WGU D116 PHARMACOLOGY EXAM WITH
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+
A patient admitted with euphoric mania. Which medication
should be ordered? - ANSWERS-YES Lithium
Explanation - ANSWERS-Lithium is preferred for euphoric
mania.
A patient with pulmonary edema and frothy pink sputum.
Which drug to administer? - ANSWERS-YES Furosemide
Explanation - ANSWERS-Rapid diuresis needed to treat
pulmonary edema.
A patient with nephrosclerosis, BP 130/90 after ACE
inhibitor + thiazide. What should the nurse discuss? -
ANSWERS-YES Adding a calcium channel blocker
,A female with hypertension takes hydralazine; HR 96, BP
110/72. What order is appropriate? - ANSWERS-YES
Administer a beta-blocker
Explanation - ANSWERS-Reflex tachycardia requires beta-
blocker.
A patient takes a CCB for stable angina. How do CCBs relieve
pain? - ANSWERS-YES Relax peripheral arterioles to reduce
afterload
A patient with stage C HF is worsening and spironolactone is
added. What should the nurse instruct? - ANSWERS-YES
Avoid potassium supplements
Explanation - ANSWERS-Spironolactone is potassium-
sparing.
A prescriber orders propranolol for recurrent VT. Which
history finding is concerning? - ANSWERS-YES Asthma
,Explanation - ANSWERS-Propranolol causes
bronchoconstriction.
A patient with chronic COPD on LABA/ICS still has frequent
exacerbations. What should be discussed? - ANSWERS-YES
Adding roflumilast once daily
A patient with frequent asthma exacerbations asks about
LABAs. What should the provider say? - ANSWERS-YES
"LABAs should be combined with an inhaled
glucocorticoid."
A patient with a cough asks about guaifenesin. How does it
work? - ANSWERS-YES "It stimulates the flow of secretions
to increase cough productivity."
A nursing student asks what a boxed warning means. -
ANSWERS-YES It alerts prescribers to measures to mitigate
harm from side effects.
What is polypharmacy? - ANSWERS-YES A person takes
multiple medications.
, What is the prescribing cascade? - ANSWERS-YES When drug
side effects are misdiagnosed as new symptoms, leading to
more prescriptions.
Mrs. T has diabetes, CVD, and prior MI; pharmacy calls
about polypharmacy. What is an example? - ANSWERS-YES
Taking multiple medications from multiple providers and
likely needs discontinuation of some.
The Joint Commission identifies which breakdown as a
contributor to ineffective transitions of care? - ANSWERS-
YES Lack of accountability
Why collect medication histories during medication
reconciliation? - ANSWERS-YES To ensure accuracy of
medications during care transitions.
Main intended benefit of medication reconciliation? -
ANSWERS-YES Reduce negative outcomes from medication
errors and discrepancies.
A 50-year-old unconscious patient arrives; coworker only
knows her pharmacy. Next reconciliation step? - ANSWERS-
YES Call the pharmacy to obtain a medication list.
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+
A patient admitted with euphoric mania. Which medication
should be ordered? - ANSWERS-YES Lithium
Explanation - ANSWERS-Lithium is preferred for euphoric
mania.
A patient with pulmonary edema and frothy pink sputum.
Which drug to administer? - ANSWERS-YES Furosemide
Explanation - ANSWERS-Rapid diuresis needed to treat
pulmonary edema.
A patient with nephrosclerosis, BP 130/90 after ACE
inhibitor + thiazide. What should the nurse discuss? -
ANSWERS-YES Adding a calcium channel blocker
,A female with hypertension takes hydralazine; HR 96, BP
110/72. What order is appropriate? - ANSWERS-YES
Administer a beta-blocker
Explanation - ANSWERS-Reflex tachycardia requires beta-
blocker.
A patient takes a CCB for stable angina. How do CCBs relieve
pain? - ANSWERS-YES Relax peripheral arterioles to reduce
afterload
A patient with stage C HF is worsening and spironolactone is
added. What should the nurse instruct? - ANSWERS-YES
Avoid potassium supplements
Explanation - ANSWERS-Spironolactone is potassium-
sparing.
A prescriber orders propranolol for recurrent VT. Which
history finding is concerning? - ANSWERS-YES Asthma
,Explanation - ANSWERS-Propranolol causes
bronchoconstriction.
A patient with chronic COPD on LABA/ICS still has frequent
exacerbations. What should be discussed? - ANSWERS-YES
Adding roflumilast once daily
A patient with frequent asthma exacerbations asks about
LABAs. What should the provider say? - ANSWERS-YES
"LABAs should be combined with an inhaled
glucocorticoid."
A patient with a cough asks about guaifenesin. How does it
work? - ANSWERS-YES "It stimulates the flow of secretions
to increase cough productivity."
A nursing student asks what a boxed warning means. -
ANSWERS-YES It alerts prescribers to measures to mitigate
harm from side effects.
What is polypharmacy? - ANSWERS-YES A person takes
multiple medications.
, What is the prescribing cascade? - ANSWERS-YES When drug
side effects are misdiagnosed as new symptoms, leading to
more prescriptions.
Mrs. T has diabetes, CVD, and prior MI; pharmacy calls
about polypharmacy. What is an example? - ANSWERS-YES
Taking multiple medications from multiple providers and
likely needs discontinuation of some.
The Joint Commission identifies which breakdown as a
contributor to ineffective transitions of care? - ANSWERS-
YES Lack of accountability
Why collect medication histories during medication
reconciliation? - ANSWERS-YES To ensure accuracy of
medications during care transitions.
Main intended benefit of medication reconciliation? -
ANSWERS-YES Reduce negative outcomes from medication
errors and discrepancies.
A 50-year-old unconscious patient arrives; coworker only
knows her pharmacy. Next reconciliation step? - ANSWERS-
YES Call the pharmacy to obtain a medication list.
