WGU D116 Pharmacology ||2025-2026 most recent
version|Comprehensive ques!ons and verified
answers/accurate solu!ons|Already graded A+|Get it
100% correct.
A pa ent presents to an emergency room complaining of palpita ons and irregular heartbeat.
The advanced prac ce registered nurse (APRN) places the pa ent on a cardiac monitor and
observes atrial fibrilla on. The APRN orders dofe lide.
How should the APRN recommend this medica on be taken? - Correct Answers YES With
food or an empty stomach
A 70-year-old male calls a clinic complaining of chest pain that started a,er having sexual
ac vity. He took sildenafil 50 mg about eight hours ago. He has nitroglycerin 0.3 mg on hand.
How should the advanced prac ce registered nurse respond? - Correct Answers Do not take
the nitroglycerin and call 911
Taking the medica ons together can cause a serious drop in blood pressure leading to
cardiovascular collapse.
A pa ent diagnosed with bipolar disorder who is in a mental health clinic is discussing the
possibility of beginning lithium with an advanced prac ce registered nurse (APRN). The pa ent
expresses understanding and wishes to proceed with treatment. The APRN explains to the
pa ent that this medica on requires specific lab monitoring and wants to draw baseline labs.
The pa ent asks why the test is needed.
Which explana on should the APRN provide to this pa ent? - Correct Answers A baseline
blood urea nitrogen (BUN) and crea nine (CREA) level needs to be drawn to assess kidney
func on prior to treatment.
,This drug can cause decreased renal func on, and a baseline should be drawn for future
comparison.
An advanced prac ce registered nurse (APRN) is reviewing the medica ons that will be
commonly experienced with a new nurse to determine whether the drugs are safe for the
pa ents. The new nurse is given a scenario where a pa ent is being prescribed sildenafil 25 mg
po prn, a prototype drug for erec le dysfunc on.
Which pa ent may take this drug safely? - Correct Answers YES A 54-year-male with a
medical history of hypertension, mild eczema, and previous history of a urolithiasis where all is
well controlled and there are no current complica ons
A 30-year-old pa ent presents to a primary care clinic with a history of anxiety. The advanced
prac ce registered nurse reviews the mechanism of ac on by which many
neuropharmacological agents act and decides to prescribe citalopram.
What is the mechanism of ac on of this medica on? - Correct Answers YES Influences
receptor ac vity on target cells
Correct! This medica on influences the ac vity in the receptors, and it targets cells.
A pa ent is admi=ed with a diagnosis of Hun ngton disease. On admission, the pa ent exhibits
uncontrolled twitching, difficulty walking, trouble swallowing, confusion, and memory loss. The
advanced prac ce registered nurse (APRN) prescribes baclofen.
What is the mechanism of ac on of this medica on? - Correct Answers NO Modulates the
effects of glutamate at NMDA receptors
YES Inhibits neurotransmi=er GABA
NO Halts the breakdown of acetylcholine by acetylcholinesterase
Alters the synthesis and release of norepinephrine, serotonin, and dopamine
Incorrect. Cholinesterase inhibitors prevent the breakdown of acetylcholine by
acetylcholinesterase. They are used in pa ents with Alzheimer's.
,Correct! Hun ngton's disease involves a deficiency of the neurotransmi=ers acetylcholine and
y-aminobutyric acid in the basal ganglia and extrapyramidal system.
A 21-year-old pa ent accompanied by a parent comes to a clinic for an emergency visit with an
advanced prac ce registered nurse (APRN) following a seizure. Upon interviewing the pa ent
and the parent, the APRN determines that the seizure is classified by marked impairment of
consciousness and is followed by a period of central nervous system (CNS) depression.
Which type of seizure is this pa ent experiencing? - Correct Answers Atonic
NO Myoclonic
YES Tonic-clonic
Absence
Incorrect. Myoclonic seizures consist of a sudden muscle contrac on that lasts for just one
second.
Correct! A tonic-clonic seizure is a type of seizure that is also called a convulsion. This type of
seizure can include muscle s ffness, loss of consciousness, and body jerking.
A pa ent has been taking oral oxycodone every six hours for back pain during the past three
years. The pa ent suddenly decides to stop taking the pain medica on and is trying an
alterna ve therapy without a clinician's approval.
Which risk is of clinical concern? - Correct Answers YES Physical dependence
Correct! The pa ent suddenly stopping the medica on will cause physical symptoms that can
range from nausea to seizures.
An advanced prac ce registered nurse has diagnosed a 44-year-old male with depression. A
plan is developed to start treatment with medica on. The pa ent has a history of sexual
dysfunc on and is concerned about taking medica on that may worsen this condi on.
Which an depressant has the benefit of enhancing libido? - Correct Answers YES Bupropion
, Correct! Bupropion does not cause sexual dysfunc on. This will help the pa ent with a history
of sexual dysfunc on. This will enhance the pa ent's libido, which will help with both
depression and sexual dysfunc on.
A pa ent 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 medica on.
Besides evalua ng the pa ent for a reduc on in respiratory distress, the nurse should monitor
for which side effect? - Correct Answers YES Tachycardia
Correct! Beta-agonists are used for asthma because of their beta2 effects on bronchial smooth
muscle, causing dila on. Beta1 effects cause tachycardia and hypertension. Beta receptors do
not exert effects on the bladder.
A pa ent is experiencing toxic side effects from atropine, including delirium and hallucina ons.
Which medica on should the provider administer? - Correct Answers YES Physos gmine
Correct! Physos gmine is the drug of choice for trea ng poisoning from atropine and other
drugs that cause muscarinic blockade. Donepezil is used to treat Alzheimer disease.
Edrophonium is used to dis nguish between a myasthenic crisis and a cholinesterase inhibitor
overdose. Neos gmine does not cross the blood-brain barrier and would not effec vely treat
this pa ent's central nervous system (CNS) symptoms.
A pa ent brought to the emergency department requires sutures. The prescriber orders a local
anesthe c with epinephrine.
The epinephrine is ordered to ___________. - Correct Answers allow a reduced dose of the
anesthe c
Correct! Epinephrine prolongs absorp on of the anesthe c because it is an alpha1 agonist. It is
frequently combined with a local anesthe c for this purpose so the amount of anesthe c
required may be reduced. Local anesthe cs do not induce hypertension; therefore, epinephrine
version|Comprehensive ques!ons and verified
answers/accurate solu!ons|Already graded A+|Get it
100% correct.
A pa ent presents to an emergency room complaining of palpita ons and irregular heartbeat.
The advanced prac ce registered nurse (APRN) places the pa ent on a cardiac monitor and
observes atrial fibrilla on. The APRN orders dofe lide.
How should the APRN recommend this medica on be taken? - Correct Answers YES With
food or an empty stomach
A 70-year-old male calls a clinic complaining of chest pain that started a,er having sexual
ac vity. He took sildenafil 50 mg about eight hours ago. He has nitroglycerin 0.3 mg on hand.
How should the advanced prac ce registered nurse respond? - Correct Answers Do not take
the nitroglycerin and call 911
Taking the medica ons together can cause a serious drop in blood pressure leading to
cardiovascular collapse.
A pa ent diagnosed with bipolar disorder who is in a mental health clinic is discussing the
possibility of beginning lithium with an advanced prac ce registered nurse (APRN). The pa ent
expresses understanding and wishes to proceed with treatment. The APRN explains to the
pa ent that this medica on requires specific lab monitoring and wants to draw baseline labs.
The pa ent asks why the test is needed.
Which explana on should the APRN provide to this pa ent? - Correct Answers A baseline
blood urea nitrogen (BUN) and crea nine (CREA) level needs to be drawn to assess kidney
func on prior to treatment.
,This drug can cause decreased renal func on, and a baseline should be drawn for future
comparison.
An advanced prac ce registered nurse (APRN) is reviewing the medica ons that will be
commonly experienced with a new nurse to determine whether the drugs are safe for the
pa ents. The new nurse is given a scenario where a pa ent is being prescribed sildenafil 25 mg
po prn, a prototype drug for erec le dysfunc on.
Which pa ent may take this drug safely? - Correct Answers YES A 54-year-male with a
medical history of hypertension, mild eczema, and previous history of a urolithiasis where all is
well controlled and there are no current complica ons
A 30-year-old pa ent presents to a primary care clinic with a history of anxiety. The advanced
prac ce registered nurse reviews the mechanism of ac on by which many
neuropharmacological agents act and decides to prescribe citalopram.
What is the mechanism of ac on of this medica on? - Correct Answers YES Influences
receptor ac vity on target cells
Correct! This medica on influences the ac vity in the receptors, and it targets cells.
A pa ent is admi=ed with a diagnosis of Hun ngton disease. On admission, the pa ent exhibits
uncontrolled twitching, difficulty walking, trouble swallowing, confusion, and memory loss. The
advanced prac ce registered nurse (APRN) prescribes baclofen.
What is the mechanism of ac on of this medica on? - Correct Answers NO Modulates the
effects of glutamate at NMDA receptors
YES Inhibits neurotransmi=er GABA
NO Halts the breakdown of acetylcholine by acetylcholinesterase
Alters the synthesis and release of norepinephrine, serotonin, and dopamine
Incorrect. Cholinesterase inhibitors prevent the breakdown of acetylcholine by
acetylcholinesterase. They are used in pa ents with Alzheimer's.
,Correct! Hun ngton's disease involves a deficiency of the neurotransmi=ers acetylcholine and
y-aminobutyric acid in the basal ganglia and extrapyramidal system.
A 21-year-old pa ent accompanied by a parent comes to a clinic for an emergency visit with an
advanced prac ce registered nurse (APRN) following a seizure. Upon interviewing the pa ent
and the parent, the APRN determines that the seizure is classified by marked impairment of
consciousness and is followed by a period of central nervous system (CNS) depression.
Which type of seizure is this pa ent experiencing? - Correct Answers Atonic
NO Myoclonic
YES Tonic-clonic
Absence
Incorrect. Myoclonic seizures consist of a sudden muscle contrac on that lasts for just one
second.
Correct! A tonic-clonic seizure is a type of seizure that is also called a convulsion. This type of
seizure can include muscle s ffness, loss of consciousness, and body jerking.
A pa ent has been taking oral oxycodone every six hours for back pain during the past three
years. The pa ent suddenly decides to stop taking the pain medica on and is trying an
alterna ve therapy without a clinician's approval.
Which risk is of clinical concern? - Correct Answers YES Physical dependence
Correct! The pa ent suddenly stopping the medica on will cause physical symptoms that can
range from nausea to seizures.
An advanced prac ce registered nurse has diagnosed a 44-year-old male with depression. A
plan is developed to start treatment with medica on. The pa ent has a history of sexual
dysfunc on and is concerned about taking medica on that may worsen this condi on.
Which an depressant has the benefit of enhancing libido? - Correct Answers YES Bupropion
, Correct! Bupropion does not cause sexual dysfunc on. This will help the pa ent with a history
of sexual dysfunc on. This will enhance the pa ent's libido, which will help with both
depression and sexual dysfunc on.
A pa ent 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 medica on.
Besides evalua ng the pa ent for a reduc on in respiratory distress, the nurse should monitor
for which side effect? - Correct Answers YES Tachycardia
Correct! Beta-agonists are used for asthma because of their beta2 effects on bronchial smooth
muscle, causing dila on. Beta1 effects cause tachycardia and hypertension. Beta receptors do
not exert effects on the bladder.
A pa ent is experiencing toxic side effects from atropine, including delirium and hallucina ons.
Which medica on should the provider administer? - Correct Answers YES Physos gmine
Correct! Physos gmine is the drug of choice for trea ng poisoning from atropine and other
drugs that cause muscarinic blockade. Donepezil is used to treat Alzheimer disease.
Edrophonium is used to dis nguish between a myasthenic crisis and a cholinesterase inhibitor
overdose. Neos gmine does not cross the blood-brain barrier and would not effec vely treat
this pa ent's central nervous system (CNS) symptoms.
A pa ent brought to the emergency department requires sutures. The prescriber orders a local
anesthe c with epinephrine.
The epinephrine is ordered to ___________. - Correct Answers allow a reduced dose of the
anesthe c
Correct! Epinephrine prolongs absorp on of the anesthe c because it is an alpha1 agonist. It is
frequently combined with a local anesthe c for this purpose so the amount of anesthe c
required may be reduced. Local anesthe cs do not induce hypertension; therefore, epinephrine
