WGU D116 UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS COMPLETE
STUDY GUIDE
●● A 70-year-old male calls a clinic complaining of chest pain that
started after sexual activity. He took sildenafil 50 mg about eight hours
ago. He has nitroglycerin 0.3 mg on hand. How should the APRN
respond?
Answer: Do not take the nitroglycerin and call 911
●● Taking the medications together can cause what?
Answer: A serious drop in blood pressure leading to cardiovascular
collapse.
●● A patient with bipolar disorder is discussing beginning lithium. The
APRN wants baseline labs. The patient asks why. Which explanation
should be provided?
Answer: A baseline BUN and creatinine is needed to assess kidney
function because lithium can decrease renal function.
●● A new nurse is reviewing sildenafil use. Which patient may take
sildenafil safely?
Answer: YES A 54-year-old male with controlled hypertension, mild
eczema, and past urolithiasis without complications
,●● A 30-year-old patient with anxiety is prescribed citalopram. What is
its mechanism of action?
Answer: YES Influences receptor activity on target cells
●● Correct explanation of citalopram's mechanism
Answer: This medication influences the activity in the receptors, and it
targets cells.
●● A Huntington disease patient has twitching, dysphagia, confusion,
memory loss. APRN prescribes baclofen. Mechanism of action?
Answer: YES Inhibits neurotransmitter GABA
●● NO Modulates the effects of glutamate at NMDA receptors
Answer: Incorrect.
●● NO Halts breakdown of acetylcholine by acetylcholinesterase
Answer: Incorrect. Cholinesterase inhibitors prevent ACh breakdown
and are used for Alzheimer's.
●● Alters synthesis and release of norepinephrine, serotonin, and
dopamine
Answer: Incorrect.
,●● Correct explanation
Answer: Baclofen enhances GABA; Huntington involves deficiency of
acetylcholine and GABA.
●● A 21-year-old patient has a seizure with impaired consciousness
followed by CNS depression. Type of seizure?
Answer: YES Tonic-clonic
●● Atonic
Answer: NO
●● Myoclonic
Answer: NO — consists of sudden 1-second contractions
●● Absence
Answer: NO
●● Correct explanation
Answer: A tonic-clonic seizure involves convulsions, stiffening, loss of
consciousness, jerking.
, ●● A patient taking oxycodone every 6 hrs for 3 years suddenly stops.
What is the clinical concern?
Answer: YES Physical dependence
●● Correct explanation
Answer: Stopping abruptly causes withdrawal and can cause symptoms
from nausea to seizures.
●● A 44-year-old male with depression and sexual dysfunction history
needs an antidepressant that enhances libido.
Answer: YES Bupropion
●● Explanation
Answer: Bupropion does not cause sexual dysfunction and may improve
libido.
●● A wheezing patient receives a nonspecific beta-agonist. Besides
respiratory relief, what side effect should the nurse monitor?
Answer: YES Tachycardia
●● Explanation
Answer: Beta1 stimulation causes tachycardia and hypertension.
AND CORRECT ANSWERS COMPLETE
STUDY GUIDE
●● A 70-year-old male calls a clinic complaining of chest pain that
started after sexual activity. He took sildenafil 50 mg about eight hours
ago. He has nitroglycerin 0.3 mg on hand. How should the APRN
respond?
Answer: Do not take the nitroglycerin and call 911
●● Taking the medications together can cause what?
Answer: A serious drop in blood pressure leading to cardiovascular
collapse.
●● A patient with bipolar disorder is discussing beginning lithium. The
APRN wants baseline labs. The patient asks why. Which explanation
should be provided?
Answer: A baseline BUN and creatinine is needed to assess kidney
function because lithium can decrease renal function.
●● A new nurse is reviewing sildenafil use. Which patient may take
sildenafil safely?
Answer: YES A 54-year-old male with controlled hypertension, mild
eczema, and past urolithiasis without complications
,●● A 30-year-old patient with anxiety is prescribed citalopram. What is
its mechanism of action?
Answer: YES Influences receptor activity on target cells
●● Correct explanation of citalopram's mechanism
Answer: This medication influences the activity in the receptors, and it
targets cells.
●● A Huntington disease patient has twitching, dysphagia, confusion,
memory loss. APRN prescribes baclofen. Mechanism of action?
Answer: YES Inhibits neurotransmitter GABA
●● NO Modulates the effects of glutamate at NMDA receptors
Answer: Incorrect.
●● NO Halts breakdown of acetylcholine by acetylcholinesterase
Answer: Incorrect. Cholinesterase inhibitors prevent ACh breakdown
and are used for Alzheimer's.
●● Alters synthesis and release of norepinephrine, serotonin, and
dopamine
Answer: Incorrect.
,●● Correct explanation
Answer: Baclofen enhances GABA; Huntington involves deficiency of
acetylcholine and GABA.
●● A 21-year-old patient has a seizure with impaired consciousness
followed by CNS depression. Type of seizure?
Answer: YES Tonic-clonic
●● Atonic
Answer: NO
●● Myoclonic
Answer: NO — consists of sudden 1-second contractions
●● Absence
Answer: NO
●● Correct explanation
Answer: A tonic-clonic seizure involves convulsions, stiffening, loss of
consciousness, jerking.
, ●● A patient taking oxycodone every 6 hrs for 3 years suddenly stops.
What is the clinical concern?
Answer: YES Physical dependence
●● Correct explanation
Answer: Stopping abruptly causes withdrawal and can cause symptoms
from nausea to seizures.
●● A 44-year-old male with depression and sexual dysfunction history
needs an antidepressant that enhances libido.
Answer: YES Bupropion
●● Explanation
Answer: Bupropion does not cause sexual dysfunction and may improve
libido.
●● A wheezing patient receives a nonspecific beta-agonist. Besides
respiratory relief, what side effect should the nurse monitor?
Answer: YES Tachycardia
●● Explanation
Answer: Beta1 stimulation causes tachycardia and hypertension.
