NR 566 Midterm Questions And Answers | 2025-2026
Updated Study Solutions | 100% Correct Tests
What pathogen is highly associated with CAP in general population? ANS streptococcus pneumoniae
Other common pathogens with CAP ANS atypical bacteria (mycoplasma pneumonia)
viruses (influenza, respiratory syncytial virus)
First line treatment CAP in previous healthy adults ANS Amoxicillin, doxycycline, macrolides (DAM)
Treatment of CAP in pregnancy ANS amoxicillin, cephalosporins, erythromycin (ACE)
Treatment for mycoplasma pneumonia in the pediatric patient ANS Macrolides (erythromycin,
clarithromycin, azithromycin)
treatment of chlamydial pneumonia in infant ANS Erythromycin base/ethylsuccinate
Broad spectrum antibiotics - when to use? ANS empiric therapy
When you don't know which bacteria it is
more likely to facilitate emergence of drug-resistant organisms and superinfections
prescribe these before culture results back
suspects patient has UTI
Narrow spectrum antibiotics - when to use? ANS When the pathogen is known
Preferred
What are empiric antibiotics? ANS Broad Spectrum antibiotics that are given BEFORE the results are in
for certain circumstances.
Also can be prescribed when the NP believes it is a certain disease.
A)Prescription for an antibiotic for severe infection based on knowledge
, B)Prescription of an antibiotic for severe infection based on clinical evaluation
C)Prescription of antibiotic for severe infection based on most likely causative agent
When to prescribe empiric antibiotics? ANS E for Emergency
E for enticpation
Embulatory patients
Pt has severe infxn, initiate treatment before test results available
How to treat C Diff ANS Stop taking the abx that caused it
flagyl and vancomycin
Drug class known for all drugs in class to promote development of C diff ANS cephalosporins (especially
second or third generations)
Penicillin's have cross-sensitivity with which drug class? ANS cephalosporins
Can you take penicillin's if pregnant? ANS Yes
Can you prescribe cephalosporins if pregnant? ANS yes
Patient education needed for cephalosporins ANS Can promote C diff, instruct patients to report increase
in stool frequency
Can you prescribe tetracyclines in pregnant patients ANS No - can cause tooth staining
Patient education for tetracyclines ANS Photosensitivity. Advise patients to avoid prolonged exposure to
sunlight, to wear protective clothing, and to apply sunscreen to exposed skin/avoid tanning beds.
Instruct patients not to take this medication together with calcium supplements, milk products, iron
supplements, magnesium-containing laxatives, and most antacids.
Updated Study Solutions | 100% Correct Tests
What pathogen is highly associated with CAP in general population? ANS streptococcus pneumoniae
Other common pathogens with CAP ANS atypical bacteria (mycoplasma pneumonia)
viruses (influenza, respiratory syncytial virus)
First line treatment CAP in previous healthy adults ANS Amoxicillin, doxycycline, macrolides (DAM)
Treatment of CAP in pregnancy ANS amoxicillin, cephalosporins, erythromycin (ACE)
Treatment for mycoplasma pneumonia in the pediatric patient ANS Macrolides (erythromycin,
clarithromycin, azithromycin)
treatment of chlamydial pneumonia in infant ANS Erythromycin base/ethylsuccinate
Broad spectrum antibiotics - when to use? ANS empiric therapy
When you don't know which bacteria it is
more likely to facilitate emergence of drug-resistant organisms and superinfections
prescribe these before culture results back
suspects patient has UTI
Narrow spectrum antibiotics - when to use? ANS When the pathogen is known
Preferred
What are empiric antibiotics? ANS Broad Spectrum antibiotics that are given BEFORE the results are in
for certain circumstances.
Also can be prescribed when the NP believes it is a certain disease.
A)Prescription for an antibiotic for severe infection based on knowledge
, B)Prescription of an antibiotic for severe infection based on clinical evaluation
C)Prescription of antibiotic for severe infection based on most likely causative agent
When to prescribe empiric antibiotics? ANS E for Emergency
E for enticpation
Embulatory patients
Pt has severe infxn, initiate treatment before test results available
How to treat C Diff ANS Stop taking the abx that caused it
flagyl and vancomycin
Drug class known for all drugs in class to promote development of C diff ANS cephalosporins (especially
second or third generations)
Penicillin's have cross-sensitivity with which drug class? ANS cephalosporins
Can you take penicillin's if pregnant? ANS Yes
Can you prescribe cephalosporins if pregnant? ANS yes
Patient education needed for cephalosporins ANS Can promote C diff, instruct patients to report increase
in stool frequency
Can you prescribe tetracyclines in pregnant patients ANS No - can cause tooth staining
Patient education for tetracyclines ANS Photosensitivity. Advise patients to avoid prolonged exposure to
sunlight, to wear protective clothing, and to apply sunscreen to exposed skin/avoid tanning beds.
Instruct patients not to take this medication together with calcium supplements, milk products, iron
supplements, magnesium-containing laxatives, and most antacids.
