NR 566 Week 1 & 2 Q banks exam
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
with correct answers ||\\||\\ ||\\||\\
Penicillin: Cross-sensitivity reactions with which drug ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
classes
Cephalosporins & Carbapenems ||\\||\\ ||\\||\\
(Allergy may be mild or severe) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
*recommend to prescribe 3rd gen cephalosporins ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
(Cefdinir)
A patient is taking oral ketoconazole for a systemic fungal
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
infection. The medication administration record notes ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
that the patient is also taking omeprazole for reflux
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
disease. What instructions will the provider give the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient to maximize medication effectiveness? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Take the omeprazole at least 2 hours after the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ketoconazole.
b. Take the omeprazole 1 hour before the ketoconazole.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Wear sunglasses when outdoors to manage
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
photosensitivity.
d. Restrict intake of dairy products.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,Take the omeprazole at least 2 hours after the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ketoconazole.
A patient with a history of congestive heart failure and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
renal impairment is diagnosed with esophageal||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
candidiasis. Which antifungal agent will the provider ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
prescribe this patient? ||\\||\\ ||\\||\\
a. Fluconazole
||\\||\\
b. Itraconazole
||\\||\\
c. Voriconazole
||\\||\\
d. Amphotericin B
||\\||\\ ||\\||\\
a. Fluconazole
||\\||\\
Regarding the most common causes of adverse reactions ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
in older adults, which of the following would you find to
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
be decreased and the most common cause of these
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
problems in older adults? ||\\||\\ ||\\||\\ ||\\||\\
a. Body fat content INC
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Plasma albumin levels
||\\||\\ ||\\||\\ ||\\||\\
c. Liver function
||\\||\\ ||\\||\\
d. Renal function/clearance
||\\||\\ ||\\||\\
d. Renal function/clearance
||\\||\\ ||\\||\\
,Which type of medication prescribed to a pregnant
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient is more likely to have effects on her fetus? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Ionized drugs
||\\||\\ ||\\||\\
b. Lipid-soluble drugs
||\\||\\ ||\\||\\
c. Protein-bound drugs
||\\||\\ ||\\||\\
d. Drugs that are highly polar
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Lipid-soluble drugs
||\\||\\ ||\\||\\
A breastfed 2-month old has an infection that requires an
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
antibiotic. What drug factors influence the effect of the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
drug on the infant? ||\\||\\ ||\\||\\ ||\\||\\
a. Lipid solubility
||\\||\\ ||\\||\\
b. All the answers are correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Maternal drug levels
||\\||\\ ||\\||\\ ||\\||\\
d. Half-life||\\||\\
b. All the answers are correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A patient is diagnosed with lymphagitis has an allergy to
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
penicillin, the allergy is a rash. What would you give this ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient?
a. Penicillin VK by mouth
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Clindamycin
||\\||\\
c. Trimethoprim/sulfamethoxazole (TMP/SMZ)
||\\||\\ ||\\||\\
d. Penicillin G IV
||\\||\\ ||\\||\\ ||\\||\\
, b. Clindamycin ||\\||\\
A 19-year old female is diagnosed with bacterial vaginosis.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
What is common treatment prescribed?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Amoxicillin ||\\||\\
b. Azithromycin ||\\||\\
c. Ciprofloxacin
||\\||\\
d. Metronidazole ||\\||\\
d. Metronidazole ||\\||\\
Which statement about Ciprofloxacin is accurate? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Organisms that commonly cause ear infections are
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
highly resistant ||\\||\\
b. Most "first-time" urinary tract infections are resistant to
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Ciprofloxacin
||\\||\\
c. Ciprofloxacin is active against MRSA strains of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
staphylococci
d. Tendinitis may occur during treatment
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. Tendinitis may occur during treatment
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Risk factors for extended spectrum Beta Lactamase
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
producing organisms include all except: ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Recent abdominal surgery
||\\||\\ ||\\||\\ ||\\||\\
b. A gastrostomy tube ||\\||\\ ||\\||\\ ||\\||\\
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
with correct answers ||\\||\\ ||\\||\\
Penicillin: Cross-sensitivity reactions with which drug ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
classes
Cephalosporins & Carbapenems ||\\||\\ ||\\||\\
(Allergy may be mild or severe) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
*recommend to prescribe 3rd gen cephalosporins ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
(Cefdinir)
A patient is taking oral ketoconazole for a systemic fungal
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
infection. The medication administration record notes ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
that the patient is also taking omeprazole for reflux
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
disease. What instructions will the provider give the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient to maximize medication effectiveness? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Take the omeprazole at least 2 hours after the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ketoconazole.
b. Take the omeprazole 1 hour before the ketoconazole.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Wear sunglasses when outdoors to manage
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
photosensitivity.
d. Restrict intake of dairy products.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,Take the omeprazole at least 2 hours after the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ketoconazole.
A patient with a history of congestive heart failure and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
renal impairment is diagnosed with esophageal||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
candidiasis. Which antifungal agent will the provider ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
prescribe this patient? ||\\||\\ ||\\||\\
a. Fluconazole
||\\||\\
b. Itraconazole
||\\||\\
c. Voriconazole
||\\||\\
d. Amphotericin B
||\\||\\ ||\\||\\
a. Fluconazole
||\\||\\
Regarding the most common causes of adverse reactions ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
in older adults, which of the following would you find to
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
be decreased and the most common cause of these
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
problems in older adults? ||\\||\\ ||\\||\\ ||\\||\\
a. Body fat content INC
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Plasma albumin levels
||\\||\\ ||\\||\\ ||\\||\\
c. Liver function
||\\||\\ ||\\||\\
d. Renal function/clearance
||\\||\\ ||\\||\\
d. Renal function/clearance
||\\||\\ ||\\||\\
,Which type of medication prescribed to a pregnant
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient is more likely to have effects on her fetus? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Ionized drugs
||\\||\\ ||\\||\\
b. Lipid-soluble drugs
||\\||\\ ||\\||\\
c. Protein-bound drugs
||\\||\\ ||\\||\\
d. Drugs that are highly polar
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Lipid-soluble drugs
||\\||\\ ||\\||\\
A breastfed 2-month old has an infection that requires an
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
antibiotic. What drug factors influence the effect of the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
drug on the infant? ||\\||\\ ||\\||\\ ||\\||\\
a. Lipid solubility
||\\||\\ ||\\||\\
b. All the answers are correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
c. Maternal drug levels
||\\||\\ ||\\||\\ ||\\||\\
d. Half-life||\\||\\
b. All the answers are correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A patient is diagnosed with lymphagitis has an allergy to
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
penicillin, the allergy is a rash. What would you give this ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient?
a. Penicillin VK by mouth
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
b. Clindamycin
||\\||\\
c. Trimethoprim/sulfamethoxazole (TMP/SMZ)
||\\||\\ ||\\||\\
d. Penicillin G IV
||\\||\\ ||\\||\\ ||\\||\\
, b. Clindamycin ||\\||\\
A 19-year old female is diagnosed with bacterial vaginosis.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
What is common treatment prescribed?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Amoxicillin ||\\||\\
b. Azithromycin ||\\||\\
c. Ciprofloxacin
||\\||\\
d. Metronidazole ||\\||\\
d. Metronidazole ||\\||\\
Which statement about Ciprofloxacin is accurate? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Organisms that commonly cause ear infections are
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
highly resistant ||\\||\\
b. Most "first-time" urinary tract infections are resistant to
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Ciprofloxacin
||\\||\\
c. Ciprofloxacin is active against MRSA strains of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
staphylococci
d. Tendinitis may occur during treatment
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
d. Tendinitis may occur during treatment
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Risk factors for extended spectrum Beta Lactamase
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
producing organisms include all except: ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a. Recent abdominal surgery
||\\||\\ ||\\||\\ ||\\||\\
b. A gastrostomy tube ||\\||\\ ||\\||\\ ||\\||\\
