1|Page
WGU D116 ADVANCED PHARMACOLOGY OA & ACTUAL EXAM
2026/2027 | VERIFIED QUESTIONS AND CORRECT DETAILED
ANSWERS | PASS GUARANTEED - A+ GRADED
A patient is wheezing and short of breath. The nurse assesses a heart
rate of 88 beats per minute, a respiratory rate of 24 breaths per minute,
and a blood pressure of 124/78 mm Hg. The prescriber orders a
nonspecific beta-agonist medication.
Besides evaluating the patient for a reduction in respiratory distress, the
nurse should monitor for which side effect? ......ANSWER......Tachycardia
Beta-agonists are used for asthma because of their B2 on bronchial
smooth muscle-causes bronchodilation
Non-specific is B2
Specific is B1 and they cause tachycardia and hypertension
A patient is experiencing toxic side effects from atropine, including
delirium and hallucinations. Which medication should the provider
administer? ......ANSWER......Physostigmine
A patient brought to the emergency department requires sutures. The
prescriber orders a local anesthetic with epinephrine.
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The epinephrine is ordered to ___________. ......ANSWER......Allow a
reduced dose of the anesthetic
Epi prolongs absorption of the anesthetic because it is an alpha 1
agonist
A patient has been diagnosed with Parkinson disease (PD) and begins
treatment with carbidopa. After several months of therapy, the patient
reports no change in symptoms.
As the provider, you should do which of the following?
......ANSWER......Reevaluate the dx
There should be some therapeutic effects after several months of tx
A patient who is taking oral contraceptives begins taking valproic acid
for seizures. After a week of therapy with valproic acid, the patient tells
the nurse that she is experiencing nausea.
What should the nurse do? ......ANSWER......Ask the pt is she is taking
the med with food because taking the drug on an empty stomach can
cause gastrointestinal side effects
A patient with cerebral palsy who has been receiving baclofen via
gastrostomy tube for three months is admitted to the hospital for
evaluation of new-onset seizures.
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What might you suspect to be the cause of these seizures?
......ANSWER......Missed doses of baclofen
Baclofen does not appear to cause physical dependence, but abrupt
discontinuation has been associated with adverse reactions
Abrupt withdrawal can cause visual hallucinations, paranoid ideation,
and seizures
A nurse is preparing a patient to go home from the emergency
department after receiving sutures for a laceration on one hand. The
provider used lidocaine with epinephrine as a local anesthetic.
Which symptom in this patient causes the most concern?
......ANSWER......Nervousness and tachycardia
If severe, alpha and beta antagonists can be given
A patient who has recurrent migraine headaches is prescribed
sumatriptan. Which aspect of this patient's history is of concern when
taking this drug? ......ANSWER......CAD
Serotonin receptor agonists cause vasoconstriction and coronary
vasospasm
WGU D116 ADVANCED PHARMACOLOGY OA & ACTUAL EXAM
2026/2027 | VERIFIED QUESTIONS AND CORRECT DETAILED
ANSWERS | PASS GUARANTEED - A+ GRADED
A patient is wheezing and short of breath. The nurse assesses a heart
rate of 88 beats per minute, a respiratory rate of 24 breaths per minute,
and a blood pressure of 124/78 mm Hg. The prescriber orders a
nonspecific beta-agonist medication.
Besides evaluating the patient for a reduction in respiratory distress, the
nurse should monitor for which side effect? ......ANSWER......Tachycardia
Beta-agonists are used for asthma because of their B2 on bronchial
smooth muscle-causes bronchodilation
Non-specific is B2
Specific is B1 and they cause tachycardia and hypertension
A patient is experiencing toxic side effects from atropine, including
delirium and hallucinations. Which medication should the provider
administer? ......ANSWER......Physostigmine
A patient brought to the emergency department requires sutures. The
prescriber orders a local anesthetic with epinephrine.
,2|Page
The epinephrine is ordered to ___________. ......ANSWER......Allow a
reduced dose of the anesthetic
Epi prolongs absorption of the anesthetic because it is an alpha 1
agonist
A patient has been diagnosed with Parkinson disease (PD) and begins
treatment with carbidopa. After several months of therapy, the patient
reports no change in symptoms.
As the provider, you should do which of the following?
......ANSWER......Reevaluate the dx
There should be some therapeutic effects after several months of tx
A patient who is taking oral contraceptives begins taking valproic acid
for seizures. After a week of therapy with valproic acid, the patient tells
the nurse that she is experiencing nausea.
What should the nurse do? ......ANSWER......Ask the pt is she is taking
the med with food because taking the drug on an empty stomach can
cause gastrointestinal side effects
A patient with cerebral palsy who has been receiving baclofen via
gastrostomy tube for three months is admitted to the hospital for
evaluation of new-onset seizures.
, 3|Page
What might you suspect to be the cause of these seizures?
......ANSWER......Missed doses of baclofen
Baclofen does not appear to cause physical dependence, but abrupt
discontinuation has been associated with adverse reactions
Abrupt withdrawal can cause visual hallucinations, paranoid ideation,
and seizures
A nurse is preparing a patient to go home from the emergency
department after receiving sutures for a laceration on one hand. The
provider used lidocaine with epinephrine as a local anesthetic.
Which symptom in this patient causes the most concern?
......ANSWER......Nervousness and tachycardia
If severe, alpha and beta antagonists can be given
A patient who has recurrent migraine headaches is prescribed
sumatriptan. Which aspect of this patient's history is of concern when
taking this drug? ......ANSWER......CAD
Serotonin receptor agonists cause vasoconstriction and coronary
vasospasm
