• ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
WGU D116 ADVANCED PHARMACOLOGY FINAL
EXAM OBJECTIVE ASSEMENT & PRE-ASSESMENT
700 QUESTIONS AND ANSWERS LATEST UPDATE
THIS YEAR - JUST RELEASED
The practical nurse (PN) is administering an enteric-coated form of erythromycin (EES) to a male client with an
upper respiratory infection. The client tells the PN that the medication should be taken with his meals. What
information should the PN offer the client?
A) Taking EES with food anytime is recommended.
B) EES should be taken on an empty stomach.
C) ESS may be taken without regard to meals.
P 1
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
D) The best time to take EES is once daily at night. - Correct Answer :C) ESS may be taken without regard to
meals.
Feedback:
The enteric-coated formulation of erythromycin may be taken without regard to meals (C). Because an enteric
coating makes the drug less irritating to the gastrointestinal tract, this is likely to enhance compliance with drug
therapy without regard to meals. (A, B, and D) are not indicated.
Which International Normalized Ratio (INR) value indicates that warfarin (Coumadin) therapy is at a therapeutic
range?
A) 1.0 to 2.0
B) 2.1 to 3.0
C) 3.1 to 4.0
D) 4.1 to 5.0 - Correct Answer :B) 2.1 to 3.0
Feedback:
Warfarin dosage for therapeutic anticoagulation is adjusted to target a client's INR range between 2 to 3 (B). (A,
C, and D) are outside the narrow therapeutic range.
A client with Parkinson's disease has been taking antiparkinsonian medications for three months. Which client
finding should the practical nurse (PN) identify as a therapeutic response?
A) Decreased appetite.
B) Gradual development of cogwheel rigidity.
C) Occurrence of confusion.
D) Improved ability to perform activities. - Correct Answer :D) Improved ability to perform activities.
Feedback:
Therapeutic responses to antiparkinsonian agents include an improved sense of well-being and improved ability
to think clearly and perform activities (D). An increase in appetite, not (A), and less-intense parkinsonism
manifestations are expected, not (B or C).
A male client diagnosed with tuberculosis asks the practical nurse (PN) about his course of drug therapy. Which
information should the PN provide?
P 2
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
A) Drug therapy requires compliance for 6 to 12 months.
B) Medication is stopped when clinical symptoms subside.
C) To prevent reactivation, drug therapy is maintained for life.
D) To prevent resistance and side effects, drugs are changed. - Correct Answer :A) Drug therapy requires
compliance for 6 to 12 months.
Feedback:
Antitubercular drug therapy is prescribed for 6 to 12 months, which requires continuous compliance to prevent
resistance of the tubercle bacillus, to ensure encapsulation, and prevent reactivation. Drug therapy continues
until sputum tests are negative for the tubercle bacillus, and the client is no longer infectious to others, not (B).
(C) is inaccurate. Although antibiotics used in antitubercular drug protocols may be changed throughout the
course of therapy (D), strict compliance for the duration of therapy is vital in preventing reinfection and spread
to others.
The practical nurse (PN) is reviewing the discharge plan for a client with mania who is receiving lithium carbonate
(Eskalith). To achieve a stable serum level, which information should the PN reinforce with the client?
A) How to inject this drug.
B) When to increase the dosage.
C) When to stop using this drug.
D) How to recognize symptoms of toxicity. - Correct Answer :D) How to recognize symptoms of toxicity.
Feedback:
Lithium carbonate has a very narrow therapeutic serum range, so the client should understand the signs and
symptoms of toxicity (D). (A) is not available. (B) increases the client's risk for toxicity. (C) will precipitate
recurrence of mania.
The practical nurse (PN) is reinforcing information to a client about the use of an antiemetic to help manage
nausea and vomiting during a course of chemotherapy. Which information is most important for the PN to
provide?
A) Eat small amounts of food, such as crackers, to soothe the stomach lining.
B) Drink any palatable liquid as tolerated when nauseated.
C) Ensure safety by taking at bedtime if drowsiness occurs.
P 3
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
D) Take at least 30 minutes before a chemotherapeutic agent is received. - Correct Answer :D) Take at least 30
minutes before a chemotherapeutic agent is received.
Feedback:
Antiemetics should be given before any chemotherapeutic agent is administered, often 30 minutes to 3 hours
before treatment (D). Although (A, B, and C) are useful tips, if tolerated, they do not ensure the maximum
therapeutic response.
A client with chest pain is diagnosed with angina pectoris. On discharge the client receives a prescription for
sublingual nitroglycerin tablets PRN. Which instruction should the practical nurse (PN) reinforce with this client?
A) Take up to five doses at 15 minute intervals for an anginal attack.
B) Chew the tablet for maximal effect because does not dissolve quickly.
C) Seek immediate hospitalization after the first dose is taken for chest pain.
D) Change positions slowly after taking a dose to reduce the chance of falling. - Correct Answer :D) Change
positions slowly after taking a dose to reduce the chance of falling.
Feedback:
Sublingual nitroglycerin may cause hypotension, so the client should be instructed to change positions slowly to
avoid injury falling or fainting after taking a dose (D). (A, B, and C) are inaccurate.
A client receives a prescription for nystatin (Mycostatin) oral suspension for the treatment of oral thrush. Which
information should the practical nurse (PN) provide?
A) Take on an empty stomach.
B) Mix the suspension with water.
C) Swish then swallow the medication.
D) Keep in the refrigerator. - Correct Answer :C) Swish then swallow the medication.
Feedback:
The client should swish the suspension in the mouth for as long as possible before swallowing it (C). The method
of swish and swallow distributes the medication within the oral cavity to ensure topical coverage of the affected
mucosal surfaces. Although (A, B, and D) are medication administration instructions, swish and swallow is the
most specific administration information for nystatin.
P 4
PHARMACOLOGY 09/18/2026
EXAM
WGU D116 ADVANCED PHARMACOLOGY FINAL
EXAM OBJECTIVE ASSEMENT & PRE-ASSESMENT
700 QUESTIONS AND ANSWERS LATEST UPDATE
THIS YEAR - JUST RELEASED
The practical nurse (PN) is administering an enteric-coated form of erythromycin (EES) to a male client with an
upper respiratory infection. The client tells the PN that the medication should be taken with his meals. What
information should the PN offer the client?
A) Taking EES with food anytime is recommended.
B) EES should be taken on an empty stomach.
C) ESS may be taken without regard to meals.
P 1
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
D) The best time to take EES is once daily at night. - Correct Answer :C) ESS may be taken without regard to
meals.
Feedback:
The enteric-coated formulation of erythromycin may be taken without regard to meals (C). Because an enteric
coating makes the drug less irritating to the gastrointestinal tract, this is likely to enhance compliance with drug
therapy without regard to meals. (A, B, and D) are not indicated.
Which International Normalized Ratio (INR) value indicates that warfarin (Coumadin) therapy is at a therapeutic
range?
A) 1.0 to 2.0
B) 2.1 to 3.0
C) 3.1 to 4.0
D) 4.1 to 5.0 - Correct Answer :B) 2.1 to 3.0
Feedback:
Warfarin dosage for therapeutic anticoagulation is adjusted to target a client's INR range between 2 to 3 (B). (A,
C, and D) are outside the narrow therapeutic range.
A client with Parkinson's disease has been taking antiparkinsonian medications for three months. Which client
finding should the practical nurse (PN) identify as a therapeutic response?
A) Decreased appetite.
B) Gradual development of cogwheel rigidity.
C) Occurrence of confusion.
D) Improved ability to perform activities. - Correct Answer :D) Improved ability to perform activities.
Feedback:
Therapeutic responses to antiparkinsonian agents include an improved sense of well-being and improved ability
to think clearly and perform activities (D). An increase in appetite, not (A), and less-intense parkinsonism
manifestations are expected, not (B or C).
A male client diagnosed with tuberculosis asks the practical nurse (PN) about his course of drug therapy. Which
information should the PN provide?
P 2
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
A) Drug therapy requires compliance for 6 to 12 months.
B) Medication is stopped when clinical symptoms subside.
C) To prevent reactivation, drug therapy is maintained for life.
D) To prevent resistance and side effects, drugs are changed. - Correct Answer :A) Drug therapy requires
compliance for 6 to 12 months.
Feedback:
Antitubercular drug therapy is prescribed for 6 to 12 months, which requires continuous compliance to prevent
resistance of the tubercle bacillus, to ensure encapsulation, and prevent reactivation. Drug therapy continues
until sputum tests are negative for the tubercle bacillus, and the client is no longer infectious to others, not (B).
(C) is inaccurate. Although antibiotics used in antitubercular drug protocols may be changed throughout the
course of therapy (D), strict compliance for the duration of therapy is vital in preventing reinfection and spread
to others.
The practical nurse (PN) is reviewing the discharge plan for a client with mania who is receiving lithium carbonate
(Eskalith). To achieve a stable serum level, which information should the PN reinforce with the client?
A) How to inject this drug.
B) When to increase the dosage.
C) When to stop using this drug.
D) How to recognize symptoms of toxicity. - Correct Answer :D) How to recognize symptoms of toxicity.
Feedback:
Lithium carbonate has a very narrow therapeutic serum range, so the client should understand the signs and
symptoms of toxicity (D). (A) is not available. (B) increases the client's risk for toxicity. (C) will precipitate
recurrence of mania.
The practical nurse (PN) is reinforcing information to a client about the use of an antiemetic to help manage
nausea and vomiting during a course of chemotherapy. Which information is most important for the PN to
provide?
A) Eat small amounts of food, such as crackers, to soothe the stomach lining.
B) Drink any palatable liquid as tolerated when nauseated.
C) Ensure safety by taking at bedtime if drowsiness occurs.
P 3
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
D) Take at least 30 minutes before a chemotherapeutic agent is received. - Correct Answer :D) Take at least 30
minutes before a chemotherapeutic agent is received.
Feedback:
Antiemetics should be given before any chemotherapeutic agent is administered, often 30 minutes to 3 hours
before treatment (D). Although (A, B, and C) are useful tips, if tolerated, they do not ensure the maximum
therapeutic response.
A client with chest pain is diagnosed with angina pectoris. On discharge the client receives a prescription for
sublingual nitroglycerin tablets PRN. Which instruction should the practical nurse (PN) reinforce with this client?
A) Take up to five doses at 15 minute intervals for an anginal attack.
B) Chew the tablet for maximal effect because does not dissolve quickly.
C) Seek immediate hospitalization after the first dose is taken for chest pain.
D) Change positions slowly after taking a dose to reduce the chance of falling. - Correct Answer :D) Change
positions slowly after taking a dose to reduce the chance of falling.
Feedback:
Sublingual nitroglycerin may cause hypotension, so the client should be instructed to change positions slowly to
avoid injury falling or fainting after taking a dose (D). (A, B, and C) are inaccurate.
A client receives a prescription for nystatin (Mycostatin) oral suspension for the treatment of oral thrush. Which
information should the practical nurse (PN) provide?
A) Take on an empty stomach.
B) Mix the suspension with water.
C) Swish then swallow the medication.
D) Keep in the refrigerator. - Correct Answer :C) Swish then swallow the medication.
Feedback:
The client should swish the suspension in the mouth for as long as possible before swallowing it (C). The method
of swish and swallow distributes the medication within the oral cavity to ensure topical coverage of the affected
mucosal surfaces. Although (A, B, and D) are medication administration instructions, swish and swallow is the
most specific administration information for nystatin.
P 4
