Exemplary Writers

Week 1: Open Book Quiz

Question 10 pts

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.

Group of answer choices

I do

I do not

 

Flag question: Question 2

Question 24 pts

What is the likely causative agent for acute otitis media?

Group of answer choices

Staphylococcus Aureus

Pseudomonas

Streptococcus pneumoniae

Streptococcus pyogenes

 

Flag question: Question 3

Question 34 pts

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.

Group of answer choices

All appear to be safe for use in pregnancy

[ Choose ] Tetracyclines Aminoglycosides Cephalosporins Penicillins Sulfonamides

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

[ Choose ] Tetracyclines Aminoglycosides Cephalosporins Penicillins Sulfonamides

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

[ Choose ] Tetracyclines Aminoglycosides Cephalosporins Penicillins Sulfonamides

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

[ Choose ] Tetracyclines Aminoglycosides Cephalosporins Penicillins Sulfonamides

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.

[ Choose ] Tetracyclines Aminoglycosides Cephalosporins Penicillins Sulfonamides

 

Flag question: Question 4

Question 44 pts

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

Group of answer choices

All antimicrobial drugs

None

Narrow-spectrum antimicrobials

Broad-spectrum antimicrobials

 

Flag question: Question 5

Question 54 pts

Which patients should penicillins be used with extreme caution?

Group of answer choices

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.

 

Flag question: Question 6

Question 64 pts

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

Group of answer choices

Culture

[ Choose ] Penicillins, Carbapenems, Vancomycin, Cephalosporins, Aminoglycosides Tetracyclines, Macrolides

Not indicated

[ Choose ] Penicillins, Carbapenems, Vancomycin, Cephalosporins, Aminoglycosides Tetracyclines, Macrolides

 

Flag question: Question 7

Question 74 pts

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

Group of answer choices

Penicillins

Cephalosporins

Vancomycin

Clindamycin

 

Flag question: Question 8

Question 84 pts

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

Group of answer choices

Ampicillin and Gentamycin

Methenamine Hippurate

Methenamine Mandelate

Short-term Fluoroquinolones

 

Flag question: Question 9

Question 94 pts

Which 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

Group of answer choices

Penicillins

Vancomycin

Aminoglycosides

Trimethoprim/Sulfamethoxazole

 

Flag question: Question 10

Question 104 pts

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

Group of answer choices

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.

 

Flag question: Question 11

Question 114 pts

Which UTI drug can cause permanent lung damage?

Group of answer choices

Nitrofurantoin

Trimethoprim/sulfamethoxazole

Levofloxacin

Cefdinir

 

Flag question: Question 12

Question 124 pts

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

Group of answer choices

Trimethoprim/sulfamethoxazole

Nitrofurantoin

Fluoroquinolones

Cephalosporins

 

Flag question: Question 13

Question 134 pts

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

Group of answer choices

renal impaired

acutely ill

very young

very old

active hepatitis

 

Flag question: Question 14

Question 144 pts

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

Group of answer choices

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.

 

Flag question: Question 15

Question 154 pts

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

Group of answer choices

Cephalosporins

Tetracyclines

Macrolides

Aminoglycosides

 

Flag question: Question 16

Question 164 pts

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

Group of answer choices

Cephalosporins

Tetracyclines

Sulfonamides

Fluoroquinolones

 

Flag question: Question 17

Question 174 pts

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

Group of answer choices

Reduced by 50%

Reduced by 25%

Increased by 50%

Increased by 25%

 

Flag question: Question 18

Question 184 pts

Using 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.

Group of answer choices

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

[ Choose ] Penicillins Cephalosporins Tetracyclines Aminoglycosides

Common drug used to treat bacterial infections.

[ Choose ] Penicillins Cephalosporins Tetracyclines Aminoglycosides

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

[ Choose ] Penicillins Cephalosporins Tetracyclines Aminoglycosides

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

[ Choose ] Penicillins Cephalosporins Tetracyclines Aminoglycosides

 

Flag question: Question 19

Question 194 pts

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

Group of answer choices

Tetracycline

Macrolide

Aminoglycoside

Cephalosporin

 

Flag question: Question 20

Question 204 pts

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

Group of answer choices

Penicillin

Aminoglycoside

Tetracycline

Macrolide

 

Flag question: Question 21

Question 214 pts

Trimethoprim should be avoided in patients with which deficiency?

Group of answer choices

Vitamin C

Vitamin A

Folate

Iodine

 

Flag question: Question 22

Question 224 pts

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

Group of answer choices

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

 

Flag question: Question 23

Question 234 pts

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

Group of answer choices

Erythromycin

Linezolid

Clindamycin

Vancomycin

 

Flag question: Question 24

Question 244 pts

Locate 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?

Group of answer choices

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

 

Flag question: Question 25

Question 254 pts

Using 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.

Group of answer choices

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

[ Choose ] Sulfonamides Aminoglycosides Cephalosporins Penicillins

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

[ Choose ] Sulfonamides Aminoglycosides Cephalosporins Penicillins

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

[ Choose ] Sulfonamides Aminoglycosides Cephalosporins Penicillins

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

[ Choose ] Sulfonamides Aminoglycosides Cephalosporins Penicillins

 

Flag question: Question 26

Question 264 pts

Match 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.

Group of answer choices

Ampicillin and gentamycin

[ Choose ] Infants Children less than 6 years of age Breastfeeding women Children between 6-12 years of age

Methenamine hippurate

[ Choose ] Infants Children less than 6 years of age Breastfeeding women Children between 6-12 years of age

Methenamine mandelate

[ Choose ] Infants Children less than 6 years of age Breastfeeding women Children between 6-12 years of age

Short-term Fluoroquinolones

[ Choose ] Infants Children less than 6 years of age Breastfeeding women Children between 6-12 years of age

 

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