NR566 2021 December Week 1 Open Book Quiz Latest

Week 1: Open Book Quiz

Question 1

I 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 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 3Which 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 4Which UTI drug can cause permanent lung damage?

Nitrofurantoin

 Trimethoprim/sulfamethoxazole

 Levofloxacin

 Cefdinir

 Question 5Match 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

Methenaminehippurate

Methenaminemandelate

 Short-term Fluoroquinolones

 Question 6Which representative antibiotics are inhibitors of cell wall synthesis as listed in your course textbook? (Select all that apply)

Penicillins

Cephalosporins

Vancomycin

Clindamycin

Question 7Using 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 8What is the likely causative agent for acute otitis media?

Staphylococcus Aureus

 Pseudomonas

 Streptococcus pneumoniae

 Streptococcus pyogenes

 Question 9Which 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 10Which medication requires patient education to avoid prolonged exposure to sunlight?

Cephalosporins

 Tetracyclines

 Macrolides

 Aminoglycosides

 Question 11Locate 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 12Which 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 13Which representative antibiotics are bacteriostatic inhibitors of protein synthesis as listed in your course textbook? (Select all that apply)

Erythromycin

Linezolid

 Clindamycin

 Vancomycin

 Question 14Acute 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 15Trimethoprim should be avoided in patients with which deficiency?

Vitamin C

 Vitamin A

Folate

 Iodine

Question 16Which antibiotic class is most likely to be given to someone with otitis media if there are no contraindications?

Penicillin

 Aminoglycoside

 Tetracycline

 Macrolide

 Question 17Which antibiotic classes should have a culture and sensitivity prior to prescribing and which ones do not according to your textbook?

Culture

Not indicated

Question 18Which antibiotic does the course textbook recommend for treating a UTI in breastfeeding women?

Ampicillin and Gentamycin

 MethenamineHippurate

 MethenamineMandelate

 Short-term Fluoroquinolones

 Question 19Which 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 20Which antibiotic drug class is generally not expected to cause adverse effects in breastfed infants?

Cephalosporins

 Tetracyclines

Sulfonamides

Penicillin

 Question 21If 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 22What 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 23Using 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 24In 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 25Using 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.

 Rationale: This information can be found in the Summary of Key Prescribing Considerations in the chapter that covers this drug class.

 Question 26Which antibiotic drug class listed is known for all drugs within the class promoting the development of a Clostridioidies difficile infection?

Tetracycline

Macrolide

 Aminoglycoside

 Cephalosporin