WGU Pharmacology D441 OA NEWEST
VERSION 2026 ACTUAL QUESTION AND
CORRECT DETAILED VERIFIED ANSWERS
FROM VERIFIED SOURCES RATED A GRADE
D441 OA (from OA)
A client receives a prescription for ciprofloxacin 400 mg
intravenously (IV) every 12 hours to be infused over an hour. The
IV bag contains ciprofloxacin 400 mg in dextrose 5% in water
(DW) 200 mL. The nurse should program the infusion pump to
deliver how many mL/hr? (Enter numerical value only.)
200
A client with anemia secondary to chronic kidney disease (CKD)
started a prescription for epoetin alfa two months ago. Which
client finding best indicates that the medication is effective?
,Reference Range:
Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to 11.2 mmol/L)
A. Reports of increased energy levels and decreased fatigue.
B. Takes concurrent iron therapy without adverse effects.
C. Food diary shows increased consumption of iron-rich foods.
D. Hemoglobin level
.
D. Hemoglobin level
The nurse administers naloxone to a client with opioid-induced
respiratory depression. One hour later, nursing assessment
reveals that the client has a respiratory rate of 4 breaths/minute,
oxygen saturation of 75%, and is unable to be aroused. Which
action should the nurse implement?
A. Administer a second dose of naloxone.
B. Determine Glasgow Coma Scale score.
C. Initiate cardiopulmonary resuscitation (CPR)
D. Prepare to assist with chest tube insertion.
A. Administer a second dose of naloxone.
The healthcare provider prescribes propylthiouracil (PTU) and
Lugol's solution, a strong iodine solution, for a client with
hyperthyroidism. How should the nurse schedule the
administration of these medications?
,A. Offer both drugs together with a meal.
B. Schedule both medications at bedtime.
C. Give parental dose once every 24 hours.
D. Administer iodine one hour before PTU.
D. Administer iodine one hour before PTU.
The nurse is assessing a client who was recently diagnosed with
Parkinson's disease and is taking carbidopa-levodopa. The client is
concerned that the medication is not working. Which
intervention should the nurse implement first?
A. Ask if the dient's morning voids are dark colored.
B. Explore what the client means by the drug "is not working."
C. Evaluate the client for signs of dyskinesia.
D. Determine if the client is taking the medication before meals.
B. Explore what the client means by the drug "is not working."
A client who is taking dextroamphetamine-amphetamine
extended-release tablets for attention deficit hyperactivity
disorder (ADHD), reports about having difficulty sleeping at night.
Which assessment is most important for the nurse to obtain?
A. Determine what time the dose is taken.
B. Determine daily caffeine intake.
C. Ask about the client's bedtime routine.
D. Inquire about perceived anxiety.
, . Determine what time the dose is taken.
A client receives a prescription for allopurinol. Which information
provided by the client requires additional instruction by the
nurse?
A. Avoid taking on an empty stomach.
B. Reduce caffeine and acidic intake.
C. Consume 2 liters of water daily.
D. Double the dose if a dose is missed.
D. Double the dose if a dose is missed.
Which nursing intervention has priority when initiating a
continuous epidural infusion with an opioid analgesic?
A. Apply a pulse oximeter to the client per protocol.
B. Administer a stool softener per PRN protocol.
C. Insert an indwelling urinary catheter per protocol.
D. Administer an antiemetic per PRN prescription.
A. Apply a pulse oximeter to the client per protocol
A client is receiving orlistat as part of a weight management
program. Which ongoing assessment should be included in the
plan of care to determine the effectiveness of the medication?
A. Serum protein levels.
B. Body mass index (BMI).
C. Daily calorie count.
VERSION 2026 ACTUAL QUESTION AND
CORRECT DETAILED VERIFIED ANSWERS
FROM VERIFIED SOURCES RATED A GRADE
D441 OA (from OA)
A client receives a prescription for ciprofloxacin 400 mg
intravenously (IV) every 12 hours to be infused over an hour. The
IV bag contains ciprofloxacin 400 mg in dextrose 5% in water
(DW) 200 mL. The nurse should program the infusion pump to
deliver how many mL/hr? (Enter numerical value only.)
200
A client with anemia secondary to chronic kidney disease (CKD)
started a prescription for epoetin alfa two months ago. Which
client finding best indicates that the medication is effective?
,Reference Range:
Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to 11.2 mmol/L)
A. Reports of increased energy levels and decreased fatigue.
B. Takes concurrent iron therapy without adverse effects.
C. Food diary shows increased consumption of iron-rich foods.
D. Hemoglobin level
.
D. Hemoglobin level
The nurse administers naloxone to a client with opioid-induced
respiratory depression. One hour later, nursing assessment
reveals that the client has a respiratory rate of 4 breaths/minute,
oxygen saturation of 75%, and is unable to be aroused. Which
action should the nurse implement?
A. Administer a second dose of naloxone.
B. Determine Glasgow Coma Scale score.
C. Initiate cardiopulmonary resuscitation (CPR)
D. Prepare to assist with chest tube insertion.
A. Administer a second dose of naloxone.
The healthcare provider prescribes propylthiouracil (PTU) and
Lugol's solution, a strong iodine solution, for a client with
hyperthyroidism. How should the nurse schedule the
administration of these medications?
,A. Offer both drugs together with a meal.
B. Schedule both medications at bedtime.
C. Give parental dose once every 24 hours.
D. Administer iodine one hour before PTU.
D. Administer iodine one hour before PTU.
The nurse is assessing a client who was recently diagnosed with
Parkinson's disease and is taking carbidopa-levodopa. The client is
concerned that the medication is not working. Which
intervention should the nurse implement first?
A. Ask if the dient's morning voids are dark colored.
B. Explore what the client means by the drug "is not working."
C. Evaluate the client for signs of dyskinesia.
D. Determine if the client is taking the medication before meals.
B. Explore what the client means by the drug "is not working."
A client who is taking dextroamphetamine-amphetamine
extended-release tablets for attention deficit hyperactivity
disorder (ADHD), reports about having difficulty sleeping at night.
Which assessment is most important for the nurse to obtain?
A. Determine what time the dose is taken.
B. Determine daily caffeine intake.
C. Ask about the client's bedtime routine.
D. Inquire about perceived anxiety.
, . Determine what time the dose is taken.
A client receives a prescription for allopurinol. Which information
provided by the client requires additional instruction by the
nurse?
A. Avoid taking on an empty stomach.
B. Reduce caffeine and acidic intake.
C. Consume 2 liters of water daily.
D. Double the dose if a dose is missed.
D. Double the dose if a dose is missed.
Which nursing intervention has priority when initiating a
continuous epidural infusion with an opioid analgesic?
A. Apply a pulse oximeter to the client per protocol.
B. Administer a stool softener per PRN protocol.
C. Insert an indwelling urinary catheter per protocol.
D. Administer an antiemetic per PRN prescription.
A. Apply a pulse oximeter to the client per protocol
A client is receiving orlistat as part of a weight management
program. Which ongoing assessment should be included in the
plan of care to determine the effectiveness of the medication?
A. Serum protein levels.
B. Body mass index (BMI).
C. Daily calorie count.
