1|Page
PNM300 FINAL EXAM LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A patient who has been hospitalized for 2 weeks has developed a
pressure ulcer that contains methicillin-resistant Staphylococcus
aureus (MRSA). Which antibiotic does the nurse expect will be
chosen for his therapy?
a. penicillin
b. nitrofurantoin (MacroBID®)
c. vancomycin (Vancocin®)
d. Quinupristin/dalfopristin (Synercid®) - ANSWER-C.
Vancomycin is the drug of choice for the treatment of MRSA.
What is the main advantage of levofloxacin (Levaquin®) over
other quinolones?
a. Once-daily dosing
b. Twice-daily dosing
c. A more potent anti-infective effect
d. Fewer adverse effects - ANSWER-A.
,2|Page
Metronidazole (Flagyl®) is widely used for which type of infection?
a. Skin infection
b. Gynecological infection
c. Aerobic infection
d. Respiratory infection - ANSWER-B.
Metronidazole is widely used for gynecological and intra-
abdominal infections caused by anaerobic organisms.
When administering vancomycin (Vancocin), what important
information should the nurse keep in mind?
a. It is ineffective in the treatment of MRSA.
b. It should be infused over at least 30 minutes.
c. Fluids should be restricted during vancomycin therapy.
d. Infuse the drug over 1 hour to reduce red man syndrome. -
ANSWER-D.
Which nursing diagnosis is appropriate for the patient who has
started aminoglycoside therapy?
,3|Page
a. Constipation
b. Risk for injury (hearing loss)
c. Disturbed body image related to gynecomastia
d. Imbalanced nutrition, less than body requirements, related to
nausea - ANSWER-B.
When patients are taking aminoglycosides, which are potent
antibiotics, which laboratory result must the nurse carefully
monitor?
a. Alanine aminotransferase (ALT)
b. Glycosylated hemoglobin
c. Serum creatinine
d. Aspartate aminotransferase (AST) - ANSWER-C.
Nephrotoxicity occurs in 5 to 25% of patients taking
aminoglycosides. The nurse must carefully monitor
increased blood urea nitrogen and serum creatinine levels
and monitor for urinary casts and proteinuria.
Which medication is commonly prescribed to treat recurrent
pulmonary infections associated with cystic fibrosis?
, 4|Page
a. gentamicin sulphate
b. tobramycin
c. amikacin sulphate
d. norfloxacin (Apo-Norflox®) - ANSWER-B.
The nurse is administering aminoglycoside therapy. For which
signs of toxicity does the nurse closely monitor the patient?
(Select all that apply.)
a. Electrocardiogram changes
b. Urinary casts
c. Hearing loss
d. Dizziness
e. Blood dyscrasias
f. Increased BUN levels
g. Jaundice
h. Proteinuria - ANSWER-B, C, D, F, H
-urinary casts
-hearing loss
-dizziness
PNM300 FINAL EXAM LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A patient who has been hospitalized for 2 weeks has developed a
pressure ulcer that contains methicillin-resistant Staphylococcus
aureus (MRSA). Which antibiotic does the nurse expect will be
chosen for his therapy?
a. penicillin
b. nitrofurantoin (MacroBID®)
c. vancomycin (Vancocin®)
d. Quinupristin/dalfopristin (Synercid®) - ANSWER-C.
Vancomycin is the drug of choice for the treatment of MRSA.
What is the main advantage of levofloxacin (Levaquin®) over
other quinolones?
a. Once-daily dosing
b. Twice-daily dosing
c. A more potent anti-infective effect
d. Fewer adverse effects - ANSWER-A.
,2|Page
Metronidazole (Flagyl®) is widely used for which type of infection?
a. Skin infection
b. Gynecological infection
c. Aerobic infection
d. Respiratory infection - ANSWER-B.
Metronidazole is widely used for gynecological and intra-
abdominal infections caused by anaerobic organisms.
When administering vancomycin (Vancocin), what important
information should the nurse keep in mind?
a. It is ineffective in the treatment of MRSA.
b. It should be infused over at least 30 minutes.
c. Fluids should be restricted during vancomycin therapy.
d. Infuse the drug over 1 hour to reduce red man syndrome. -
ANSWER-D.
Which nursing diagnosis is appropriate for the patient who has
started aminoglycoside therapy?
,3|Page
a. Constipation
b. Risk for injury (hearing loss)
c. Disturbed body image related to gynecomastia
d. Imbalanced nutrition, less than body requirements, related to
nausea - ANSWER-B.
When patients are taking aminoglycosides, which are potent
antibiotics, which laboratory result must the nurse carefully
monitor?
a. Alanine aminotransferase (ALT)
b. Glycosylated hemoglobin
c. Serum creatinine
d. Aspartate aminotransferase (AST) - ANSWER-C.
Nephrotoxicity occurs in 5 to 25% of patients taking
aminoglycosides. The nurse must carefully monitor
increased blood urea nitrogen and serum creatinine levels
and monitor for urinary casts and proteinuria.
Which medication is commonly prescribed to treat recurrent
pulmonary infections associated with cystic fibrosis?
, 4|Page
a. gentamicin sulphate
b. tobramycin
c. amikacin sulphate
d. norfloxacin (Apo-Norflox®) - ANSWER-B.
The nurse is administering aminoglycoside therapy. For which
signs of toxicity does the nurse closely monitor the patient?
(Select all that apply.)
a. Electrocardiogram changes
b. Urinary casts
c. Hearing loss
d. Dizziness
e. Blood dyscrasias
f. Increased BUN levels
g. Jaundice
h. Proteinuria - ANSWER-B, C, D, F, H
-urinary casts
-hearing loss
-dizziness
