All NCLEX-RN Resources
Example Questions
Example Question #51 : Drug Identification
What is the most serious potential adverse effect of rifampin use?
Seizures
Nephrotoxicity
Gastric ulceration or bleeding
Liver failure
Liver failure
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 #51 : Drug Identification
Aminoglycosides are primarily used for infections by what type of pathogen?
Both Gram negative and Gram positive bacteria
Gram negative bacteria only
Gram positive bacteria only
Yeast and fungi
Gram negative bacteria only
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?
Clindamycin
Azithromycin
Streptomycin
Erythromycin
Streptomycin
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 #2 : Antimicrobial Pharmacology
Fluoroquinolones such as ciprofloxacin may cause which of the following serious side effects?
Sudden tendon rupture
Irreversible peripheral neuropathy
Seizures
All of these
Liver failure
All of these
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 #52 : Drug Identification
Which of the following antibiotics is least likely to cause C. difficile overgrowth and C. difficile associated diarrhea?
Vancomycin
Clindamycin
Amoxicillin
Ampicillin
Vancomycin
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 : Pharmacology
Which of the following antibiotics is contraindicated in pregnant women and small children due to it's tendency to irreversibly stain developing teeth?
Aminoglycosides
Fluoroquinolones
Tetracyclines
Beta lactam antibiotics
Tetracyclines
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 #61 : Drug Identification
Which of the following antibiotics is considered safe in pregnancy?
Levofloxacin
Amoxicillin
Doxycycline
Gentamicin
Amoxicillin
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 #61 : Drug Identification
Penicillin us used to treat what type of microbe?
Gram positive and Gram negative
Gram negative bacteria only
Gram positive bacteria only
Fungal infections
Gram positive bacteria only
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 #142 : Pharmacology
Which of the following class of antibiotics is considered the first-line treatment for E. coli infections?
Aminoglycosides
Tetracyclines
Macrolides
Fluoroquinolones
Fluoroquinolones
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 #142 : Pharmacology
The nurse considers administration of gentamycin. Which of the following is not a side effect of this medication?
Nephrotoxicity
Diaphoresis
Nausea
Ototoxicity
Anorexia
Diaphoresis
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.