Page 1 of 77
WGU D441 PHARMACOLOGY OBJECTIVE ASSESSMENT EXAM
AND STUDY GUIDE 300 QUESTIONS AND ANSWERS LATEST
UPDATE THIS YEAR - JUST RELEASED
WGU D441 PHARMACOLOGY OBJECTIVE ASSESSMENT EXAM
A client who is taking dextroamphetamine-amphetamine extended-release tablets for
attention deficit hyperactivity disorder (ADHD), reports about having difficulty sleeping at
night. Which assessment is most important for the nurse to obtain?
A. Determine what time the dose is taken.
B. Determine daily caffeine intake.
C. Ask about the client's bedtime routine.
D. Inquire about perceived anxiety.
. Determine what time the dose is taken.
A client receives a prescription for allopurinol. Which information provided by the client
requires additional instruction by the nurse?
A. Avoid taking on an empty stomach.
B. Reduce caffeine and acidic intake.
C. Consume 2 liters of water daily.
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D. Double the dose if a dose is missed.
D. Double the dose if a dose is missed.
Which nursing intervention has priority when initiating a continuous epidural infusion with
an opioid analgesic?
A. Apply a pulse oximeter to the client per protocol.
B. Administer a stool softener per PRN protocol.
C. Insert an indwelling urinary catheter per protocol.
D. Administer an antiemetic per PRN prescription.
A. Apply a pulse oximeter to the client per protocol
A client is receiving orlistat as part of a weight management program. Which ongoing
assessment should be included in the plan of care to determine the effectiveness of the
medication?
A. Serum protein levels.
B. Body mass index (BMI).
C. Daily calorie count.
D. Depression screening.
B. Body mass index (BMI).
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The nurse is teaching a client who has been diagnosed with human immunodeficiency virus
(HIV) about the antiretroviral medication regimen. Which statement provided by the client
requires additional instruction by the nurse?
A. HIV infection is not cured by the antiretroviral regimen.
B. The viral load can be decreased to an undetectable level.
C. The medications, can decrease acquired immunodeficiency syndrome (AIDS) related
complications.
D. Antiretroviral medication prevents the transmission of the virus.
D. Antiretroviral medication prevents the transmission of the virus.
A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When
should the nurse instruct the client and family that glucagon needs to be administered?
A. Before meals to prevent hyperglycemia.
B. When signs of severe hypoglycemia occur.
C. At the onset of signs of diabetic ketoacidosis.
D. When unable to eat during sick days.
B. When signs of severe hypoglycemia occur.
A client who received a renal transplant three months ago is readmitted to the acute care
unit with signs of graft rejection. While taking the client's history, the nurse determines that
the client has been self-administering St. John's Wort, an herbal preparation, on the advice of
a friend. Which information is most significant about this finding?
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A. St. John's Wort can decrease plasma concentrations of cyclosporine.
B. Adding the herb can decrease the need for corticosteroids.
C. Ingestion of St. John's Wort can reduce the client's intake of sodium.
D. The client probably used this herb to treat depression.
A. St. John's Wort can decrease plasma concentrations of cyclosporine
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to
be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water
(DW) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr?
(Enter numerical value only.)
200
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for
epoetin alfa two months ago. Which client finding best indicates that the medication is
effective?
Reference Range:
Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to 11.2 mmol/L)
A. Reports of increased energy levels and decreased fatigue.
B. Takes concurrent iron therapy without adverse effects.
C. Food diary shows increased consumption of iron-rich foods.
D. Hemoglobin level
4
WGU D441 PHARMACOLOGY OBJECTIVE ASSESSMENT EXAM
AND STUDY GUIDE 300 QUESTIONS AND ANSWERS LATEST
UPDATE THIS YEAR - JUST RELEASED
WGU D441 PHARMACOLOGY OBJECTIVE ASSESSMENT EXAM
A client who is taking dextroamphetamine-amphetamine extended-release tablets for
attention deficit hyperactivity disorder (ADHD), reports about having difficulty sleeping at
night. Which assessment is most important for the nurse to obtain?
A. Determine what time the dose is taken.
B. Determine daily caffeine intake.
C. Ask about the client's bedtime routine.
D. Inquire about perceived anxiety.
. Determine what time the dose is taken.
A client receives a prescription for allopurinol. Which information provided by the client
requires additional instruction by the nurse?
A. Avoid taking on an empty stomach.
B. Reduce caffeine and acidic intake.
C. Consume 2 liters of water daily.
1
,Page 2 of 77
D. Double the dose if a dose is missed.
D. Double the dose if a dose is missed.
Which nursing intervention has priority when initiating a continuous epidural infusion with
an opioid analgesic?
A. Apply a pulse oximeter to the client per protocol.
B. Administer a stool softener per PRN protocol.
C. Insert an indwelling urinary catheter per protocol.
D. Administer an antiemetic per PRN prescription.
A. Apply a pulse oximeter to the client per protocol
A client is receiving orlistat as part of a weight management program. Which ongoing
assessment should be included in the plan of care to determine the effectiveness of the
medication?
A. Serum protein levels.
B. Body mass index (BMI).
C. Daily calorie count.
D. Depression screening.
B. Body mass index (BMI).
2
,Page 3 of 77
The nurse is teaching a client who has been diagnosed with human immunodeficiency virus
(HIV) about the antiretroviral medication regimen. Which statement provided by the client
requires additional instruction by the nurse?
A. HIV infection is not cured by the antiretroviral regimen.
B. The viral load can be decreased to an undetectable level.
C. The medications, can decrease acquired immunodeficiency syndrome (AIDS) related
complications.
D. Antiretroviral medication prevents the transmission of the virus.
D. Antiretroviral medication prevents the transmission of the virus.
A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When
should the nurse instruct the client and family that glucagon needs to be administered?
A. Before meals to prevent hyperglycemia.
B. When signs of severe hypoglycemia occur.
C. At the onset of signs of diabetic ketoacidosis.
D. When unable to eat during sick days.
B. When signs of severe hypoglycemia occur.
A client who received a renal transplant three months ago is readmitted to the acute care
unit with signs of graft rejection. While taking the client's history, the nurse determines that
the client has been self-administering St. John's Wort, an herbal preparation, on the advice of
a friend. Which information is most significant about this finding?
3
, Page 4 of 77
A. St. John's Wort can decrease plasma concentrations of cyclosporine.
B. Adding the herb can decrease the need for corticosteroids.
C. Ingestion of St. John's Wort can reduce the client's intake of sodium.
D. The client probably used this herb to treat depression.
A. St. John's Wort can decrease plasma concentrations of cyclosporine
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to
be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water
(DW) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr?
(Enter numerical value only.)
200
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for
epoetin alfa two months ago. Which client finding best indicates that the medication is
effective?
Reference Range:
Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to 11.2 mmol/L)
A. Reports of increased energy levels and decreased fatigue.
B. Takes concurrent iron therapy without adverse effects.
C. Food diary shows increased consumption of iron-rich foods.
D. Hemoglobin level
4
