• ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
WGU D116 ADVANCED PHARMACOLOGY FINAL
EXAM 1 OBJECTIVE ASSEMENT & PRE-ASSESMENT
700 QUESTIONS AND ANSWERS LATEST UPDATE
THIS YEAR - JUST RELEASED
Before administering a laxative to a bedfast client, it is most important for the nurse to perform what
assessment?
a-Observe the skin integrity of the client's rectal and sacral areas
P 1
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
b-assess the client strength in moving and turning in the bed
c-evaluate the client's ability to recognize the urge to defecate
d-determine the frequency and consistency of bowel movements –
Correct Answer :D
rationale
the nurse should ensure that the client is not experiencing diarrhea (answer choice D) before administering a
laxative, which will increase the frequency of bowel movements. answer choices A,B,C R4 and assessments for
the provision of care when the client experience is a valve, but are of less priority then answer choice D which
provides data about the possible need to hold medication
A female client with multiple sclerosis reports having less fatigue and improved memory since she began using
the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the
teaching plans for this client?
a-Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo
b-nausea and diarrhea can occur when using this supplement
c-anxiety and headaches increased with use of ginkgo
d-ginkgo biloba use should be limited and not taken during pregnancy - Correct Answer :Rationale
ginkgo biloba has blood thinning properties and should not be used in taking aspirin or unsafe which increased
the risk for bleeding. nausea diarrhea anxiety and headaches are also side effects of supplements but they do
not pose the same risk as a. Although D is accurate A has a higher priority
In explaining the benefits of the combination anti-infective drug code tri-moxazole/TMP-SMZ (bactrium) to a
client receiving the medication for a urinary tract infection, more rationale to the nurse provide?
-Each drug could cause damage to the kidneys if taken separately
-one drug reduces the risk of side effects caused by the drug
-while one drug provide releif, the other fights the infection
-the two drugs work together to reduce resistance of the bacterial infection of symptoms - Correct Answer :D
P 2
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
rationale
the combination of drugs and bacteria work synergistically to reduce bacterial resistance enterprise D, thereby
increasing the drug therapeutic benefits answer choices a B &C are incorrect rationales
Client being treated with Haldol for schizophrenia is complaining of jaw tightness & a stiff neck. Which
interventions should the nurse impliment?
-give PRN those of diphenhydramine Benadryl
-assess client other sensory hallucinations
-massage neck until muscles begin to relax
-obtain a 12 lead EKG - Correct Answer :Rationale
jaw tightness and a stiff neck are signs of tardive dyskinesia, a serious side effect of health all that can be
reversed with Benadryl answer choice A. the client complaints are not considered hallucinations b. Massaging
the neck does not eliminate the symptoms. A 12 lead EKG is not indicated because the pain is not cardiac in
origin.
Which intervention is most important for the nurse implement for a client is receiving lispro Humalog insulin?
-Check blood glucose levels every six hours
-provide meals at the same time that insulin is given
-assess for hypoglycemia between meals
-keeping oral liquid or glucose source available - Correct Answer :B
Rationale
Humalog is a rapid acting insulin 15 minutes, so meals should be readily available time administration of lispro (B).
Although glucose blood levels a, monitoring for hypoglycemia see, and keeping emergency source of glucose
available B should be implemented for client receiving any form of insulin those who take these are at greatest
risk for rapid hypoglycemia shortly after it is administered
Client takes nonsteroidal anti-inflammatory drugs every day for rheumatoid arthritis is being treated for anemia
which intervention is most important for the nurse to include any plan of care
observe for gastrointestinal bleeding
monitor liver function test results
P 3
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
protect skin from bruising
offered dietary selections rich in iron
rationale - Correct Answer :rationale
the client is at risk for gastrointestinal bleeding duty history of NSAID a .new onset anemia indicates bleeding
may be present. NSAIDS May impact liver function b, but this is of less immediacy than a. C is a basic core
measure but not one of high priority for this client. D often useful for persons with anemia but is of less priority
than a
When treating a patient with a hospital acquired infection with Vancomycin, what would you do?
a) report the HAI to Medicare
b) assess patient's response
c) obtain WBC count
d) ensure to obtain a peak and trough - Correct Answer :d) ensure to obtain a peak and trough
MD ordered 1000ml D5w to infuse over 12 hours? How many ml/hr? - Correct Answer :83 mL/hr
What further teaching is needed when rifampin (rifordin) is given for TB? - Correct Answer :Reduces
effectiveness of oral contraceptives; turns skin, sweat, tears, urine, feces, sputum, saliva, & tongue
red/orange/brown; stains contacts.
Patient with ED reports congestion, dizziness, and nausea. Which nursing assessment takes priority?
a) muscle and back pain
b) breath sounds
c) palpate for distention
d) measure BP standing and lying down - Correct Answer :D) measure BP standing and lying down. Test for
orthostatic hypotension.
223.) A client with a psychotic disorder is being treated with haloperidol (Haldol). Which of the following would
indicate the presence of a toxic effect of this medication?
P 4
PHARMACOLOGY 09/18/2026
EXAM
WGU D116 ADVANCED PHARMACOLOGY FINAL
EXAM 1 OBJECTIVE ASSEMENT & PRE-ASSESMENT
700 QUESTIONS AND ANSWERS LATEST UPDATE
THIS YEAR - JUST RELEASED
Before administering a laxative to a bedfast client, it is most important for the nurse to perform what
assessment?
a-Observe the skin integrity of the client's rectal and sacral areas
P 1
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
b-assess the client strength in moving and turning in the bed
c-evaluate the client's ability to recognize the urge to defecate
d-determine the frequency and consistency of bowel movements –
Correct Answer :D
rationale
the nurse should ensure that the client is not experiencing diarrhea (answer choice D) before administering a
laxative, which will increase the frequency of bowel movements. answer choices A,B,C R4 and assessments for
the provision of care when the client experience is a valve, but are of less priority then answer choice D which
provides data about the possible need to hold medication
A female client with multiple sclerosis reports having less fatigue and improved memory since she began using
the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the
teaching plans for this client?
a-Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo
b-nausea and diarrhea can occur when using this supplement
c-anxiety and headaches increased with use of ginkgo
d-ginkgo biloba use should be limited and not taken during pregnancy - Correct Answer :Rationale
ginkgo biloba has blood thinning properties and should not be used in taking aspirin or unsafe which increased
the risk for bleeding. nausea diarrhea anxiety and headaches are also side effects of supplements but they do
not pose the same risk as a. Although D is accurate A has a higher priority
In explaining the benefits of the combination anti-infective drug code tri-moxazole/TMP-SMZ (bactrium) to a
client receiving the medication for a urinary tract infection, more rationale to the nurse provide?
-Each drug could cause damage to the kidneys if taken separately
-one drug reduces the risk of side effects caused by the drug
-while one drug provide releif, the other fights the infection
-the two drugs work together to reduce resistance of the bacterial infection of symptoms - Correct Answer :D
P 2
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
rationale
the combination of drugs and bacteria work synergistically to reduce bacterial resistance enterprise D, thereby
increasing the drug therapeutic benefits answer choices a B &C are incorrect rationales
Client being treated with Haldol for schizophrenia is complaining of jaw tightness & a stiff neck. Which
interventions should the nurse impliment?
-give PRN those of diphenhydramine Benadryl
-assess client other sensory hallucinations
-massage neck until muscles begin to relax
-obtain a 12 lead EKG - Correct Answer :Rationale
jaw tightness and a stiff neck are signs of tardive dyskinesia, a serious side effect of health all that can be
reversed with Benadryl answer choice A. the client complaints are not considered hallucinations b. Massaging
the neck does not eliminate the symptoms. A 12 lead EKG is not indicated because the pain is not cardiac in
origin.
Which intervention is most important for the nurse implement for a client is receiving lispro Humalog insulin?
-Check blood glucose levels every six hours
-provide meals at the same time that insulin is given
-assess for hypoglycemia between meals
-keeping oral liquid or glucose source available - Correct Answer :B
Rationale
Humalog is a rapid acting insulin 15 minutes, so meals should be readily available time administration of lispro (B).
Although glucose blood levels a, monitoring for hypoglycemia see, and keeping emergency source of glucose
available B should be implemented for client receiving any form of insulin those who take these are at greatest
risk for rapid hypoglycemia shortly after it is administered
Client takes nonsteroidal anti-inflammatory drugs every day for rheumatoid arthritis is being treated for anemia
which intervention is most important for the nurse to include any plan of care
observe for gastrointestinal bleeding
monitor liver function test results
P 3
, • ADVANCED
PHARMACOLOGY 09/18/2026
EXAM
protect skin from bruising
offered dietary selections rich in iron
rationale - Correct Answer :rationale
the client is at risk for gastrointestinal bleeding duty history of NSAID a .new onset anemia indicates bleeding
may be present. NSAIDS May impact liver function b, but this is of less immediacy than a. C is a basic core
measure but not one of high priority for this client. D often useful for persons with anemia but is of less priority
than a
When treating a patient with a hospital acquired infection with Vancomycin, what would you do?
a) report the HAI to Medicare
b) assess patient's response
c) obtain WBC count
d) ensure to obtain a peak and trough - Correct Answer :d) ensure to obtain a peak and trough
MD ordered 1000ml D5w to infuse over 12 hours? How many ml/hr? - Correct Answer :83 mL/hr
What further teaching is needed when rifampin (rifordin) is given for TB? - Correct Answer :Reduces
effectiveness of oral contraceptives; turns skin, sweat, tears, urine, feces, sputum, saliva, & tongue
red/orange/brown; stains contacts.
Patient with ED reports congestion, dizziness, and nausea. Which nursing assessment takes priority?
a) muscle and back pain
b) breath sounds
c) palpate for distention
d) measure BP standing and lying down - Correct Answer :D) measure BP standing and lying down. Test for
orthostatic hypotension.
223.) A client with a psychotic disorder is being treated with haloperidol (Haldol). Which of the following would
indicate the presence of a toxic effect of this medication?
P 4
