WGU D116 REVIEW QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026

WGU D116 REVIEW QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026 830 six-year-old man with asthma requires anti-hypertensive therapy which drug should be avoided - Answers Beta blockers Short acting beta, two agonist reduce symptoms of asthma by causing? - Answers Bronchial, smooth muscle relaxation A patient receiving the loop diuretic furosemide may experience which "first dose adverse effect? - Answers Hypertension What classification of side effects includes dry mouth, constipation, and urinary retention - Answers Anticholinergic Which common side effect of pramipexole is less likely to occur with other dopamine agonist - Answers Sleep attacks A 29-year-old pregnant patient presents with pulmonary embolus, which medication should the nurse anticipate giving - Answers Unfractionated heparin (is preferred in cases where rapid anticoagulation is indicated, also does not cross the fetal placental barrier) What is contraindicated in the use of thrombotic therapy? - Answers History of hemorrhagic stroke Which of the following medications is an alpha one, nonselective beta adrenergic antagonist -atenolol -propranolol -metoprolol -carvedilol - Answers Carvedilol How can you differentiate bata 1 from bata 2 blockers - Answers Drugs that start with letters A-N are in the bata 1 group and drugs that start with the letters O-Z are in the bata 2 group What response would be expected from a drug that acts on the prostaglandin neurons in the sympathetic nervous system? - Answers Increased cardiac output A patient has been taking lithium for three days and has nausea and fatigue. What is the best response by the provider? - Answers These effects are common that often improve with time Step two in the wise approach to asthma treatment suggest giving which medication - Answers Low-dose inhaled corticosteroids Which of the following drugs should be avoided in the treatment of variant (prinzmetal's angina) -nifedipine -isosorbidmide mononitrate -metoprolol -verapamil - Answers Metoprolol, beta blockers are contraindicated in variant angina What is the first line treatment for uncomplicated hypertension? - Answers (Hydrochlorothiazide) Thiazide Diuretics A priority nursing assessment for a patient whose to receive alpha or beta andrenergic antagonist would be - Answers Assessed heart rate What information should the FNP know before prescribing medication's to a child? - Answers Age and weight The FNP prescribes a loop diuretic this type of diuretic causes effects in which structure of the nephron - Answers Ascending limb of the loop of Henley A patient is in severe shock and receiving vasopressin explain the rationale for this type of treatment - Answers Causes vasoconstriction to help increase blood pressure Which of the following is not a cornerstone of treatment for a patient in heart failure -Bata blockers -calcium channel blockers -ACE inhibitors -angiotensin 2 receptor blockers - Answers Calcium channel blockers What is a common side effect of stimulant medication such as Adderall - Answers Difficulty falling asleep at night The recommended duration to continue taking an antidepressant once the therapeutic level of reached is - Answers Six months A patient who has chronic kidney disease has a hemoglobin of 7.2. What treatment does the FNP anticipate? - Answers Erythropoietin Which of the following should be obtained in a seven-year-old patient starting a stimulant methylphenidate - Answers Height and weight Clozapine blocks which neurotransmitter - Answers Dopamine When Norepinephrine binds with alpha two receptors, the expected physiological response is - Answers Bradycardia (due to alpha 2 response) What is the intended therapeutic action of inhaled corticosteroids when used to treat COPD? - Answers Reduction of airway inflammation The cornerstone of pharmacotherapy and treating Alzheimer's disease is? - Answers Cholinesterase inhibitors Which of the following medication is used to prevent frequency of chronic migraines? -propranolol -naproxen -sumatriptan -dihydroergotamine - Answers Propranolol A patient has expiratory, wheezing, dyspnea, nonproductive cough, and tachypnea what is priority treatment - Answers Inhale bronchodilator What comment by the patient shows that teaching concerning the beta and antagonist has been effective - Answers I should never abruptly stop taking this medication Bata andrenergic antagonist is also know as - Answers Bata blocker Which of the following can elevate theophyline levels -cimetidine -IV ampicillin -heavy smoking -history of seizures disorders - Answers Cimetidine What medication is used to treat Parkinson's and restless leg syndrome - Answers Primipexole Recurrent dry cough in a non-smoking patient with hypertension is likely a side effect of which medication - Answers ACE inhibitors Which antihypertensive drug is the recommended choice to treat hypertension, impatience with diabetes - Answers Ace inhibitors One benefit of atypical antidepressants compared to SSRI is - Answers Theses medications do not cause sexual side effects Treatment of cluster headaches has aimed prevention the first line treatment in prevention is - Answers Verapamil What factor increases the deed for APRN staff full prescriptive authority? - Answers More patience, having access to healthcare A patient taking three medication's for hypertension is also diagnosed with COPD. What action should be taken prior to prescribing medication to treat COPD - Answers Obtain a complete medical history A patient was chronic pain causes the providers office to request a refill for oxycodone. What is the most appropriate action? - Answers Schedule an appointment with the patient The nurse administer is naloxone to a patient who has received a toxic dose of morphine the naloxone is effective because of which action - Answers Preventing activation of opioid receptors through antagonist actions The nurse is preparing to administer penicillin intermit to a child. The child's parents ask why the drug cannot be given in an oral form. What is the nurse's reply? - Answers This drug would be an activated by the enzymes in the stomach Ipratropium Bromide is a quaternary ammonium derived of the prototype drug atropine, why would a medical chemist want to alter the prototype? - Answers To allow higher doses to be delivered A patient is wheezing in shorter breath, the prescriber orders, a nonspecific, beta agonist medication besides evaluating for a reduction in respiratory distress. The nurse should monitor for what side effect? - Answers Tachycardia A patient is experiencing toxic side effects from atropine, including delirium and hallucination. Which medication should they provide provider administer? - Answers Physostigmine A patient brought to the emergency department requires sutures, the prescriber orders, a local anesthetic with epinephrine. Why with epinephrine? - Answers To allow a reduced dose of anesthetic A patient has been diagnosed with Parkinson's disease and begins treatment with carbidopa. After several months of therapy, the patient reports no changes in symptoms as the provider what should you do? - Answers Reevaluate the diagnosis A patient was cerebral palsy who has been receiving baclofen via gastronomy tube for three months is admitted to the hospital for evaluation of nuance at seizures. What might you suspect the cause of these seizures to be? - Answers Missed doses of baclofen A nurse is preparing a patient to go home from the emergency department after receiving sutures for a laceration on one hand the provider used lidocaine with epinephrine, which symptom in this patient would be of concern - Answers Nervousness and tachycardia When switching a patient from an MAOI, to an SSRI what is the recommended instructions for the patient? - Answers Stop the MAOI for two weeks before starting the SSRI A patient admitted to the hospital for treatment at first time. Symptoms of mania is exhibiting euphoric mania. What medication is best for this patient - Answers Lithium A patient who is taking oral counter receptive begins taking Valproic acid for seizures, after a week with the Valproic acid. The patient tells the nurse she's experiencing nausea. What should the nurse do? - Answers Ask the patient if she is taking the Valproic acid with food because taking the drug on an empty stomach can cause G.I. side effects A patient who has reoccurring migraine headaches is prescribed sumatriptan, which aspect of the patient's history would be of concern when taking this drug? - Answers Coronary artery disease, sumatriptan can cause vasoconstriction and coronary Vaso spasm A patient brought to the emergency department with shortness of breath, a respiratory rate of 30 intercoastal attractions and frothy pink sputum. What drug should they provide provider administer for this patient - Answers Furosemide A patient with a recent onset of nephrosclerosis has been taking an ace inhibitor and a thiazide diuretic, the patient's initial blood pressure was 148/100 after one month of therapy is the blood pressure is 130/90. What should the nurse discuss with the provider? - Answers Adding a calcium channel blocker to this patient's drug regimen A female patient with essential hypertension is being treated with hydralazine 25 mg twice daily. The nurse assesses the patient and notes a heart rate of 96 enable blood pressure of 110/72. What should the provider place an order for? - Answers A bata blocker A patient was stage C heart failure who has been taking an ace inhibitor, a beta blocker, and a diuretic begins to have increased dyspnea, weight gain and decreased urine output the provider orders spironolactone what should the nurse instruct the patient to do? - Answers Avoid potassium supplements They prescriber has ordered propanolol for a patient with reoccurring ventricular tachycardia. The provider tells the nurse administering the drug to be concerned about which condition in the patient's history? - Answers Asthma A patient with persistent, frequent agama exacerbation asks the provider about long acting beta two agonist medication. What should the provider tell this patient? - Answers Long acting beta two agonist medications should be combined within inhaled glucocorticoid What is the purpose of a black box warning? - Answers The alert prescribers to measures to mitigate potential harm from side How do calcium channel blockers relieve the pain for stable angina? - Answers They help relax, peripheral arterials to reduce afterload A patient was severe chronic COPD uses inhaled LABA/glucocorticoid but continued staff frequent exacerbation of symptoms. What should the nurse contact the provider to discuss? - Answers Adding roflumilast once daily What is the purpose of guaifenesin - Answers increase productive cough to help clear the airway, thin lower respiratory secretions What is Polly pharmacy? - Answers A patient takes multiple medication's What is referred to as the prescribing cascade? - Answers The process where my drug side effects are misdiagnosis symptoms of one another resulting in further prescriptions A patient with type two diabetes, cardiovascular disease, and a history of MI... the pharmacy calls you to inform you of a clear example of polypharmacy what is an example of Polly pharmacy? - Answers The patient is taking multiple medication's for multiple providers and probably needs to discontinue some of them The joint commission has identified what factor as a contributed to ineffective transitions in care - Answers Lack of accountability Why is it important to collect medication histories as part of the medication reconciliation process? - Answers It ensures a patient's medication's remain accurate during transitions of care