WGU D441 Medical Dosage Calculations & Pharmacology OA
Exam 2026 | Practice Questions & Verified Answers |
Objective Assessment Review
1. Why is a dimly lit room recommended for a client on mydriatic
medication?
A dimly lit room promotes better oxygen flow to the patient.
A dimly lit room enhances the effectiveness of the medication.
A dimly lit room helps reduce discomfort caused by light
sensitivity associated with mydriatic medications.
A dimly lit room prevents the patient from feeling cold.
2. If the nurse observes a positive guaiac test result in a patient with a
history of self-treating heartburn with ibuprofen, what should be the
nurse's next step?
Document the finding and monitor the patient.
Perform a follow-up guaiac test.
Administer an antacid to the patient.
Notify the healthcare provider immediately.
3. The nurse provides care for a client prescribed atorvastatin. Which value
indicates to the nurse that treatment with atorvastatin is effective?
LDL cholesterol 100mg/dl
Serum cholesterol 220mg/dl
Serum triglyceride level 210mg/dl
HDL level 25 mg/dl
4. A nurse is preparing to administer medications to a patient with
hyperthyroidism. If the nurse mistakenly gives PTU before Lugol's
solution, what potential effect could this have on the patient's
, treatment?
Increased thyroid hormone production
No impact on treatment
Enhanced side effects of PTU
Reduced effectiveness of treatment
5. A client is prescribed tamsulosin for treatment of benign prostatic
hyperplasia. The nurse will monitor for which potential drug effect?
Discolored urine
Increased blood pressure
Orthostatic hypotension
Decreased urine flow
6. What is the primary purpose of antiretroviral medications in the
treatment of HIV?
To decrease the viral load to an undetectable level.
To eliminate all symptoms of AIDS.
To cure HIV infection.
To prevent all forms of transmission.
7. If a nurse is caring for a client who has just received mydriatic
medication and is experiencing discomfort in a brightly lit room, what
should the nurse do to improve the client's comfort?
Move the client to a dimly lit room.
Open the curtains to let in more light.
Increase the room temperature.
, Provide the client with sunglasses.
8. What is the primary medication used in the treatment of Parkinson's
disease mentioned in the provided scenario?
Entacapone
Carbidopa-levodopa
Selegiline
Ropinirole
9. A pt purchases diphenhydramine to take at work for allergies. Which of
the following instructions should a pharm tech share with the pt?
"You should schedule an appointment with your doctor before
taking this medication."
"You should avoid going to work while taking this medication."
"You should avoid taking this medication when driving or
operating machinery."
"You should take this medication every 3 hours."
10. A client has been prescribed lorazepam (Ativan) as needed for
agitation. Which statement made by the client indicates the need for
further education about the prescribed medication?
"The medication can be taken as long as I needed and may
cure my underlying problem of anxiety."
"I should use other methods such as deep breathing to help
decrease anxiety in addition to the medication."
"I should not drink alcohol while taking this medication."
"Drowsiness is an expected side effect for this medication."
11. If a patient with HIV is not adhering to their antiretroviral medication
, regimen, what potential outcome should the nurse monitor for?
Immediate onset of AIDS symptoms
Complete eradication of the virus
Increased viral load
Decreased immune response
12. Why is it important for the nurse to advise the pharmacy to deliver a
vial of heparin rather than using low molecular weight heparin?
The nurse should always use available medications to avoid
delays.
Low molecular weight heparin is not the same as heparin and
cannot be substituted without a prescription change.
Heparin and low molecular weight heparin have identical effects
on patients.
The nurse can administer low molecular weight heparin without
consulting the pharmacy.
13. The son of an elderly client brings his father to the clinic. The client
states he has indigestion and has been taking "lots of over-the-counter
cimetidine (Tagamet)" for 3 weeks. Which of the following statements, if
made by the client to the nurse, requires IMMEDIATE followup?
I don't have heartburn since I started taking this medication
My son tells me that I seem to be confused at times
I take Tagamet at the same time I take antacids
I should have consulted my doctor before taking this medication
14. If a patient with HIV is not adhering to their antiretroviral regimen, what
potential outcome should the nurse monitor for?
Exam 2026 | Practice Questions & Verified Answers |
Objective Assessment Review
1. Why is a dimly lit room recommended for a client on mydriatic
medication?
A dimly lit room promotes better oxygen flow to the patient.
A dimly lit room enhances the effectiveness of the medication.
A dimly lit room helps reduce discomfort caused by light
sensitivity associated with mydriatic medications.
A dimly lit room prevents the patient from feeling cold.
2. If the nurse observes a positive guaiac test result in a patient with a
history of self-treating heartburn with ibuprofen, what should be the
nurse's next step?
Document the finding and monitor the patient.
Perform a follow-up guaiac test.
Administer an antacid to the patient.
Notify the healthcare provider immediately.
3. The nurse provides care for a client prescribed atorvastatin. Which value
indicates to the nurse that treatment with atorvastatin is effective?
LDL cholesterol 100mg/dl
Serum cholesterol 220mg/dl
Serum triglyceride level 210mg/dl
HDL level 25 mg/dl
4. A nurse is preparing to administer medications to a patient with
hyperthyroidism. If the nurse mistakenly gives PTU before Lugol's
solution, what potential effect could this have on the patient's
, treatment?
Increased thyroid hormone production
No impact on treatment
Enhanced side effects of PTU
Reduced effectiveness of treatment
5. A client is prescribed tamsulosin for treatment of benign prostatic
hyperplasia. The nurse will monitor for which potential drug effect?
Discolored urine
Increased blood pressure
Orthostatic hypotension
Decreased urine flow
6. What is the primary purpose of antiretroviral medications in the
treatment of HIV?
To decrease the viral load to an undetectable level.
To eliminate all symptoms of AIDS.
To cure HIV infection.
To prevent all forms of transmission.
7. If a nurse is caring for a client who has just received mydriatic
medication and is experiencing discomfort in a brightly lit room, what
should the nurse do to improve the client's comfort?
Move the client to a dimly lit room.
Open the curtains to let in more light.
Increase the room temperature.
, Provide the client with sunglasses.
8. What is the primary medication used in the treatment of Parkinson's
disease mentioned in the provided scenario?
Entacapone
Carbidopa-levodopa
Selegiline
Ropinirole
9. A pt purchases diphenhydramine to take at work for allergies. Which of
the following instructions should a pharm tech share with the pt?
"You should schedule an appointment with your doctor before
taking this medication."
"You should avoid going to work while taking this medication."
"You should avoid taking this medication when driving or
operating machinery."
"You should take this medication every 3 hours."
10. A client has been prescribed lorazepam (Ativan) as needed for
agitation. Which statement made by the client indicates the need for
further education about the prescribed medication?
"The medication can be taken as long as I needed and may
cure my underlying problem of anxiety."
"I should use other methods such as deep breathing to help
decrease anxiety in addition to the medication."
"I should not drink alcohol while taking this medication."
"Drowsiness is an expected side effect for this medication."
11. If a patient with HIV is not adhering to their antiretroviral medication
, regimen, what potential outcome should the nurse monitor for?
Immediate onset of AIDS symptoms
Complete eradication of the virus
Increased viral load
Decreased immune response
12. Why is it important for the nurse to advise the pharmacy to deliver a
vial of heparin rather than using low molecular weight heparin?
The nurse should always use available medications to avoid
delays.
Low molecular weight heparin is not the same as heparin and
cannot be substituted without a prescription change.
Heparin and low molecular weight heparin have identical effects
on patients.
The nurse can administer low molecular weight heparin without
consulting the pharmacy.
13. The son of an elderly client brings his father to the clinic. The client
states he has indigestion and has been taking "lots of over-the-counter
cimetidine (Tagamet)" for 3 weeks. Which of the following statements, if
made by the client to the nurse, requires IMMEDIATE followup?
I don't have heartburn since I started taking this medication
My son tells me that I seem to be confused at times
I take Tagamet at the same time I take antacids
I should have consulted my doctor before taking this medication
14. If a patient with HIV is not adhering to their antiretroviral regimen, what
potential outcome should the nurse monitor for?
