2025/26|WGU D116 Pharmacology
||2025-2026 most recent
version|Comprehensive questions and
verified answers/accurate
solutions|Already graded A+|Get it
100% correct.
Agpatientgpresentsgtogangemergencygroomgcomplaininggofgpalpitationsgandgirregulargheartbeat.gTh
egadvancedgpracticegregisteredgnurseg(APRN)gplacesgthegpatientgongagcardiacgmonitorgandgobserve
sgatrialgfibrillation.gThegAPRNgordersgdofetilide.
HowgshouldgthegAPRNgrecommendgthisgmedicationgbegtaken?g-
gCORRECTgANSWERSgYESgWithgfoodgorgangemptygstomach
Ag70-year-
oldgmalegcallsgagclinicgcomplaininggofgchestgpaingthatgstartedgafterghavinggsexualgactivity.gHegtookgsi
ldenafilg50gmggaboutgeightghoursgago.gHeghasgnitroglycering0.3gmggonghand.
Howgshouldgthegadvancedgpracticegregisteredgnursegrespond?g-
gCORRECTgANSWERSgDognotgtakegthegnitroglyceringandgcallg911
Takinggthegmedicationsgtogethergcangcausegagseriousgdropgingbloodgpressuregleadinggtogcardiovasc
ulargcollapse.
Agpatientgdiagnosedgwithgbipolargdisordergwhogisgingagmentalghealthgclinicgisgdiscussinggthegpossibi
litygofgbeginningglithiumgwithgangadvancedgpracticegregisteredgnurseg(APRN).gThegpatientgexpresse
sgunderstandinggandgwishesgtogproceedgwithgtreatment.gThegAPRNgexplainsgtogthegpatientgthatgthi
sgmedicationgrequiresgspecificglabgmonitoringgandgwantsgtogdrawgbaselineglabs.gThegpatientgasksgw
hygthegtestgisgneeded.
WhichgexplanationgshouldgthegAPRNgprovidegtogthisgpatient?g-
gCORRECTgANSWERSgAgbaselinegbloodgureagnitrogeng(BUN)gandgcreatinineg(CREA)glevelgneedsgtogb
egdrawngtogassessgkidneygfunctiongpriorgtogtreatment.
,Thisgdruggcangcausegdecreasedgrenalgfunction,gandgagbaselinegshouldgbegdrawngforgfuturegcompari
son.
Angadvancedgpracticegregisteredgnurseg(APRN)gisgreviewinggthegmedicationsgthatgwillgbegcommonl
ygexperiencedgwithgagnewgnursegtogdeterminegwhethergthegdrugsgaregsafegforgthegpatients.gThegne
wgnursegisggivengagscenariogwheregagpatientgisgbeinggprescribedgsildenafilg25gmggpogprn,gagprototyp
egdruggforgerectilegdysfunction.
Whichgpatientgmaygtakegthisgdruggsafely?g-gCORRECTgANSWERSgYESgAg54-year-
malegwithgagmedicalghistorygofghypertension,gmildgeczema,gandgpreviousghistorygofgagurolithiasisgw
heregallgisgwellgcontrolledgandgtheregaregnogcurrentgcomplications
Ag30-year-
oldgpatientgpresentsgtogagprimarygcaregclinicgwithgaghistorygofganxiety.gThegadvancedgpracticegregis
teredgnursegreviewsgthegmechanismgofgactiongbygwhichgmanygneuropharmacologicalgagentsgactga
ndgdecidesgtogprescribegcitalopram.
Whatgisgthegmechanismgofgactiongofgthisgmedication?g-
gCORRECTgANSWERSgYESgInfluencesgreceptorgactivitygongtargetgcells
Correct!gThisgmedicationginfluencesgthegactivitygingthegreceptors,gandgitgtargetsgcells.
AgpatientgisgadmittedgwithgagdiagnosisgofgHuntingtongdisease.gOngadmission,gthegpatientgexhibitsgu
ncontrolledgtwitching,gdifficultygwalking,gtroublegswallowing,gconfusion,gandgmemorygloss.gThegad
vancedgpracticegregisteredgnurseg(APRN)gprescribesgbaclofen.
Whatgisgthegmechanismgofgactiongofgthisgmedication?g-
gCORRECTgANSWERSgNOgModulatesgthegeffectsgofgglutamategatgNMDAgreceptors
YESgInhibitsgneurotransmittergGABA
NOgHaltsgthegbreakdowngofgacetylcholinegbygacetylcholinesterase
Altersgthegsynthesisgandgreleasegofgnorepinephrine,gserotonin,gandgdopamine
,Incorrect.gCholinesteraseginhibitorsgpreventgthegbreakdowngofgacetylcholinegbygacetylcholinester
ase.gTheygaregusedgingpatientsgwithgAlzheimer's.
Correct!gHuntington'sgdiseaseginvolvesgagdeficiencygofgthegneurotransmittersgacetylcholinegandgy-
aminobutyricgacidgingthegbasalggangliagandgextrapyramidalgsystem.
Ag21-year-
oldgpatientgaccompaniedgbygagparentgcomesgtogagclinicgforgangemergencygvisitgwithgangadvancedgpr
acticegregisteredgnurseg(APRN)gfollowinggagseizure.gUponginterviewinggthegpatientgandgthegparent,
gthegAPRNgdeterminesgthatgthegseizuregisgclassifiedgbygmarkedgimpairmentgofgconsciousnessgandgis
gfollowedgbygagperiodgofgcentralgnervousgsystemg(CNS)gdepression.
Whichgtypegofgseizuregisgthisgpatientgexperiencing?g-gCORRECTgANSWERSgAtonic
NOgMyoclonic
YESgTonic-clonic
Absence
Incorrect.gMyoclonicgseizuresgconsistgofgagsuddengmusclegcontractiongthatglastsgforgjustgonegsecon
d.
Correct!gAgtonic-
clonicgseizuregisgagtypegofgseizuregthatgisgalsogcalledgagconvulsion.gThisgtypegofgseizuregcangincludeg
musclegstiffness,glossgofgconsciousness,gandgbodygjerking.
Agpatientghasgbeengtakinggoralgoxycodonegeverygsixghoursgforgbackgpaingduringgthegpastgthreegyear
s.gThegpatientgsuddenlygdecidesgtogstopgtakinggthegpaingmedicationgandgisgtryinggangalternativegthe
rapygwithoutgagclinician'sgapproval.
Whichgriskgisgofgclinicalgconcern?g-gCORRECTgANSWERSgYESgPhysicalgdependence
Correct!gThegpatientgsuddenlygstoppinggthegmedicationgwillgcausegphysicalgsymptomsgthatgcangran
gegfromgnauseagtogseizures.
Angadvancedgpracticegregisteredgnurseghasgdiagnosedgag44-year-
oldgmalegwithgdepression.gAgplangisgdevelopedgtogstartgtreatmentgwithgmedication.gThegpatientgha
sgaghistorygofgsexualgdysfunctiongandgisgconcernedgaboutgtakinggmedicationgthatgmaygworsengthisg
condition.
, Whichgantidepressantghasgthegbenefitgofgenhancingglibido?g-gCORRECTgANSWERSgYESgBupropion
Correct!gBupropiongdoesgnotgcausegsexualgdysfunction.gThisgwillghelpgthegpatientgwithgaghistorygofg
sexualgdysfunction.gThisgwillgenhancegthegpatient'sglibido,gwhichgwillghelpgwithgbothgdepressiongan
dgsexualgdysfunction.
Agpatientgisgwheezinggandgshortgofgbreath.gThegnursegassessesgagheartgrategofg88gbeatsgpergminute,
gagrespiratorygrategofg24gbreathsgpergminute,gandgagbloodgpressuregofg124/78gmmgHg.gThegprescrib
ergordersgagnonspecificgbeta-agonistgmedication.
Besidesgevaluatinggthegpatientgforgagreductiongingrespiratorygdistress,gthegnursegshouldgmonitorgfo
rgwhichgsidegeffect?g-gCORRECTgANSWERSgYESgTachycardia
Correct!gBeta-
agonistsgaregusedgforgasthmagbecausegofgtheirgbeta2geffectsgongbronchialgsmoothgmuscle,gcausingg
dilation.gBeta1geffectsgcausegtachycardiagandghypertension.gBetagreceptorsgdognotgexertgeffectsgon
gthegbladder.
Agpatientgisgexperiencinggtoxicgsidegeffectsgfromgatropine,gincludinggdeliriumgandghallucinations.g
Whichgmedicationgshouldgthegprovidergadminister?g-gCORRECTgANSWERSgYESgPhysostigmine
Correct!gPhysostigminegisgthegdruggofgchoicegforgtreatinggpoisoninggfromgatropinegandgothergdrugs
gthatgcausegmuscarinicgblockade.gDonepezilgisgusedgtogtreatgAlzheimergdisease.gEdrophoniumgisgus
edgtogdistinguishgbetweengagmyasthenicgcrisisgandgagcholinesteraseginhibitorgoverdose.gNeostigmi
negdoesgnotgcrossgthegblood-
braingbarriergandgwouldgnotgeffectivelygtreatgthisgpatient'sgcentralgnervousgsystemg(CNS)gsymptom
s.
Agpatientgbroughtgtogthegemergencygdepartmentgrequiresgsutures.gThegprescribergordersgaglocalga
nestheticgwithgepinephrine.
Thegepinephrinegisgorderedgtog___________.g-
gCORRECTgANSWERSgallowgagreducedgdosegofgtheganesthetic
||2025-2026 most recent
version|Comprehensive questions and
verified answers/accurate
solutions|Already graded A+|Get it
100% correct.
Agpatientgpresentsgtogangemergencygroomgcomplaininggofgpalpitationsgandgirregulargheartbeat.gTh
egadvancedgpracticegregisteredgnurseg(APRN)gplacesgthegpatientgongagcardiacgmonitorgandgobserve
sgatrialgfibrillation.gThegAPRNgordersgdofetilide.
HowgshouldgthegAPRNgrecommendgthisgmedicationgbegtaken?g-
gCORRECTgANSWERSgYESgWithgfoodgorgangemptygstomach
Ag70-year-
oldgmalegcallsgagclinicgcomplaininggofgchestgpaingthatgstartedgafterghavinggsexualgactivity.gHegtookgsi
ldenafilg50gmggaboutgeightghoursgago.gHeghasgnitroglycering0.3gmggonghand.
Howgshouldgthegadvancedgpracticegregisteredgnursegrespond?g-
gCORRECTgANSWERSgDognotgtakegthegnitroglyceringandgcallg911
Takinggthegmedicationsgtogethergcangcausegagseriousgdropgingbloodgpressuregleadinggtogcardiovasc
ulargcollapse.
Agpatientgdiagnosedgwithgbipolargdisordergwhogisgingagmentalghealthgclinicgisgdiscussinggthegpossibi
litygofgbeginningglithiumgwithgangadvancedgpracticegregisteredgnurseg(APRN).gThegpatientgexpresse
sgunderstandinggandgwishesgtogproceedgwithgtreatment.gThegAPRNgexplainsgtogthegpatientgthatgthi
sgmedicationgrequiresgspecificglabgmonitoringgandgwantsgtogdrawgbaselineglabs.gThegpatientgasksgw
hygthegtestgisgneeded.
WhichgexplanationgshouldgthegAPRNgprovidegtogthisgpatient?g-
gCORRECTgANSWERSgAgbaselinegbloodgureagnitrogeng(BUN)gandgcreatinineg(CREA)glevelgneedsgtogb
egdrawngtogassessgkidneygfunctiongpriorgtogtreatment.
,Thisgdruggcangcausegdecreasedgrenalgfunction,gandgagbaselinegshouldgbegdrawngforgfuturegcompari
son.
Angadvancedgpracticegregisteredgnurseg(APRN)gisgreviewinggthegmedicationsgthatgwillgbegcommonl
ygexperiencedgwithgagnewgnursegtogdeterminegwhethergthegdrugsgaregsafegforgthegpatients.gThegne
wgnursegisggivengagscenariogwheregagpatientgisgbeinggprescribedgsildenafilg25gmggpogprn,gagprototyp
egdruggforgerectilegdysfunction.
Whichgpatientgmaygtakegthisgdruggsafely?g-gCORRECTgANSWERSgYESgAg54-year-
malegwithgagmedicalghistorygofghypertension,gmildgeczema,gandgpreviousghistorygofgagurolithiasisgw
heregallgisgwellgcontrolledgandgtheregaregnogcurrentgcomplications
Ag30-year-
oldgpatientgpresentsgtogagprimarygcaregclinicgwithgaghistorygofganxiety.gThegadvancedgpracticegregis
teredgnursegreviewsgthegmechanismgofgactiongbygwhichgmanygneuropharmacologicalgagentsgactga
ndgdecidesgtogprescribegcitalopram.
Whatgisgthegmechanismgofgactiongofgthisgmedication?g-
gCORRECTgANSWERSgYESgInfluencesgreceptorgactivitygongtargetgcells
Correct!gThisgmedicationginfluencesgthegactivitygingthegreceptors,gandgitgtargetsgcells.
AgpatientgisgadmittedgwithgagdiagnosisgofgHuntingtongdisease.gOngadmission,gthegpatientgexhibitsgu
ncontrolledgtwitching,gdifficultygwalking,gtroublegswallowing,gconfusion,gandgmemorygloss.gThegad
vancedgpracticegregisteredgnurseg(APRN)gprescribesgbaclofen.
Whatgisgthegmechanismgofgactiongofgthisgmedication?g-
gCORRECTgANSWERSgNOgModulatesgthegeffectsgofgglutamategatgNMDAgreceptors
YESgInhibitsgneurotransmittergGABA
NOgHaltsgthegbreakdowngofgacetylcholinegbygacetylcholinesterase
Altersgthegsynthesisgandgreleasegofgnorepinephrine,gserotonin,gandgdopamine
,Incorrect.gCholinesteraseginhibitorsgpreventgthegbreakdowngofgacetylcholinegbygacetylcholinester
ase.gTheygaregusedgingpatientsgwithgAlzheimer's.
Correct!gHuntington'sgdiseaseginvolvesgagdeficiencygofgthegneurotransmittersgacetylcholinegandgy-
aminobutyricgacidgingthegbasalggangliagandgextrapyramidalgsystem.
Ag21-year-
oldgpatientgaccompaniedgbygagparentgcomesgtogagclinicgforgangemergencygvisitgwithgangadvancedgpr
acticegregisteredgnurseg(APRN)gfollowinggagseizure.gUponginterviewinggthegpatientgandgthegparent,
gthegAPRNgdeterminesgthatgthegseizuregisgclassifiedgbygmarkedgimpairmentgofgconsciousnessgandgis
gfollowedgbygagperiodgofgcentralgnervousgsystemg(CNS)gdepression.
Whichgtypegofgseizuregisgthisgpatientgexperiencing?g-gCORRECTgANSWERSgAtonic
NOgMyoclonic
YESgTonic-clonic
Absence
Incorrect.gMyoclonicgseizuresgconsistgofgagsuddengmusclegcontractiongthatglastsgforgjustgonegsecon
d.
Correct!gAgtonic-
clonicgseizuregisgagtypegofgseizuregthatgisgalsogcalledgagconvulsion.gThisgtypegofgseizuregcangincludeg
musclegstiffness,glossgofgconsciousness,gandgbodygjerking.
Agpatientghasgbeengtakinggoralgoxycodonegeverygsixghoursgforgbackgpaingduringgthegpastgthreegyear
s.gThegpatientgsuddenlygdecidesgtogstopgtakinggthegpaingmedicationgandgisgtryinggangalternativegthe
rapygwithoutgagclinician'sgapproval.
Whichgriskgisgofgclinicalgconcern?g-gCORRECTgANSWERSgYESgPhysicalgdependence
Correct!gThegpatientgsuddenlygstoppinggthegmedicationgwillgcausegphysicalgsymptomsgthatgcangran
gegfromgnauseagtogseizures.
Angadvancedgpracticegregisteredgnurseghasgdiagnosedgag44-year-
oldgmalegwithgdepression.gAgplangisgdevelopedgtogstartgtreatmentgwithgmedication.gThegpatientgha
sgaghistorygofgsexualgdysfunctiongandgisgconcernedgaboutgtakinggmedicationgthatgmaygworsengthisg
condition.
, Whichgantidepressantghasgthegbenefitgofgenhancingglibido?g-gCORRECTgANSWERSgYESgBupropion
Correct!gBupropiongdoesgnotgcausegsexualgdysfunction.gThisgwillghelpgthegpatientgwithgaghistorygofg
sexualgdysfunction.gThisgwillgenhancegthegpatient'sglibido,gwhichgwillghelpgwithgbothgdepressiongan
dgsexualgdysfunction.
Agpatientgisgwheezinggandgshortgofgbreath.gThegnursegassessesgagheartgrategofg88gbeatsgpergminute,
gagrespiratorygrategofg24gbreathsgpergminute,gandgagbloodgpressuregofg124/78gmmgHg.gThegprescrib
ergordersgagnonspecificgbeta-agonistgmedication.
Besidesgevaluatinggthegpatientgforgagreductiongingrespiratorygdistress,gthegnursegshouldgmonitorgfo
rgwhichgsidegeffect?g-gCORRECTgANSWERSgYESgTachycardia
Correct!gBeta-
agonistsgaregusedgforgasthmagbecausegofgtheirgbeta2geffectsgongbronchialgsmoothgmuscle,gcausingg
dilation.gBeta1geffectsgcausegtachycardiagandghypertension.gBetagreceptorsgdognotgexertgeffectsgon
gthegbladder.
Agpatientgisgexperiencinggtoxicgsidegeffectsgfromgatropine,gincludinggdeliriumgandghallucinations.g
Whichgmedicationgshouldgthegprovidergadminister?g-gCORRECTgANSWERSgYESgPhysostigmine
Correct!gPhysostigminegisgthegdruggofgchoicegforgtreatinggpoisoninggfromgatropinegandgothergdrugs
gthatgcausegmuscarinicgblockade.gDonepezilgisgusedgtogtreatgAlzheimergdisease.gEdrophoniumgisgus
edgtogdistinguishgbetweengagmyasthenicgcrisisgandgagcholinesteraseginhibitorgoverdose.gNeostigmi
negdoesgnotgcrossgthegblood-
braingbarriergandgwouldgnotgeffectivelygtreatgthisgpatient'sgcentralgnervousgsystemg(CNS)gsymptom
s.
Agpatientgbroughtgtogthegemergencygdepartmentgrequiresgsutures.gThegprescribergordersgaglocalga
nestheticgwithgepinephrine.
Thegepinephrinegisgorderedgtog___________.g-
gCORRECTgANSWERSgallowgagreducedgdosegofgtheganesthetic
