PHARMACOLOGY EXAM 4 PRACTICE
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
1.mThemnursemismcaringmformampatientmwhomismreceivingmanmintravenousmantibiotic.mThemnursemnot
esmthatmthemprovidermhasmorderedmserummdrugmpeakmandmtroughmlevels.mThemnursemunderstandsm
thatmthesemtestsmaremnecessarymformwhichmtypemofmdrugs?
a.Drugsmwithmambroadmspectrum
b.Drugsmwithmamnarrowmspectrum
c.Drugsmwithmambroadmtherapeuticmindex
d.Drugsmwithmamnarrowmtherapeuticmindexm-mCORRECTmANSWERmANS:mD
Medicationsmwithmamnarrowmtherapeuticmindexmhavemamlimitedmrangembetweenmthemtherapeuticm
dosemandmamtoxicmdose.mItmismimportantmtommonitormthesemmedicationsmcloselymbymevaluatingmreg
ularmserummpeakmandmtroughmlevels.
2.mThemnursemismpreparingmtomadministermamoxicillinm(Amoxil)mtomampatientmandmlearnsmthatmthem
patientmpreviouslymexperiencedmamrashmwhenmtakingmpenicillin.mWhichmactionmwillmthemnursemtak
e?
a.Administermthemamoxicillinmandmhavemepinephrinemavailable.
b.Askmthemprovidermtomordermanmantihistamine.
c.Contactmthemprovidermtomdiscussmusingmamdifferentmantibiotic.
d.Requestmanmordermformambeta-lactamasemresistantmdrug.____m-mCORRECTmANSWERmANS:mC
Patientsmwhomhavempreviouslymexperiencedmmanifestationsmofmallergymtomampenicillinmshouldmnot
musempenicillinsmagainmunlessmnecessary.mThemnursemshouldmcontactmthemprovidermtomdiscussmusin
,gmanothermantibioticmfrommamdifferentmclass.mEpinephrinemandmantihistaminesmaremusefulmwhenmp
atientsmaremexperiencingmallergicmreactions,mdependingmonmseverity.
3.mThemnursemismpreparingmtomadministermthemfirstmdosemofmanmantibioticmtomampatientmadmittedmf
ormamurinarymtractminfection.mWhichmactionmismmostmimportantmpriormtomadministeringmthemantibi
otic?
a.Administeringmamsmallmtestmdosemtomdeterminemwhethermhypersensitivitymexists
b.Havingmepinephrinemavailableminmthemeventmofmamseveremhypersensitivitymreaction
c.Monitoringmbaselinemvitalmsigns,mincludingmtemperaturemandmbloodmpressured.
d.Obtainingmamurinemspecimenmformculturemandmsensitivity___m-mCORRECTmANSWERmANS:mD
Tomobtainmthemmostmaccuratemculture,mthemspecimenmshouldmbemobtainedmbeforemantibioticmther
apymbegins.mItmismimportantmtomobtainmculturesmwhenmpossiblemtomcorrectlymidentifymthemorganis
mmandmhelpmdeterminemwhichmantibioticmwillmbemmostmeffective.mAdministeringmtestmdosesmtomde
terminemhypersensitivitymismsometimesmdonemwhenmtheremismamstrongmsuspicionmofmallergymwhen
mamparticularmantibioticmismneeded.mEpinephrinemismkeptmclosematmhandmwhenmtheremismamstrongms
uspicionmofmallergy.
4.mThemnursemismteachingmampatientmwhomwillmbemdischargedmhomemfrommthemhospitalmtomtakema
moxicillinm(Amoxil)mtwicemdailymform10mdays.mWhichmstatementmbymthemnursemismcorrect?
a."Discontinuemthemantibioticmwhenmyourmtemperaturemreturnsmtomnormalmandmyourmsymptomsm
havemimproved."
b."Ifmdiarrheamoccurs,mstopmtakingmthemdrugmimmediatelymandmcontactmyourmprovider."
c."Stopmtakingmthemdrugmandmnotifymyourmprovidermifmyoumdevelopmamrashmwhilemtakingmthismdrug.
"
d."Yoummaymsavemanymunusedmantibioticmtomusemifmyourmsymptomsmrecur."____m-
mCORRECTmANSWERmANS:mCm
Patientsmwhomdevelopmsignsmofmallergy,msuchmasmrash,mshouldmnotifymtheirmprovidermbeforemconti
nuingmmedicationmtherapy.mPatientsmshouldmbemcounseledmtomcontinuemtakingmtheirmantibioticsmu
ntilmcompletionmofmthemprescribedmregimenmevenmwhenmtheymfeelmwell.mDiarrheamismanmadverseme
ffectmbutmdoesmnotmwarrantmcessationmofmthemdrug.mBeforemdecidingmtomstopmtakingmammedicatio
,nmduemtomamsidemeffect,mencouragemthempatientmtomcontactmthemprovidermfirst.mPatientsmshouldmdi
scardmanymunusedmantibiotic.
5.mThemnursemismpreparingmtomadministermthemfirstmdosemofmintravenousmceftriaxonem(Rocephin)mt
omampatient.mWhenmreviewingmthempatient'smchart,mthemnursemnotesmthatmthempatientmpreviouslym
experiencedmamrashmwhenmtakingmamoxicillin.mWhatmismthemnurse'smnextmaction?
a.Administermthemdrugmandmobservemcloselymformhypersensitivitymreactions.
b.Askmthemprovidermwhethermamcephalosporinmfrommamdifferentmgenerationmmaymbemused.
c.Contactmthemprovidermtomreportmdrugmhypersensitivity.
d.Notifymthemprovidermandmsuggestmanmoralmcephalosporin.____m-mCORRECTmANSWERmANS:mA
Amsmallmpercentagemofmpatientsmwhomaremallergicmtompenicillinmcouldmalsombemallergicmtomamcephal
osporinmproduct.mPatientsmshouldmbemmonitoredmcloselymaftermreceivingmamcephalosporinmifmthey
maremallergicmtompenicillin.mTheremismnomdifferenceminmhypersensitivitympotentialmbetweenmdifferen
tmgenerationsmormmethodmofmdeliverymofmcephalosporins
6.mThemnursemismpreparingmtomgivemamdosemofmamcephalosporinmmedicationmtomampatientmwhomhas
mbeenmreceivingmthemantibioticmform2mweeks.mThemnursemnotesmulcersmonmthempatient'smtongueman
dmbuccalmmucosa.mWhichmactionmwillmthemnursemtake?
a.Holdmthemdrugmandmnotifymthemprovider.
b.Obtainmanmordermtomculturemthemoralmlesions.
c.Gathermemergencymequipmentmtompreparemformanaphylaxis.
d.Reportmampossiblemsuperinfectionmsidemeffectmofmthemcephalosporin.____m-
mCORRECTmANSWERmANS:mDm
Thempatient'smsymptomsmmaymindicatemamsuperinfectionmandmshouldmbemreportedmtomthemphysici
anmsomitmcanmbemtreated;mhowever,mthemdrugmdoesmnotmneedmtombemheld.mItmismnotmnecessarymtomc
ulturemthemlesions.mThemsymptomsmdomnotmindicatemimpendingmanaphylaxis.
, 7.mThemnursemismprovidingmteachingmtomampatientmwhomwillmbeginmtakingmamcephalosporinmtomtreat
manminfection.mWhichmstatementmbymthempatientmindicatesmamneedmformfurthermteaching?
a."Immaymstopmtakingmthemmedicationmifmmymsymptomsmclearmup."
b."Imshouldmeatmyogurtmwhilemtakingmthismmedication."
c."ImshouldmstopmtakingmthemdrugmandmcallmmymprovidermifmImdevelopmamrash."
d."Imwillmnotmconsumemalcoholmwhilemtakingmthismmedication."____m-mCORRECTmANSWERmANS:mA
Patientsmshouldmtakemallmofmanmantibioticmregimenmevenmaftermsymptomsmclearmtomensuremcomple
temtreatmentmofmtheminfection.mPatientsmaremoftenmadvisedmtomeatmyogurtmormdrinkmbuttermilkmtom
preventmsuperinfection.mAmrashmismamsignmofmhypersensitivity,mandmpatientsmshouldmbemcounseled
mtomstopmtakingmthemdrugmandmnotifymthemprovidermifmthismoccurs.mAlcoholmconsumptionmmaymcau
semadversemeffectsmandmshouldmbemavoidedmbympatientsmwhilemtheymaremtakingmcephalosporins.
8.mAmpatientmismreceivingmhighmdosesmofmamcephalosporin.mWhichmlaboratorymvaluesmwillmthismpati
ent'smnursemmonitormclosely?
a.Bloodmureamnitrogenm(BUN),mserummcreatinine,mandmlivermfunctionmtests
b.Completembloodmcountmandmelectrolytes
c.Serummcalciummandmmagnesium.
d.Serummglucosemandmlipids____m-mCORRECTmANSWERmANS:mA
Cefazolinmwillmproducemanmincreaseminmthempatient'smBUN,mcreatinine,mAST,mALT,mALP,mLDH,mandmbi
lirubin.
9.mAmpatientmwillmbeginmtakingmamoxicillin.mThemnursemshouldminstructmthempatientmtomavoidmwhic
hmfoods?
a.Greenmleafymvegetables
b.Beefmandmothermredmmeat
c.Coffee,mtea,mandmcolas
(2026/2027) UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
1.mThemnursemismcaringmformampatientmwhomismreceivingmanmintravenousmantibiotic.mThemnursemnot
esmthatmthemprovidermhasmorderedmserummdrugmpeakmandmtroughmlevels.mThemnursemunderstandsm
thatmthesemtestsmaremnecessarymformwhichmtypemofmdrugs?
a.Drugsmwithmambroadmspectrum
b.Drugsmwithmamnarrowmspectrum
c.Drugsmwithmambroadmtherapeuticmindex
d.Drugsmwithmamnarrowmtherapeuticmindexm-mCORRECTmANSWERmANS:mD
Medicationsmwithmamnarrowmtherapeuticmindexmhavemamlimitedmrangembetweenmthemtherapeuticm
dosemandmamtoxicmdose.mItmismimportantmtommonitormthesemmedicationsmcloselymbymevaluatingmreg
ularmserummpeakmandmtroughmlevels.
2.mThemnursemismpreparingmtomadministermamoxicillinm(Amoxil)mtomampatientmandmlearnsmthatmthem
patientmpreviouslymexperiencedmamrashmwhenmtakingmpenicillin.mWhichmactionmwillmthemnursemtak
e?
a.Administermthemamoxicillinmandmhavemepinephrinemavailable.
b.Askmthemprovidermtomordermanmantihistamine.
c.Contactmthemprovidermtomdiscussmusingmamdifferentmantibiotic.
d.Requestmanmordermformambeta-lactamasemresistantmdrug.____m-mCORRECTmANSWERmANS:mC
Patientsmwhomhavempreviouslymexperiencedmmanifestationsmofmallergymtomampenicillinmshouldmnot
musempenicillinsmagainmunlessmnecessary.mThemnursemshouldmcontactmthemprovidermtomdiscussmusin
,gmanothermantibioticmfrommamdifferentmclass.mEpinephrinemandmantihistaminesmaremusefulmwhenmp
atientsmaremexperiencingmallergicmreactions,mdependingmonmseverity.
3.mThemnursemismpreparingmtomadministermthemfirstmdosemofmanmantibioticmtomampatientmadmittedmf
ormamurinarymtractminfection.mWhichmactionmismmostmimportantmpriormtomadministeringmthemantibi
otic?
a.Administeringmamsmallmtestmdosemtomdeterminemwhethermhypersensitivitymexists
b.Havingmepinephrinemavailableminmthemeventmofmamseveremhypersensitivitymreaction
c.Monitoringmbaselinemvitalmsigns,mincludingmtemperaturemandmbloodmpressured.
d.Obtainingmamurinemspecimenmformculturemandmsensitivity___m-mCORRECTmANSWERmANS:mD
Tomobtainmthemmostmaccuratemculture,mthemspecimenmshouldmbemobtainedmbeforemantibioticmther
apymbegins.mItmismimportantmtomobtainmculturesmwhenmpossiblemtomcorrectlymidentifymthemorganis
mmandmhelpmdeterminemwhichmantibioticmwillmbemmostmeffective.mAdministeringmtestmdosesmtomde
terminemhypersensitivitymismsometimesmdonemwhenmtheremismamstrongmsuspicionmofmallergymwhen
mamparticularmantibioticmismneeded.mEpinephrinemismkeptmclosematmhandmwhenmtheremismamstrongms
uspicionmofmallergy.
4.mThemnursemismteachingmampatientmwhomwillmbemdischargedmhomemfrommthemhospitalmtomtakema
moxicillinm(Amoxil)mtwicemdailymform10mdays.mWhichmstatementmbymthemnursemismcorrect?
a."Discontinuemthemantibioticmwhenmyourmtemperaturemreturnsmtomnormalmandmyourmsymptomsm
havemimproved."
b."Ifmdiarrheamoccurs,mstopmtakingmthemdrugmimmediatelymandmcontactmyourmprovider."
c."Stopmtakingmthemdrugmandmnotifymyourmprovidermifmyoumdevelopmamrashmwhilemtakingmthismdrug.
"
d."Yoummaymsavemanymunusedmantibioticmtomusemifmyourmsymptomsmrecur."____m-
mCORRECTmANSWERmANS:mCm
Patientsmwhomdevelopmsignsmofmallergy,msuchmasmrash,mshouldmnotifymtheirmprovidermbeforemconti
nuingmmedicationmtherapy.mPatientsmshouldmbemcounseledmtomcontinuemtakingmtheirmantibioticsmu
ntilmcompletionmofmthemprescribedmregimenmevenmwhenmtheymfeelmwell.mDiarrheamismanmadverseme
ffectmbutmdoesmnotmwarrantmcessationmofmthemdrug.mBeforemdecidingmtomstopmtakingmammedicatio
,nmduemtomamsidemeffect,mencouragemthempatientmtomcontactmthemprovidermfirst.mPatientsmshouldmdi
scardmanymunusedmantibiotic.
5.mThemnursemismpreparingmtomadministermthemfirstmdosemofmintravenousmceftriaxonem(Rocephin)mt
omampatient.mWhenmreviewingmthempatient'smchart,mthemnursemnotesmthatmthempatientmpreviouslym
experiencedmamrashmwhenmtakingmamoxicillin.mWhatmismthemnurse'smnextmaction?
a.Administermthemdrugmandmobservemcloselymformhypersensitivitymreactions.
b.Askmthemprovidermwhethermamcephalosporinmfrommamdifferentmgenerationmmaymbemused.
c.Contactmthemprovidermtomreportmdrugmhypersensitivity.
d.Notifymthemprovidermandmsuggestmanmoralmcephalosporin.____m-mCORRECTmANSWERmANS:mA
Amsmallmpercentagemofmpatientsmwhomaremallergicmtompenicillinmcouldmalsombemallergicmtomamcephal
osporinmproduct.mPatientsmshouldmbemmonitoredmcloselymaftermreceivingmamcephalosporinmifmthey
maremallergicmtompenicillin.mTheremismnomdifferenceminmhypersensitivitympotentialmbetweenmdifferen
tmgenerationsmormmethodmofmdeliverymofmcephalosporins
6.mThemnursemismpreparingmtomgivemamdosemofmamcephalosporinmmedicationmtomampatientmwhomhas
mbeenmreceivingmthemantibioticmform2mweeks.mThemnursemnotesmulcersmonmthempatient'smtongueman
dmbuccalmmucosa.mWhichmactionmwillmthemnursemtake?
a.Holdmthemdrugmandmnotifymthemprovider.
b.Obtainmanmordermtomculturemthemoralmlesions.
c.Gathermemergencymequipmentmtompreparemformanaphylaxis.
d.Reportmampossiblemsuperinfectionmsidemeffectmofmthemcephalosporin.____m-
mCORRECTmANSWERmANS:mDm
Thempatient'smsymptomsmmaymindicatemamsuperinfectionmandmshouldmbemreportedmtomthemphysici
anmsomitmcanmbemtreated;mhowever,mthemdrugmdoesmnotmneedmtombemheld.mItmismnotmnecessarymtomc
ulturemthemlesions.mThemsymptomsmdomnotmindicatemimpendingmanaphylaxis.
, 7.mThemnursemismprovidingmteachingmtomampatientmwhomwillmbeginmtakingmamcephalosporinmtomtreat
manminfection.mWhichmstatementmbymthempatientmindicatesmamneedmformfurthermteaching?
a."Immaymstopmtakingmthemmedicationmifmmymsymptomsmclearmup."
b."Imshouldmeatmyogurtmwhilemtakingmthismmedication."
c."ImshouldmstopmtakingmthemdrugmandmcallmmymprovidermifmImdevelopmamrash."
d."Imwillmnotmconsumemalcoholmwhilemtakingmthismmedication."____m-mCORRECTmANSWERmANS:mA
Patientsmshouldmtakemallmofmanmantibioticmregimenmevenmaftermsymptomsmclearmtomensuremcomple
temtreatmentmofmtheminfection.mPatientsmaremoftenmadvisedmtomeatmyogurtmormdrinkmbuttermilkmtom
preventmsuperinfection.mAmrashmismamsignmofmhypersensitivity,mandmpatientsmshouldmbemcounseled
mtomstopmtakingmthemdrugmandmnotifymthemprovidermifmthismoccurs.mAlcoholmconsumptionmmaymcau
semadversemeffectsmandmshouldmbemavoidedmbympatientsmwhilemtheymaremtakingmcephalosporins.
8.mAmpatientmismreceivingmhighmdosesmofmamcephalosporin.mWhichmlaboratorymvaluesmwillmthismpati
ent'smnursemmonitormclosely?
a.Bloodmureamnitrogenm(BUN),mserummcreatinine,mandmlivermfunctionmtests
b.Completembloodmcountmandmelectrolytes
c.Serummcalciummandmmagnesium.
d.Serummglucosemandmlipids____m-mCORRECTmANSWERmANS:mA
Cefazolinmwillmproducemanmincreaseminmthempatient'smBUN,mcreatinine,mAST,mALT,mALP,mLDH,mandmbi
lirubin.
9.mAmpatientmwillmbeginmtakingmamoxicillin.mThemnursemshouldminstructmthempatientmtomavoidmwhic
hmfoods?
a.Greenmleafymvegetables
b.Beefmandmothermredmmeat
c.Coffee,mtea,mandmcolas
