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WGU D116 Pre-assessment Exam Questions and Correct Answers from Actual Exam 2026. A + SCORE.THE ULTIMATE STUDY GUIDE.pdf

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WGU D116 Pre-assessment Exam Questions and Correct Answers from Actual Exam 2026. A + SCORE.THE ULTIMATE STUDY GUIDE.pdf

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Western Governors University D 115


D116 pre-assessment
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How will these drug interactions affect this patient? Propranolol can decrease albuterol's therapeutic effect.
An elderly patient with a history of asthma and
hypertension presents to the emergency department
complaining of chest pain and shortness of breath. The
advanced practice registered nurse (APRN) reviews the
patient's current medications and notes that the patient is
taking propranolol and inhaled albuterol.


A 35-year-old mother who is currently breastfeeding her Lipid-soluble
four-month-old baby comes to a clinic for an evaluation
of a sinus infection. The advanced practice registered
nurse needs to prescribe medication that does not pass
across the membrane into the breast milk.


A 42-year-old patient suffering from pain due to cancer The drug depresses peristalsis, prolonging drug transit time.
comes to a clinic and visits with the advanced practice
registered nurse (APRN). The APRN previously had
prescribed morphine to treat the pain. The patient is
concerned because her bowel movements have become
irregular and asks the APRN why she is experiencing
constipation.
How should the APRN respond?

, An advanced practice registered nurse is prescribing Increases heart rate
dobutamine for a patient in cardiogenic shock.
Which outcome is expected when this drug is used?


An advanced practice registered nurse (APRN) Enroll the patient in the local Mission prescription assistance program
volunteers one day per month at a local free clinic in the
community and is seeing a 43-year-old Caucasian patient
with hypertension. The patient's blood pressure is
196/100, and the patient states being prescribed three
blood pressure medications: metoprolol 100 mg bid,
losartan 50 mg daily, and clonidine 0.1 mg tid.
The patient states that there is no way to check blood
pressure, and upon reviewing all the patient's
medications, the APRN notes that the losartan has not
been filled for three months and only 10 pills remain. The
patient admits taking half the prescribed dose so the pills
last longer.
Which action should be taken by the APRN?


A 78-year-old woman is diagnosed with chronic open- Timolol
angle glaucoma. She has a past history of first-degree
atrioventricular block and bradycardia.
Which medication should be avoided by this patient?


An advanced practice registered nurse (APRN) is Change the cimetidine to ranitidine because the original drug may decrease the
evaluating a patient at a six-month follow-up effectiveness of the metoprolol
appointment. The patient is taking cimetidine 1 g at
bedtime, metoprolol 100 mg daily, aspirin 81 mg daily, and
metformin 1 g daily. The patient's vitals are BP 160/90,
pulse 110, respirations 12, and temperature 97.8°F.
The patient is concerned that her blood pressure and
pulse are still elevated. The patient tells the APRN she
does not want to take another pill because she feels she
is taking too many.
Which action should the APRN take next?


A 47-year-old male is brought to an emergency Assess for acute lidocaine toxicity
department with lacerations to the forearm. After
applying lidocaine as local anesthetic, the patient states
he feels like he may pass out and is sweating profusely.
Which action by the patient's advanced practice
registered nurse should be taken first?

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