NR566 Week 1 Quiz Latest 2022 January

NR566 Advanced Pharmacology for Care of the Family

Week 1 Quiz   

Question 1I understand the value of doing my own work and learning the skills needed to support my future independent practice as a nurse practitioner. I understand that while there may be opportunities beyond my faculty’s control for me to collaborate or share answers with peers, that it would not benefit my own personal and professional growth to do so. I agree to do my own work and take personal responsibility for my learning.

  I do

  I do not

Question 2Which patients being treated with a penicillin are at high risk for toxicity? (Select all that apply)

  renal impaired

  acutely ill

  very young

  very old

  active hepatitis

Question 3Which patients should penicillins be used with extreme caution?

  Patients with renal impairment, preexisting hearing impairment, and those receiving ototoxic and nephrotoxic drugs.

  Patients with a history of severe allergic reactions to cephalosporins, or carbapenems.

  Patients with QT prolongation.

  Patients using valproate to control seizures.

Question 4What baseline data is needed to prescribe trimethoprim/sulfamethoxazole? (Select all that apply)

  Establish an infection appropriate for this drug class exists

  Complete blood count with white cell differential for prolonged therapy

  Hepatic function if there is concern in may be compromised

  Renal function if there is concern in may be compromised

Question 5What is the likely causative agent for acute otitis media?

  Staphylococcus Aureus

  Pseudomonas

  Streptococcus pneumoniae

  Streptococcus pyogenes

Question 6Which medication requires patient education to avoid prolonged exposure to sunlight?

  Cephalosporins

  Tetracyclines

  Macrolides

  Aminoglycosides

Question 7Which drug class is contraindicated for UTI in the third trimester of pregnancy and in older adults with decreased renal function?

  Trimethoprim/sulfamethoxazole

  Nitrofurantoin

  Fluoroquinolones

  Cephalosporins

Question 8Acute otitis externa presents with what symptoms that differentiates it from otitis media to determine diagnosis and treatment? (Select all that apply)

  Rapid-onset ear pain that include pruritis.

  Tenderness associated with manipulation of the external ear.

  Edema or erythema of the external auditory canal.

  No tenderness associated with manipulation of the external ear.

Question 9In patients with a creatinine clearance of 15-30 mL/min taking Bactrim, how should the dosing be adjusted?

  Reduced by 50%

  Reduced by 25%

  Increased by 50%

  Increased by 25%

Question 10Which antibiotic class is most likely to be given to someone with otitis media if there are no contraindications?

  Penicillin

  Aminoglycoside

  Tetracycline

  Macrolide

Question 11If a patient is taking Bactrim and their creatinine clearance falls below 15 mL/min, what should the provider do?

  Have patient continue the medication until it is complete.

  It depends on how many doses the patient has taken.

  Stop the drug immediately.

  List the drug as an allergy and instruct the patient to stop taking it immediately.

Question 12Match the recommended treatment for UTI according to the assigned textbook for this course.

Use each option only once by selecting the option that is most true.

Ampicillin and gentamycin

Methenamine hippurate

Methenamine mandelate

Short-term Fluoroquinolones

Question 13Which antimicrobial agents do the most to facilitate the emergence of antimicrobial resistance according to your textbook?

  All antimicrobial drugs

  None

  Narrow-spectrum antimicrobials

  Broad-spectrum antimicrobials

Question 14Using your textbook, match the antibiotic class to the patient care concern for children/adolescents.

Use each option only once by selecting the option that is most true.

Commonly used to treat bacterial infections, including otitis media and gonococcal and pneumococcal infections.

Common drug used to treat bacterial infections.

Should not be used in children younger than 8 years because they may cause permanent discoloration of the teeth.

Safe for use against bacterial infections but not commonly used in outpatient settings.

Question 15Which antibiotic drug class is generally not expected to cause adverse effects in breastfed infants?

  Cephalosporins

  Tetracyclines

  Sulfonamides

  Fluoroquinolones

Question 16Which antibiotic requires the following monitoring? CBC in patients with symptoms of blood disorders, CD4+ counts in patients with HIV and potassium 4 days after starting treatment in patients with possible hyperkalemia

  Penicillins

  Vancomycin

  Aminoglycosides

  Trimethoprim/Sulfamethoxazole

Question 17Trimethoprim should be avoided in patients with which deficiency?

  Vitamin C

  Vitamin A

  Folate

  Iodine

Question 18Which representative antibiotics are bacteriostatic inhibitors of protein synthesis as listed in your course textbook? (Select all that apply)

  Erythromycin

  Linezolid

  Clindamycin

  Vancomycin

 Question 19Which UTI drug can cause permanent lung damage?

  Nitrofurantoin

  Trimethoprim/sulfamethoxazole

  Levofloxacin

  Cefdinir

Question 20Using your textbook, match the antibiotic class to the patient care concern for infants.

Use each option only once by selecting the option that is most true.

Third-generation drugs are used to treat bacterial infections in neonates as well as infants.

Used safely in infants with bacterial infections, including syphilis, meningitis, and group A streptococcus.

Approved to treat bacterial infections in infants younger than 8 days. Dosing is based on weight and length of gestation.

Used in infants younger than 2 months can cause kernicterus, a potentially fatal condition.

Question 21Which antibiotic does the course textbook recommend for treating a UTI in breastfeeding women?

  Ampicillin and Gentamycin

  Methenamine Hippurate

  Methenamine Mandelate

  Short-term Fluoroquinolones

Question 22Which representative antibiotics are inhibitors of cell wall synthesis as listed in your course textbook? (Select all that apply)

  Penicillins

  Cephalosporins

  Vancomycin

  Clindamycin

Question 23Which antibiotic drug class listed is known for all drugs within the class promoting the development of a Clostridioidies difficile infection?

  Tetracycline

  Macrolide

  Aminoglycoside

  Cephalosporin

Question 24 Using your textbook, match the antibiotic class to the patient care concern for pregnant persons.

Use each option only once by selecting the option that is most true.

All appear to be safe for use in pregnancy

Although there are no well-controlled studies in pregnant women, evidence we do have suggests there is no second or third trimester fetal risk.

Animal studies reveal that these drugs can cause fetal harm in pregnancy. Thus this class of drugs should be avoided in during pregnancy.

There is evidence that use of this drug class in pregnancy can harm the fetus so they should not be used.

Systemic drugs in this class may cause birth defects, especially if taken during the first semester. If taken near term, the infant may develop kernicterus.

Question 25Locate the Prescribers’ Digital Reference website (pdr.net) to answer this question. A patient is prescribed Amoxicillin for an infection. They have a creatinine clearance of 24mL/min. What dose of amoxicillin should they be prescribed?

  no dosage adjustment needed

  250-500mg PO every 12 hours

  250-500 mg PO every 24 hours

  875 mg Extended Release PO every 24 hours

Question 26Which antibiotic classes should have a culture and sensitivity prior to prescribing and which ones do not according to your textbook?

Culture

Penicillins, Carbapenems, Vancomycin, Cephalosporins, Aminoglycosides

Not indicated

Tetracyclines, Macrolides

 

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