NR 566 MIDTERM STUDY GUIDE EXAM
QUESTIONS AND ANSWERS | 2026
UPDATE | 100% CORRECT.
Common CAP pathogens - ANS S. Pneumoniae (most common)
H. Influenzae (smokers/COPD)
P. Aeruginosa (CF)
CAP first line treatment - ANS Macrolides, Doxycyline, Amoxicillin
what to give if 1st CAP treatment doesn't work? - ANS Respiratory Fluoroquinolone if not
received abx in the past 3 months
Mycoplasma pneumoniae - ANS atypical pneumonia; commonly seen in children
pediatric atypical pneumonia treatment - ANS Macrolides (Erythromycin), if failed then
Respiratory fluoroquinolone
CAP treatment during pregnancy - ANS Amoxicillin, cephalosporins, or Erythromycin
Treatment of chlamydial pneumonia in infant - ANS Macrolide (Azithromycin): 500mg orally
on day 1 followed by 250 mg once daily on days 2-5
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 10
, When to use broad/empiric spectrum antibiotics? - ANS Before 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? - ANS Used when the culture and sensitivity is
resulted, and pathogen is known.
how to treat C.diff - ANS Stop 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 - ANS 2nd and 3rd
generation Cephalosporins
Penicillin: Cross-sensitivity reactions with which drug classes - ANS Cephalosporins &
Carbapenems
(Allergy may be mild or severe)
Safe penicillin during pregancy - ANS Amoxicillin
patient education for Cephalosporins - ANS Report to provider any loose stools, complete full
course of antibiotics, s/s of allergy
Cephalosporins in pregnancy - ANS All appear safe for use
patient education for Tetracyclines - ANS photosensitivity (wear sunscreen!), complete full
course, s/s of allergy
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 10
QUESTIONS AND ANSWERS | 2026
UPDATE | 100% CORRECT.
Common CAP pathogens - ANS S. Pneumoniae (most common)
H. Influenzae (smokers/COPD)
P. Aeruginosa (CF)
CAP first line treatment - ANS Macrolides, Doxycyline, Amoxicillin
what to give if 1st CAP treatment doesn't work? - ANS Respiratory Fluoroquinolone if not
received abx in the past 3 months
Mycoplasma pneumoniae - ANS atypical pneumonia; commonly seen in children
pediatric atypical pneumonia treatment - ANS Macrolides (Erythromycin), if failed then
Respiratory fluoroquinolone
CAP treatment during pregnancy - ANS Amoxicillin, cephalosporins, or Erythromycin
Treatment of chlamydial pneumonia in infant - ANS Macrolide (Azithromycin): 500mg orally
on day 1 followed by 250 mg once daily on days 2-5
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 10
, When to use broad/empiric spectrum antibiotics? - ANS Before 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? - ANS Used when the culture and sensitivity is
resulted, and pathogen is known.
how to treat C.diff - ANS Stop 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 - ANS 2nd and 3rd
generation Cephalosporins
Penicillin: Cross-sensitivity reactions with which drug classes - ANS Cephalosporins &
Carbapenems
(Allergy may be mild or severe)
Safe penicillin during pregancy - ANS Amoxicillin
patient education for Cephalosporins - ANS Report to provider any loose stools, complete full
course of antibiotics, s/s of allergy
Cephalosporins in pregnancy - ANS All appear safe for use
patient education for Tetracyclines - ANS photosensitivity (wear sunscreen!), complete full
course, s/s of allergy
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 10
