NURS 180 Pharmacology Week 6 Quiz 2026 |WCU
1. A patient is receiving Vancomycin intravenously for a MRSA infection. During
the infusion, the patient develops flushing, a rash on the upper body, and
hypotension. What is the most appropriate nursing action?
A. Stop the infusion and administer epinephrine immediately.
B. Continue the infusion as this is a normal therapeutic response.
C. Discontinue the medication and document an allergy to Vancomycin.
D. Slow the infusion rate and assess the patient’s vitals.
Answer: D
Rationale: The symptoms described are consistent with Red Man Syndrome, which is often
caused by rapid infusion of Vancomycin. Slowing the infusion rate usually resolves the
issue, unlike anaphylaxis which would require epinephrine.
2. Which laboratory value is most critical to monitor for a patient receiving
Gentamicin therapy?
A. Serum Potassium
B. Prothrombin Time (PT)
C. Serum Creatinine
D. Hemoglobin A1c
Answer: C
Rationale: Aminoglycosides like Gentamicin are highly nephrotoxic. Monitoring serum
creatinine and BUN is essential to detect early signs of kidney damage.
,3. A patient is prescribed Ciprofloxacin for a urinary tract infection. Which
statement by the patient indicates a need for further teaching?
A. ‘I will avoid taking my antacids while on this medication.’
B. ‘I will stop taking the medicine as soon as my symptoms disappear.’
C. ‘I will wear sunscreen and protective clothing when outdoors.’
D. ‘I will report any pain or swelling in my heel immediately.’
Answer: B
Rationale: Antibiotics must be completed for the full duration of the prescription to
prevent bacterial resistance. Ciprofloxacin also carries a black box warning for tendon
rupture and causes photosensitivity.
4. A patient taking Metronidazole (Flagyl) for a parasitic infection mentions they
are going to a wine tasting event tonight. What is the nurse’s priority response?
A. ‘Enjoy yourself, but drink plenty of water.’
B. ‘Wait at least 2 hours after your dose before drinking wine.’
C. ‘Wine will decrease the absorption of the medication.’
D. ‘Metronidazole can cause extreme nausea and vomiting if taken with alcohol.’
Answer: D
Rationale: Metronidazole causes a disulfiram-like reaction when mixed with alcohol,
leading to severe nausea, vomiting, flushing, and tachycardia.
5. Which antibiotic class is contraindicated in children under the age of 8 due to
the risk of permanent tooth discoloration?
A. Macrolides
B. Sulfonamides
C. Cephalosporins
D. Tetracyclines
Answer: D
, Rationale: Tetracyclines bind to calcium in developing teeth, leading to permanent yellow-
brown staining and enamel hypoplasia in children.
6. When administering Amphotericin B, the nurse should pre-medicate the
patient with which of the following to minimize adverse effects?
A. Acetaminophen and Diphenhydramine
B. Insulin and Glucagon
C. Vitamin K and Warfarin
D. Aspirin and Lisinopril
Answer: A
Rationale: Amphotericin B often causes ‘infusion reactions’ including chills, fever, and
rigors (the ‘shake and bake’ effect). Pre-medicating with antipyretics and antihistamines is
standard practice.
7. A patient is being treated for tuberculosis with Isoniazid (INH). Which vitamin
supplement should the nurse expect to administer to prevent peripheral
neuropathy?
A. Vitamin B12
B. Vitamin C
C. Vitamin D
D. Vitamin B6 (Pyridoxine)
Answer: D
Rationale: INH can cause vitamin B6 deficiency, which leads to peripheral neuropathy.
Supplementation is required to mitigate this risk.
1. A patient is receiving Vancomycin intravenously for a MRSA infection. During
the infusion, the patient develops flushing, a rash on the upper body, and
hypotension. What is the most appropriate nursing action?
A. Stop the infusion and administer epinephrine immediately.
B. Continue the infusion as this is a normal therapeutic response.
C. Discontinue the medication and document an allergy to Vancomycin.
D. Slow the infusion rate and assess the patient’s vitals.
Answer: D
Rationale: The symptoms described are consistent with Red Man Syndrome, which is often
caused by rapid infusion of Vancomycin. Slowing the infusion rate usually resolves the
issue, unlike anaphylaxis which would require epinephrine.
2. Which laboratory value is most critical to monitor for a patient receiving
Gentamicin therapy?
A. Serum Potassium
B. Prothrombin Time (PT)
C. Serum Creatinine
D. Hemoglobin A1c
Answer: C
Rationale: Aminoglycosides like Gentamicin are highly nephrotoxic. Monitoring serum
creatinine and BUN is essential to detect early signs of kidney damage.
,3. A patient is prescribed Ciprofloxacin for a urinary tract infection. Which
statement by the patient indicates a need for further teaching?
A. ‘I will avoid taking my antacids while on this medication.’
B. ‘I will stop taking the medicine as soon as my symptoms disappear.’
C. ‘I will wear sunscreen and protective clothing when outdoors.’
D. ‘I will report any pain or swelling in my heel immediately.’
Answer: B
Rationale: Antibiotics must be completed for the full duration of the prescription to
prevent bacterial resistance. Ciprofloxacin also carries a black box warning for tendon
rupture and causes photosensitivity.
4. A patient taking Metronidazole (Flagyl) for a parasitic infection mentions they
are going to a wine tasting event tonight. What is the nurse’s priority response?
A. ‘Enjoy yourself, but drink plenty of water.’
B. ‘Wait at least 2 hours after your dose before drinking wine.’
C. ‘Wine will decrease the absorption of the medication.’
D. ‘Metronidazole can cause extreme nausea and vomiting if taken with alcohol.’
Answer: D
Rationale: Metronidazole causes a disulfiram-like reaction when mixed with alcohol,
leading to severe nausea, vomiting, flushing, and tachycardia.
5. Which antibiotic class is contraindicated in children under the age of 8 due to
the risk of permanent tooth discoloration?
A. Macrolides
B. Sulfonamides
C. Cephalosporins
D. Tetracyclines
Answer: D
, Rationale: Tetracyclines bind to calcium in developing teeth, leading to permanent yellow-
brown staining and enamel hypoplasia in children.
6. When administering Amphotericin B, the nurse should pre-medicate the
patient with which of the following to minimize adverse effects?
A. Acetaminophen and Diphenhydramine
B. Insulin and Glucagon
C. Vitamin K and Warfarin
D. Aspirin and Lisinopril
Answer: A
Rationale: Amphotericin B often causes ‘infusion reactions’ including chills, fever, and
rigors (the ‘shake and bake’ effect). Pre-medicating with antipyretics and antihistamines is
standard practice.
7. A patient is being treated for tuberculosis with Isoniazid (INH). Which vitamin
supplement should the nurse expect to administer to prevent peripheral
neuropathy?
A. Vitamin B12
B. Vitamin C
C. Vitamin D
D. Vitamin B6 (Pyridoxine)
Answer: D
Rationale: INH can cause vitamin B6 deficiency, which leads to peripheral neuropathy.
Supplementation is required to mitigate this risk.
