WGU D116 UNIT 2 OA REVIEWED QUESTIONS
WITH VERIFIED RIGHT ANSWERS .
Which factor increases the need for APRNs to have full prescriptive authority? - correct Answers
-More patients will have access to healthcare
An APRN works in a urology clinic under the supervision of a physician who does not restrict
the types of medications the APRN is allowed to prescribe. State law does not require the APRN
to practice under physician supervision.
How would the APRN's prescriptive authority be described? - correct Answers -Independent
A patient taking three medications for hypertension is diagnosed with chronic obstructive
pulmonary disease (COPD).
Which action should be taken prior to prescribing medications to treat COPD? - correct Answers
-Obtain a complete medication history
Need to assess for any potential drug-drug interactions
A patient with chronic pain calls the provider's office to request a refill for oxycodone.
Which action is most appropriate? - correct Answers -Schedule an appointment with the patient
Oxycodone is a schedule 2 drug
Schedule 2 and 3 APRN need a waiver as well as authority from the DEA to prescribe those
medications
Schedule 1 illegal down to schedule 5
, A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label
instructs the patient to administer "two puffs every 4 hours as needed for coughing or wheezing."
The patient reports feeling jittery sometimes when taking the medication, and she does not feel
that the medication is always effective.
Which action is most appropriate? - correct Answers -Auscultating the patients lung sounds and
obtaining VS
Performing a physical assessment is the most beneficial
The nurse administers naloxone to a patient who has received a toxic dose of morphine sulfate.
The naloxone is effective because of which action? - correct Answers -Preventing activation of
opioid receptors through antagonist actions
Naloxone acts by blocking the action of opioids at opioid receptors
The nurse is preparing to administer penicillin G intramuscularly to a child. The child's parents
ask why the drug cannot be given in an oral liquid form.
What is the nurse's reply? - correct Answers -"This drug would be inactivated by enzymes in the
stomach"
Ipratropium bromide is a quaternary ammonium derivative of the prototype drug atropine. It is
used for bronchodilation.
Why would a medicinal chemist want to alter this prototype? - correct Answers -To allow for
higher doses to be delivered
Ipratropium bromide can cause greater bronchodilation with less toxicity from systemic
absorption
Of the four drugs listed, which drug would you expect to have a unique side effect profile and
unique mechanism of action from the others? - correct Answers -Losartan
WITH VERIFIED RIGHT ANSWERS .
Which factor increases the need for APRNs to have full prescriptive authority? - correct Answers
-More patients will have access to healthcare
An APRN works in a urology clinic under the supervision of a physician who does not restrict
the types of medications the APRN is allowed to prescribe. State law does not require the APRN
to practice under physician supervision.
How would the APRN's prescriptive authority be described? - correct Answers -Independent
A patient taking three medications for hypertension is diagnosed with chronic obstructive
pulmonary disease (COPD).
Which action should be taken prior to prescribing medications to treat COPD? - correct Answers
-Obtain a complete medication history
Need to assess for any potential drug-drug interactions
A patient with chronic pain calls the provider's office to request a refill for oxycodone.
Which action is most appropriate? - correct Answers -Schedule an appointment with the patient
Oxycodone is a schedule 2 drug
Schedule 2 and 3 APRN need a waiver as well as authority from the DEA to prescribe those
medications
Schedule 1 illegal down to schedule 5
, A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label
instructs the patient to administer "two puffs every 4 hours as needed for coughing or wheezing."
The patient reports feeling jittery sometimes when taking the medication, and she does not feel
that the medication is always effective.
Which action is most appropriate? - correct Answers -Auscultating the patients lung sounds and
obtaining VS
Performing a physical assessment is the most beneficial
The nurse administers naloxone to a patient who has received a toxic dose of morphine sulfate.
The naloxone is effective because of which action? - correct Answers -Preventing activation of
opioid receptors through antagonist actions
Naloxone acts by blocking the action of opioids at opioid receptors
The nurse is preparing to administer penicillin G intramuscularly to a child. The child's parents
ask why the drug cannot be given in an oral liquid form.
What is the nurse's reply? - correct Answers -"This drug would be inactivated by enzymes in the
stomach"
Ipratropium bromide is a quaternary ammonium derivative of the prototype drug atropine. It is
used for bronchodilation.
Why would a medicinal chemist want to alter this prototype? - correct Answers -To allow for
higher doses to be delivered
Ipratropium bromide can cause greater bronchodilation with less toxicity from systemic
absorption
Of the four drugs listed, which drug would you expect to have a unique side effect profile and
unique mechanism of action from the others? - correct Answers -Losartan
