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ADDRESSED PHARMACOLOGY TEST BANK TEST 2025/2025

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ADDRESSED PHARMACOLOGY TEST BANK TEST The nurse has been caring for a patient who has been taking antibiotics for 3 weeks. Upon assessing the patient, the nurse notices the individual has developed oral thrush. What describes the etiology of the thrush? - CORRECT ANSWER-Superinfection The nu...

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  • November 10, 2024
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  • 2024/2025
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ADDRESSED PHARMACOLOGY
TEST BANK TEST
The nurse has been caring for a patient who has been taking antibiotics for 3 weeks. Upon assessing the
patient, the nurse notices the individual has developed oral thrush. What describes the etiology of the
thrush? - CORRECT ANSWER-Superinfection



The nurse is caring for a patient on a medical-surgical unit who has a fever of unknown origin. The
prescriber has ordered a broad-spectrum antibiotic. Which intervention is the priority? - CORRECT
ANSWER-Obtaining all cultures before the antibiotic is administered



The nurse is teaching a nursing student about the mechanism by which antimicrobial agents achieve
selective toxicity. Which statement by the student indicates a need for further teaching? - CORRECT
ANSWER-"Some agents cause phagocytosis of bacterial cells."



A child has received amoxicillin [Amoxil] for three previous ear infections, but a current otitis media
episode is not responding to treatment. The nurse caring for this child suspects that resistance to the
bacterial agent has occurred by which microbial mechanism? - CORRECT ANSWER-Drug inactivation



A nursing student asks a nurse to clarify the differences between the mechanisms of spontaneous
mutation and conjugation in acquired resistance of microbes. What will the nurse say? - CORRECT
ANSWER-Spontaneous mutation leads to resistance to only one antimicrobial agent.



A patient has a viral sinus infection, and the provider tells the patient that antibiotics will not be
prescribed. The patient wants to take an antibiotic and asks the nurse what possible harm could occur
by taking an antibiotic. Which response by the nurse is correct? - CORRECT ANSWER-"Even normal flora
can develop resistance and transfer this to pathogens."

,A recent campaign, initiated by the Centers for Disease Control (CDC), to delay the emergence of
antibiotic resistance in hospitals, has what as one of its objectives? - CORRECT ANSWER-Increased
adherence to prescribed antibiotics



A patient has a localized skin infection, which is most likely caused by a gram-positive cocci. Until the
culture and sensitivity results are available, the nurse will expect the provider to order a -spectrum
agent. - CORRECT ANSWER-narrow; topical



A parent asks a nurse if the provider will prescribe an antibiotic for a child who attends school with
several children who have strep throat. The child is complaining of a sore throat and has a fever. What
will be the nurse's response - CORRECT ANSWER-"Your child should come to the clinic to have a throat
culture done today."



n older adult patient with chronic obstructive pulmonary disease (COPD) develops bronchitis. The
patient has a temperature of 39.5°C. The nurse will expect the provider to: - CORRECT ANSWER-order
empiric antibiotics while waiting for sputum culture results.



Which patients should be given antibiotics prophylactically? (Select all that apply.) - CORRECT ANSWER-
Patients with certain congenital heart defects at risk for bacterial endocarditis

Patients with compound fractures undergoing surgical repair



Which are benefits of using a combination of two or more antibiotics? (Select all that apply.) - CORRECT
ANSWER-Reduced toxicity

Reduced resistance

Reduced risk in severe infection



The nurse is teaching a pharmacology refresher course to a group of nurses. A student asks what host
factors affect the choice of agents in antimicrobial therapy. The nurse will tell the students that such
host factors include what? (Select all that apply.) - CORRECT ANSWER-Age

Immune system status

Infection site

,A inurse itranscribes ia inew iprescription ifor ipotassium ipenicillin iG igiven iintravenously i(IV) ievery i8
ihours iand igentamicin igiven iIV ievery i12 ihours. iWhich iis ithe ibest ischedule ifor iadministering ithese
idrugs? i- iCORRECT iANSWER-Give ithe ipenicillin iat i0800, i1600, iand i2400; igive ithe igentamicin
i[Garamycin] iat i1800 iand i0600.




A inurse iassisting ia inursing istudent iwith imedications iasks ithe istudent ito idescribe ihow ipenicillins
i(PCNs) iwork ito itreat ibacterial iinfections. iThe istudent iis icorrect iin iresponding ithat ipenicillins: i-
iCORRECT iANSWER-disrupt ibacterial icell iwall isynthesis.




A ichild iwith iotitis imedia ihas ihad ithree iear iinfections iin ithe ipast iyear. iThe ichild ihas ijust icompleted ia
i10- iday icourse iof iamoxicillin i[Amoxil] iwith ino iimprovement. iThe iparent iasks ithe inurse iwhy ithis
idrug iis inot iworking, ibecause iit ihas iworked iin ithe ipast. iWhat iwill ithe inurse itell ithe ipatient? i-
iCORRECT iANSWER- i"The ibacteria ihave isynthesized ipenicillinase."




A ichild iwith ian iear iinfection iis inot iresponding ito itreatment iwith iamoxicillin i[Amoxil]. iThe inurse iwill
iexpect ithe iprovider ito iorder: i- iCORRECT iANSWER-amoxicillin-clavulanic iacid i[Augmentin].




A ipatient iis ireceiving iintravenous ipotassium ipenicillin iG, i2 imillion iunits ito ibe iadministered iover i1
ihour. iAt i1900, ithe inurse inotes ithat ithe idose ihung iat i1830 ihas iinfused icompletely. iWhat iwill ithe
inurse ido? i- iCORRECT iANSWER-Request ian iorder ifor iserum ielectrolytes iand icardiac imonitoring.




A ipatient iis iabout ito ireceive ipenicillin iG ifor ian iinfection ithat iis ihighly isensitive ito ithis idrug. iWhile
iobtaining ithe ipatient's imedication ihistory, ithe inurse ilearns ithat ithe ipatient iexperienced ia irash
iwhen igiven iamoxicillin i[Amoxil] ias ia ichild i20 iyears iearlier. iWhat iwill ithe inurse ido? i- iCORRECT
iANSWER- iRequest ian iorder ifor ia iskin itest ito iassess ithe icurrent irisk.




A ipatient iwith ino iknown idrug iallergies iis ireceiving iamoxicillin i[Amoxil] iPO itwice idaily. iTwenty iminutes
iafter ibeing igiven ia idose, ithe ipatient icomplains iof ishortness iof ibreath. iThe ipatient's iblood ipressure iis
i100/58 imm iHg. iWhat iwill ithe inurse ido? i- iCORRECT iANSWER-Contact ithe iprovider iand iprepare ito
iadminister iepinephrine

, A ipatient ihas ian iinfection icaused iby iStreptococcus ipyogenes. iThe iprescriber ihas iordered idicloxacillin
iPO. iWhat iwill ithe inurse ido? i- iCORRECT iANSWER-Question ithe ineed ifor ia ipenicillinase-resistant
ipenicillin.




The iparent iof ian iinfant iwith iotitis imedia iasks ithe inurse iwhy ithe iprescriber ihas iordered iamoxicillin
i[Amoxil] iand inot iampicillin i[Unasyn]. iWhat iwill ithe inurse itell ithe iparent? i- iCORRECT iANSWER-
Ampicillin iis inot ias iacid istable ias iamoxicillin.



A ipatient iwith ian iinfection icaused iby iPseudomonas iaeruginosa iis ibeing itreated iwith ipiperacillin.
iThe inurse iproviding icare ireviews ithe ipatient's ilaboratory ireports iand inotes ithat ithe ipatient's iblood
iurea initrogen iand iserum icreatinine ilevels iare ielevated. iThe inurse iwill icontact ithe iprovider ito
idiscuss: i- iCORRECT iANSWER-reducing ithe idose iof ipiperacillin.




A inurse iis idiscussing imethicillin-resistant iStaphylococcus iaureus i(MRSA) iwith ia igroup iof inursing
istudents. iWhich istatement iby ia istudent icorrectly iidentifies ithe ibasis ifor iMRSA iresistance? i-
iCORRECT iANSWER-"MRSA ibacteria ihave ideveloped iPBPs iwith ia ilow iaffinity ifor ipenicillins."




A inurse iis ipreparing ito iadminister iintramuscular ipenicillin ito ia ipatient iwho iis iinfected iwith iT.
ipallidum iand inotes ithat ithe iorder iis ifor isodium ipenicillin iG. iWhich iaction iis icorrect? i- iCORRECT
iANSWER-Contact ithe iprovider ito idiscuss ichanging ithe idrug ito ibenzathine ipenicillin iG.




Which iorganisms ican ibe itreated iwith ipenicillin iG i(Benzylpenicillin)? i(Select iall ithat iapply.) i-
iCORRECT iANSWER-Neisseria imeningitidis


Streptococcus ipyogenes

iTreponema ipallidum




A inursing istudent iwants ito iknow ithe idifferences ibetween ihospital-associated imethicillin-
resistant iStaphylococcus iaureus i(HA-MRSA) iand icommunity-associated imethicillin-resistant
iStaphylococcus iaureus i(CA-MRSA). iWhich istatements iabout iCA-MRSA iare itrue? i(Select iall ithat
iapply.) i- iCORRECT iANSWER-20% ito i30% iof ithe igeneral ipopulation iare icolonized iwith iCA-
MRSA.

Boils icaused iby iCA-MRSA ican ibe itreated iwithout iantibiotics.

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