PNM300 FINAL REVIEW QUESTIONS AND VERIFIED
ANSWERS |100% CORRECT | ALREADY GRADED A
Patients who are allergic to penicillin may also be hypersensitive to
which drugs?
a. Tetracyclines
b. Sulfonamides
c. Cephalosporins
d. Imipenem-cilastatin Correct Answers C.
A patient has been prescribed a tetracycline. What important
information should the nurse tell the patient about taking this
medication?
a. Acidic foods, such as citrus fruit juices, help to enhance absorption.
b. Milk and cheese products result in decreased levels of tetracycline.
c. Antacids taken with the medication help to reduce gastrointestinal
distress.
d. The medication should be taken with high-fibre foods to prevent
constipation. Correct Answers B.
dairy products decrease levels of tetracycline
Which drug may result in an interaction if taken with penicillin?
a. Antacids
b. acetaminophen (Tylenol®)
c. digoxin (Lanoxin®)
d. Nonsteroidal anti-inflammatory drugs (NSAIDs) Correct Answers D.
,A patient taking an antibiotic suddenly develops hives. The hives are an
example of which reactions?
a. A desired reaction
b. An allergic reaction
c. An idiosyncratic reaction
d. An unpredictable reaction Correct Answers B.
A patient is admitted with a fever of 39°C of unknown origin. The
assessment reveals bilateral crackles and a productive cough. The
physician has ordered sputum and blood cultures and the administration
of ampicillin 500 mg intravenous stat and then every 6 hours. Which is
the correct sequence for the nurse to follow to complete these orders?
a. Blood culture, ampicillin dose, sputum culture
b. Sputum culture, ampicillin dose, blood culture
c. Ampicillin dose, blood and sputum cultures
d. Blood and sputum cultures, ampicillin dose Correct Answers D.
During antibiotic therapy, a significant drug interaction may occur with
which drug group?
a. Anticoagulants
b. Estrogen-containing contraceptives
c. Antihypertensives
d. Antihistamines Correct Answers B.
,Effectiveness of oral contraceptives may be decreased with certain
antibiotics.
A patient with an infection is being by monitored by the nurse for
therapeutic results of antibiotic therapy. Which laboratory value
indicates the effectiveness of this therapy?
a. Increased red blood cell (RBC) count
b. Increased white blood cell (WBC) count
c. Decreased WBC count
d. Decreased platelet count Correct Answers C.
A decreased WBC count is an indication of the reduction of infection
and the therapeutic effect of antibiotic therapy.
How are the four generations of cephalosporins differentiated?
a. By varying levels of toxicity
b. By adverse-effect profiles
c. By β-lactam resistance
d. By antimicrobial activity Correct Answers D. By antimicrobial
activity...
Depending on the generation, these drugs may be active against gram-
positive, gram-negative, or anaerobic bacteria.
A patient has received an antibiotic to take for 1 week before planned
oral surgery. This is an example of what type of therapy?
a. Empirical therapy
, b. Prophylactic therapy
c. Bactericidal therapy
d. Resistance therapy Correct Answers B.
Prophylactic = PREVENTION
Which class of antibiotics is often used with β-lactamase inhibitors to
extend the effectiveness of the antibiotics?
a. Cephalosporins
b. Tetracyclines
c. Sulfonamides
d. Penicillins Correct Answers D.
Because β-lactamase inhibitors block the effect of the enzyme β-
lactamase, penicillin antibiotics have an extended usefulness against the
bacteria.
During drug therapy for pneumonia, a female patient develops a
superinfection. She asks the nurse how this could have happened. Which
is the nurse's best explanation to the patient?
a. Large doses of antibiotics kill normal flora.
b. The infection has spread from her lungs to the new site of infection.
c. The pneumonia-causing bacteria are resistant to the drugs.
d. She is having an allergic reaction to the antibiotics. Correct Answers
A.
ANSWERS |100% CORRECT | ALREADY GRADED A
Patients who are allergic to penicillin may also be hypersensitive to
which drugs?
a. Tetracyclines
b. Sulfonamides
c. Cephalosporins
d. Imipenem-cilastatin Correct Answers C.
A patient has been prescribed a tetracycline. What important
information should the nurse tell the patient about taking this
medication?
a. Acidic foods, such as citrus fruit juices, help to enhance absorption.
b. Milk and cheese products result in decreased levels of tetracycline.
c. Antacids taken with the medication help to reduce gastrointestinal
distress.
d. The medication should be taken with high-fibre foods to prevent
constipation. Correct Answers B.
dairy products decrease levels of tetracycline
Which drug may result in an interaction if taken with penicillin?
a. Antacids
b. acetaminophen (Tylenol®)
c. digoxin (Lanoxin®)
d. Nonsteroidal anti-inflammatory drugs (NSAIDs) Correct Answers D.
,A patient taking an antibiotic suddenly develops hives. The hives are an
example of which reactions?
a. A desired reaction
b. An allergic reaction
c. An idiosyncratic reaction
d. An unpredictable reaction Correct Answers B.
A patient is admitted with a fever of 39°C of unknown origin. The
assessment reveals bilateral crackles and a productive cough. The
physician has ordered sputum and blood cultures and the administration
of ampicillin 500 mg intravenous stat and then every 6 hours. Which is
the correct sequence for the nurse to follow to complete these orders?
a. Blood culture, ampicillin dose, sputum culture
b. Sputum culture, ampicillin dose, blood culture
c. Ampicillin dose, blood and sputum cultures
d. Blood and sputum cultures, ampicillin dose Correct Answers D.
During antibiotic therapy, a significant drug interaction may occur with
which drug group?
a. Anticoagulants
b. Estrogen-containing contraceptives
c. Antihypertensives
d. Antihistamines Correct Answers B.
,Effectiveness of oral contraceptives may be decreased with certain
antibiotics.
A patient with an infection is being by monitored by the nurse for
therapeutic results of antibiotic therapy. Which laboratory value
indicates the effectiveness of this therapy?
a. Increased red blood cell (RBC) count
b. Increased white blood cell (WBC) count
c. Decreased WBC count
d. Decreased platelet count Correct Answers C.
A decreased WBC count is an indication of the reduction of infection
and the therapeutic effect of antibiotic therapy.
How are the four generations of cephalosporins differentiated?
a. By varying levels of toxicity
b. By adverse-effect profiles
c. By β-lactam resistance
d. By antimicrobial activity Correct Answers D. By antimicrobial
activity...
Depending on the generation, these drugs may be active against gram-
positive, gram-negative, or anaerobic bacteria.
A patient has received an antibiotic to take for 1 week before planned
oral surgery. This is an example of what type of therapy?
a. Empirical therapy
, b. Prophylactic therapy
c. Bactericidal therapy
d. Resistance therapy Correct Answers B.
Prophylactic = PREVENTION
Which class of antibiotics is often used with β-lactamase inhibitors to
extend the effectiveness of the antibiotics?
a. Cephalosporins
b. Tetracyclines
c. Sulfonamides
d. Penicillins Correct Answers D.
Because β-lactamase inhibitors block the effect of the enzyme β-
lactamase, penicillin antibiotics have an extended usefulness against the
bacteria.
During drug therapy for pneumonia, a female patient develops a
superinfection. She asks the nurse how this could have happened. Which
is the nurse's best explanation to the patient?
a. Large doses of antibiotics kill normal flora.
b. The infection has spread from her lungs to the new site of infection.
c. The pneumonia-causing bacteria are resistant to the drugs.
d. She is having an allergic reaction to the antibiotics. Correct Answers
A.
