WGU D116 OBJECTIVE ASSESSMENT FINAL EXAM ADVANCED
PHARMACOLOGY EXAM LATEST 2026 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A patient who will begin combination estrogen-progestin therapy
(EPT) for menopause asks the nurse why she cannot take an
estrogen-only preparation. The patient has not had a
hysterectomy, has a slightly increased risk of cardiovascular
disease, and has mild osteopenia.
What response from the provider about progestin is correct?
"Progestin lowers your risk of myocardial infarction (MI)."
"Progestin prevents deep vein thrombosis (DVT)."
"Progestin decreases your risk of endometrial cancer."
"Progestin increases bone resorption to prevent fractures." -
ANSWER-"Progestin decreases your risk of endometrial cancer."
Correct! In patients who still have a uterus, progestin is
necessary to reduce the risk of endometrial carcinoma.
Progestins do not have effects on bone density and do not
decrease the risk of MI or DVT.
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An adolescent female patient with multiple sexual partners asks a
nurse about birth control methods. The patient tells the nurse she
tried oral contraceptives once but often forgot to take her pills.
The nurse should recommend discussing which contraceptive
method with the provider?
Progestin-only oral contraceptives
Tubal ligation and condoms
An intrauterine device with a spermicide
DMPA (Depo-Provera) and condoms - ANSWER-DMPA (Depo-
Provera) and condoms
Correct! This patient has demonstrated a previous history of
nonadherence, so a long-acting contraceptive would be more
effective for her. Because she has multiple sexual partners,
she should use a condom for protection against STDs. An
IUD is not indicated for her. Patients with multiple sexual
partners who use IUDs are at greater risk for STDs. Tubal
ligation carries surgical risks and is not recommended to be
used by young women because it is irreversible. Progestin-
only oral contraceptives must be taken every day.
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An adult male patient will begin androgen therapy for testicular
failure.
Which statement by the patient indicates understanding of the
treatment regimen?
"This will restore fertility, so I can have a child."
"I will need to have X-rays of my hands and feet every six
months."
"My libido may improve while I am taking this medication."
"Taking this drug may lead to the development of prostate
cancer." - ANSWER-"My libido may improve while I am taking this
medication."
Correct! Treatment with androgen replacement therapy in
patients with testicular failure helps restore libido. A side
effect of androgens is premature epiphyseal closure; this is
not a concern in adults, so radiographs to evaluate this are
not indicated. Androgens can promote the growth of prostate
cancer when it occurs, but they do not cause it. Androgens
do not restore fertility.
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Which finding would indicate that terazosin has been effective for
a patient with benign prostatic hyperplasia (BPH)?
Increased urinary frequency
Decreased prostate size
Improved urinary hesitation
Decreased serum prostate-specific antigen levels - ANSWER-
Improved urinary hesitation
Correct! Terazosin is an alpha1-adrenergic antagonist. These
medications relax the smooth muscles of the bladder neck to
improve urinary symptoms experienced with BPH. They do
not decrease the size of the prostate. Increased urinary
frequency is a sign of worsening BPH, not improvement.
An older adult patient with severe gastroesophageal reflux
disease (GERD) has had only minimal relief using a histamine2-
receptor antagonist (H2RA). The patient is to begin taking
omeprazole.
What should the provider teach this patient?
Lifestyle changes can be as effective as medication therapy.