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WGU D116 ADVANCED PHARMACOLOGY OA AND
PRE ASSESSMENT EXAM ACTUAL VERIFIED EXAM
COMPLETE 500 QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND RATIONALES (100%
CORRECT ANSWERS) /ALEREADY GRADED
A+||NEWEST EXAM!!!
An 18-year-old patient who is newly diagnosed with
diabetes comes to a primary clinic for a follow-up
transitional care visit and expresses concern about the
ability to comply with taking multiple doses of medications
each day. An interprofessional team determines that the
patient is at risk for noncompliance.
Which action should be taken to overcome this issue? -
ANSWER-YES Simplify the regimen so that the number of
drugs and doses per day are as small as possible
Correct! The patient could benefit from a simplified and
more easily understood regimen.
A 94-year-old patient is admitted to a hospital through an
emergency department from a nursing home one week
after being discharged to the nursing home due to
documented altered mental status. Medications ordered at
the time of discharge included warfarin, potassium, a
multivitamin, hydrochlorothiazide, and PRN pain
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medication. The current medication list differs from the list
documented one week ago.
Which member of the interprofessional care team should
be consulted to obtain accurate medication information? -
ANSWER-YES Nursing home discharge planner
Correct! The nursing home discharge planner would have
the most up-to-date medication list from the nursing home
as this activity is within the function of this role.
Which vitamin B deficiency is associated with cheilosis,
glossitis, vascularization of the cornea, and itchy
dermatitis of the scrotum and vulva? - ANSWER-YES
Riboflavin (b2
Correct! Riboflavin deficiency produces the symptoms
described and can be treated with riboflavin supplements.
The signs listed do not indicate deficiencies of niacin,
pyridoxine, or thiamine.
A patient who is known to be a heavy drinker is brought to
the emergency department with ataxia and confusion. The
patient cannot remember the events of the previous day.
The examination reveals nystagmus, and the patient
reports having double vision.
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Which vitamin should the provider order for this patient? -
ANSWER-YES Intravenous thiamine (vitamin Correct!
Alcoholics who are malnourished have a form of thiamine
deficiency called Wernicke-Korsakoff syndrome, which is
characterized by nystagmus, diplopia, ataxia, confusion,
and short-term memory loss. Parenteral thiamine is
indicated for treatment. Ascorbic acid is given to treat a
vitamin C deficiency, which leads to scurvy. Pyridoxine is
given for vitamin B6deficiency, also common in alcoholics,
but this patient does not have the symptoms of seborrheic
dermatitis and peripheral neuropathy. Nicotinic acid is
used for niacin deficiency, which is characterized by
severe dry, rough skin.
A patient appears malnourished. The patient's folic acid
levels are low, and vitamin B12 levels are normal.
What should this patient's treatment include? - ANSWER-
YES A diet high in folic acid
Correct! If a folic acid deficiency is caused by a poor diet,
it should be corrected with dietary measures, not
supplements. Intramuscular or oral supplements of folic
acid are not indicated. Vitamin B12 is not recommended.
A patient is admitted to the hospital. The patient's initial
laboratory results reveal megaloblastic anemia. The
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patient complains of tingling of the hands and appears
confused.
What should the provider suspect in this patient? -
ANSWER-YES Vitamin B12 deficiency
Correct! When patients present with megaloblastic
anemia, it is essential to distinguish between a folic acid
deficiency and a vitamin B12 deficiency. If neurologic
deficits are observed, a vitamin B12 deficiency is more
likely to be the cause. This patient does not have signs of
celiac disease. Iron deficiency anemia would be indicated
by low hemoglobin and hematocrit.
A patient will begin taking immunosuppressant drugs for
rheumatoid arthritis (RA).
Which dietary supplement should this patient avoid? -
ANSWER-YES Echinacea
Correct! Echinacea stimulates the immune system, so it
should not be used in patients with autoimmune diseases
such as RA; it also compromises the effectiveness of
immunosuppressive drugs. Black cohosh, feverfew, and
glucosamine are not contraindicated in patients with RA.
A patient admitted to the emergency department with
abdominal pain tells the provider he has been taking kava.
WGU D116 ADVANCED PHARMACOLOGY OA AND
PRE ASSESSMENT EXAM ACTUAL VERIFIED EXAM
COMPLETE 500 QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND RATIONALES (100%
CORRECT ANSWERS) /ALEREADY GRADED
A+||NEWEST EXAM!!!
An 18-year-old patient who is newly diagnosed with
diabetes comes to a primary clinic for a follow-up
transitional care visit and expresses concern about the
ability to comply with taking multiple doses of medications
each day. An interprofessional team determines that the
patient is at risk for noncompliance.
Which action should be taken to overcome this issue? -
ANSWER-YES Simplify the regimen so that the number of
drugs and doses per day are as small as possible
Correct! The patient could benefit from a simplified and
more easily understood regimen.
A 94-year-old patient is admitted to a hospital through an
emergency department from a nursing home one week
after being discharged to the nursing home due to
documented altered mental status. Medications ordered at
the time of discharge included warfarin, potassium, a
multivitamin, hydrochlorothiazide, and PRN pain
,2|Page
medication. The current medication list differs from the list
documented one week ago.
Which member of the interprofessional care team should
be consulted to obtain accurate medication information? -
ANSWER-YES Nursing home discharge planner
Correct! The nursing home discharge planner would have
the most up-to-date medication list from the nursing home
as this activity is within the function of this role.
Which vitamin B deficiency is associated with cheilosis,
glossitis, vascularization of the cornea, and itchy
dermatitis of the scrotum and vulva? - ANSWER-YES
Riboflavin (b2
Correct! Riboflavin deficiency produces the symptoms
described and can be treated with riboflavin supplements.
The signs listed do not indicate deficiencies of niacin,
pyridoxine, or thiamine.
A patient who is known to be a heavy drinker is brought to
the emergency department with ataxia and confusion. The
patient cannot remember the events of the previous day.
The examination reveals nystagmus, and the patient
reports having double vision.
,3|Page
Which vitamin should the provider order for this patient? -
ANSWER-YES Intravenous thiamine (vitamin Correct!
Alcoholics who are malnourished have a form of thiamine
deficiency called Wernicke-Korsakoff syndrome, which is
characterized by nystagmus, diplopia, ataxia, confusion,
and short-term memory loss. Parenteral thiamine is
indicated for treatment. Ascorbic acid is given to treat a
vitamin C deficiency, which leads to scurvy. Pyridoxine is
given for vitamin B6deficiency, also common in alcoholics,
but this patient does not have the symptoms of seborrheic
dermatitis and peripheral neuropathy. Nicotinic acid is
used for niacin deficiency, which is characterized by
severe dry, rough skin.
A patient appears malnourished. The patient's folic acid
levels are low, and vitamin B12 levels are normal.
What should this patient's treatment include? - ANSWER-
YES A diet high in folic acid
Correct! If a folic acid deficiency is caused by a poor diet,
it should be corrected with dietary measures, not
supplements. Intramuscular or oral supplements of folic
acid are not indicated. Vitamin B12 is not recommended.
A patient is admitted to the hospital. The patient's initial
laboratory results reveal megaloblastic anemia. The
, 4|Page
patient complains of tingling of the hands and appears
confused.
What should the provider suspect in this patient? -
ANSWER-YES Vitamin B12 deficiency
Correct! When patients present with megaloblastic
anemia, it is essential to distinguish between a folic acid
deficiency and a vitamin B12 deficiency. If neurologic
deficits are observed, a vitamin B12 deficiency is more
likely to be the cause. This patient does not have signs of
celiac disease. Iron deficiency anemia would be indicated
by low hemoglobin and hematocrit.
A patient will begin taking immunosuppressant drugs for
rheumatoid arthritis (RA).
Which dietary supplement should this patient avoid? -
ANSWER-YES Echinacea
Correct! Echinacea stimulates the immune system, so it
should not be used in patients with autoimmune diseases
such as RA; it also compromises the effectiveness of
immunosuppressive drugs. Black cohosh, feverfew, and
glucosamine are not contraindicated in patients with RA.
A patient admitted to the emergency department with
abdominal pain tells the provider he has been taking kava.
