WGU D116 Pharmacology review v v v
v Questions and Correct Answers/ Latest v v v v
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A patient presents to an emergency room complaining of palpitations
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and irregular heartbeat. The advanced practice registered nurse
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(APRN) places the patient on a cardiac monitor and observes atrial
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fibrillation. The APRN orders dofetilide.
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How should the APRN recommend this medication be taken?
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Ans: YES With food or an empty stomach
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A 70-year-old male calls a clinic complaining of chest pain that started
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after having sexual activity. He took sildenafil 50 mg about eight hours
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ago. He has nitroglycerin 0.3 mg on hand.
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How should the advanced practice registered nurse respond?
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Ans: Do not take the nitroglycerin and call 911
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Taking the medications together can cause a serious drop in
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blood pressure leading to cardiovascular collapse.
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A patient diagnosed with bipolar disorder who is in a mental health
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clinic is discussing the possibility of beginning lithium with an advanced
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practice registered nurse (APRN). The patient expresses understanding
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and wishes to proceed with treatment. The APRN explains to the
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patient that this medication requires specific lab monitoring and wants
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to draw baseline labs. The patient asks why the test is needed.
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Which explanation should the APRN provide to this patient?
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Ans: A baseline blood urea nitrogen (BUN) and creatinine
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(CREA) level needs to be drawn to assess kidney function prior
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vto treatment.
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This drug can cause decreased renal function, and a baseline
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should be drawn for future comparison.
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An advanced practice registered nurse (APRN) is reviewing the
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medications that will be commonly experienced with a new nurse to
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determine whether the drugs are safe for the patients. The new nurse is
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given a scenario where a patient is being prescribed sildenafil 25 mg po
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prn, a prototype drug for erectile dysfunction.
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Which patient may take this drug safely?
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Ans: YES A 54-year-male with a medical history of
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hypertension, mild eczema, and previous history of a
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urolithiasis where all is well controlled and there are no current
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complications
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A 30-year-old patient presents to a primary care clinic with a history of
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anxiety. The advanced practice registered nurse reviews the
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mechanism of action by which many neuropharmacological agents act
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and decides to prescribe citalopram.
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What is the mechanism of action of this medication?
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Ans: YES Influences receptor activity on target cells
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Correct! This medication influences the activity in the
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receptors, and it targets cells.
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A patient is admitted with a diagnosis of Huntington disease. On
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admission, the patient exhibits uncontrolled twitching, difficulty
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walking, trouble swallowing, confusion, and memory loss. The
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advanced practice registered nurse (APRN) prescribes baclofen.
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What is the mechanism of action of this medication?
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Ans: NO Modulates the effects of glutamate at NMDA
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v receptors
YES Inhibits neurotransmitter GABA
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NO Halts the breakdown of acetylcholine by
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acetylcholinesterase
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Alters the synthesis and release of norepinephrine, serotonin,
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and dopamine
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Incorrect. Cholinesterase inhibitors prevent the breakdown of
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acetylcholine by acetylcholinesterase. They are used in patients
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vwith Alzheimer's. v
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Correct! Huntington's disease involves a deficiency of the
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neurotransmitters acetylcholine and y-aminobutyric acid in the v v v v v v
basal ganglia and extrapyramidal system.
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A 21-year-old patient accompanied by a parent comes to a clinic for an
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emergency visit with an advanced practice registered nurse (APRN)
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following a seizure. Upon interviewing the patient and the parent, the
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APRN determines that the seizure is classified by marked impairment
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of consciousness and is followed by a period of central nervous system
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(CNS) depression.
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Which type of seizure is this patient experiencing?
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Ans: Atonic v
v NO Myoclonic
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YES Tonic-clonic v
v Absence
Incorrect. Myoclonic seizures consist of a sudden muscle
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vcontraction that lasts for just one second. v v v v v v
Correct! A tonic-clonic seizure is a type of seizure that is also
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called a convulsion. This type of seizure can include muscle
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stiffness, loss of consciousness, and body jerking.
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A patient has been taking oral oxycodone every six hours for back pain
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during the past three years. The patient suddenly decides to stop
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