• ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
WGU D116 ADVANCED PHARMACOLOGY FINAL
EXAM 2 OBJECTIVE ASSEMENT & PRE-ASSESMENT
700 QUESTIONS AND ANSWERS LATEST UPDATE
THIS YEAR - JUST RELEASED
215.) A client with rheumatoid arthritis is taking acetylsalicylic acid (aspirin) on a daily basis. Which medication
dose should the nurse expect the client to be taking?
1. 1 g daily
2. 4 g daily
P 1
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
3. 325 mg daily
4. 1000 mg daily –
Correct Answer :2. 4 g daily
Rationale:
Aspirin may be used to treat the client with rheumatoid arthritis. It may also be used to reduce the risk of
recurrent transient ischemic attack (TIA) or brain attack (stroke) or reduce the risk of myocardial infarction (MI)
in clients with unstable angina or a history of a previous MI. The normal dose for clients being treated with aspirin
to decrease thrombosis and MI is 300 to 325 mg/day. Clients being treated to prevent TIAs are usually prescribed
1.3 g/day in two to four divided doses. Clients with rheumatoid arthritis are treated with 3.6 to 5.4 g/day in
divided doses.
**Eliminate options 1 and 4 because they are alike**
216.) A nurse is caring for a client with gout who is taking Colcrys (colchicine). The client has been instructed to
restrict the diet to low-purine foods. Which of the following foods should the nurse instruct the client to avoid
while taking this medication?
1. Spinach
2. Scallops
3. Potatoes
4. Ice cream –
Correct Answer :2. Scallops
Rationale:
Colchicine is a medication used for clients with gout to inhibit the reabsorption of uric acid by the kidney and
promote excretion of uric acid in the urine. Uric acid is produced when purine is catabolized. Clients are
instructed to modify their diet and limit excessive purine intake. High-purine foods to avoid or limit include organ
meats, roe, sardines, scallops, anchovies, broth, mincemeat, herring, shrimp, mackerel, gravy, and yeast.
P 2
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
217.) A health care provider prescribes auranofin (Ridaura) for a client with rheumatoid arthritis. Which of the
following would indicate to the nurse that the client is experiencing toxicity related to the medication?
1. Joint pain
2. Constipation
3. Ringing in the ears
4. Complaints of a metallic taste in the mouth –
Correct Answer :4. Complaints of a metallic taste in the mouth
Rationale:
Ridaura is the one gold preparation that is given orally rather than by injection. Gastrointestinal reactions
including diarrhea, abdominal pain, nausea, and loss of appetite are common early in therapy, but these usually
subside in the first 3 months of therapy. Early symptoms of toxicity include a rash, purple blotches, pruritus,
mouth lesions, and a metallic taste in the mouth.
218.) A film-coated form of diflunisal has been prescribed for a client for the treatment of chronic rheumatoid
arthritis. The client calls the clinic nurse because of difficulty swallowing the tablets. Which initial instruction
should the nurse provide to the client?
1. "Crush the tablets and mix them with food."
2. "Notify the health care provider for a medication change."
3. "Open the tablet and mix the contents with food."
4. "Swallow the tablets with large amounts of water or milk." –
Correct Answer :4. "Swallow the tablets with large amounts of water or milk."
Rationale:
Diflunisal may be given with water, milk, or meals. The tablets should not be crushed or broken open. Taking the
medication with a large amount of water or milk should be tried before contacting the health care provider.
P 3
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
219.) A health care provider instructs a client with rheumatoid arthritis to take ibuprofen (Motrin). The nurse
reinforces the instructions, knowing that the normal adult dose for this client is which of the following?
1. 100 mg orally twice a day
2. 200 mg orally twice a day
3. 400 mg orally three times a day
4. 1000 mg orally four times a day –
Correct Answer :3. 400 mg orally three times a day
Rationale:
For acute or chronic rheumatoid arthritis or osteoarthritis, the normal oral adult dose is 400 to 800 mg three or
four times daily.
220.) A adult client with muscle spasms is taking an oral maintenance dose of baclofen (Lioresal). The nurse
reviews the medication record, expecting that which dose should be prescribed?
1. 15 mg four times a day
2. 25 mg four times a day
3. 30 mg four times a day
4. 40 mg four times a day –
Correct Answer :1. 15 mg four times a day
Rationale:
Baclofen is dispensed in 10- and 20-mg tablets for oral use. Dosages are low initially and then gradually increased.
Maintenance doses range from 15 to 20 mg administered three or four times a day.
221.) A nurse is reviewing the health care provider's prescriptions for an adult client who has been admitted to
the hospital following a back injury. Carisoprodol (Soma) is prescribed for the client to relieve the muscle spasms;
the health care provider has prescribed 350 mg to be administered four times a day. When preparing to give this
medication, the nurse determines that this dosage is:
1. The normal adult dosage
P 4
PHARMACOLOGY 09/18/2026
EXAM
WGU D116 ADVANCED PHARMACOLOGY FINAL
EXAM 2 OBJECTIVE ASSEMENT & PRE-ASSESMENT
700 QUESTIONS AND ANSWERS LATEST UPDATE
THIS YEAR - JUST RELEASED
215.) A client with rheumatoid arthritis is taking acetylsalicylic acid (aspirin) on a daily basis. Which medication
dose should the nurse expect the client to be taking?
1. 1 g daily
2. 4 g daily
P 1
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
3. 325 mg daily
4. 1000 mg daily –
Correct Answer :2. 4 g daily
Rationale:
Aspirin may be used to treat the client with rheumatoid arthritis. It may also be used to reduce the risk of
recurrent transient ischemic attack (TIA) or brain attack (stroke) or reduce the risk of myocardial infarction (MI)
in clients with unstable angina or a history of a previous MI. The normal dose for clients being treated with aspirin
to decrease thrombosis and MI is 300 to 325 mg/day. Clients being treated to prevent TIAs are usually prescribed
1.3 g/day in two to four divided doses. Clients with rheumatoid arthritis are treated with 3.6 to 5.4 g/day in
divided doses.
**Eliminate options 1 and 4 because they are alike**
216.) A nurse is caring for a client with gout who is taking Colcrys (colchicine). The client has been instructed to
restrict the diet to low-purine foods. Which of the following foods should the nurse instruct the client to avoid
while taking this medication?
1. Spinach
2. Scallops
3. Potatoes
4. Ice cream –
Correct Answer :2. Scallops
Rationale:
Colchicine is a medication used for clients with gout to inhibit the reabsorption of uric acid by the kidney and
promote excretion of uric acid in the urine. Uric acid is produced when purine is catabolized. Clients are
instructed to modify their diet and limit excessive purine intake. High-purine foods to avoid or limit include organ
meats, roe, sardines, scallops, anchovies, broth, mincemeat, herring, shrimp, mackerel, gravy, and yeast.
P 2
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
217.) A health care provider prescribes auranofin (Ridaura) for a client with rheumatoid arthritis. Which of the
following would indicate to the nurse that the client is experiencing toxicity related to the medication?
1. Joint pain
2. Constipation
3. Ringing in the ears
4. Complaints of a metallic taste in the mouth –
Correct Answer :4. Complaints of a metallic taste in the mouth
Rationale:
Ridaura is the one gold preparation that is given orally rather than by injection. Gastrointestinal reactions
including diarrhea, abdominal pain, nausea, and loss of appetite are common early in therapy, but these usually
subside in the first 3 months of therapy. Early symptoms of toxicity include a rash, purple blotches, pruritus,
mouth lesions, and a metallic taste in the mouth.
218.) A film-coated form of diflunisal has been prescribed for a client for the treatment of chronic rheumatoid
arthritis. The client calls the clinic nurse because of difficulty swallowing the tablets. Which initial instruction
should the nurse provide to the client?
1. "Crush the tablets and mix them with food."
2. "Notify the health care provider for a medication change."
3. "Open the tablet and mix the contents with food."
4. "Swallow the tablets with large amounts of water or milk." –
Correct Answer :4. "Swallow the tablets with large amounts of water or milk."
Rationale:
Diflunisal may be given with water, milk, or meals. The tablets should not be crushed or broken open. Taking the
medication with a large amount of water or milk should be tried before contacting the health care provider.
P 3
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
219.) A health care provider instructs a client with rheumatoid arthritis to take ibuprofen (Motrin). The nurse
reinforces the instructions, knowing that the normal adult dose for this client is which of the following?
1. 100 mg orally twice a day
2. 200 mg orally twice a day
3. 400 mg orally three times a day
4. 1000 mg orally four times a day –
Correct Answer :3. 400 mg orally three times a day
Rationale:
For acute or chronic rheumatoid arthritis or osteoarthritis, the normal oral adult dose is 400 to 800 mg three or
four times daily.
220.) A adult client with muscle spasms is taking an oral maintenance dose of baclofen (Lioresal). The nurse
reviews the medication record, expecting that which dose should be prescribed?
1. 15 mg four times a day
2. 25 mg four times a day
3. 30 mg four times a day
4. 40 mg four times a day –
Correct Answer :1. 15 mg four times a day
Rationale:
Baclofen is dispensed in 10- and 20-mg tablets for oral use. Dosages are low initially and then gradually increased.
Maintenance doses range from 15 to 20 mg administered three or four times a day.
221.) A nurse is reviewing the health care provider's prescriptions for an adult client who has been admitted to
the hospital following a back injury. Carisoprodol (Soma) is prescribed for the client to relieve the muscle spasms;
the health care provider has prescribed 350 mg to be administered four times a day. When preparing to give this
medication, the nurse determines that this dosage is:
1. The normal adult dosage
P 4
