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Worksheets

Antibacterials

Total questions: 45

Worksheet time: 26mins

Name
Class
Date
1.

A nurse is teaching a patient about common side effects of antibacterial medications. Which findings should the nurse include as expected side effects?
Select all that apply.

a)

Nausea

b)

Vomiting

c)

Diarrhea

d)

Tinnitus

e)

Anaphylaxis

2.

A patient receiving piperacillin/tazobactam (Zosyn) develops shortness of breath, facial swelling, hypotension, and wheezing. What is the nurse’s priority action?

a)

Administer an antihistamine

b)

Slow the IV infusion

c)

Stop the medication and administer epinephrine

d)

Document the reaction as a side effect

3.

A patient on long-term antibacterial therapy develops severe watery diarrhea. Which complication should the nurse suspect?

a)

Hepatotoxicity

b)

Nephrotoxicity

c)

Superinfection

d)

Ototoxicity

4.

Which instruction is most important for a patient taking amoxicillin who uses oral contraceptives?

a)

Use an additional non-hormonal form of birth control

b)

Take the antibiotic at bedtime

c)

Avoid dairy products

d)

Increase vitamin K intake

5.

A patient taking amoxicillin is also prescribed warfarin. What should the nurse monitor closely?

a)

Blood glucose

b)

Platelet count

c)

INR

d)

Potassium level

6.

Before administering piperacillin/tazobactam, which assessment is most critical?

a)

History of sulfa allergy

b)

Recent bowel movements

c)

Current potassium level

d)

History of penicillin or cephalosporin allergy

7.

Which patients are at highest risk for renal failure when receiving piperacillin/tazobactam?

a)

Young adults

b)

Patients with asthma

c)

Critically ill patients and those with renal impairment

d)

Patients with diabetes

8.

The nurse should monitor for DRESS syndrome in a patient receiving piperacillin/tazobactam. Which findings indicate DRESS?
Select all that apply.

a)

Fever

b)

Rash

c)

Hypoglycemia

d)

Facial Swelling

e)

Lymphadenopathy

9.

A third-generation cephalosporin would be appropriate for which infections?
Select all that apply.

a)

Meningitis

b)

Bone and joint infections

c)

Otitis media

d)

Viral pneumonia

e)

Septicemia

10.

Which route(s) may be used for third-generation cephalosporins?

a)

Oral only

b)

IV only

c)

IM and IV

d)

Subcutaneous

11.

Which lab value is most important to monitor in a patient receiving linezolid?

a)

Platelet Count

b)

BUN

c)

Creatine Levels

d)

INR

12.

Linezolid increases risk of hypoglycemia in diabetic patients

a)

True

b)

False

c)

False, Linezolid increases the risk of Hypertension in patiens

13.

Which adverse effect is associated with rapid IV infusion of vancomycin?

a)

Stevens-Johnson syndrome

b)

Red man syndrome

c)

Tendon rupture

d)

Bone marrow suppression

14.

Which assessments are priority for a patient receiving IV vancomycin?
Select all that apply.

a)

Intake and output

b)

Hearing changes

c)

BUN and creatinine

d)

Visual acuity

e)

Urine color

15.

When should a vancomycin trough level be drawn?

a)

Immediately after infusion

b)

1 hour after Infusion

c)

30 minutes before next dose

d)

At the midpoint of therapy

16.

Which trough level is considered therapeutic for vancomycin?

a)

1–5 mcg/mL

b)

5–15 mcg/mL

c)

25–40 mcg/mL

d)

>50 mcg/mL

17.

When should Peak Levels be drawn?

a)

5-15 minutes after Infusion

b)

20-30 minutes after Infusion

c)

Peak levels should not be drawn

d)

30-60 minutes after Infusion

18.

Which two major toxicities are associated with aminoglycosides?
Select all that apply.

a)

Cardiotoxicity

b)

Ototoxicity

c)

Nephrotoxicity

d)

Hepatotoxicity

19.

Which medication interaction increases the risk of ototoxicity when given with aminoglycosides?

a)

Penicillin

b)

Ethacrynic Acid

c)

Insulin

d)

Acetaminophen

20.

Penicillins decrease aminoglycoside effectiveness.

a)

False

b)

True

21.

Which instruction is most important for a patient taking levofloxacin?

a)

Take with iron supplements

b)

Avoid sunlight

c)

Drink grapefruit juice

d)

Increase calcium intake

22.

What drug causes photosensitivity?

a)

Levofloxacin

b)

Gentamycin

c)

Vancomycin

d)

Linezolid

23.

Which condition may be exacerbated by fluoroquinolones?

a)

Asthma

b)

Myasthenia Gravis

c)

Hypothyroidism

d)

Crohn's Disease

24.

Why should levofloxacin not be taken with antacids, iron, or sucralfate?

a)

Increased toxicity

b)

Increased bleeding risk

c)

Decreased drug absorption

d)

Risk of hypoglycemia

25.

Which laboratory tests are essential when monitoring patients on antibacterial therapy?
Select all that apply.

a)

CBC

b)

C&S

c)

LFTs

d)

Bun and Creatine

e)

Troponin

26.

A patient receiving vancomycin has an elevated BUN and creatinine. What does this indicate?

a)

Dehydration

b)

Hepatic Dysfunction

c)

Renal impairment

d)

Bone marrow suppression

27.

Why is a Culture & Sensitivity (C&S) ordered before starting antibiotics?

a)

To monitor kidney function

b)

To identify the organism and best antibiotic

c)

To check for allergic reactions

d)

To measure drug levels

28.

The nurse understands that starting antibiotics before obtaining a C&S may result in:

a)

Increased toxicity

b)

Increased resistance

c)

Higher peak levels

d)

False-negative culture results

29.

Which medication is classified as a penicillin?

a)

Gentamicin

b)

Vancomycin

c)

Amoxicillin

d)

Levofloxacin

30.

Which medication is an aminoglycosides?

a)

Levofloxacin

b)

Gentamicin

c)

Piperacilin

d)

Cysteamine

31.

Which medications are classified as fluoroquinolones?
Select all that apply.

a)

Ciprofloxacin

b)

Levofloxacin

c)

Ceftriaxone

d)

Cephalosporins

32.

Which serious adverse effect is associated with fluoroquinolones?

a)

Red man syndrome

b)

Bone marrow suppression

c)

photosensitivity

d)

Tendon Rupture/Tendinitis

33.

Which medication belongs to the glycopeptide class?

a)

Linezolid

b)

Vancomycin

c)

Ceftriaxone

d)

Gentamicin

34.

Which antibiotics requires peak and trough monitoring?

a)

Gentamicin

b)

Levofloxacin

c)

Vancomycin

d)

Amoxicillin

35.

Which finding indicates ototoxicity?

a)

Elevated AST

b)

Diarrhea

c)

Tinnitus

d)

Rash

36.

The nurse should monitor intake and output closely when administering which medications?
Select all that apply.

a)

Vanomycin

b)

Gentamicin

c)

Piperacilin/Tazobactam

d)

Linezolid

37.

Which infections are commonly treated with gentamicin?

a)

Viral respiratory infections

b)

Serious gram-negative bacterial infections

c)

Fungal infections

d)

Mild skin infections only

38.

Which laboratory values should the nurse closely monitor in a patient receiving gentamicin?
Select all that apply.

a)

Blood urea nitrogen (BUN)

b)

Creatinine

c)

ALT

d)

Urine output

e)

AST

39.

Why are peak and trough levels monitored with gentamicin therapy?

a)

To ensure therapeutic response

b)

To monitor liver metabolism

c)

To prevent anaphylactic reactions

d)

To prevent nephrotoxicity and ototoxicity

40.

A patient has liver and kidney disease. He is given a medication with a half-life of 30 hours. What is the expected duration of this medication?  

a)

Increase

b)

Decrease

c)

Remain Unchanged

d)

Dissipate

41.

When assessing older adults and those with renal dysfunction, the nurse would expect the creatinine clearance to be which of the following?

a)

substantially increased.

b)

  slightly increased.

c)

  decreased.

d)

  in the normal range.

42.

A patient is taking piperacillin–tazobactam. Which nursing interventions are most appropriate for  this drug? (Select all that apply.)

A.Give with an aminoglycoside.

B.Send specimen to lab for C&S before antibiotic therapy is started.

C.Instruct patient to take entire prescribed drug.

D.Instruct patient to restrict fluid intake.

E.Monitor for symptoms of superinfection, including stomatitis and vaginitis.

a)

Send specimen to lab for C&S before antibiotic therapy is started.

b)

Give with an aminoglycoside.

c)

Instruct patient to take entire prescribed drug.

d)

Monitor for symptoms of superinfection, including stomatitis and vaginitis.

e)

Instruct patient to restrict fluid intake.

43.

Which statement will the nurse include when teaching a patient about cephalosporin therapy?

a)

Avoid ingesting buttermilk or yogurt when taking this medication

b)

Stop taking the medication when you feel better.

c)

Immediately stop taking the medication if you develop nausea

d)

Inform your health care provider if you develop mouth ulcers

44.

Which antibacterial drug has the potential to cause adverse reactions of tendinitis, tendon rupture, and peripheral neuropathy?

a)

Cephalosporins

b)

Fluouroquinolones

c)

Aminoglycosides

d)

Tetracyclines

45.

The nurse is administering vancomycin to a patient. Which nursing interventions are appropriate? Monitor the patient for _______.

(Select all that apply.)

A.adequate hearing

B.appropriate IV rate

C.Clostridium difficile–associated diarrhea

D.Stevens-Johnson syndrome

E.hypotension and tachycardia

F.redness of the face, neck, and chest

a)

adequate hearing

b)

appropriate IV rate

c)

.Clostridium difficile–associated diarrhea

d)

Stevens-Johnson syndrome

e)

hypotension and tachycardia