Exam (elaborations)

PNM300 Final Review Exam Questions With Correct Answers

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PNM300

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PNM300

PNM300 Final Review Exam Questions With Correct Answers Patients who are allergic to penicillin may also be hypersensitive to which drugs? a. Tetracyclines b. Sulfonamides c. Cephalosporins d. Imipenem-cilastatin - answerC. A patient has been prescribed a tetracycline. What important informa...

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pnm300 final review exam questions with correct an

Institution PNM300
Course PNM300

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PNM300 Final Review Exam Questions
With Correct Answers

Patients who are allergic to penicillin may also be hypersensitive to which drugs?
a. Tetracyclines
b. Sulfonamides
c. Cephalosporins

d. Imipenem-cilastatin - answer✔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. - answer✔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) - answer✔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

, ©THEBRIGHTSTARS 2024
c. An idiosyncratic reaction

d. An unpredictable reaction - answer✔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 - answer✔D.
During antibiotic therapy, a significant drug interaction may occur with which drug group?
a. Anticoagulants
b. Estrogen-containing contraceptives
c. Antihypertensives

d. Antihistamines - answer✔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 - answer✔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 - answer✔D. By antimicrobial activity...

, ©THEBRIGHTSTARS 2024
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 - answer✔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 - answer✔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. - answer✔A.
During antibiotic therapy, the nurse should monitor the patient closely for signs and symptoms of
a hypersensitivity reaction. What may be an indication of a hypersensitivity reaction? (Select all
that apply.)
a. Wheezing
b. Diarrhea
c. Shortness of breath
d. Swelling of the feet

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