1) A 50-kg patient receives an order for Erythromycin 10 mg/kg/day divided into 4 equal doses. Available: 250 mg tablets. How many mg per dose? a) 125 mg/dose b) 0.5 tablets c) 500 mg/dose d) 2 tablets  2) A 100kg patient is ordered Erythromycin 15 mg/kg/day divided into 4 equal doses. Tablets are 250 mg. How many tablets per dose must be administered a) 3 tablets b) 1.5 tablets c) 1 tablet d) 2 tablets 3) Which side effect is MOST concerning for a patient taking amoxicillin? a) mild nausea b) diarrhea c) headache d) rash and difficulty breathing 4) A patient on amoxicillin reports severe watery diarrhea. What is the nurse's PRIORITY concern? a) food poisoning b) c. diff infection c) dehydration d) viral gastroenteritis 5) Which teaching point is MOST important for a patient taking ciprofloxacin? a) avoid taking with dairy or antacids b) avoid green leafy vegitables c) stop taking if urine turns yellow d) take on a full stomach 6) Ciprofloxacin carries a black-box warning for which serious adverse effect? a) hepatic failure b) tendon rupture c) hypoglycemia d) severe hypertension 7) Which lab is MOST important to monitor during IV vancomycin therapy? a) AST/ALT b) hemoglobin c) trough levels d) potassium 8) A nurse suspects vancomycin toxicity. Which assessment finding supports this? a) bradycardia and chest discomfort b) muscle rigidity and fever c) hypotension and dizziness d) tinnitus and decreased urine output 9) What is the primary mechanism of action of Erythromycin? a) inhibits bacterial cell wall synthesis b) binds to the 50s ribosomal subunit to inhibit protein synthesis c) interferes with bacterial DNA replication d) disrupts bacterial cell membrane  10) What serious adverse effect should a nurse monitor for in patients taking Erythromycin? a) stevens- johnson syndrome b) orange tears c) mild rash d) temporary nausea 11) What is the primary use of Rifampin? a) treat viral infections b) treat fungal infections c) treat tuberculosis and meningococcal exposure d) lower blood pressure 12) A patient taking Rifampin should be educated that: a) their urine and tears may turn orange b) they shhould take it with food to improve absorbtion c) it can cause hypoglycaemia d) they do not need to finish the full course

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