WGU D116 Pre-assessment: Questions With Solutions
A patient reports that a medication prescribed for recurrent migraine
headaches is not working. Which action should be taken first?
A. Ask the patient about the number and frequency of tablets taken
B. Assess current pain level
C. Report the patient's complaint to the prescriber
D. Suggest biofeedback as an adjunct to drug therapy Right Ans - A. Ask the
patient about the number and frequency of tablets taken
Which factors could be attributed to limited prescriptive authority for APRNs?
Select all that apply.
A. Inaccessibility of patient care
B. Higher health care costs
C.Higher quality medical treatment
D. Improved collaborative care
E. Enhanced health literacy Right Ans - A. Inaccessibility of patient care
B. Higher health care costs
A patient is receiving intravenous gentamicin. A serum drug test reveals toxic
levels. The dosing is correct, and this medication has been tolerated bythis
patient inthe past. Which could be a probable cause of the test result?
A. loading dose was not given
B. The drug was not completely dissolved in the IV solution
C. The patient is taking another medication that binds to serum albumin
D. The medication is being given at a frequency that is longer than its half-life
Right Ans - C. The patient is taking another medication that binds to serum
albumin
The nurse is administering morning medications. The nurse gives a patient
multiple medications, two of which compete for plasma albumin receptor
sites. As a result of this concurrent administration, the nurse can anticipate
that what might occur? Select all that apply
A. Binding of one or both agents will be reduced
B. Plasma levels of free drug will rise
C. Plasma levels of free drug will fall.
D. The increase in free drug will intensify effects
E. The increase in bound drug will intensify effects Right Ans - A. Binding of
one or both agents will be reduced
, B. Plasma levels of free drug will rise
D. The increase in free drug will intensify effects
Which patients are at increased risk for adverse drug events? Select all that
apply
A. 2-month-old infant taking a medication for gastroesophageal reflux disease
B. A 23-year-old female taking an antibiotic for the first time
C. A 40-year-old male who is intubated in the intensive care unit and taking
antibiotics and cardiac medications
D. A 7-year-old female receiving insulin for diabetes
E. An 80-year-old male taking medications for COPD Right Ans - A. 2-
month-old infant taking a medication for gastroesophageal reflux disease
C. A 40-year-old male who is intubated in the intensive care unit and taking
antibiotics and cardiac medications
D. A 7-year-old female receiving insulin for diabetes
E. An 80-year-old male taking medications for COPD
A patient asks a nurse why a friend who is taking the same drug responds
differently to that drug. The nurse knows that the most common variation in
drug response is due to differences in each patient's:
A. drug receptor sites
B. hypersensitivity potential
C. metabolism of drugs
D. psychosocial response Right Ans - C. metabolism of drugs
A patient with migraines is started on a beta blocker. The nurse explains the
benefits of taking the medication for migraines. Which statement by the
patient indicates an understanding of the medication's effects?
A. "I need to take it every day to reduce the frequency of migraines."
B. "I will take it as needed to get relief from migraines."
C. "I will take it to shorten the duration of my migraines."
D. "I will take this drug when a migraine starts." Right Ans - A. "I need to
take it every day to reduce the frequency of migraines."
A prescriber orders transdermal clonidine [Catapres TTS] for a patient with
hypertension. What will the nurse teach this patient?
A. That medication given by transdermal patch has fewer systemic side effects
B. That localized skin reactions are uncommon
C. To apply the patch to intact skin on the forearm or leg
A patient reports that a medication prescribed for recurrent migraine
headaches is not working. Which action should be taken first?
A. Ask the patient about the number and frequency of tablets taken
B. Assess current pain level
C. Report the patient's complaint to the prescriber
D. Suggest biofeedback as an adjunct to drug therapy Right Ans - A. Ask the
patient about the number and frequency of tablets taken
Which factors could be attributed to limited prescriptive authority for APRNs?
Select all that apply.
A. Inaccessibility of patient care
B. Higher health care costs
C.Higher quality medical treatment
D. Improved collaborative care
E. Enhanced health literacy Right Ans - A. Inaccessibility of patient care
B. Higher health care costs
A patient is receiving intravenous gentamicin. A serum drug test reveals toxic
levels. The dosing is correct, and this medication has been tolerated bythis
patient inthe past. Which could be a probable cause of the test result?
A. loading dose was not given
B. The drug was not completely dissolved in the IV solution
C. The patient is taking another medication that binds to serum albumin
D. The medication is being given at a frequency that is longer than its half-life
Right Ans - C. The patient is taking another medication that binds to serum
albumin
The nurse is administering morning medications. The nurse gives a patient
multiple medications, two of which compete for plasma albumin receptor
sites. As a result of this concurrent administration, the nurse can anticipate
that what might occur? Select all that apply
A. Binding of one or both agents will be reduced
B. Plasma levels of free drug will rise
C. Plasma levels of free drug will fall.
D. The increase in free drug will intensify effects
E. The increase in bound drug will intensify effects Right Ans - A. Binding of
one or both agents will be reduced
, B. Plasma levels of free drug will rise
D. The increase in free drug will intensify effects
Which patients are at increased risk for adverse drug events? Select all that
apply
A. 2-month-old infant taking a medication for gastroesophageal reflux disease
B. A 23-year-old female taking an antibiotic for the first time
C. A 40-year-old male who is intubated in the intensive care unit and taking
antibiotics and cardiac medications
D. A 7-year-old female receiving insulin for diabetes
E. An 80-year-old male taking medications for COPD Right Ans - A. 2-
month-old infant taking a medication for gastroesophageal reflux disease
C. A 40-year-old male who is intubated in the intensive care unit and taking
antibiotics and cardiac medications
D. A 7-year-old female receiving insulin for diabetes
E. An 80-year-old male taking medications for COPD
A patient asks a nurse why a friend who is taking the same drug responds
differently to that drug. The nurse knows that the most common variation in
drug response is due to differences in each patient's:
A. drug receptor sites
B. hypersensitivity potential
C. metabolism of drugs
D. psychosocial response Right Ans - C. metabolism of drugs
A patient with migraines is started on a beta blocker. The nurse explains the
benefits of taking the medication for migraines. Which statement by the
patient indicates an understanding of the medication's effects?
A. "I need to take it every day to reduce the frequency of migraines."
B. "I will take it as needed to get relief from migraines."
C. "I will take it to shorten the duration of my migraines."
D. "I will take this drug when a migraine starts." Right Ans - A. "I need to
take it every day to reduce the frequency of migraines."
A prescriber orders transdermal clonidine [Catapres TTS] for a patient with
hypertension. What will the nurse teach this patient?
A. That medication given by transdermal patch has fewer systemic side effects
B. That localized skin reactions are uncommon
C. To apply the patch to intact skin on the forearm or leg
