WGU D116 ADVANCED PHARMACOLOGY OA AND PRE ASSESSMENT
EXAM NEWEST 2026/2027 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
1. A patient has been diagnosed as having mania. The nurse anticipates that the
physician will most likely prescribe:
phenobarbital (Luminal)
clonazepam Klonopin)
imipramine (Tofranil)
Lithium
2. A patient taking levodopa plus carbidopa for Parkinson's disease experiences
frequent "on-off" episodes (or abrupt loss of effect). The nurse should teach
the patient to:
take the medication on an empty stomach
increase intake of vitamin B6
discontinue the drug for 10 days (for a "drug holiday")
avoid high-protein meals
3. In a clinical scenario where a patient is taking five different medications for
chronic conditions, what should an APRN prioritize when assessing the
patient's medication regimen?
Evaluating potential drug interactions and side effects.
Switching all medications to over-the-counter alternatives.
Encouraging the patient to stop all medications immediately.
Increasing the dosage of all medications to improve efficacy.
,4. Describe the significance of the blood pressure change in the patient after
one month of therapy with an ACE inhibitor and a thiazide diuretic.
The blood pressure remains high, suggesting the medications are
ineffective.
The decrease in blood pressure indicates that the medications are
effectively managing the patient's hypertension.
The blood pressure change is irrelevant to the patient's condition.
The decrease in blood pressure suggests the need for additional
medications.
5. What is the primary reason a nurse would advise a patient taking
spironolactone to avoid potassium supplements?
To prevent hyperkalemia
To increase urine output
To reduce blood pressure
To enhance medication absorption
6. Describe the implications of physical dependence on a patient's medication
regimen when they decide to discontinue a drug suddenly.
Physical dependence has no impact on medication discontinuation.
Physical dependence can lead to withdrawal symptoms if the
medication is stopped abruptly.
Physical dependence means the patient will experience increased
pain only.
Physical dependence indicates a psychological need for the drug.
,7. A patient who awakened with shortness of breath has rales bilaterally and is
coughing up frothy sputum. B/P: 164/98, P: 104, R: 28 with rib retractions.
Oxygen saturation is 88%. You should administer.
Nitroglycerin
CPAP
Albuterol
Epinephrine
8. In a clinical scenario where a patient with severe COPD is not responding to
their current inhaled medications, how would you justify the addition of
roflumilast to their treatment plan?
Roflumilast can help manage inflammation and reduce the
frequency of exacerbations in patients with severe COPD.
Roflumilast should only be used in combination with oral steroids for
effectiveness.
Roflumilast is a first-line treatment for all COPD patients regardless of
severity.
Roflumilast is primarily used for acute asthma attacks and is not
suitable for COPD.
9. A client is giving two drugs to treat hypertension. the client as why two drugs
are needed, the best response would be
the hydralazine may cause tachycardia and the propranolol will
help keep the HR within normal limits
directin acting vasodilators such as hydralazine cause fluid retention
and the propranolol will prevent excessive fluid buildup
the propranolol is to prevent lupus erthematosus from developing
, giving the two drugs together will lower the blood pressure even
more than just one alone
10. Describe the implications of the prescribing cascade for patient safety in
pharmacological treatment.
The prescribing cascade ensures that patients receive the most
effective treatment without side effects.
The prescribing cascade can lead to polypharmacy, increasing the
risk of adverse drug reactions and complicating patient care.
The prescribing cascade is a strategy to reduce the number of
medications a patient takes.
The prescribing cascade simplifies medication management for
healthcare providers.
11. A patient presents following what family says was a seizure. They say that is
began without warning and lasted about 60-90 seconds. The patient's whole
body went rigid with apena, cyanosis, incontinence and vomiting. They then
began to jerk. Lastly, they went flaccid. They gradually returned to
consciousness. What type of seizure did this patient experience?
absence
tonic-clonic
clonic
myoclonic
tonic
atonic
12. Why is it important for a nurse to consider a patient's history of asthma
before administering propranolol?
EXAM NEWEST 2026/2027 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
1. A patient has been diagnosed as having mania. The nurse anticipates that the
physician will most likely prescribe:
phenobarbital (Luminal)
clonazepam Klonopin)
imipramine (Tofranil)
Lithium
2. A patient taking levodopa plus carbidopa for Parkinson's disease experiences
frequent "on-off" episodes (or abrupt loss of effect). The nurse should teach
the patient to:
take the medication on an empty stomach
increase intake of vitamin B6
discontinue the drug for 10 days (for a "drug holiday")
avoid high-protein meals
3. In a clinical scenario where a patient is taking five different medications for
chronic conditions, what should an APRN prioritize when assessing the
patient's medication regimen?
Evaluating potential drug interactions and side effects.
Switching all medications to over-the-counter alternatives.
Encouraging the patient to stop all medications immediately.
Increasing the dosage of all medications to improve efficacy.
,4. Describe the significance of the blood pressure change in the patient after
one month of therapy with an ACE inhibitor and a thiazide diuretic.
The blood pressure remains high, suggesting the medications are
ineffective.
The decrease in blood pressure indicates that the medications are
effectively managing the patient's hypertension.
The blood pressure change is irrelevant to the patient's condition.
The decrease in blood pressure suggests the need for additional
medications.
5. What is the primary reason a nurse would advise a patient taking
spironolactone to avoid potassium supplements?
To prevent hyperkalemia
To increase urine output
To reduce blood pressure
To enhance medication absorption
6. Describe the implications of physical dependence on a patient's medication
regimen when they decide to discontinue a drug suddenly.
Physical dependence has no impact on medication discontinuation.
Physical dependence can lead to withdrawal symptoms if the
medication is stopped abruptly.
Physical dependence means the patient will experience increased
pain only.
Physical dependence indicates a psychological need for the drug.
,7. A patient who awakened with shortness of breath has rales bilaterally and is
coughing up frothy sputum. B/P: 164/98, P: 104, R: 28 with rib retractions.
Oxygen saturation is 88%. You should administer.
Nitroglycerin
CPAP
Albuterol
Epinephrine
8. In a clinical scenario where a patient with severe COPD is not responding to
their current inhaled medications, how would you justify the addition of
roflumilast to their treatment plan?
Roflumilast can help manage inflammation and reduce the
frequency of exacerbations in patients with severe COPD.
Roflumilast should only be used in combination with oral steroids for
effectiveness.
Roflumilast is a first-line treatment for all COPD patients regardless of
severity.
Roflumilast is primarily used for acute asthma attacks and is not
suitable for COPD.
9. A client is giving two drugs to treat hypertension. the client as why two drugs
are needed, the best response would be
the hydralazine may cause tachycardia and the propranolol will
help keep the HR within normal limits
directin acting vasodilators such as hydralazine cause fluid retention
and the propranolol will prevent excessive fluid buildup
the propranolol is to prevent lupus erthematosus from developing
, giving the two drugs together will lower the blood pressure even
more than just one alone
10. Describe the implications of the prescribing cascade for patient safety in
pharmacological treatment.
The prescribing cascade ensures that patients receive the most
effective treatment without side effects.
The prescribing cascade can lead to polypharmacy, increasing the
risk of adverse drug reactions and complicating patient care.
The prescribing cascade is a strategy to reduce the number of
medications a patient takes.
The prescribing cascade simplifies medication management for
healthcare providers.
11. A patient presents following what family says was a seizure. They say that is
began without warning and lasted about 60-90 seconds. The patient's whole
body went rigid with apena, cyanosis, incontinence and vomiting. They then
began to jerk. Lastly, they went flaccid. They gradually returned to
consciousness. What type of seizure did this patient experience?
absence
tonic-clonic
clonic
myoclonic
tonic
atonic
12. Why is it important for a nurse to consider a patient's history of asthma
before administering propranolol?
