D116 pre-assessment Question and
answers 100% correct 2026
Propranolol can decrease
1. How will these drug interactions affect this
patient?
An elderly patient with a history of asthma and hyper- albuterol's
therapeutic ef-
tension presents to the emergency fect.
department com-plaining of chest pain and
shortness of breath. The advanced practice
registered nurse (APRN) reviews the patient's
current medications and notes that the pa-
tient is taking propranolol and inhaled
albuterol. Lipid-soluble
2. A 35-year-old mother who is currently
breastfeeding her four-month-old baby comes
to a clinic for an eval-uation of a sinus
infection. The advanced practice reg-istered
nurse needs to prescribe medication that does
not pass across the membrane into the
breast milk.
3. A 42-year-old patient suffering from pain due to cancer The drug
depresses peri-comes to a clinic and visits with the advanced
practice stalsis, prolonging drug registered nurse (APRN). The
APRN previously had pre- transit time.
scribed morphine to treat the pain. The patient
is con-cerned because her bowel movements
have become irregular and asks the APRN
why she is experiencing constipation.
How should the APRN respond?
4. An advanced practice registered nurse is expected
prescribing dobutamine for a patient in when this
cardiogenic shock. Which outcome is drug is
, used? Increases heart rate
5. An advanced practice registered nurse (APRN)
volun-teers one day per month at a local free
clinic in the community and is seeing a 43-
Enroll the patient in the
year-old Caucasian pa-tient with hypertension.
local Mission prescription
The patient's blood pressure is 196/100, and the
assistance program
patient states being prescribed three
, D116 pre-assessment
blood pressure medications: metoprolol 100
mg bid, losartan 50 mg daily, and clonidine 0.1
mg tid.
The patient states that there is no way to check
blood pressure, and upon reviewing all the
patient's medica-tions, the APRN notes that
the losartan has not been filled for three
months and only 10 pills remain. The patient
admits taking half the prescribed dose so the
pills last longer.
Which action should be taken by the APRN? Timolol
6. A 78-year-old woman is diagnosed with
chronic open-angle glaucoma. She has a
past history of first-degree atrioventricular
block and bradycardia.
Which medication should be avoided by this
patient?
7. An advanced practice registered nurse (APRN) is evalu- Change the
cimetidine
ating a patient at a six-month follow-up to ranitidine because the
appointment. The patient is taking cimetidine 1 original drug may
g at bedtime, meto- de-
prolol 100 mg daily, aspirin 81 mg daily, and metformin crease the
ettectiveness of
1 g daily. The patient's vitals are BP 160/90, pulse the metoprolol
110, respirations 12, and temperature 97.8°F.
The patient is concerned that her blood
pressure and pulse are still elevated. The patient
tells the APRN she does not want to take
another pill because she feels she is taking
too many.
Which action should the APRN take next?
answers 100% correct 2026
Propranolol can decrease
1. How will these drug interactions affect this
patient?
An elderly patient with a history of asthma and hyper- albuterol's
therapeutic ef-
tension presents to the emergency fect.
department com-plaining of chest pain and
shortness of breath. The advanced practice
registered nurse (APRN) reviews the patient's
current medications and notes that the pa-
tient is taking propranolol and inhaled
albuterol. Lipid-soluble
2. A 35-year-old mother who is currently
breastfeeding her four-month-old baby comes
to a clinic for an eval-uation of a sinus
infection. The advanced practice reg-istered
nurse needs to prescribe medication that does
not pass across the membrane into the
breast milk.
3. A 42-year-old patient suffering from pain due to cancer The drug
depresses peri-comes to a clinic and visits with the advanced
practice stalsis, prolonging drug registered nurse (APRN). The
APRN previously had pre- transit time.
scribed morphine to treat the pain. The patient
is con-cerned because her bowel movements
have become irregular and asks the APRN
why she is experiencing constipation.
How should the APRN respond?
4. An advanced practice registered nurse is expected
prescribing dobutamine for a patient in when this
cardiogenic shock. Which outcome is drug is
, used? Increases heart rate
5. An advanced practice registered nurse (APRN)
volun-teers one day per month at a local free
clinic in the community and is seeing a 43-
Enroll the patient in the
year-old Caucasian pa-tient with hypertension.
local Mission prescription
The patient's blood pressure is 196/100, and the
assistance program
patient states being prescribed three
, D116 pre-assessment
blood pressure medications: metoprolol 100
mg bid, losartan 50 mg daily, and clonidine 0.1
mg tid.
The patient states that there is no way to check
blood pressure, and upon reviewing all the
patient's medica-tions, the APRN notes that
the losartan has not been filled for three
months and only 10 pills remain. The patient
admits taking half the prescribed dose so the
pills last longer.
Which action should be taken by the APRN? Timolol
6. A 78-year-old woman is diagnosed with
chronic open-angle glaucoma. She has a
past history of first-degree atrioventricular
block and bradycardia.
Which medication should be avoided by this
patient?
7. An advanced practice registered nurse (APRN) is evalu- Change the
cimetidine
ating a patient at a six-month follow-up to ranitidine because the
appointment. The patient is taking cimetidine 1 original drug may
g at bedtime, meto- de-
prolol 100 mg daily, aspirin 81 mg daily, and metformin crease the
ettectiveness of
1 g daily. The patient's vitals are BP 160/90, pulse the metoprolol
110, respirations 12, and temperature 97.8°F.
The patient is concerned that her blood
pressure and pulse are still elevated. The patient
tells the APRN she does not want to take
another pill because she feels she is taking
too many.
Which action should the APRN take next?
