WGU D116 COMPREHENSIVE ASSESSMENT 2026/2027 | COMPLETE
EXAM REVIEW | HIGH-YIELD PRACTICE QUESTIONS & VERIFIED
ANSWERS | COMPREHENSIVE STUDY GUIDE | LATEST UPDATED
VERSION
1. What is the first-line medication recommended for asthma patients in step 1
management?
Inhaled corticosteroids
Leukotriene modifiers
Short-acting beta-agonists (SABAs)
Long-acting beta-agonists (LABAs)
2. What is the recommended nutritional supplement for women who are
planning to become pregnant?
Calcium
Iron
Vitamin D
Folic acid
3. Folic acid supplements have become especially important for pregnant
women because:
, Folic acid deprivation is associated with neural tube abnormalities
in a fetus.
The fetus makes high levels of folic acid.
The folic acid is stored in adipose tissue by pregnant women so
supplements are needed to make more available in the circulation.
Folic acid deprivation is a cause of heart abnormalities in a newborn.
Folic acid supplies vitamins that only pregnant women can use.
4. Interpret the significance of consistently elevated blood pressure readings in
a patient during office visits.
Consistently elevated blood pressure readings are irrelevant to
patient care.
Consistently elevated blood pressure readings indicate that the
patient is healthy.
Consistently elevated blood pressure readings suggest that the
patient may have hypertension, which requires further assessment
and management.
Consistently elevated blood pressure readings suggest dehydration.
5. What is the primary purpose of taking a beta blocker for migraines according
to the provided information?
To manage high blood pressure.
To alleviate nausea during a migraine.
To reduce the frequency of migraines.
To completely relieve migraines.
,6. Why is it important for a patient taking an ACE inhibitor to be cautious when
getting up from a seated or lying position?
ACE inhibitors can cause a drop in blood pressure, leading to
dizziness.
ACE inhibitors can cause gastrointestinal upset, leading to nausea.
ACE inhibitors increase heart rate, causing palpitations.
ACE inhibitors have no effect on blood pressure.
7. A patient on HMG-COA reductase inhibitors reports muscle pain and
weakness. What should the nurse do next?
Advise the patient to take over-the-counter pain relief.
Reassure the patient that muscle pain is a common side effect.
Encourage the patient to continue the medication despite the
symptoms.
Assess the patient for signs of rhabdomyolysis and notify the
healthcare provider.
8. Discuss why a patient who has tolerated gentamicin in the past might
suddenly show toxic serum levels.
The patient may have developed an allergy to gentamicin.
The patient is taking a higher dose than prescribed.
The medication was administered incorrectly this time.
Changes in renal function or drug interactions could lead to
increased serum levels.
9. A patient who is taking a first-generation antipsychotic (FGA) drug for
schizophrenia comes to the clinic for evaluation. The nurse observes that the
, patient has a shuffling gait and mild tremors. The nurse will ask the patient's
provider about which course of action?
Switching to a second-generation antipsychotic drug
Increasing the dose of the antipsychotic drug
Giving an anticholinergic medication
Administering a direct dopamine antagonist
10. The nurse knows that drug interactions are said to occur when what
happens?
Drugs are administered 2 hours apart
One drug causes another drug to become displaced from a binding
site
One drug inhibits the absorption of another
One drug increases the action of one or both drugs or when the
effectiveness of one drug or both drugs is decreased
11. What term describes the most common variation in drug response due to
differences in metabolism among patients?
Pharmacokinetics
Pharmacotherapy
Pharmacodynamics
Pharmacogenomics
12. A patient with benign prostatic hyperplasia (BPH) reports continued
difficulty urinating after starting terazosin. What should the nurse assess
next?
EXAM REVIEW | HIGH-YIELD PRACTICE QUESTIONS & VERIFIED
ANSWERS | COMPREHENSIVE STUDY GUIDE | LATEST UPDATED
VERSION
1. What is the first-line medication recommended for asthma patients in step 1
management?
Inhaled corticosteroids
Leukotriene modifiers
Short-acting beta-agonists (SABAs)
Long-acting beta-agonists (LABAs)
2. What is the recommended nutritional supplement for women who are
planning to become pregnant?
Calcium
Iron
Vitamin D
Folic acid
3. Folic acid supplements have become especially important for pregnant
women because:
, Folic acid deprivation is associated with neural tube abnormalities
in a fetus.
The fetus makes high levels of folic acid.
The folic acid is stored in adipose tissue by pregnant women so
supplements are needed to make more available in the circulation.
Folic acid deprivation is a cause of heart abnormalities in a newborn.
Folic acid supplies vitamins that only pregnant women can use.
4. Interpret the significance of consistently elevated blood pressure readings in
a patient during office visits.
Consistently elevated blood pressure readings are irrelevant to
patient care.
Consistently elevated blood pressure readings indicate that the
patient is healthy.
Consistently elevated blood pressure readings suggest that the
patient may have hypertension, which requires further assessment
and management.
Consistently elevated blood pressure readings suggest dehydration.
5. What is the primary purpose of taking a beta blocker for migraines according
to the provided information?
To manage high blood pressure.
To alleviate nausea during a migraine.
To reduce the frequency of migraines.
To completely relieve migraines.
,6. Why is it important for a patient taking an ACE inhibitor to be cautious when
getting up from a seated or lying position?
ACE inhibitors can cause a drop in blood pressure, leading to
dizziness.
ACE inhibitors can cause gastrointestinal upset, leading to nausea.
ACE inhibitors increase heart rate, causing palpitations.
ACE inhibitors have no effect on blood pressure.
7. A patient on HMG-COA reductase inhibitors reports muscle pain and
weakness. What should the nurse do next?
Advise the patient to take over-the-counter pain relief.
Reassure the patient that muscle pain is a common side effect.
Encourage the patient to continue the medication despite the
symptoms.
Assess the patient for signs of rhabdomyolysis and notify the
healthcare provider.
8. Discuss why a patient who has tolerated gentamicin in the past might
suddenly show toxic serum levels.
The patient may have developed an allergy to gentamicin.
The patient is taking a higher dose than prescribed.
The medication was administered incorrectly this time.
Changes in renal function or drug interactions could lead to
increased serum levels.
9. A patient who is taking a first-generation antipsychotic (FGA) drug for
schizophrenia comes to the clinic for evaluation. The nurse observes that the
, patient has a shuffling gait and mild tremors. The nurse will ask the patient's
provider about which course of action?
Switching to a second-generation antipsychotic drug
Increasing the dose of the antipsychotic drug
Giving an anticholinergic medication
Administering a direct dopamine antagonist
10. The nurse knows that drug interactions are said to occur when what
happens?
Drugs are administered 2 hours apart
One drug causes another drug to become displaced from a binding
site
One drug inhibits the absorption of another
One drug increases the action of one or both drugs or when the
effectiveness of one drug or both drugs is decreased
11. What term describes the most common variation in drug response due to
differences in metabolism among patients?
Pharmacokinetics
Pharmacotherapy
Pharmacodynamics
Pharmacogenomics
12. A patient with benign prostatic hyperplasia (BPH) reports continued
difficulty urinating after starting terazosin. What should the nurse assess
next?
