A 14-year-old male patient who plays football is admitted to the hospital. The nurse
notes that the patient has short stature for his age according to a standard growth chart.
The patient is muscular, has a deep voice, and needs to shave. The nurse notifies the
provider of these findings. Which test will the nurse expect the provider to order?
✓ Liver function tests and serum cholesterol
A patient receiving transurethral alprostadil asks about intracavernous administration.
Which information would be included in the explanation?
✓ Transurethral administration has fewer side effects.
A patient with erectile dysfunction is prescribed sildenafil (Viagra) 50 mg PRN. Which
assessment finding would be most concerning?
✓ Snoring now wakens the patient’s wife
A patient with erectile dysfunction is prescribed tadalafil (Cialis) 2.5 mg daily. Which
medication history finding would indicate the need to discontinue this prescription?
✓ Nitro-tab 0.4 mg sublingual PRN
A patient prescribed dutasteride 2 weeks ago presents with continued complaints of
urinary hesitancy. Which action is most appropriate?
✓ Document these findings.
1 / 4
Which finding would indicate that terazosin has been effective for a patient with BPH?
✓ Improved urinary hesitation
A patient receiving doxazosin presents for a routine evaluation. Which assessment
finding would be most concerning?
✓ Blood pressure 96/58
After educating a patient about administration of papaverine plus phentolamine for
erectile dysfunction, which statement made by the patient indicates a need for further
teaching?
✓ “I will take the pill 30 minutes before sex.”
A patient has a viral sinus infection, and the provider tells the patient that antibiotics will
not be prescribed. The patient wants to take an antibiotic and asks the nurse what
possible harm could occur by taking an antibiotic. Which response by the nurse is
correct?
✓ “Even normal flora can develop resistance and transfer this to pathogens.”
An older adult patient with chronic obstructive pulmonary disease (COPD) develops
bronchitis. The patient has a temperature of 39.5° C. The nurse will expect the provider
to:
✓ Order empiric antibiotics while waiting for sputum culture results.
The nurse is caring for a patient on a medical-surgical unit who has a fever of unknown
origin. The prescriber has ordered a broad-spectrum antibiotic. Which intervention is the
priority?
✓ Obtaining all cultures before the antibiotic is administered
2 / 4
The nurse has been caring for a patient who has been taking antibiotics for 3 weeks.
Upon assessing the patient, the nurse notices the individual has developed oral thrush.
What describes the etiology of the thrush?
✓ Superinfection
A child has received amoxicillin [Amoxil] for three previous ear infections, but a current
otitis media episode is not responding to treatment. The nurse caring for this child
suspects that resistance to the bacterial agent has occurred by which microbial
mechanism?
✓ Drug inactivation
A recent campaign, initiated by the Centers for Disease Control (CDC), to delay the
emergence of antibiotic resistance in hospitals, has what as one of its objectives?
✓ Increased adherence to prescribed antibiotics
A nursing student asks a nurse to clarify the differences between the mechanisms of
spontaneous mutation and conjugation in acquired resistance of microbes. What will the
nurse say?
✓ Spontaneous mutation leads to resistance to only one antimicrobial agent.
A patient has a localized skin infection, which is most likely caused by a gram-positive
coccus. Until the culture and sensitivity results are available, the nurse will expect the
provider to order a -spectrum agent.
✓ Narrow; topical
A parent asks a nurse if the provider will prescribe an antibiotic for a child who attends
school with several children who have strep throat. The child is complaining of a sore
throat and has a fever. What will be the nurse’s response?
✓ “Your child should come to the clinic to have a throat culture done today.”
3 / 4
The nurse is teaching a nursing student about the mechanism by which antimicrobial
agents achieve selective toxicity. Which statement by the student indicates a need for
further teaching?
✓ “Some agents cause phagocytosis of bacterial cells.”
A patient is about to receive penicillin G for an infection that is highly sensitive to this
drug. While obtaining the patient’s medication history, the nurse learns that the patient
experienced a rash when given amoxicillin [Amoxil] as a child 20 years earlier. What will
the nurse do?
✓ Request an order for a skin test to assess the current risk.
A patient has an infection caused by Pseudomonas aeruginosa. The prescriber has
ordered piperacillin and amikacin, both to be given intravenously. What will the nurse
do?
✓ Make sure to administer the drugs at different times using different IV
tubing.
A child with an ear infection is not responding to treatment with amoxicillin [Amoxil].
The nurse will expect the provider to order:
✓ Amoxicillin-clavulanic acid [Augmentin].
A patient is receiving intravenous potassium penicillin G, 2 million units to be
administered over 1 hour. At 1900, the nurse notes that the dose hung at 1830 has
infused completely. What will the nurse do?
✓ Request an order for serum electrolytes and cardiac monitoring.