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Antibiotics

Total questions: 50

Worksheet time: 1hrs 15mins

Name
Class
Date
1.

1. A nurse is working with a client receiving a sulfonamide for an UTI. The client presents with muscle aches, lesions on the skin and a headache. What action by the nurse is required?

a)

Report the findings to the HCP

b)

Increase water intake

c)

Apply the prescribed topical lotion

d)

Nothing, these are expected findings

2.

What should be included in the client education for the use of cefotetan?

a)

Stay out of the sun

b)

Monitor for signs of liver damage

c)

Avoid the use of alcohol

d)

Avoid the use of caffeine

3.

A client is prescribed an aminoglycoside for hepatic coma. Which adverse effects are associated with these medications? Select all that apply.

a)

Hepatotoxicity

b)

Nephrotoxicity

c)

Neurotoxicity

d)

Ototoxicity

e)

Stomach ulcers

4.

Which of the following are considered superinfections? Select all that apply

a)

Thrush

b)

MRSA

c)

VRE

d)

Pseudomembranous colitis

e)

Vaginal fungal

5.

Which action performed by the LPN would require the need of an intervention by the RN?

a)

Holding the syringe in a 45 degree angle for an intradermal injection

b)

Holding the syringe in a 90 degree angle for an intramuscular injection

c)

Placing the client in a fowlers position when administering oral medications

d)

Rotating the site for a sub-q injection

6.

The RN is preparing medication for a client. The RN is asked to respond to an emergency and gives the LPN the medication to administer. What should the LPN do next?

a)

Follow the order and give the medication

b)

Refuse to give the medication

c)

Ask the pharmacist to supervise

d)

Place the medication in the client’s room

7.

A nurse administers a pain medication to a client. The nurse assesses the client 30 minutes later. Which stage of the nursing process is the nurse in?

a)

Intervention

b)

Evaluation

c)

Planning

d)

Assessment

8.

A client is asking what the uses for highly active antiretroviral therapy (HAART) are. Which of the following answers made by the nurse is correct?

a)

“This medication therapy is used to treat the herpes virus"

b)

“This medication therapy is used to treat the HIV virus”

c)

“The medication is used to prevent the chances of contracting HIV”

d)

“That is a made up medication and does not exist”

9.

Which group of antibiotics puts older adults at risk of rupturing the Achilles tendon?

a)

Macrolides

b)

Sulfonamides

c)

Tetracyclines

d)

Fluoroquinolones

10.

A client presents with urinary casts, proteinuria, increased BUN and serum creatinine levels. What is the client most likely experiencing?

a)

Urinary tract infection

b)

Nephrotoxicity

c)

Anemia

d)

Sepsis

11.

Which signs and symptoms are associated with neurotoxicity? Select all that apply

a)

numbness and tingling

b)

tremors

c)

loss of hearing

d)

neuromuscular blockade

e)

muscle weakness

12.

A client is diagnosed with VRE. Which medication does the nurse expect the physician to prescribe?

a)

neomycin

b)

linezolid

c)

clarithromycin

d)

amikacin

13.

What should the nurse recommend to a client taking an antibiotic to reduce the risk of superinfections? Select all that apply

a)

buttermilk

b)

yogurt

c)

milk

d)

acidophilus

e)

berries

14.

Which type of reaction does the nurse expect to see if a client drinks alcohol with cefamandole?

a)

red man syndrome

b)

steven johnson syndrome

c)

anaphylactic

d)

disulfiram-like

15.

Which adverse effect does the nurse expect to see in a client prescribed sulfasalazine?

a)

burning sensation

b)

facial edema

c)

ototoxicity

d)

yellowing of the urine

16.

Which medication does the expect to be prescribed for a client diagnosed with herpes?

a)

tagamet

b)

acyclovir

c)

phenytoin

d)

cyclosporine

17.

Which clinical finding should the LPN report to the RN after assessing a client prescribed amphotericin B? Select all that apply

a)

Urine output of 25ml/hr

b)

hematuria

c)

headache

d)

malaise

e)

muscle pain

18.

The nurse understands that retinoids are used to treat which of the following?

a)

rashes

b)

viruses

c)

corns

d)

acne

19.

The nurse needs to know that major adverse effects to the kidneys are MOST common with which drug?

a)

Griseofulvin

b)

Ketoconazole

c)

Amphotericin B

d)

Fluconazole

20.

Which adverse reaction is related to ketoconazole?

a)

liver failure

b)

dizziness

c)

palpitations

d)

sweating

21.

What is the best way for the nurse to make sure that the right patient is receiving a prescribed drug when the patient is alert and oriented?

a)

ask the patient to state his or her name

b)

check the patient's wrist band

c)

look at the patients chart

d)

have the patient state his or her name and birth date.

22.

A sublingual drug is administered by placing the drug in what part of the body?

a)

between the cheek and the upper jaw

b)

under the tongue

c)

in the eyes

d)

in the nose

23.

The physician orders all of the following drugs for a patient who had surgery 2 days ago. Which drug order does the nurse administer first?

a)

Alphamine (cyanocobalamin) 100 mcg intramuscularly once

b)

Benadryl (diphenhydramine) 25 mg orally every 8 hrs.

c)

compazine (prochlorperazine) 10 mg orally STAT

d)

Dalmane (flurazepam) 30mg orally at night PRN

24.

A nursing student is administering medications to a patient through a gastric tube (G-tube). Which of the following actions taken by the nursing student requires the nursing instructor to intervene?

a)

The nursing student places all the patient's medications in different medicine cup

b)

The nursing student evaluates each medication and holds the tube feeding before administering a medication that needs to be administered on an empty stomach.

c)

The nursing student flushes the tube with 30 mL of water between each medication

d)

The nursing student crushes a nifedipine extended-release tablet and mixes it with water before administering it.

25.

There is an order for 5mL of antibiotic to be administered via IM injection. Which action by the nurse is appropriate?

a)

Give injection as ordered

b)

Switch to a subcutaneous injection

c)

divide the drug and give two separate injections

d)

skip the dose and call the pharmacy

26.

Which of the following are nursing responsibilities for administering a transdermal patch? Select all that apply.

a)

wear gloves

b)

keep old patches on skin

c)

rotate sites

d)

discard old patches in sharps container

e)

place heating pad over patch to increase absorption

27.

Which of the following are apart of the pharmacokinetic phase? Select all that apply

a)

absorption

b)

receptor-mediated drug action

c)

metabolism

d)

excretion

e)

primary effects

28.

A client received an IM dose of penicillin 30 minutes ago. The client is experiencing bronchospasm, low blood pressure, urticaria and angioedema. What is this client most likely experiencing?

a)

idiosyncrasy

b)

anaphylaxis

c)

toxic reaction

d)

adverse reaction

29.

Which of the following influence drug response? Select all that apply.

a)

age

b)

weight

c)

sex

d)

diet

e)

route

30.

Which of the following statements describe the term half-life?

a)

time required for the body to eliminate 50% of the drug

b)

removal of drugs by the kidneys or intestine

c)

a drug that binds with a receptor and stimulates the receptor to produce a therapeutic response

d)

deals with the drug's action and effect in the body

31.

Which of the following drugs are considered a schedule 1 drug?

a)

heroin

b)

xanax

c)

penicillin

d)

morphine

32.

Which of the following orders is written correctly?

a)

Penicillin 0.55mL po daily

b)

penicillin 100 ml po daily

c)

penicillin .25mcg po daily

d)

penicillin .35 ML po daily

33.

A nurse has administered several medications with sorbitol as an ingredient. Which of the following reactions may occur?

a)

constipation

b)

vomiting

c)

diarrhea

d)

red man syndrome

34.

Which of the following injection are given at a 10 degree angle?

a)

subcutaneous

b)

intradermal

c)

intramuscular

d)

z-track

35.

A nurse is giving a presentation on safer medication administration. The nurse explains correctly that which of the following medication administration systems is the safest?

a)

unit-dose

b)

paper MAR

c)

Bar-coded

d)

bubble-packs

36.

Antibiotic which inhibits growth of the bacteria is known as____________.

a)

Bactericidal

b)

Bacteriostatic

c)

sensitive

d)

resistance

37.

Which of these could be successfully treated with antibiotics?

a)

Strep throat

b)

HIV

c)

Influenza

d)

Common Cold

38.
Many species of bacteria have become resistant to antibiotics because antibiotics have been so widely used. Now, bacteria that used to be killed by antibiotics are more difficult to treat. What is the best way to proceed in dealing with this public health problem?
a)
 Antibiotics should no longer be used.
b)
Antibiotics should be made available to anyone without a prescription.
c)
Antibiotics should only be prescribed to people with bacterial infections. 
d)
Anti-viral medications should now be used instead of antibiotics. 
39.

What is the term used to describe the movement of a drug from its site of administration into the bloodstream?

a)

Metabolism

b)

Excretion

c)

Absorption

d)

Distribution

40.

Which of the following is an example of an adverse drug reaction?

a)

Tolerance

b)

Dependence

c)

dizziness

d)

ceiling effect

41.

Which of the following medications does the nurse expect to be prescribed for a client that has necrotic wound?

a)

hydrocortisone

b)

penicillin

c)

salicylic acid

d)

collagenase

42.

Which of the following interventions must be implemented before administering a retinoid?

a)

obtain a sensitivity and culture test

b)

obtain a negative pregnancy test

c)

obtain baseline vitals

d)

obtain a CBC and liver funtion test

43.

The nurse understands that which of the following medication would help inflammation of the skin?

a)

enzymes

b)

immunomodulators

c)

anesthetics

d)

corticosteroids

44.

Medications used to treat HIV infections are more specifically classified as what type of drugs?

a)

Antiviral

b)

antifungal

c)

Antiparasitic

d)

antiretroviral

45.

A nursing instructor is explaining the use of HAART medications for HIV. Which statement made by the instructor is correct?

a)

HAART is a multidrug regimen that reduces the virus's ability to become resistant

b)

HAART is an antibiotic that helps antivirals kill the HIV virus

c)

HAART reverses the RNA virus to make it easier to kill

d)

HAART measures the viral load and eliminates the HIV virus from the cell

46.

A client is prescribed quiNINE for the treatment of malaria and is experiencing tinnitus, dizziness and visual disturbances. What is this client most likely experiencing?

a)

toxoplasmosis

b)

kidney failure

c)

cinchonism

d)

neuropathy

47.

What should be included in the client education for a client prescribed metroniadazole?

a)

weekly creatinine tests

b)

avoid alcohol

c)

take extra birth control

d)

include extra B6 in the diet

48.

Which route does the nurse expect to administer pentamidine?

a)

oral

b)

nebulizer

c)

IM

d)

topical

49.

The nurse understands that a client diagnosed with hepatic coma will likely be prescribed which of following medications?

a)

linezolid

b)

doxycycline

c)

vancomycin

d)

neomycin

50.

Which of the following infections can linezolid treat?

a)

VRE

b)

MRSA

c)

HIV

d)

Herpes

e)

Acne