WGU D441 – Medical Dosage Calculations &
Pharmacology OA Exam Prep (2026 Edition)
1. Which action is appropriate by the nurse, during administration of
vancomycin IV to a client with a blood infection?
Monitor for numbness and tingling of the lower extremities
Monitor for hypotension
Place the client on telemetry
Administer the drug over 30 minutes
2. *A client with a history of depression is taking cyclosporine to prevent
organ rejection. However, recent tests indicate the medication is losing
effectiveness. The nurse should ask if the client is taking which herbal
supplement?*
Black cohosh.
St. John's wort.
Saw palmetto.
Flaxseed.
3. Why is it important for a female client to ensure a negative pregnancy
test before starting misoprostol therapy?
Misoprostol is safe to use during pregnancy for ulcer treatment.
Misoprostol can cause uterine contractions and is
contraindicated in pregnancy.
Misoprostol has no effect on pregnancy.
A negative pregnancy test is not necessary for this medication.
4. What is the primary purpose of the medication bethanechol in nursing
, practice?
To reduce anxiety.
To treat hypertension.
To manage diabetes.
To relieve urinary retention.
5. What information should the nurse include in the discharge teaching for
a client prescribed an antacid and cimetidine?
Antacid and cimetidine should be taken at the same time for
better effect
Take the antacid one hour after the cimetidine
6. What should a nurse instruct a client to avoid while taking
metronidazole?
Alcohol
Dairy products
High-fat foods
Caffeine
7. A nurse is caring for a client with type 2 diabetes who has just received
insulin lispro but is unable to eat due to nausea. What should the nurse
prioritize in this situation?
Monitor the client for signs of hypoglycemia.
Provide anti-nausea medication before meals.
Administer a dose of oral glucose immediately.
Check the client's blood glucose levels every hour.
8. A nurse is caring for a patient with hyperthyroidism who is prescribed
, both PTU and Lugol's solution. If the nurse notices that the patient is
experiencing adverse effects from the iodine solution, what should be
the nurse's priority action?
Switch to a different medication without consulting the provider.
Increase the dosage of PTU to counteract the effects.
Continue administering both medications as prescribed.
Notify the healthcare provider about the adverse effects.
9. Why is it crucial for the nurse to report a positive guaiac of stool
immediately?
A positive guaiac indicates potential gastrointestinal bleeding,
which requires prompt medical attention.
A positive guaiac shows the patient is responding well to
treatment.
A positive guaiac indicates normal digestive function.
A positive guaiac suggests the patient is adequately hydrated.
10. What is the primary purpose of the fluticasone propionate and
salmeterol discus inhalation system?
To treat high blood pressure
To control asthma
To prevent infections
To alleviate pain
11. The patient has been placed on salmeterol. The patient tells the nurse, "I
don't understand why this inhaler doesn't help when I'm having an
asthma attack." The nurse frames the response based on which
information?
, Salmeterol is not designed to relieve acute symptoms.
Salmeterol should never be combined with another inhalant.
Salmeterol can be given as needed throughout the day.
Salmeterol must be administered according to specific
instructions.
12. A client is prescribed tamsulosin for treatment of benign prostatic
hyperplasia. The nurse will monitor for which potential drug effect?
Increased blood pressure
Discolored urine
Orthostatic hypotension
Decreased urine flow
13. What is a common side effect of vasopressin that should be monitored
in patients?
Worsening headache.
Increased urine output.
Elevated blood pressure.
Decreased thirst.
14. If a client with Parkinson's disease reports that their medication is not
effective, what should the nurse prioritize in their assessment?
Reviewing the client's medication history.
Understanding the client's specific symptoms and concerns
regarding the medication.
Assessing the client's nutritional intake.
Checking the client's vital signs.
Pharmacology OA Exam Prep (2026 Edition)
1. Which action is appropriate by the nurse, during administration of
vancomycin IV to a client with a blood infection?
Monitor for numbness and tingling of the lower extremities
Monitor for hypotension
Place the client on telemetry
Administer the drug over 30 minutes
2. *A client with a history of depression is taking cyclosporine to prevent
organ rejection. However, recent tests indicate the medication is losing
effectiveness. The nurse should ask if the client is taking which herbal
supplement?*
Black cohosh.
St. John's wort.
Saw palmetto.
Flaxseed.
3. Why is it important for a female client to ensure a negative pregnancy
test before starting misoprostol therapy?
Misoprostol is safe to use during pregnancy for ulcer treatment.
Misoprostol can cause uterine contractions and is
contraindicated in pregnancy.
Misoprostol has no effect on pregnancy.
A negative pregnancy test is not necessary for this medication.
4. What is the primary purpose of the medication bethanechol in nursing
, practice?
To reduce anxiety.
To treat hypertension.
To manage diabetes.
To relieve urinary retention.
5. What information should the nurse include in the discharge teaching for
a client prescribed an antacid and cimetidine?
Antacid and cimetidine should be taken at the same time for
better effect
Take the antacid one hour after the cimetidine
6. What should a nurse instruct a client to avoid while taking
metronidazole?
Alcohol
Dairy products
High-fat foods
Caffeine
7. A nurse is caring for a client with type 2 diabetes who has just received
insulin lispro but is unable to eat due to nausea. What should the nurse
prioritize in this situation?
Monitor the client for signs of hypoglycemia.
Provide anti-nausea medication before meals.
Administer a dose of oral glucose immediately.
Check the client's blood glucose levels every hour.
8. A nurse is caring for a patient with hyperthyroidism who is prescribed
, both PTU and Lugol's solution. If the nurse notices that the patient is
experiencing adverse effects from the iodine solution, what should be
the nurse's priority action?
Switch to a different medication without consulting the provider.
Increase the dosage of PTU to counteract the effects.
Continue administering both medications as prescribed.
Notify the healthcare provider about the adverse effects.
9. Why is it crucial for the nurse to report a positive guaiac of stool
immediately?
A positive guaiac indicates potential gastrointestinal bleeding,
which requires prompt medical attention.
A positive guaiac shows the patient is responding well to
treatment.
A positive guaiac indicates normal digestive function.
A positive guaiac suggests the patient is adequately hydrated.
10. What is the primary purpose of the fluticasone propionate and
salmeterol discus inhalation system?
To treat high blood pressure
To control asthma
To prevent infections
To alleviate pain
11. The patient has been placed on salmeterol. The patient tells the nurse, "I
don't understand why this inhaler doesn't help when I'm having an
asthma attack." The nurse frames the response based on which
information?
, Salmeterol is not designed to relieve acute symptoms.
Salmeterol should never be combined with another inhalant.
Salmeterol can be given as needed throughout the day.
Salmeterol must be administered according to specific
instructions.
12. A client is prescribed tamsulosin for treatment of benign prostatic
hyperplasia. The nurse will monitor for which potential drug effect?
Increased blood pressure
Discolored urine
Orthostatic hypotension
Decreased urine flow
13. What is a common side effect of vasopressin that should be monitored
in patients?
Worsening headache.
Increased urine output.
Elevated blood pressure.
Decreased thirst.
14. If a client with Parkinson's disease reports that their medication is not
effective, what should the nurse prioritize in their assessment?
Reviewing the client's medication history.
Understanding the client's specific symptoms and concerns
regarding the medication.
Assessing the client's nutritional intake.
Checking the client's vital signs.
