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WGU D116 Objective Assessment Final Exam Advanced
Pharmacology Exam Newest 2026-2027 Actual Exam
Preparation With Complete Questions And Correct
Answers With Rationales | Already Graded A+||Brand
New Version!!
A prescriber has ordered propranolol for a patient with recurrent
ventricular tachycardia.
The provider should tell the nurse preparing to administer this
drug to be concerned about which condition in the patient's
history? - ANSWER-Paroxysmal atrial tachycardia associated
with emotion
Hypertension
Exercise-induced tachyarrhythmias
YES Asthma
Correct! Propranolol is contraindicated in patients with asthma
because it is a nonselective beta-adrenergic antagonist and can
cause bronchoconstriction and exacerbate asthma. It is used to
treat tachyarrhythmias and paroxysmal atrial tachycardia evoked
by emotion, so it is not contraindicated for patients with these
conditions. It lowers blood pressure, so it would be helpful in
patients with hypertension.
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A patient with severe, chronic COPD uses an inhaled
LABA/glucocorticoid but continues to have frequent
exacerbation of symptoms.
What should the nurse contact the provider to discuss? -
ANSWER-Changing to oral theophylline twice daily
YES Adding roflumilast once daily
NO Using an ipratropium/albuterol combination twice daily
Prescribing oral steroids once daily
Incorrect. Ipratropium is used to treat bronchospasm in COPD.
Correct! For patients with chronic, severe COPD, the risk of
exacerbations may be reduced with roflumilast. Theophylline is
used only when other bronchodilators are not effective. Oral
steroids are not indicated for this use. Ipratropium is used to
treat bronchospasm in COPD.
A patient with persistent, frequent asthma exacerbations asks the
provider about a long-acting beta2-agonist medication.
What should the provider tell this patient? - ANSWER-YES
"LABAs should be combined with an inhaled glucocorticoid."
"LABAs can be used on an as-needed basis to treat symptoms."
"LABAs reduce the risk of asthma-related deaths."
"LABAs are safer than short-acting beta2 agonists."
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Correct! LABAs can increase the risk of asthma-related deaths
when used improperly; this risk is minimized when LABAs are
combined with an inhaled glucocorticoid. LABAs are not safer
than SABAs, and they are not used PRN. LABAs increase the
risk of asthma-related deaths.
A patient with a cough has been advised to use guaifenesin. The
patient asks the provider to explain the purpose of the drug.
Which statement by the provider explains the function of
guaifenesin? - ANSWER-"It helps relieve chest pain associated
with a cough."
"It dries secretions to help suppress coughing so patients can
rest."
YES "It helps stimulate the flow of secretions to increase cough
productivity."
"It stimulates the body's natural immune responses."
Correct! Expectorants stimulate the flow of respiratory tract
secretions to improve cough productivity. Guaifenesin does not
dry secretions because it does not have anticholinergic effects.
Guaifenesin does not alleviate the pain associated with cough.
Guaifenesin does not stimulate immune responses.
A nursing student is preparing to give a medication that has a
boxed warning. The student asks the nurse what this means.
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What should the nurse explain about boxed warnings? -
ANSWER-They provide information about antidotes in the
event that toxicity occurs.
YES They alert prescribers to measures to mitigate potential
harm from side effects.
They provide detailed information about the adverse effects of
the drug.
They indicate that a drug should not be given except in life-
threatening circumstances.
Correct! Boxed warnings (also known as black box warnings)
are used to alert providers to potential side effects and ways to
prevent or reduce harm from these side effects. A boxed warning
is placed on any drug that, although useful, has serious side
effects; this is a way to keep drugs on the market while
protecting patients. Many of these drugs are used in situations
that are not life-threatening. The boxed warning provides a
concise summary and not a detailed explanation of drug side
effects. The boxed warning does not include antidotes to
toxicity.
What is polypharmacy? - ANSWER-NO A person takes a
combination of prescription and over-the-counter medications.
A person takes different dosage forms (e.g., oral and injectable
medications).
WGU D116 Objective Assessment Final Exam Advanced
Pharmacology Exam Newest 2026-2027 Actual Exam
Preparation With Complete Questions And Correct
Answers With Rationales | Already Graded A+||Brand
New Version!!
A prescriber has ordered propranolol for a patient with recurrent
ventricular tachycardia.
The provider should tell the nurse preparing to administer this
drug to be concerned about which condition in the patient's
history? - ANSWER-Paroxysmal atrial tachycardia associated
with emotion
Hypertension
Exercise-induced tachyarrhythmias
YES Asthma
Correct! Propranolol is contraindicated in patients with asthma
because it is a nonselective beta-adrenergic antagonist and can
cause bronchoconstriction and exacerbate asthma. It is used to
treat tachyarrhythmias and paroxysmal atrial tachycardia evoked
by emotion, so it is not contraindicated for patients with these
conditions. It lowers blood pressure, so it would be helpful in
patients with hypertension.
,2|Page
A patient with severe, chronic COPD uses an inhaled
LABA/glucocorticoid but continues to have frequent
exacerbation of symptoms.
What should the nurse contact the provider to discuss? -
ANSWER-Changing to oral theophylline twice daily
YES Adding roflumilast once daily
NO Using an ipratropium/albuterol combination twice daily
Prescribing oral steroids once daily
Incorrect. Ipratropium is used to treat bronchospasm in COPD.
Correct! For patients with chronic, severe COPD, the risk of
exacerbations may be reduced with roflumilast. Theophylline is
used only when other bronchodilators are not effective. Oral
steroids are not indicated for this use. Ipratropium is used to
treat bronchospasm in COPD.
A patient with persistent, frequent asthma exacerbations asks the
provider about a long-acting beta2-agonist medication.
What should the provider tell this patient? - ANSWER-YES
"LABAs should be combined with an inhaled glucocorticoid."
"LABAs can be used on an as-needed basis to treat symptoms."
"LABAs reduce the risk of asthma-related deaths."
"LABAs are safer than short-acting beta2 agonists."
,3|Page
Correct! LABAs can increase the risk of asthma-related deaths
when used improperly; this risk is minimized when LABAs are
combined with an inhaled glucocorticoid. LABAs are not safer
than SABAs, and they are not used PRN. LABAs increase the
risk of asthma-related deaths.
A patient with a cough has been advised to use guaifenesin. The
patient asks the provider to explain the purpose of the drug.
Which statement by the provider explains the function of
guaifenesin? - ANSWER-"It helps relieve chest pain associated
with a cough."
"It dries secretions to help suppress coughing so patients can
rest."
YES "It helps stimulate the flow of secretions to increase cough
productivity."
"It stimulates the body's natural immune responses."
Correct! Expectorants stimulate the flow of respiratory tract
secretions to improve cough productivity. Guaifenesin does not
dry secretions because it does not have anticholinergic effects.
Guaifenesin does not alleviate the pain associated with cough.
Guaifenesin does not stimulate immune responses.
A nursing student is preparing to give a medication that has a
boxed warning. The student asks the nurse what this means.
, 4|Page
What should the nurse explain about boxed warnings? -
ANSWER-They provide information about antidotes in the
event that toxicity occurs.
YES They alert prescribers to measures to mitigate potential
harm from side effects.
They provide detailed information about the adverse effects of
the drug.
They indicate that a drug should not be given except in life-
threatening circumstances.
Correct! Boxed warnings (also known as black box warnings)
are used to alert providers to potential side effects and ways to
prevent or reduce harm from these side effects. A boxed warning
is placed on any drug that, although useful, has serious side
effects; this is a way to keep drugs on the market while
protecting patients. Many of these drugs are used in situations
that are not life-threatening. The boxed warning provides a
concise summary and not a detailed explanation of drug side
effects. The boxed warning does not include antidotes to
toxicity.
What is polypharmacy? - ANSWER-NO A person takes a
combination of prescription and over-the-counter medications.
A person takes different dosage forms (e.g., oral and injectable
medications).
