WGU D441 OA (New 2026/ 2027 Update)
Pharmacology Questions & Answers
{Grade A} 100% Correct (Verified
Solutions)
The nurse is reviewing the laboratory results of a client who reports taking five times
the recommended daily allowance of vitamins and minerals in a multivitamin form.
Which finding indicates a possible vitamin D overdose?
Reference Range:
Bilirubin [0.3 to 1 mg/dL (5.1 to 17 μmol/L)]
Calcium 19 to 10.5 mg/dL (2.3 to 2.6 mmol/L)]
Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]
Blood Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]
A. Sodium level 140 mEq/L (140 mmol/L).
B. Total calcium level 12 mEq/L (3 mmol/L).
C. Total bilirubin 4 mg/dL (68.4 μmol/L).
D. Serum glucose 170 mg/dL (9.4 mmol/L). - Correct answer B. Total calcium level 12
mEq/L (3 mmol/L
,The nurse administers naloxone to a client with opioid-induced respiratory depression.
One hour later, nursing assessment reveals that the client has a respiratory rate of 4
breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action
should the nurse implement?
A. Prepare to assist with chest tube insertion.
B. Administer a second dose of naloxone.
C. Determine Glasgow Coma Scale score.
D. Initiate cardiopulmonary resuscitation (CPR). - Correct answer B. Administer a
second dose of naloxone
After receiving the third dose of a new oral anticoagulant prescription, an older client
develops bleeding and tender gums and has many new bruises. Which action(s) should
the nurse implement? Select all that apply.
A. Obtain a soft bristle toothbrush for client.
B. Provide a PRN nonsteroidal anti-inflammatory (NSAID) for gum discomfort.
C. Review most recent coagulation lab values.
,D. Report findings to healthcare provider.
E. Complete a medication variance report. - Correct answer A. Obtain a soft bristle
toothbrush for client.
C. Review most recent coagulation lab values.
D. Report findings to healthcare provider.
A client who is experiencing vasomotor symptoms related to menopause receives a
new prescription for estrogen replacement. Which client condition should the nurse
report the healthcare provider prior to administering the first dose of the medication?
A. Colorectal cancer.
B. Pulmonary embolism.
C. Dyspareunia.
D. Osteoporosis. - Correct answer B. Pulmonary embolism.
The nurse administers the initial dose of cefoxitin to a client whose medical record
indicates an allergy to penicillin. Which finding is most important for the nurse to
report to the healthcare provider?
, A. Diminished renal output.
B. Pruritis and macular rash.
C. Vomiting and diarrhea.
D. Vaginal discharge. - Correct answer B. Pruritis and macular rash.
The nurse is providing medication teaching to a client with bipolar disorder who
receives a prescription for lithium carbonate. Which instruction should the nurse
emphasize with the client?
A. Avoid taking the medication on an empty stomach.
B. Maintain a fluid intake of 1,500 to 3,000 mL per day.
C. Report fluctuations in weight to the healthcare provider.
D. Keep medication fliers for frequent review and reference. - Correct answer B.
Maintain a fluid intake of 1,500 to 3,000 mL per day.
A client receives a prescription for dextrose 5% in water 500 mL IV to be infused over
4 hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the
Pharmacology Questions & Answers
{Grade A} 100% Correct (Verified
Solutions)
The nurse is reviewing the laboratory results of a client who reports taking five times
the recommended daily allowance of vitamins and minerals in a multivitamin form.
Which finding indicates a possible vitamin D overdose?
Reference Range:
Bilirubin [0.3 to 1 mg/dL (5.1 to 17 μmol/L)]
Calcium 19 to 10.5 mg/dL (2.3 to 2.6 mmol/L)]
Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]
Blood Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]
A. Sodium level 140 mEq/L (140 mmol/L).
B. Total calcium level 12 mEq/L (3 mmol/L).
C. Total bilirubin 4 mg/dL (68.4 μmol/L).
D. Serum glucose 170 mg/dL (9.4 mmol/L). - Correct answer B. Total calcium level 12
mEq/L (3 mmol/L
,The nurse administers naloxone to a client with opioid-induced respiratory depression.
One hour later, nursing assessment reveals that the client has a respiratory rate of 4
breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action
should the nurse implement?
A. Prepare to assist with chest tube insertion.
B. Administer a second dose of naloxone.
C. Determine Glasgow Coma Scale score.
D. Initiate cardiopulmonary resuscitation (CPR). - Correct answer B. Administer a
second dose of naloxone
After receiving the third dose of a new oral anticoagulant prescription, an older client
develops bleeding and tender gums and has many new bruises. Which action(s) should
the nurse implement? Select all that apply.
A. Obtain a soft bristle toothbrush for client.
B. Provide a PRN nonsteroidal anti-inflammatory (NSAID) for gum discomfort.
C. Review most recent coagulation lab values.
,D. Report findings to healthcare provider.
E. Complete a medication variance report. - Correct answer A. Obtain a soft bristle
toothbrush for client.
C. Review most recent coagulation lab values.
D. Report findings to healthcare provider.
A client who is experiencing vasomotor symptoms related to menopause receives a
new prescription for estrogen replacement. Which client condition should the nurse
report the healthcare provider prior to administering the first dose of the medication?
A. Colorectal cancer.
B. Pulmonary embolism.
C. Dyspareunia.
D. Osteoporosis. - Correct answer B. Pulmonary embolism.
The nurse administers the initial dose of cefoxitin to a client whose medical record
indicates an allergy to penicillin. Which finding is most important for the nurse to
report to the healthcare provider?
, A. Diminished renal output.
B. Pruritis and macular rash.
C. Vomiting and diarrhea.
D. Vaginal discharge. - Correct answer B. Pruritis and macular rash.
The nurse is providing medication teaching to a client with bipolar disorder who
receives a prescription for lithium carbonate. Which instruction should the nurse
emphasize with the client?
A. Avoid taking the medication on an empty stomach.
B. Maintain a fluid intake of 1,500 to 3,000 mL per day.
C. Report fluctuations in weight to the healthcare provider.
D. Keep medication fliers for frequent review and reference. - Correct answer B.
Maintain a fluid intake of 1,500 to 3,000 mL per day.
A client receives a prescription for dextrose 5% in water 500 mL IV to be infused over
4 hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the
