WGU D116 Advanced
Pharmacology Final OA Exam
Actual Test and Practice Exam,
Complete 400 Questions
A new nurse is reviewing sildenafil use. Which patient may take sildenafil safely? YES A 54-
year-old male with controlled hypertension, mild eczema, and past urolithiasis without
complications
A newly diagnosed HIV patient misses doses. What is the primary reason adherence is
important? YES Missing doses leads to mutations resulting in drug resistance.
A nurse administering topical antifungal should instruct: YES Wash hands before and after
administration
A nurse administers Pitocin to induce labor. What does oxytocin do? YES Promotes uterine
contractions
A nurse assists a patient to select OTC pain meds. Best option for mild headache?
Acetaminophen 325 mg
A nurse explains pain medication. What is pain threshold? YES Level at which pain begins to
be felt
,A nurse giving a drug that triggers release of acetylcholine explains it works by ________.
YES Altering synthesis, storage, or release of transmitter
A nurse instructs a patient that a drug acts by affecting receptor sites. What are receptor sites?
YES Reactive sites on the surfaces of a cell
A nurse prepares to administer an analgesic. Pain includes physical and psychological factors
___ what? YES Pain sensation is influenced by multiple factors.
A nurse teaches a patient on NSAIDs for arthritis pain. First teaching point? YES Avoid
taking with alcohol.
A nurse teaches a patient starting Chantix for smoking cessation. Adverse effect? YES
Neuropsychiatric symptoms
A nurse uses the MAR to verify med administration based on ________. Transcription of
prescriber orders
A nursing student asks what a boxed warning means. YES It alerts prescribers to measures
to mitigate harm from side effects.
A palliative patient says pain relief isn't working. APRN should: Review the patient's pain
record
A Parkinson patient on carbidopa reports no change after months. What should the provider do?
Reevaluate the diagnosis
A Parkinson patient taking levodopa/carbidopa develops dark urine and sweat. What should the
nurse say? YES This is an expected harmless effect.
A Parkinson patient taking selegiline needs teaching about: YES Avoiding foods high in
tyramine
A patient admitted with euphoric mania. Which medication should be ordered? YES Lithium
A gout patient on allopurinol also takes warfarin. Education? It may take months for
maximal effect.
A gout patient on allopurinol develops a rash. Correct APRN action? Stop immediately due
to risk of Stevens-Johnson syndrome
A gout patient with hyperuricemia develops arthritis. Medication? Colchicine
A hospitalized patient has mild nausea from a med. APRN should recommend: YES Ginger
A Huntington disease patient has twitching, dysphagia, confusion, memory loss. APRN
prescribes baclofen. Mechanism of action? YES Inhibits neurotransmitter GABA
, A hypothyroid patient taking levothyroxine with calcium + multivitamin becomes fatigued.
Cause? Don't take levothyroxine with calcium—it reduces absorption.
A low-income patient is noncompliant with antihypertensives. Initial APRN step? YES Ask why
he is not taking the medication
A new asthma nurse asks how LABAs work. The correct mechanism? Relaxing smooth
muscles in the airways
A patient asks about Valium. Nurse explains diazepam's mechanism: YES Enhances effect
of GABA
A patient asks the nurse to explain how a drug affects the body. The nurse should explain
________. How the drug interacts with the body tissue
A patient asks whether OTC vitamins can be taken with antihypertensives. What should the
APRN provide? YES Information about drug interactions
A patient asks why naproxen doesn't relieve pain instantly. Nurse explains: YES It takes
time to achieve adequate blood levels.
"0/10" pain means: No pain at all
25-year-old male anxious before speech. Medication? YES Beta blocker
40-year-old with chronic insomnia needs help. Mechanism of zolpidem? YES Enhances action
of GABA
A 16-year-old on solifenacin double-dosed accidentally. What symptom should the nurse
monitor? YES Dry mouth
A 21-year-old patient has a seizure with impaired consciousness followed by CNS depression.
Type of seizure? YES Tonic-clonic
A 30-year-old patient with anxiety is prescribed citalopram. What is its mechanism of action?
YES Influences receptor activity on target cells
A 33-year-old with familial hypercholesterolemia begins a bile-acid sequestrant. What side
effect? YES Malabsorption of nutrients
A 4-year-old with asthma takes albuterol + ICS and still has attacks 2-3×/week. What should be
added? YES LABA
A 44-year-old male with depression and sexual dysfunction history needs an antidepressant that
enhances libido. YES Bupropion
Pharmacology Final OA Exam
Actual Test and Practice Exam,
Complete 400 Questions
A new nurse is reviewing sildenafil use. Which patient may take sildenafil safely? YES A 54-
year-old male with controlled hypertension, mild eczema, and past urolithiasis without
complications
A newly diagnosed HIV patient misses doses. What is the primary reason adherence is
important? YES Missing doses leads to mutations resulting in drug resistance.
A nurse administering topical antifungal should instruct: YES Wash hands before and after
administration
A nurse administers Pitocin to induce labor. What does oxytocin do? YES Promotes uterine
contractions
A nurse assists a patient to select OTC pain meds. Best option for mild headache?
Acetaminophen 325 mg
A nurse explains pain medication. What is pain threshold? YES Level at which pain begins to
be felt
,A nurse giving a drug that triggers release of acetylcholine explains it works by ________.
YES Altering synthesis, storage, or release of transmitter
A nurse instructs a patient that a drug acts by affecting receptor sites. What are receptor sites?
YES Reactive sites on the surfaces of a cell
A nurse prepares to administer an analgesic. Pain includes physical and psychological factors
___ what? YES Pain sensation is influenced by multiple factors.
A nurse teaches a patient on NSAIDs for arthritis pain. First teaching point? YES Avoid
taking with alcohol.
A nurse teaches a patient starting Chantix for smoking cessation. Adverse effect? YES
Neuropsychiatric symptoms
A nurse uses the MAR to verify med administration based on ________. Transcription of
prescriber orders
A nursing student asks what a boxed warning means. YES It alerts prescribers to measures
to mitigate harm from side effects.
A palliative patient says pain relief isn't working. APRN should: Review the patient's pain
record
A Parkinson patient on carbidopa reports no change after months. What should the provider do?
Reevaluate the diagnosis
A Parkinson patient taking levodopa/carbidopa develops dark urine and sweat. What should the
nurse say? YES This is an expected harmless effect.
A Parkinson patient taking selegiline needs teaching about: YES Avoiding foods high in
tyramine
A patient admitted with euphoric mania. Which medication should be ordered? YES Lithium
A gout patient on allopurinol also takes warfarin. Education? It may take months for
maximal effect.
A gout patient on allopurinol develops a rash. Correct APRN action? Stop immediately due
to risk of Stevens-Johnson syndrome
A gout patient with hyperuricemia develops arthritis. Medication? Colchicine
A hospitalized patient has mild nausea from a med. APRN should recommend: YES Ginger
A Huntington disease patient has twitching, dysphagia, confusion, memory loss. APRN
prescribes baclofen. Mechanism of action? YES Inhibits neurotransmitter GABA
, A hypothyroid patient taking levothyroxine with calcium + multivitamin becomes fatigued.
Cause? Don't take levothyroxine with calcium—it reduces absorption.
A low-income patient is noncompliant with antihypertensives. Initial APRN step? YES Ask why
he is not taking the medication
A new asthma nurse asks how LABAs work. The correct mechanism? Relaxing smooth
muscles in the airways
A patient asks about Valium. Nurse explains diazepam's mechanism: YES Enhances effect
of GABA
A patient asks the nurse to explain how a drug affects the body. The nurse should explain
________. How the drug interacts with the body tissue
A patient asks whether OTC vitamins can be taken with antihypertensives. What should the
APRN provide? YES Information about drug interactions
A patient asks why naproxen doesn't relieve pain instantly. Nurse explains: YES It takes
time to achieve adequate blood levels.
"0/10" pain means: No pain at all
25-year-old male anxious before speech. Medication? YES Beta blocker
40-year-old with chronic insomnia needs help. Mechanism of zolpidem? YES Enhances action
of GABA
A 16-year-old on solifenacin double-dosed accidentally. What symptom should the nurse
monitor? YES Dry mouth
A 21-year-old patient has a seizure with impaired consciousness followed by CNS depression.
Type of seizure? YES Tonic-clonic
A 30-year-old patient with anxiety is prescribed citalopram. What is its mechanism of action?
YES Influences receptor activity on target cells
A 33-year-old with familial hypercholesterolemia begins a bile-acid sequestrant. What side
effect? YES Malabsorption of nutrients
A 4-year-old with asthma takes albuterol + ICS and still has attacks 2-3×/week. What should be
added? YES LABA
A 44-year-old male with depression and sexual dysfunction history needs an antidepressant that
enhances libido. YES Bupropion
