• ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
WGU D116 ADVANCED PHARMACOLOGY FINAL
EXAM OBJECTIVE ASSEMENT & PRE-ASSESMENT
700 QUESTIONS AND ANSWERS LATEST UPDATE
THIS YEAR - JUST RELEASED
Which adverse effect should the practical nurse monitor for in a client who is taking amikacin (Amikin)?
A) Irritability.
B) Constipation.
C) Hearing loss.
D) Insomnia. - Correct Answer :C) Hearing loss.
P 1
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
Feedback:
Adverse effects associated with aminoglycoside antibiotics, such as amikacin, are nephrotoxicity and ototoxicity,
so the client should be monitored for hearing loss (C). (A, B, and D) are not associated with amikacin.
Which client statement indicates to the practical nurse (PN) that a client understands discharge instructions
about a new prescription for digoxin (Lanoxin)?
A) I should double the dose if one is missed.
B) I will take my pulse for one minute every day.
C) I should take an antacid to minimize stomach upset.
D) I will alternate my dose between morning and afternoon. - Correct Answer :B) I will take my pulse for one
minute every day.
Feedback:
The client is conveying understanding of the use of Lanoxin by the statement that daily pulse rates should be
taken for a full one minute (B), which provides information about possible drug toxicity. (A, C, and D) are
inaccurate.
The practical nurse (PN) observes a thick white coating on the tongue of a client who takes fluphenazine
(Prolixin). What instructions should the PN reinforce with the client about this medication?
A) No treatment is needed as the coating should subside in a couple of weeks.
B) Attempt to stop smoking if the white coating on your tongue persists.
C) If you are taking any inhalants, wash the mouthpiece after each use.
D) Brush your teeth and tongue, floss, gargle, and notify the healthcare provider. - Correct Answer :D) Brush
your teeth and tongue, floss, gargle, and notify the healthcare provider.
Feedback:
Fluphenazine (Prolixin), an antipsychotic with anticholinergic effects, causes dry mouth, which contributes to a
thick white coating on the tongue that alters the normal flora in the mouth. Regular brushing of the tongue and
teeth is a good preventive measure, and the healthcare provider should be notified (D) because treatment may
be indicated if an oral infection develops. (A) is inaccurate. (B and C) do not convey the importance of calling the
healthcare provider.
P 2
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
An adult male arrives in the clinic requesting a prescription for sildenafil (Viagra). Which client history should the
practical nurse (PN) report to the healthcare provider?
A) Hypogonadism.
B) Fluid retention.
C) The use of nitrates.
D) Benign prostatic hypertrophy. - Correct Answer :C) The use of nitrates.
Feedback:
Sildenafil can lower blood pressure by causing vasodilation. A client who takes a nitrate (C), a vasodilator, for a
pre-existing cardiovascular disease can experience significant hypotension if Viagra is taken concomittently with
nitrates, such as nitroglycerin, which should be reported to the healthcare provider. (A, B, and D) are not
contraindications for the use of Viagra.
The practical nurse (PN) should reinforce what time frame with a client about self-administration of lispro insulin
(Humalog)?
A) Take after a meal is completed.
B) Take once daily at the midday meal.
C) Take within 15 minutes of beginning a meal.
D) Take only before bedtime with an evening snack. - Correct Answer :C) Take within 15 minutes of beginning a
meal.
Feedback:
Lispro, a very rapid acting insulin, has on onset of 5 to15 minutes after administration with a duration of 4 to 6
hours, so the client should self-administer this insulin within 15 minutes before a meal (C). (A, B, and D) are
inaccurate.
. A client who has been taking phenazopyridine (Pyridium) for symptoms of urethritis and cystitis comes to the
clinic because her urine is reddish-orange. Which question should the practical nurse ask to determine if the
medication has been effective?
A) How much water have you been drinking each day?
B) Does the urine color stain your toilet bowl or undergarments?
C) Have you had any relief from urinary pain, burning, or urgency?
P 3
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
D) Did your urine appear cloudy or have a foul odor on voiding? - Correct Answer :C) Have you had any relief
from urinary pain, burning, or urgency?
Feedback:
Phenazopyridine, an over-the-counter urinary analgesic, acts on the mucosa of the urinary tract to relieve urinary
pain, burning, itching, or urgency (C) associated with urethritis and cystitis. Although determining if the client is
forcing fluids (A), experiencing staining from Pyridium's side effect (B), or having signs of a urinary infection (D)
are worthwhile assessments, the therapeutic response of Pyridium is related to urinary discomforts only.
A male client who has been receiving an antineoplastic drug has developed thrombocytopenia. What
instructions should the practical nurse (PN) reinforce?
A) Use suppository form of drugs.
B) Avoid large public gatherings.
C) Rise slowly when standing up.
D) Shave with an electric razor. - Correct Answer :D) Shave with an electric razor.
Feedback:
Thrombocytopenia is a common side effect of bone marrow depression caused by several antineoplastic agents.
The client is experiencing a low platelet count and should use an electric razor (D) to reduce his risk of bleeding.
(A, B, and C) are not indicated for a client who needs to implement thrombocytopenia precautions.
The practical nurse (PN) is caring for a client who has been taking prednisone (Deltasone) daily for a year. Which
adverse effect should the PN document in the client's record?
A) Photosensitvity.
B) Weight gain.
C) Loss of hair.
D) Pale skin color. - Correct Answer :B) Weight gain.
Feedback:
Long term use of prednisone causes fluid retention and redistribution of fat deposition. Weight gain (B) and
moon face reflect adverse effects of long-term prednisone use and should be documented. (A, C, and D) do not
occur with treatment using prednisone.
P 4
PHARMACOLOGY 09/18/2026
EXAM
WGU D116 ADVANCED PHARMACOLOGY FINAL
EXAM OBJECTIVE ASSEMENT & PRE-ASSESMENT
700 QUESTIONS AND ANSWERS LATEST UPDATE
THIS YEAR - JUST RELEASED
Which adverse effect should the practical nurse monitor for in a client who is taking amikacin (Amikin)?
A) Irritability.
B) Constipation.
C) Hearing loss.
D) Insomnia. - Correct Answer :C) Hearing loss.
P 1
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
Feedback:
Adverse effects associated with aminoglycoside antibiotics, such as amikacin, are nephrotoxicity and ototoxicity,
so the client should be monitored for hearing loss (C). (A, B, and D) are not associated with amikacin.
Which client statement indicates to the practical nurse (PN) that a client understands discharge instructions
about a new prescription for digoxin (Lanoxin)?
A) I should double the dose if one is missed.
B) I will take my pulse for one minute every day.
C) I should take an antacid to minimize stomach upset.
D) I will alternate my dose between morning and afternoon. - Correct Answer :B) I will take my pulse for one
minute every day.
Feedback:
The client is conveying understanding of the use of Lanoxin by the statement that daily pulse rates should be
taken for a full one minute (B), which provides information about possible drug toxicity. (A, C, and D) are
inaccurate.
The practical nurse (PN) observes a thick white coating on the tongue of a client who takes fluphenazine
(Prolixin). What instructions should the PN reinforce with the client about this medication?
A) No treatment is needed as the coating should subside in a couple of weeks.
B) Attempt to stop smoking if the white coating on your tongue persists.
C) If you are taking any inhalants, wash the mouthpiece after each use.
D) Brush your teeth and tongue, floss, gargle, and notify the healthcare provider. - Correct Answer :D) Brush
your teeth and tongue, floss, gargle, and notify the healthcare provider.
Feedback:
Fluphenazine (Prolixin), an antipsychotic with anticholinergic effects, causes dry mouth, which contributes to a
thick white coating on the tongue that alters the normal flora in the mouth. Regular brushing of the tongue and
teeth is a good preventive measure, and the healthcare provider should be notified (D) because treatment may
be indicated if an oral infection develops. (A) is inaccurate. (B and C) do not convey the importance of calling the
healthcare provider.
P 2
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
An adult male arrives in the clinic requesting a prescription for sildenafil (Viagra). Which client history should the
practical nurse (PN) report to the healthcare provider?
A) Hypogonadism.
B) Fluid retention.
C) The use of nitrates.
D) Benign prostatic hypertrophy. - Correct Answer :C) The use of nitrates.
Feedback:
Sildenafil can lower blood pressure by causing vasodilation. A client who takes a nitrate (C), a vasodilator, for a
pre-existing cardiovascular disease can experience significant hypotension if Viagra is taken concomittently with
nitrates, such as nitroglycerin, which should be reported to the healthcare provider. (A, B, and D) are not
contraindications for the use of Viagra.
The practical nurse (PN) should reinforce what time frame with a client about self-administration of lispro insulin
(Humalog)?
A) Take after a meal is completed.
B) Take once daily at the midday meal.
C) Take within 15 minutes of beginning a meal.
D) Take only before bedtime with an evening snack. - Correct Answer :C) Take within 15 minutes of beginning a
meal.
Feedback:
Lispro, a very rapid acting insulin, has on onset of 5 to15 minutes after administration with a duration of 4 to 6
hours, so the client should self-administer this insulin within 15 minutes before a meal (C). (A, B, and D) are
inaccurate.
. A client who has been taking phenazopyridine (Pyridium) for symptoms of urethritis and cystitis comes to the
clinic because her urine is reddish-orange. Which question should the practical nurse ask to determine if the
medication has been effective?
A) How much water have you been drinking each day?
B) Does the urine color stain your toilet bowl or undergarments?
C) Have you had any relief from urinary pain, burning, or urgency?
P 3
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
D) Did your urine appear cloudy or have a foul odor on voiding? - Correct Answer :C) Have you had any relief
from urinary pain, burning, or urgency?
Feedback:
Phenazopyridine, an over-the-counter urinary analgesic, acts on the mucosa of the urinary tract to relieve urinary
pain, burning, itching, or urgency (C) associated with urethritis and cystitis. Although determining if the client is
forcing fluids (A), experiencing staining from Pyridium's side effect (B), or having signs of a urinary infection (D)
are worthwhile assessments, the therapeutic response of Pyridium is related to urinary discomforts only.
A male client who has been receiving an antineoplastic drug has developed thrombocytopenia. What
instructions should the practical nurse (PN) reinforce?
A) Use suppository form of drugs.
B) Avoid large public gatherings.
C) Rise slowly when standing up.
D) Shave with an electric razor. - Correct Answer :D) Shave with an electric razor.
Feedback:
Thrombocytopenia is a common side effect of bone marrow depression caused by several antineoplastic agents.
The client is experiencing a low platelet count and should use an electric razor (D) to reduce his risk of bleeding.
(A, B, and C) are not indicated for a client who needs to implement thrombocytopenia precautions.
The practical nurse (PN) is caring for a client who has been taking prednisone (Deltasone) daily for a year. Which
adverse effect should the PN document in the client's record?
A) Photosensitvity.
B) Weight gain.
C) Loss of hair.
D) Pale skin color. - Correct Answer :B) Weight gain.
Feedback:
Long term use of prednisone causes fluid retention and redistribution of fat deposition. Weight gain (B) and
moon face reflect adverse effects of long-term prednisone use and should be documented. (A, C, and D) do not
occur with treatment using prednisone.
P 4
