WGU D116 Advanced Pharmacology Final Exam
NEWEST 2026-2027 ACTUAL EXAM WITH
COMPLETE 170 QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED
ANSWERS) ALREADY GRADED A+ PROFESSOR
VERIFIED
A 16-year-old female presents to a clinic to discuss contraception. She would like to start an oral
contraceptive and has no contraindications for estrogen. She also asks an advanced practice
registered nurse (APRN) if there is anything she can take to help with her acne.Which FDA-
approved medication will specifically manage both issues? - CORRECT ANSWER: NO
Norethindrone
NO Levonorgestrel
NO Desogestrel
YES Drospirenone
Incorrect. This is a second-generation combined oral contraceptive that does not work as both an
oral contraceptive and acne control.
A 20-year-old patient with cancer is admitted to a medical surgical floor with diarrhea. The stool
cultures return positive for Clostridium difficile.
Which antibiotic should be prescribed for this patient?
Metronidazole
Ciprofloxacin
Doxycycline
Gentamicin - CORRECT ANSWER: Metronidazole
A 21-year-old patient accompanied by a parent comes to a clinic for an emergency visit with an
advanced practice registered nurse (APRN) following a seizure. Upon interviewing the patient
and the parent, the APRN determines that the seizure is classified by marked impairment of
consciousness and is followed by a period of central nervous system (CNS) depression.
,Which type of seizure is this patient experiencing? - CORRECT ANSWER: Atonic
NO Myoclonic
YES Tonic-clonic
Absence
Incorrect. Myoclonic seizures consist of a sudden muscle contraction that lasts for just one
second.
Correct! A tonic-clonic seizure is a type of seizure that is also called a convulsion. This type of
seizure can include muscle stiffness, loss of consciousness, and body jerking.
A 26-year-old patient presents with sneezing, itching of the eyes and nose, and rhinorrhea. It is
determined that the patient has mild seasonal allergies. The patient leads an active lifestyle and
wants to take something that does not cause drowsiness.
Which oral antihistamine should an advanced practice registered nurse recommend? -
CORRECT ANSWER: NO Promethazine
YES Fexofenadine
Diphenhydramine
Hydroxyzine
Incorrect. This drug is used to treat sleeplessness and would not be a good candidate for this
patient due to causing drowsiness. Correct! This is a second-generation antihistamine that has
low to no potential to cause drowsiness.
A 30-year-old patient presents to a primary care clinic with a history of anxiety. The advanced
practice registered nurse reviews the mechanism of action by which many neuropharmacological
agents act and decides to prescribe citalopram.
What is the mechanism of action of this medication? - CORRECT ANSWER: YES Influences
receptor activity on target cells
Correct! This medication influences the activity in the receptors, and it targets cells.
A 30-year-old patient with a diagnosis of paranoid schizophrenia has been living in a long-term
mental health institute. The patient is getting ready to be discharged into a group-home setting
,that has no medical personnel on site. The patient has been noncompliant with taking oral
medication in the past and is in need of an antipsychotic.
A case manager is working on a plan to help the patient stay compliant with medication.
Which method should be used to meet this goal?
Reminder phone call
Home health
Monthly injections
Automatic pill box - CORRECT ANSWER: Monthly injections
A 32-year-old female is discussing contraceptive options with an advanced practice registered
nurse (APRN). The patient is currently taking an oral contraceptive pill and has no
contraindications to estrogen therapy. She tells the APRN that she is happy with the pill because
it helps her skin but really does not like having to take something every day. She is planning on
getting pregnant in 10-12 months when she is done with her graduate degree.
Which recommendation should the APRN make for this patient?
Sub-dermal etonogestrel implant
Intrauterine device
Vaginal contraceptive ring
Continue oral contraceptive pill - CORRECT ANSWER: Vaginal contraceptive ring
A 32-year-old female presents to an advanced practice registered nurse (APRN) with severe
nausea and vomiting during pregnancy and requires pharmaceutical therapy. The APRN knows
that some medication solutions should be avoided during pregnancy.
Which medication falls into this category?
Metoclopramide
Chenodiol
Prochlorperazine
Ondansetron - CORRECT ANSWER: Chenodiol
, A 34-year-old patient comes to a clinic complaining of pain in the left shoulder. The advanced
practice registered nurse (APRN) assesses the patient and notices that the patient has a limited
range of motion in the shoulder due to swelling. The APRN determines that the patient should be
prescribed a medication that treats peripheral nervous system disorders.
Which medication has the APRN prescribed?
Naproxen
Metoclopramide Hcl
Sumatriptan
Acetaminophen - CORRECT ANSWER:
A 34-year-old patient comes to a clinic complaining of pain in the left shoulder. The advanced
practice registered nurse (APRN) assesses the patient and notices that the patient has a limited
range of motion in the shoulder due to swelling. The APRN determines that the patient should be
prescribed a medication that treats peripheral nervous system disorders.
Which medication has the APRN prescribed?
Naproxen
Metoclopramide Hcl
Sumatriptan
Acetaminophen - CORRECT ANSWER: Naproxen
A 35-year-old female who is a nonsmoker is happy with her combined oral hormonal
contraceptive; however, she often forgets to take her pills and would like to discuss other
options. She would also prefer to avoid any contraceptive that must be inserted into her body.
Which medication should be recommended for this patient?
Spermicide
Transdermal patch
Subdermal implant
Vaginal IUD - CORRECT ANSWER: Transdermal patch
NEWEST 2026-2027 ACTUAL EXAM WITH
COMPLETE 170 QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED
ANSWERS) ALREADY GRADED A+ PROFESSOR
VERIFIED
A 16-year-old female presents to a clinic to discuss contraception. She would like to start an oral
contraceptive and has no contraindications for estrogen. She also asks an advanced practice
registered nurse (APRN) if there is anything she can take to help with her acne.Which FDA-
approved medication will specifically manage both issues? - CORRECT ANSWER: NO
Norethindrone
NO Levonorgestrel
NO Desogestrel
YES Drospirenone
Incorrect. This is a second-generation combined oral contraceptive that does not work as both an
oral contraceptive and acne control.
A 20-year-old patient with cancer is admitted to a medical surgical floor with diarrhea. The stool
cultures return positive for Clostridium difficile.
Which antibiotic should be prescribed for this patient?
Metronidazole
Ciprofloxacin
Doxycycline
Gentamicin - CORRECT ANSWER: Metronidazole
A 21-year-old patient accompanied by a parent comes to a clinic for an emergency visit with an
advanced practice registered nurse (APRN) following a seizure. Upon interviewing the patient
and the parent, the APRN determines that the seizure is classified by marked impairment of
consciousness and is followed by a period of central nervous system (CNS) depression.
,Which type of seizure is this patient experiencing? - CORRECT ANSWER: Atonic
NO Myoclonic
YES Tonic-clonic
Absence
Incorrect. Myoclonic seizures consist of a sudden muscle contraction that lasts for just one
second.
Correct! A tonic-clonic seizure is a type of seizure that is also called a convulsion. This type of
seizure can include muscle stiffness, loss of consciousness, and body jerking.
A 26-year-old patient presents with sneezing, itching of the eyes and nose, and rhinorrhea. It is
determined that the patient has mild seasonal allergies. The patient leads an active lifestyle and
wants to take something that does not cause drowsiness.
Which oral antihistamine should an advanced practice registered nurse recommend? -
CORRECT ANSWER: NO Promethazine
YES Fexofenadine
Diphenhydramine
Hydroxyzine
Incorrect. This drug is used to treat sleeplessness and would not be a good candidate for this
patient due to causing drowsiness. Correct! This is a second-generation antihistamine that has
low to no potential to cause drowsiness.
A 30-year-old patient presents to a primary care clinic with a history of anxiety. The advanced
practice registered nurse reviews the mechanism of action by which many neuropharmacological
agents act and decides to prescribe citalopram.
What is the mechanism of action of this medication? - CORRECT ANSWER: YES Influences
receptor activity on target cells
Correct! This medication influences the activity in the receptors, and it targets cells.
A 30-year-old patient with a diagnosis of paranoid schizophrenia has been living in a long-term
mental health institute. The patient is getting ready to be discharged into a group-home setting
,that has no medical personnel on site. The patient has been noncompliant with taking oral
medication in the past and is in need of an antipsychotic.
A case manager is working on a plan to help the patient stay compliant with medication.
Which method should be used to meet this goal?
Reminder phone call
Home health
Monthly injections
Automatic pill box - CORRECT ANSWER: Monthly injections
A 32-year-old female is discussing contraceptive options with an advanced practice registered
nurse (APRN). The patient is currently taking an oral contraceptive pill and has no
contraindications to estrogen therapy. She tells the APRN that she is happy with the pill because
it helps her skin but really does not like having to take something every day. She is planning on
getting pregnant in 10-12 months when she is done with her graduate degree.
Which recommendation should the APRN make for this patient?
Sub-dermal etonogestrel implant
Intrauterine device
Vaginal contraceptive ring
Continue oral contraceptive pill - CORRECT ANSWER: Vaginal contraceptive ring
A 32-year-old female presents to an advanced practice registered nurse (APRN) with severe
nausea and vomiting during pregnancy and requires pharmaceutical therapy. The APRN knows
that some medication solutions should be avoided during pregnancy.
Which medication falls into this category?
Metoclopramide
Chenodiol
Prochlorperazine
Ondansetron - CORRECT ANSWER: Chenodiol
, A 34-year-old patient comes to a clinic complaining of pain in the left shoulder. The advanced
practice registered nurse (APRN) assesses the patient and notices that the patient has a limited
range of motion in the shoulder due to swelling. The APRN determines that the patient should be
prescribed a medication that treats peripheral nervous system disorders.
Which medication has the APRN prescribed?
Naproxen
Metoclopramide Hcl
Sumatriptan
Acetaminophen - CORRECT ANSWER:
A 34-year-old patient comes to a clinic complaining of pain in the left shoulder. The advanced
practice registered nurse (APRN) assesses the patient and notices that the patient has a limited
range of motion in the shoulder due to swelling. The APRN determines that the patient should be
prescribed a medication that treats peripheral nervous system disorders.
Which medication has the APRN prescribed?
Naproxen
Metoclopramide Hcl
Sumatriptan
Acetaminophen - CORRECT ANSWER: Naproxen
A 35-year-old female who is a nonsmoker is happy with her combined oral hormonal
contraceptive; however, she often forgets to take her pills and would like to discuss other
options. She would also prefer to avoid any contraceptive that must be inserted into her body.
Which medication should be recommended for this patient?
Spermicide
Transdermal patch
Subdermal implant
Vaginal IUD - CORRECT ANSWER: Transdermal patch
