels are elevated. The nurse will
contact the provider to discuss:
a.adding an aminoglycoside.
b.changing to penicillin G.
c.reducing the dose of piperacillin.
d.ordering nafcillin. Answer: c.reducing the dose of piperacillin.
◉ A patient recently began receiving clindamycin (Cleocin) to treat
an infection. After 8 days of treatment, the patient reports having 10
to 15 watery stools per day. What will the nurse tell this patient?
a.The provider may increase the clindamycin dose to treat this
infection.
b.This is a known side effect of clindamycin, and the patient should
consume extra fluids.
,c.The patient should stop taking the clindamycin now and contact
the provider immediately.
d.The patient should try taking Lomotil or a bulk laxative to
minimize the diarrheal symptoms. Answer: c.The patient should
stop taking the clindamycin now and contact the provider
immediately.
◉ Which side effect of clindamycin (Cleocin) causes the most
concern and may warrant discontinuation of the drug?
a.Diarrhea
b.Headache
c.Nausea
d.Vomiting Answer: a.Diarrhea
◉ A patient develops CDAD. Which antibiotic is recommended for
treating this infection?
a.Chloramphenicol
b.Clindamycin (Cleocin)
c.Linezolid (Zyvox)
d.Vancomycin Answer: d.Vancomycin
, ◉ A pregnant patient is treated with
trimethoprim/sulfamethoxazole (TMP/SMZ) (Bactrim) for a urinary
tract infection at 34 weeks' gestation. A week later, the woman
delivers her infant prematurely. The nurse will expect to monitor the
infant for:
a.birth defects.
b.hypoglycemia.
c.rash.
d.scleral jaundice. Answer: d.scleral jaundice.
◉ A patient who is taking immunosuppressants develops a urinary
tract infection. The causative organism is sensitive to sulfonamides
and to another, more expensive antibiotic. The prescriber orders the
more expensive antibiotic. The nursing student assigned to this
patient asks the nurse why the more expensive antibiotic is being
used. Which response by the nurse is correct?
a."Immunosuppressed patients are folate deficient."
b."Patients who are immunosuppressed are more likely to develop
resistance."
c."Sulfonamides are bacteriostatic and depend on host immunity to
work."
2026 FULL QUESTIONS AND SOLUTIONS
VERIFIED A+
◉ 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,
the patient complains of shortness of breath. The patient's blood
pressure is 100/58 mm Hg. What will the nurse do?
a.Contact the provider and prepare to administer epinephrine.
b.Notify the provider if the patient develops a rash.
,c.Request an order for a skin test to evaluate possible PCN allergy.
d.Withhold the next dose until symptoms subside. Answer: a.Contact
the provider and prepare to administer epinephrine.
◉ A patient with an infection caused by Pseudomonas aeruginosa is
being treated with piperacillin. The nurse providing care reviews the
patient's laboratory reports and notes that the patient's blood urea
nitrogen and serum creatinine levels are elevated. The nurse will
contact the provider to discuss:
a.adding an aminoglycoside.
b.changing to penicillin G.
c.reducing the dose of piperacillin.
d.ordering nafcillin. Answer: c.reducing the dose of piperacillin.
◉ A patient recently began receiving clindamycin (Cleocin) to treat
an infection. After 8 days of treatment, the patient reports having 10
to 15 watery stools per day. What will the nurse tell this patient?
a.The provider may increase the clindamycin dose to treat this
infection.
b.This is a known side effect of clindamycin, and the patient should
consume extra fluids.
,c.The patient should stop taking the clindamycin now and contact
the provider immediately.
d.The patient should try taking Lomotil or a bulk laxative to
minimize the diarrheal symptoms. Answer: c.The patient should
stop taking the clindamycin now and contact the provider
immediately.
◉ Which side effect of clindamycin (Cleocin) causes the most
concern and may warrant discontinuation of the drug?
a.Diarrhea
b.Headache
c.Nausea
d.Vomiting Answer: a.Diarrhea
◉ A patient develops CDAD. Which antibiotic is recommended for
treating this infection?
a.Chloramphenicol
b.Clindamycin (Cleocin)
c.Linezolid (Zyvox)
d.Vancomycin Answer: d.Vancomycin
, ◉ A pregnant patient is treated with
trimethoprim/sulfamethoxazole (TMP/SMZ) (Bactrim) for a urinary
tract infection at 34 weeks' gestation. A week later, the woman
delivers her infant prematurely. The nurse will expect to monitor the
infant for:
a.birth defects.
b.hypoglycemia.
c.rash.
d.scleral jaundice. Answer: d.scleral jaundice.
◉ A patient who is taking immunosuppressants develops a urinary
tract infection. The causative organism is sensitive to sulfonamides
and to another, more expensive antibiotic. The prescriber orders the
more expensive antibiotic. The nursing student assigned to this
patient asks the nurse why the more expensive antibiotic is being
used. Which response by the nurse is correct?
a."Immunosuppressed patients are folate deficient."
b."Patients who are immunosuppressed are more likely to develop
resistance."
c."Sulfonamides are bacteriostatic and depend on host immunity to
work."
