NCLEX-RN : Pharmacology

Study concepts, example questions & explanations for NCLEX-RN

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Example Questions

Example Question #141 : Pharmacology

What is the most serious potential adverse effect of rifampin use?

Possible Answers:

Gastric ulceration or bleeding

Liver failure

Seizures

Nephrotoxicity

Correct answer:

Liver failure

Explanation:

Hepatotoxicity and potential liver failure are the most serious potential adverse effects of rifampin use. Patients on this medication must establish baseline liver function tests and be monitored for liver damage. None of the other conditions listed are associated with rifampin use.

Example Question #1 : Antimicrobial Pharmacology

Aminoglycosides are primarily used for infections by what type of pathogen?

Possible Answers:

Both Gram negative and Gram positive bacteria

Gram negative bacteria only

Yeast and fungi

Gram positive bacteria only

Correct answer:

Gram negative bacteria only

Explanation:

Aminoglycoside antibiotics are used to treat Gram negative bacteria. They have not been shown to be effective against Gram positive bacteria and are not antifungal. Recall the major difference between the Gram negative and positive bacteria are their cell wall composition; Gram negative have a small proportion of peptidoglycan and a high proportion of lipopolysaccharide, while Gram negative bacteria have a large proportion of peptidoglycan. 

Example Question #1 : Antimicrobial Pharmacology

Which of the following is an example of an aminoglycoside antibiotic?

Possible Answers:

Azithromycin

Erythromycin

Streptomycin

Clindamycin

Correct answer:

Streptomycin

Explanation:

The only aminoglycoside antibiotic among those listed is streptomycin. Other examples of aminoglycosides include tobramycin and gentamicin. All aminoglycosides either end in -mycin or -micin. However, this suffix is not exclusive to aminoglycosides. It is also seen in the macrolides: erythromycin and azithromycin and both macrolides, and in lincosamides such as clindamycin.

Example Question #141 : Nclex

Fluoroquinolones such as ciprofloxacin may cause which of the following serious side effects?

Possible Answers:

Sudden tendon rupture

All of these

Liver failure

Seizures

Irreversible peripheral neuropathy

Correct answer:

All of these

Explanation:

Fluoroquinolones (the most commonly prescribed of which is ciprofloxacin) carry a risk of all of the following adverse effects: sudden tendon rupture or tendonitis, hepatotoxicity or liver failure, seizures, and permanent peripheral neuropathy. Other adverse effects include Clostridium difficile associated diarrhea, bone marrow suppression, Steven-Johnson's Syndrome, tremors, and psychosis. The majority of these adverse effects are seen in higher numbers in children and the elderly.

Example Question #11 : Antimicrobial Pharmacology

Which of the following antibiotics is least likely to cause C. difficile overgrowth and C. difficile associated diarrhea?

Possible Answers:

Clindamycin

Ampicillin

Amoxicillin

Vancomycin

Correct answer:

Vancomycin

Explanation:

All of the drugs listed frequently cause C. difficile overgrowth and C. difficile associated diarrhea except vancomycin, which is often used as a treatment for persistent C. difficile infections.

Example Question #141 : Nclex

Which of the following antibiotics is contraindicated in pregnant women and small children due to it's tendency to irreversibly stain developing teeth?

Possible Answers:

Aminoglycosides

Beta lactam antibiotics

Tetracyclines

Fluoroquinolones

Correct answer:

Tetracyclines

Explanation:

Tetracycline antibiotics are contraindicated in pregnant women and small children due to their tendency to irreversibly stain developing teeth. They can also affect fetal bone growth and so are pregnancy category D (known incidence and risk of fetal harm).

Example Question #11 : Antimicrobial Pharmacology

Which of the following antibiotics is considered safe in pregnancy?

Possible Answers:

Gentamicin

Levofloxacin

Doxycycline

Amoxicillin

Correct answer:

Amoxicillin

Explanation:

Of the antibiotics listed, amoxicillin is the only one considered safe in pregnancy. Doxycycline and gentamicin are both pregnancy category D (known to cause fetal harm). Levofloxacin is category C (fetal harm can not be ruled out).

Example Question #141 : Nclex

Penicillin us used to treat what type of microbe?

Possible Answers:

Gram negative bacteria only

Gram positive bacteria only

Gram positive and Gram negative

Fungal infections

Correct answer:

Gram positive bacteria only

Explanation:

Penicillins belong to a larger class of antibiotics known as beta-lactams. These antibiotics inhibit cell-wall synthesis and are exclusively used to treat Gram positive bacteria. They are not effective against Gram negative bacteria or fungi. 

Example Question #141 : Pharmacology

Which of the following class of antibiotics is considered the first-line treatment for E. coli infections?

Possible Answers:

Macrolides

Aminoglycosides

Fluoroquinolones

Tetracyclines

Correct answer:

Fluoroquinolones

Explanation:

Fluoroquinolones are considered to be the treatment of choice for E. coli infections due to their effectiveness in relieving diarrhea and minimal serious adverse effects. Aminoglycosides and beta-lactam antibiotics may also be effective, as a second choice.

Example Question #12 : Antimicrobial Pharmacology

The nurse considers administration of gentamycin. Which of the following is not a side effect of this medication?

Possible Answers:

Nephrotoxicity

Ototoxicity

Nausea

Anorexia

Diaphoresis

Correct answer:

Diaphoresis

Explanation:

Gentamycin, an antibiotic and aminoglycoside, inhibits protein synthesis of gram-negative bacteria. It treats severe systemic infections. It may cause ototoxicity and nephrotoxicity, as well as anorexia, nausea, vomiting, and diarrhea. Diaphoresis is not a common side effect of gentamycin.

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