1|Page
WGU D116 ADVANCED PHARMACOLOGY OA AND
PRE ASSESSMENT EXAM ACTUAL EXAM COMPLETE 5
QUESTIONS WITH DETAILED VERIFIED ANSWERS
AND RATIONALES (100% CORRECT ANSWERS)
/ALEREADY GRADED A+
A patient presents to an emergency room complaining of palpitation
b b b b b b b b b
s and irregular heartbeat. The advanced practice registered nurse (A
b b b b b b b b b
PRN) places the patient on a cardiac monitor and observes atrial fibri
b b b b b b b b b b b
llation. The APRN orders dofetilide.
b b b b
How should the APRN recommend this medication be taken? ......an
b b b b b b b b b
swer.....YES With food or an empty stomach
b b b b b b
,2|Page
A 70-year-
b
old male calls a clinic complaining of chest pain that started after hav
b b b b b b b b b b b b
ing sexual activity. He took sildenafil 50 mg about eight hours ago. H
b b b b b b b b b b b b
e has nitroglycerin 0.3 mg on hand.
b b b b b b
How should the advanced practice registered nurse respond? ......an
b b b b b b b b
swer.....Do not take the nitroglycerin and call 911 b b b b b b b
Taking the medications together can cause a serious drop in bl
b b b b b b b b b b
ood pressure leading to cardiovascular collapse.
b b b b b
A patient diagnosed with bipolar disorder who is in a mental health c
b b b b b b b b b b b b
linic is discussing the possibility of beginning lithium with an advanc
b b b b b b b b b b
ed practice registered nurse (APRN). The patient expresses understa
b b b b b b b b
nding and wishes to proceed with treatment. The APRN explains to t
b b b b b b b b b b b
he patient that this medication requires specific lab monitoring and
b b b b b b b b b b
wants to draw baseline labs. The patient asks why the test is needed.
b b b b b b b b b b b b
,3|Page
Which explanation should the APRN provide to this patient? ......an
b b b b b b b b b
swer.....A baseline blood urea nitrogen (BUN) and creatinine (
b b b b b b b b
CREA) level needs to be drawn to assess kidney function prior
b b b b b b b b b b b
to treatment.
b
This drug can cause decreased renal function, and a baseline s
b b b b b b b b b b
hould be drawn for future comparison.
b b b b b
An advanced practice registered nurse (APRN) is reviewing the medi
b b b b b b b b b
cations that will be commonly experienced with a new nurse to deter
b b b b b b b b b b b
mine whether the drugs are safe for the patients. The new nurse is giv
b b b b b b b b b b b b b
en a scenario where a patient is being prescribed sildenafil 25 mg po p
b b b b b b b b b b b b b
rn, a prototype drug for erectile dysfunction.
b b b b b b
Which patient may take this drug safely? ......answer.....YES A 54-
b b b b b b b b b
year-
male with a medical history of hypertension, mild eczema, and
b b b b b b b b b
, 4|Page
b previous history of a urolithiasis where all is well controlled a
b b b b b b b b b b
nd there are no current complications
b b b b b
A 30-year-
b
old patient presents to a primary care clinic with a history of anxiety.
b b b b b b b b b b b b b
The advanced practice registered nurse reviews the mechanism of ac
b b b b b b b b b
tion by which many neuropharmacological agents act and decides to
b b b b b b b b b b
prescribe citalopram. b
What is the mechanism of action of this medication? ......answer.....
b b b b b b b b b
YES Influences receptor activity on target cells
b b b b b b
Correct! This medication influences the activity in the recepto
b b b b b b b b
rs, and it targets cells.
b b b b
WGU D116 ADVANCED PHARMACOLOGY OA AND
PRE ASSESSMENT EXAM ACTUAL EXAM COMPLETE 5
QUESTIONS WITH DETAILED VERIFIED ANSWERS
AND RATIONALES (100% CORRECT ANSWERS)
/ALEREADY GRADED A+
A patient presents to an emergency room complaining of palpitation
b b b b b b b b b
s and irregular heartbeat. The advanced practice registered nurse (A
b b b b b b b b b
PRN) places the patient on a cardiac monitor and observes atrial fibri
b b b b b b b b b b b
llation. The APRN orders dofetilide.
b b b b
How should the APRN recommend this medication be taken? ......an
b b b b b b b b b
swer.....YES With food or an empty stomach
b b b b b b
,2|Page
A 70-year-
b
old male calls a clinic complaining of chest pain that started after hav
b b b b b b b b b b b b
ing sexual activity. He took sildenafil 50 mg about eight hours ago. H
b b b b b b b b b b b b
e has nitroglycerin 0.3 mg on hand.
b b b b b b
How should the advanced practice registered nurse respond? ......an
b b b b b b b b
swer.....Do not take the nitroglycerin and call 911 b b b b b b b
Taking the medications together can cause a serious drop in bl
b b b b b b b b b b
ood pressure leading to cardiovascular collapse.
b b b b b
A patient diagnosed with bipolar disorder who is in a mental health c
b b b b b b b b b b b b
linic is discussing the possibility of beginning lithium with an advanc
b b b b b b b b b b
ed practice registered nurse (APRN). The patient expresses understa
b b b b b b b b
nding and wishes to proceed with treatment. The APRN explains to t
b b b b b b b b b b b
he patient that this medication requires specific lab monitoring and
b b b b b b b b b b
wants to draw baseline labs. The patient asks why the test is needed.
b b b b b b b b b b b b
,3|Page
Which explanation should the APRN provide to this patient? ......an
b b b b b b b b b
swer.....A baseline blood urea nitrogen (BUN) and creatinine (
b b b b b b b b
CREA) level needs to be drawn to assess kidney function prior
b b b b b b b b b b b
to treatment.
b
This drug can cause decreased renal function, and a baseline s
b b b b b b b b b b
hould be drawn for future comparison.
b b b b b
An advanced practice registered nurse (APRN) is reviewing the medi
b b b b b b b b b
cations that will be commonly experienced with a new nurse to deter
b b b b b b b b b b b
mine whether the drugs are safe for the patients. The new nurse is giv
b b b b b b b b b b b b b
en a scenario where a patient is being prescribed sildenafil 25 mg po p
b b b b b b b b b b b b b
rn, a prototype drug for erectile dysfunction.
b b b b b b
Which patient may take this drug safely? ......answer.....YES A 54-
b b b b b b b b b
year-
male with a medical history of hypertension, mild eczema, and
b b b b b b b b b
, 4|Page
b previous history of a urolithiasis where all is well controlled a
b b b b b b b b b b
nd there are no current complications
b b b b b
A 30-year-
b
old patient presents to a primary care clinic with a history of anxiety.
b b b b b b b b b b b b b
The advanced practice registered nurse reviews the mechanism of ac
b b b b b b b b b
tion by which many neuropharmacological agents act and decides to
b b b b b b b b b b
prescribe citalopram. b
What is the mechanism of action of this medication? ......answer.....
b b b b b b b b b
YES Influences receptor activity on target cells
b b b b b b
Correct! This medication influences the activity in the recepto
b b b b b b b b
rs, and it targets cells.
b b b b