1|Page
WGU D116 OBJECTIVE ASSESSMENT FINAL EXAM
ADVANCED PHARMACOLOGY EXAM LATEST 2026
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS ||VERIFIED
EXAM!!(100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED|| ||NEWEST
EXAM!!!||
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-YES With food or an empty stomach
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
,2|Page
Taking the medications together can cause a serious drop
in blood pressure leading to cardiovascular collapse.
A patient diagnosed with bipolar disorder who is in a
mental health clinic is discussing the possibility of
beginning lithium with an advanced practice registered
nurse (APRN). The patient expresses understanding and
wishes to proceed with treatment. The APRN explains to
the patient that this medication requires specific lab
monitoring and wants to draw baseline labs. The patient
asks why the test is needed.
Which explanation should the APRN provide to this
patient? - Answer-A baseline blood urea nitrogen (BUN)
and creatinine (CREA) level needs to be drawn to assess
kidney function prior to treatment.
This drug can cause decreased renal function, and a
baseline should be drawn for future comparison.
An advanced practice registered nurse (APRN) is
reviewing the medications that will be commonly
experienced with a new nurse to determine whether the
drugs are safe for the patients. The new nurse is given a
,3|Page
scenario where a patient is being prescribed sildenafil 25
mg po prn, a prototype drug for erectile dysfunction.
Which patient may take this drug safely? - Answer-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 complications
A 30-year-old patient presents to a primary care clinic with
a history of anxiety. The advanced practice registered
nurse reviews the mechanism of action by which many
neuropharmacological agents act and decides to prescribe
citalopram.
What is the mechanism of action of this medication? -
Answer-YES Influences receptor activity on target cells
Correct! This medication influences the activity in the
receptors, and it targets cells.
A patient is admitted with a diagnosis of Huntington
disease. On admission, the patient exhibits uncontrolled
twitching, difficulty walking, trouble swallowing, confusion,
and memory loss. The advanced practice registered nurse
(APRN) prescribes baclofen.
, 4|Page
What is the mechanism of action of this medication? -
Answer-NO Modulates the effects of glutamate at NMDA
receptors
YES Inhibits neurotransmitter 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
patients with Alzheimer's.
Correct! Huntington's disease involves a deficiency of the
neurotransmitters acetylcholine and y-aminobutyric acid in
the basal ganglia and extrapyramidal system.
A 21-year-old patient accompanied by a parent comes to a
clinic for an emergency visit with an advanced practice
registered nurse (APRN) following a seizure. Upon
interviewing the patient 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 patient experiencing? -
Answer-Atonic
WGU D116 OBJECTIVE ASSESSMENT FINAL EXAM
ADVANCED PHARMACOLOGY EXAM LATEST 2026
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS ||VERIFIED
EXAM!!(100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED|| ||NEWEST
EXAM!!!||
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-YES With food or an empty stomach
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
,2|Page
Taking the medications together can cause a serious drop
in blood pressure leading to cardiovascular collapse.
A patient diagnosed with bipolar disorder who is in a
mental health clinic is discussing the possibility of
beginning lithium with an advanced practice registered
nurse (APRN). The patient expresses understanding and
wishes to proceed with treatment. The APRN explains to
the patient that this medication requires specific lab
monitoring and wants to draw baseline labs. The patient
asks why the test is needed.
Which explanation should the APRN provide to this
patient? - Answer-A baseline blood urea nitrogen (BUN)
and creatinine (CREA) level needs to be drawn to assess
kidney function prior to treatment.
This drug can cause decreased renal function, and a
baseline should be drawn for future comparison.
An advanced practice registered nurse (APRN) is
reviewing the medications that will be commonly
experienced with a new nurse to determine whether the
drugs are safe for the patients. The new nurse is given a
,3|Page
scenario where a patient is being prescribed sildenafil 25
mg po prn, a prototype drug for erectile dysfunction.
Which patient may take this drug safely? - Answer-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 complications
A 30-year-old patient presents to a primary care clinic with
a history of anxiety. The advanced practice registered
nurse reviews the mechanism of action by which many
neuropharmacological agents act and decides to prescribe
citalopram.
What is the mechanism of action of this medication? -
Answer-YES Influences receptor activity on target cells
Correct! This medication influences the activity in the
receptors, and it targets cells.
A patient is admitted with a diagnosis of Huntington
disease. On admission, the patient exhibits uncontrolled
twitching, difficulty walking, trouble swallowing, confusion,
and memory loss. The advanced practice registered nurse
(APRN) prescribes baclofen.
, 4|Page
What is the mechanism of action of this medication? -
Answer-NO Modulates the effects of glutamate at NMDA
receptors
YES Inhibits neurotransmitter 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
patients with Alzheimer's.
Correct! Huntington's disease involves a deficiency of the
neurotransmitters acetylcholine and y-aminobutyric acid in
the basal ganglia and extrapyramidal system.
A 21-year-old patient accompanied by a parent comes to a
clinic for an emergency visit with an advanced practice
registered nurse (APRN) following a seizure. Upon
interviewing the patient 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 patient experiencing? -
Answer-Atonic
