WGU PHARMACOLOGY D441 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
1. A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused
over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (DW) 200 mL. The nurse
should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.)
Answer:
200
Question:
2. A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa
two months ago. Which client finding best indicates that the medication is effective? Reference Range:
Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to
11.2 mmol/L)
A. Reports of increased energy levels and decreased fatigue.
B. Takes concurrent iron therapy without adverse effects.
C. Food diary shows increased consumption of iron-rich foods.
D. Hemoglobin level
Answer:
.
D. Hemoglobin level
Question:
3. The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later,
nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of
75%, and is unable to be aroused. Which action should the nurse implement?
A. Administer a second dose of naloxone.
B. Determine Glasgow Coma Scale score.
C. Initiate cardiopulmonary resuscitation (CPR)
D. Prepare to assist with chest tube insertion.
Answer:
A. Administer a second dose of naloxone.
Question:
4. The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine solution,
for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?
A. Offer both drugs together with a meal.
B. Schedule both medications at bedtime.
C. Give parental dose once every 24 hours.
D. Administer iodine one hour before PTU.
Answer:
D. Administer iodine one hour before PTU.
, Question:
5. The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is taking
carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should
the nurse implement first?
A. Ask if the dient's morning voids are dark colored.
B. Explore what the client means by the drug "is not working."
C. Evaluate the client for signs of dyskinesia.
D. Determine if the client is taking the medication before meals.
Answer:
B. Explore what the client means by the drug "is not working."
Question:
6. A client who is taking dextroamphetamine-amphetamine extended-release tablets for attention deficit
hyperactivity disorder (ADHD), reports about having difficulty sleeping at night. Which assessment is
most important for the nurse to obtain?
A. Determine what time the dose is taken.
B. Determine daily caffeine intake.
C. Ask about the client's bedtime routine.
D. Inquire about perceived anxiety.
Answer:
. Determine what time the dose is taken.
Question:
7. A client receives a prescription for allopurinol. Which information provided by the client requires
additional instruction by the nurse?
A. Avoid taking on an empty stomach.
B. Reduce caffeine and acidic intake.
C. Consume 2 liters of water daily.
D. Double the dose if a dose is missed.
Answer:
D. Double the dose if a dose is missed.
Question:
8. Which nursing intervention has priority when initiating a continuous epidural infusion with an opioid
analgesic?
A. Apply a pulse oximeter to the client per protocol.
B. Administer a stool softener per PRN protocol.
C. Insert an indwelling urinary catheter per protocol.
D. Administer an antiemetic per PRN prescription.
Answer:
A. Apply a pulse oximeter to the client per protocol
QUESTIONS AND CORRECT ANSWERS
Question:
1. A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused
over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (DW) 200 mL. The nurse
should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.)
Answer:
200
Question:
2. A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa
two months ago. Which client finding best indicates that the medication is effective? Reference Range:
Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to
11.2 mmol/L)
A. Reports of increased energy levels and decreased fatigue.
B. Takes concurrent iron therapy without adverse effects.
C. Food diary shows increased consumption of iron-rich foods.
D. Hemoglobin level
Answer:
.
D. Hemoglobin level
Question:
3. The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later,
nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of
75%, and is unable to be aroused. Which action should the nurse implement?
A. Administer a second dose of naloxone.
B. Determine Glasgow Coma Scale score.
C. Initiate cardiopulmonary resuscitation (CPR)
D. Prepare to assist with chest tube insertion.
Answer:
A. Administer a second dose of naloxone.
Question:
4. The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a strong iodine solution,
for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?
A. Offer both drugs together with a meal.
B. Schedule both medications at bedtime.
C. Give parental dose once every 24 hours.
D. Administer iodine one hour before PTU.
Answer:
D. Administer iodine one hour before PTU.
, Question:
5. The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is taking
carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should
the nurse implement first?
A. Ask if the dient's morning voids are dark colored.
B. Explore what the client means by the drug "is not working."
C. Evaluate the client for signs of dyskinesia.
D. Determine if the client is taking the medication before meals.
Answer:
B. Explore what the client means by the drug "is not working."
Question:
6. A client who is taking dextroamphetamine-amphetamine extended-release tablets for attention deficit
hyperactivity disorder (ADHD), reports about having difficulty sleeping at night. Which assessment is
most important for the nurse to obtain?
A. Determine what time the dose is taken.
B. Determine daily caffeine intake.
C. Ask about the client's bedtime routine.
D. Inquire about perceived anxiety.
Answer:
. Determine what time the dose is taken.
Question:
7. A client receives a prescription for allopurinol. Which information provided by the client requires
additional instruction by the nurse?
A. Avoid taking on an empty stomach.
B. Reduce caffeine and acidic intake.
C. Consume 2 liters of water daily.
D. Double the dose if a dose is missed.
Answer:
D. Double the dose if a dose is missed.
Question:
8. Which nursing intervention has priority when initiating a continuous epidural infusion with an opioid
analgesic?
A. Apply a pulse oximeter to the client per protocol.
B. Administer a stool softener per PRN protocol.
C. Insert an indwelling urinary catheter per protocol.
D. Administer an antiemetic per PRN prescription.
Answer:
A. Apply a pulse oximeter to the client per protocol
