Question 1
0 / 0 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.
Correct!
I do
I do not
Thank you for acknowledging your personal responsibility for your learning and professional practice while acting with honesty and integrity.
Question 2
4 / 4 pts
If 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 3
4 / 4 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?
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 4
4 / 4 pts
Which 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 5
4 / 4 pts
Which medication requires patient education to avoid prolonged exposure to sunlight?
Cephalosporins
Tetracyclines
Macrolides
Aminoglycosides
Question 6
4 / 4 pts
Which 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 7
4 / 4 pts
Acute 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 8
4 / 4 pts
Which 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 9
4 / 4 pts
Trimethoprim should be avoided in patients with which deficiency?
Vitamin C
Vitamin A
Folate
Iodine
Question 10
4 / 4 pts
Which 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 11
4 / 4 pts
Which antibiotic class is most likely to be given to someone with otitis media if there are no contraindications?
Penicillin
Aminoglycoside
Tetracycline
Macrolide
Question 12
4 / 4 pts
In 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 13
4 / 4 pts
Which antibiotic drug class is generally not expected to cause adverse effects in breastfed infants?
Cephalosporins
Tetracyclines
Sulfonamides
Penicillin
Question 14
4 / 4 pts
Which representative antibiotics are inhibitors of cell wall synthesis as listed in your course textbook? (Select all that apply)
Penicillins
Cephalosporins
Vancomycin
Clindamycin
Question 15
4 / 4 pts
Which representative antibiotics are bacteriostatic inhibitors of protein synthesis as listed in your course textbook? (Select all that apply)
Erythromycin
Linezolid
Clindamycin
Vancomycin
Question 16
4 / 4 pts
Which 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 17
4 / 4 pts
Which antibiotic classes should have a culture and sensitivity prior to prescribing and which ones do not according to your textbook?
Culture
Not indicated
Question 18
4 / 4 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
Penicillins
Vancomycin
Aminoglycosides
Trimethoprim/Sulfamethoxazole
Question 19
4 / 4 pts
Which UTI drug can cause permanent lung damage?
Nitrofurantoin
Trimethoprim/sulfamethoxazole
Levofloxacin
Cefdinir
Question 20
4 / 4 pts
What 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 21
4 / 4 pts
What is the likely causative agent for acute otitis media?
Staphylococcus Aureus
Pseudomonas
Streptococcus pneumoniae
Streptococcus pyogenes
Question 22
4 / 4 pts
Which antibiotic does the course textbook recommend for treating a UTI in breastfeeding women?
Ampicillin and Gentamycin
Methenamine Hippurate
Methenamine Mandelate
Short-term Fluoroquinolones
Question 23
4 / 4 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.
Ampicillin and gentamycin
Methenamine hippurate
Methenamine mandelate
Short-term Fluoroquinolones
Question 24
4 / 4 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.
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 25
4 / 4 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.
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 26
4 / 4 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.
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.
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