WGU D116 ADVANCED PHARMACOLOGY OA AND
PRE ASSESSMENT EXAM ACTUAL EXAM
COMPLETE 170 QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND RATIONALES (100%
CORRECT ANSWERS) /ALEREADY GRADED A+
A patient is wheezing and short of breath. The nurse assesses a heart rate of 88
beats per minute, a respiratory rate of 24 breaths per minute, and a blood pressure
of 124/78 mm Hg. The prescriber orders a nonspecific beta-agonist medication.
Besides evaluating the patient for a reduction in respiratory distress, the nurse
should monitor for which side effect? - ANSWER...Tachycardia
Beta-agonists are used for asthma because of their B2 on bronchial smooth
musclecauses bronchodilation
Non-specific is B2
Specific is B1 and they cause tachycardia and hypertension
A patient is experiencing toxic side effects from atropine, including delirium and
hallucinations. Which medication should the provider administer? -
ANSWER...Physostigmine
A patient brought to the emergency department requires sutures. The prescriber
orders a local anesthetic with epinephrine.
The epinephrine is ordered to ___________. - ANSWER...Allow a reduced dose
of the anesthetic
Epi prolongs absorption of the anesthetic because it is an alpha 1 agonist
A patient has been diagnosed with Parkinson disease (PD) and begins treatment
with carbidopa. After several months of therapy, the patient reports no change in
symptoms.
,As the provider, you should do which of the following? - ANSWER...Reevaluate
the dx
There should be some therapeutic effects after several months of tx
A patient who is taking oral contraceptives begins taking valproic acid for seizures.
After a week of therapy with valproic acid, the patient tells the nurse that she is
experiencing nausea.
What should the nurse do? - ANSWER...Ask the pt is she is taking the med with
food because taking the drug on an empty stomach can cause gastrointestinal side
effects
A patient with cerebral palsy who has been receiving baclofen via gastrostomy
tube for three months is admitted to the hospital for evaluation of new-onset
seizures.
What might you suspect to be the cause of these seizures? - ANSWER...Missed
doses of baclofen
Baclofen does not appear to cause physical dependence, but abrupt discontinuation
has been associated with adverse reactions
Abrupt withdrawal can cause visual hallucinations, paranoid ideation, and seizures
A nurse is preparing a patient to go home from the emergency department after
receiving sutures for a laceration on one hand. The provider used lidocaine with
epinephrine as a local anesthetic.
Which symptom in this patient causes the most concern? -
ANSWER...Nervousness and tachycardia
If severe, alpha and beta antagonists can be given
A patient who has recurrent migraine headaches is prescribed sumatriptan. Which
aspect of this patient's history is of concern when taking this drug? -
ANSWER...CAD
, Serotonin receptor agonists cause vasoconstriction and coronary vasospasm
A patient who has been taking a monoamine oxidase inhibitor (MAOI) for
depression for several months tells the provider that the medication has not helped
with symptoms. You plan to switch the patient to an SSRI.
What should you instruct the nurse to teach this patient? - ANSWER..."Stop
taking the MAOI two weeks before starting the SSRI"
MAOIs increase serotonin and can increase the risk for serotonin syndrome
SSRI and MAOIs should never be given together
A patient is admitted to a hospital for treatment for first-time symptoms of mania
and is exhibiting euphoric mania.
Which medication should you order? - ANSWER...Lithium
In all cases of mania, divalproex sodium is drug of choice, except for euphoric
mania symptoms
Olanzapine and risperidone are used to treat borderline personality disorder
A patient presents to an emergency room complaining of palpitations and irregular
heartbeat. The advanced practice registered nurse (APRN) places the patient on a
cardiac monitor and observes atrial fibrillation. The APRN orders dofetilide.How
should the APRN recommend this medication be taken? - ANSWER...With food
or an empty stomach
Dofeilide is well absorbed (90%) both with or without food
A 70-year-old male calls a clinic complaining of chest pain that started after having
sexual activity. He took sildenafil 50 mg about eight hours ago. He has
nitroglycerin 0.3 mg on hand.
How should the advanced practice registered nurse respond? - ANSWER...Do not
take the nitroglycerin and call 911
PRE ASSESSMENT EXAM ACTUAL EXAM
COMPLETE 170 QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND RATIONALES (100%
CORRECT ANSWERS) /ALEREADY GRADED A+
A patient is wheezing and short of breath. The nurse assesses a heart rate of 88
beats per minute, a respiratory rate of 24 breaths per minute, and a blood pressure
of 124/78 mm Hg. The prescriber orders a nonspecific beta-agonist medication.
Besides evaluating the patient for a reduction in respiratory distress, the nurse
should monitor for which side effect? - ANSWER...Tachycardia
Beta-agonists are used for asthma because of their B2 on bronchial smooth
musclecauses bronchodilation
Non-specific is B2
Specific is B1 and they cause tachycardia and hypertension
A patient is experiencing toxic side effects from atropine, including delirium and
hallucinations. Which medication should the provider administer? -
ANSWER...Physostigmine
A patient brought to the emergency department requires sutures. The prescriber
orders a local anesthetic with epinephrine.
The epinephrine is ordered to ___________. - ANSWER...Allow a reduced dose
of the anesthetic
Epi prolongs absorption of the anesthetic because it is an alpha 1 agonist
A patient has been diagnosed with Parkinson disease (PD) and begins treatment
with carbidopa. After several months of therapy, the patient reports no change in
symptoms.
,As the provider, you should do which of the following? - ANSWER...Reevaluate
the dx
There should be some therapeutic effects after several months of tx
A patient who is taking oral contraceptives begins taking valproic acid for seizures.
After a week of therapy with valproic acid, the patient tells the nurse that she is
experiencing nausea.
What should the nurse do? - ANSWER...Ask the pt is she is taking the med with
food because taking the drug on an empty stomach can cause gastrointestinal side
effects
A patient with cerebral palsy who has been receiving baclofen via gastrostomy
tube for three months is admitted to the hospital for evaluation of new-onset
seizures.
What might you suspect to be the cause of these seizures? - ANSWER...Missed
doses of baclofen
Baclofen does not appear to cause physical dependence, but abrupt discontinuation
has been associated with adverse reactions
Abrupt withdrawal can cause visual hallucinations, paranoid ideation, and seizures
A nurse is preparing a patient to go home from the emergency department after
receiving sutures for a laceration on one hand. The provider used lidocaine with
epinephrine as a local anesthetic.
Which symptom in this patient causes the most concern? -
ANSWER...Nervousness and tachycardia
If severe, alpha and beta antagonists can be given
A patient who has recurrent migraine headaches is prescribed sumatriptan. Which
aspect of this patient's history is of concern when taking this drug? -
ANSWER...CAD
, Serotonin receptor agonists cause vasoconstriction and coronary vasospasm
A patient who has been taking a monoamine oxidase inhibitor (MAOI) for
depression for several months tells the provider that the medication has not helped
with symptoms. You plan to switch the patient to an SSRI.
What should you instruct the nurse to teach this patient? - ANSWER..."Stop
taking the MAOI two weeks before starting the SSRI"
MAOIs increase serotonin and can increase the risk for serotonin syndrome
SSRI and MAOIs should never be given together
A patient is admitted to a hospital for treatment for first-time symptoms of mania
and is exhibiting euphoric mania.
Which medication should you order? - ANSWER...Lithium
In all cases of mania, divalproex sodium is drug of choice, except for euphoric
mania symptoms
Olanzapine and risperidone are used to treat borderline personality disorder
A patient presents to an emergency room complaining of palpitations and irregular
heartbeat. The advanced practice registered nurse (APRN) places the patient on a
cardiac monitor and observes atrial fibrillation. The APRN orders dofetilide.How
should the APRN recommend this medication be taken? - ANSWER...With food
or an empty stomach
Dofeilide is well absorbed (90%) both with or without food
A 70-year-old male calls a clinic complaining of chest pain that started after having
sexual activity. He took sildenafil 50 mg about eight hours ago. He has
nitroglycerin 0.3 mg on hand.
How should the advanced practice registered nurse respond? - ANSWER...Do not
take the nitroglycerin and call 911
