NursGuru

    Exam Review

    1. A patient is taking Levofloxacin to treat sinusitis. The patient calls the nurse practitioner to report pain just above the heel of the right foot. The nurse practitioner should:
      A)
      Change to ofloxacin
      B)
      Change to ciprofloxacin
      C)
      Discontinue the levofloxacin
      D)
      Reassure the patient that this is a common side effect
    2. When prescribing Trimethoprim-Sulfamethoxazole (TMP/SMX] to children, the nurse practitioner should recall that:
      A)
      Dosing is based on the trimethoprim component of the drug
      B)
      TMP/SMX should not be prescribed for children younger than 2 years
      C)
      Folic acid supplements must be given to children who take this medication
      D)
      The medication should be given three or four times per day because of rapid metabolism
    3. A group of college students are traveling to a chloroquine-resistant malaria area for a mission trip. Which of the following medications can be used for both prevention and treatment of malaria in these students?
      A)
      Pyrimethamine [Daraprim]
      B)
      Artemisinin
      C)
      Atoraquone-proguanil [Malarone]
      D)
      Melarsoprol
    4. A 70 year old patient will begin taking Cefdinir [Omnicef] for an acute exacerbation of COPD. Before initiating therapy, the nurse practitioner should order:
      A)
      Liver function tests [LFTs)
      B)
      Coagulation studies
      C)
      An EKG
      D)
      Data to enable the calculation of creatinine clearance

    Exam Review

    1. Which medication should the APN NOT prescribe for a 38-year-old male athlete who runs marathons and has a skin abscess
      A)
      Levofloxacin (Levaquin)
      B)
      Clindamycin (Cleocin)
      C)
      Doxycycline
      D)
      Trimethoprim-sulfamethoxazole (TMP-SMX) (Bactrim)
    2. Which of the following antibiotics exhibits a long post-antibiotic effect that permits once-daily dosing?
      A)
      Gentamicin
      B)
      Penicillin G
      C)
      Vancomycin
      D)
      Aztreonam (Azactam)
    3. Sarah is a 25 year old female who is 8 weeks pregnant and has a urinary tract infection. What would be the appropriate antibiotic to prescribe for her?
      A)
      Ciprofloxacin
      B)
      Amoxicillin
      C)
      Doxycycline
      D)
      Trimethoprim-sulfamethoxazole
    4. Providers should use an antibiogram when prescribing. An antibiogram is:
      A)
      The other name for the CDC guidelines for prescribing antibiotics
      B)
      An algorithm used for prescribing antibiotics for certain infections
      C)
      The reference also known as the Pink Book, published by the CDC
      D)
      A chart of local resistance patterns to antibiotics developed by laboratories

    Exam Review

    1. A patient with chronic hepatitis that has led to mildly impaired liver function has an infection that would be best treated by a macrolide. Which would be the best choice for this patient with liver dysfunction?
      A)
      Azithromycin (Zithromax)
      B)
      Clarithromycin (Biaxin)
      C)
      Erythromycin
      D)
      None of the above
    2. Children younger than 8 years of age should not receive tetracyclines because these agents:
      A)
      Cause rupture of the tendons
      B)
      Deposit in tissues undergoing calcification
      C)
      Do not cross into the cerebrospinal fluid
      D)
      Can cause aplastic anemia
    3. To prevent the development of peripheral neuropathy in patients taking isoniazid (INH) for tuberculosis the patient is also prescribed
      A)
      Niacin (vitamin B3)
      B)
      Pyridoxine (vitamin B6)
      C)
      Riboflavin (vitamin B2)
      D)
      Thiamine (vitamin B1)
    4. A patient is being discharged from the hospital on a 3 week course of Clindamycin. Which of the following potential adverse effects should be discussed with this patient?
      A)
      Hyperbilirubinemia
      B)
      Nephrotoxicity
      C)
      Clostridium difficile diarrhea
      D)
      Pseudotumor cerebri

    Exam Review

    1. A nurse practitioner is preparing to prescribe macrolide antibiotic for a patient who has a history of a prolonged QT interval on EKG. Which macrolide antibiotic should the NP prescribe?
      A)
      Erythromycin
      B)
      Azithromycin [Zithromax]
      C)
      Clarithromycin (Biaxin]
      D)
      Telithromycin [Ketek)
    2. Fluoroquinolones are considered to be which type of agent?
      A)
      Bactericidal
      B)
      Bacteriostatic
      C)
      Cytotoxic
      D)
      Enteric
    3. A patient with otitis media is treated for 10 days with Amoxicillin. At the follow-up visit, the nurse practitioner notes bilateral erythematous, bulging tympanic membranes. The nurse practitioner should prescribe:
      A)
      IM injection of Penicillin G [Bicillin]
      B)
      Amoxicillin for 10 more days
      C)
      Oral Dicloxacillin [Dynapen] for 10 days
      D)
      Oral amoxicillin-clavulanate [Augmentin] for 10 days
    4. Jamie has glucose-6-phosphate dehydrogenase deficiency [G6PD) and requires an antibiotic. Which class of antibiotics should be avoided in this patient?
      A)
      Penicillins
      B)
      Macrolides
      C)
      Cephalosporins
      D)
      Sulfonamides

    Exam Review

    1. An 18 year old female presents to the urgent care clinic with urinary frequency, urgency, and fever for the last 3 days. Based on symptoms and a UA, she is diagnosed with a UTI. Cultures reveal Enterococcus faecalis that is sensitive to all antibiotics usually tested for potential treatment. Which of the following is an appropriate oral option to treat the UTI in this patient?
      A)
      Cephalexin [Keflex]
      B)
      Vancomycin
      C)
      Cefdinir [Omnicef]
      D)
      Amoxicillin
    2. The first line antibiotic for a patient with comorbidities (or who is immunosuppressed] who has pneumonia and can be treated as an outpatient would be:
      A)
      Levofloxacin
      B)
      Amoxicillin
      C)
      Ciprofloxacin
      D)
      Cephalexin
    3. Which of the following is the primary method of B-lactam resistance with Streptococcus pneumoniae?
      A)
      Modification of target site
      B)
      Decreased drug levels due to changes in permeability
      C)
      Decreased drug levels due to a efflux pump
      D)
      Enzymatic inactivation
    4. Which of the following drugs is correctly matched with the appropriate adverse effect?
      A)
      Levofloxacin--hyperkalemia
      B)
      Nitrofurantoin-pulmonary fibrosis
      C)
      Cotrimoxazole--hepatic encephalopathy
      D)
      Methenamine—nystagmus

    Exam Review

    1. Voriconazole (Vfend ) has replaced Amphotericin B as the drug of choice to treat which condition?
      A)
      Onychomycosis
      B)
      Oropharyngeal candidiasis
      C)
      Tinea capitis
      D)
      Invasive aspergillosis
    2. Factors that place a patient at risk of developing an antimicrobial resistant organism include:
      A)
      Age over 50 years
      B)
      School attendance
      C)
      Travel within the United States
      D)
      Inappropriate use of antimicrobials
    3. An adult female has been prescribed doxycycline for a chlamydial infection. She is healthy and her only other medication is an oral combined contraceptive. Education would include:
      A)
      She should use a back-up method of birth control (condom) until her next menses
      B)
      Doxycycline may cause tendonitis and she should report any joint pain
      C)
      Her partner will need treatment if her infection does not clear with the doxycycline
      D)
      Doxycycline is used for a one-dose treatment of sexually transmitted infections (STIs); take the whole prescription at once
    4. John is a 4-week-old infant who has been diagnosed with Chlamydial pneumonia. An appropriate treatment for his pneumonia would be:
      A)
      Levofloxacin
      B)
      Amoxicillin
      C)
      Erythromycin
      D)
      Cephalexin