1
WGU D116 ADVANCED PHARMACOLOGY OA
AND PRE ASSESSMENT EXAM ACTUAL EXAM
COMPLETE QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND RATIONALES
||COMPLETE A+ GUIDE
1. Which factors could be attributed to limited
prescriptive authority for APRNs?Select all that apply.:
Inaccessibility of patient care
Feedback: Limiting prescriptive authority for APRNs can create
barriers to quality, affordable, and accessible patient care. It
may also lead to poor
collaboration among providers and higher health care costs. It
would not directly impact patient's health literacy.
Higher health care costs
Feedback: Limiting prescriptive authority for APRNs can create
barriers to quality, affordable, and accessible patient care. It
may also lead to poor
collaboration among providers and higher health care costs. It
would not directly impact patient's health literacy.
,2. A patient reports that a medication prescribed for
recurrent migraine headaches is not working. Which
action should be taken first?: Ask the patient about the
number and frequency of tablets taken
Feedback: using the drug as ordered. Asking the patient to
tell the nurse how
,2 many tablets are taken and how often helps the nurse
determine compliance. Assessing current pain does not
yield information about how well the medication is working
unless the patient is currently taking it. The nurse should gather
as much information about
compliance, symptoms, and drug effectiveness as possible
before contacting the prescriber. Biofeedback may be an
effective adjunct to treatment, but it
should not be recommended without complete information about
drug effectiveness
3. A patient is receiving intravenous gentamicin. A serum
drug test reveals tox- ic levels. The dosing is
correct, and this medication has been tolerated bythis
patient inthe past. Which could be a probable cause of the
test
result?: The patient is taking another medication that binds to
serum albumin Feedback: Gentamicin binds to
albumin, but only weakly, and in the presence of another drug
that binds to albumin, it can rise to toxic levels in blood serum. A
loading dose increases the initial amount ofa drug and is used to
bring drug levels to the desired plateau more
quickly. A drug that is not completely dissolved carries a risk
of causing embolism. A drug given at a frequency longer than the
drug half-life will likely be at subtherapeutic levels and not at
, toxic levels 4. The nurse is administering
morning medications. The nurse gives a patient multiple
medications, two of which compete for plasma albumin
receptor sites. As a result of this concurrent
administration, the nurse can anticipate that what might
occur? Select all that apply: Binding of one or both agents
will be reduced
Plasma levels of free drug will rise
WGU D116 ADVANCED PHARMACOLOGY OA
AND PRE ASSESSMENT EXAM ACTUAL EXAM
COMPLETE QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND RATIONALES
||COMPLETE A+ GUIDE
1. Which factors could be attributed to limited
prescriptive authority for APRNs?Select all that apply.:
Inaccessibility of patient care
Feedback: Limiting prescriptive authority for APRNs can create
barriers to quality, affordable, and accessible patient care. It
may also lead to poor
collaboration among providers and higher health care costs. It
would not directly impact patient's health literacy.
Higher health care costs
Feedback: Limiting prescriptive authority for APRNs can create
barriers to quality, affordable, and accessible patient care. It
may also lead to poor
collaboration among providers and higher health care costs. It
would not directly impact patient's health literacy.
,2. A patient reports that a medication prescribed for
recurrent migraine headaches is not working. Which
action should be taken first?: Ask the patient about the
number and frequency of tablets taken
Feedback: using the drug as ordered. Asking the patient to
tell the nurse how
,2 many tablets are taken and how often helps the nurse
determine compliance. Assessing current pain does not
yield information about how well the medication is working
unless the patient is currently taking it. The nurse should gather
as much information about
compliance, symptoms, and drug effectiveness as possible
before contacting the prescriber. Biofeedback may be an
effective adjunct to treatment, but it
should not be recommended without complete information about
drug effectiveness
3. A patient is receiving intravenous gentamicin. A serum
drug test reveals tox- ic levels. The dosing is
correct, and this medication has been tolerated bythis
patient inthe past. Which could be a probable cause of the
test
result?: The patient is taking another medication that binds to
serum albumin Feedback: Gentamicin binds to
albumin, but only weakly, and in the presence of another drug
that binds to albumin, it can rise to toxic levels in blood serum. A
loading dose increases the initial amount ofa drug and is used to
bring drug levels to the desired plateau more
quickly. A drug that is not completely dissolved carries a risk
of causing embolism. A drug given at a frequency longer than the
drug half-life will likely be at subtherapeutic levels and not at
, toxic levels 4. The nurse is administering
morning medications. The nurse gives a patient multiple
medications, two of which compete for plasma albumin
receptor sites. As a result of this concurrent
administration, the nurse can anticipate that what might
occur? Select all that apply: Binding of one or both agents
will be reduced
Plasma levels of free drug will rise
