WGU D116 EXAM SCRIPT UPDATED
COMPLETE QUESTIONS AND ANSWERS
EXPERT REVIEWED
●● A patient receiving a cephalosporin develops a secondary intestinal
infection caused by Clostridium difficile.
What is an appropriate treatment for this patient?
Answer: Discontinuing the cephalosporin and beginning flagyl
●● A patient is diagnosed with a lung infection caused by Pseudomonas
aeruginosa. The culture and sensitivity report shows sensitivity to all
aminoglycosides. The provider knows that the rate of resistance to
gentamicin is common in this hospital.
Which medication should the provider be expected to order?
Answer: Amikacin
When resistance to gentamicin and tobramycin is common, amikacin is
the drug of choice for the initial treatment of aminoglycoside-sensitive
infections
●● A child with otitis media has had three ear infections in the past year.
The child has just completed a ten-day course of amoxicillin with no
improvement. The parent asks the provider why this drug is not working
because it has worked in the past.
, What should the provider tell the patient?
Answer: "The bacteria have synthesized penicillinase"
Beta-lactamases are enzymes that cleave the beta-lactam ring and render
the PCN inactive (amoxicillin)
Pt will need to start augmentin
●● A patient who is taking acetaminophen for pain wants to know why it
does not cause gastrointestinal upset as other over-the-counter pain
medications do.
Which property of acetaminophen is the most likely explanation for
this?
Answer: It has minimal effects at peripheral sites
Tylenol central effects
NSAIDs peripheral effects
●● A patient who has arthritis has been taking ibuprofen and a
glucocorticoid medication. The patient reports having tarry stools but
denies gastric pain.
Which action by the provider is correct?
Answer: Prescribing an antiulcer medication
COMPLETE QUESTIONS AND ANSWERS
EXPERT REVIEWED
●● A patient receiving a cephalosporin develops a secondary intestinal
infection caused by Clostridium difficile.
What is an appropriate treatment for this patient?
Answer: Discontinuing the cephalosporin and beginning flagyl
●● A patient is diagnosed with a lung infection caused by Pseudomonas
aeruginosa. The culture and sensitivity report shows sensitivity to all
aminoglycosides. The provider knows that the rate of resistance to
gentamicin is common in this hospital.
Which medication should the provider be expected to order?
Answer: Amikacin
When resistance to gentamicin and tobramycin is common, amikacin is
the drug of choice for the initial treatment of aminoglycoside-sensitive
infections
●● A child with otitis media has had three ear infections in the past year.
The child has just completed a ten-day course of amoxicillin with no
improvement. The parent asks the provider why this drug is not working
because it has worked in the past.
, What should the provider tell the patient?
Answer: "The bacteria have synthesized penicillinase"
Beta-lactamases are enzymes that cleave the beta-lactam ring and render
the PCN inactive (amoxicillin)
Pt will need to start augmentin
●● A patient who is taking acetaminophen for pain wants to know why it
does not cause gastrointestinal upset as other over-the-counter pain
medications do.
Which property of acetaminophen is the most likely explanation for
this?
Answer: It has minimal effects at peripheral sites
Tylenol central effects
NSAIDs peripheral effects
●● A patient who has arthritis has been taking ibuprofen and a
glucocorticoid medication. The patient reports having tarry stools but
denies gastric pain.
Which action by the provider is correct?
Answer: Prescribing an antiulcer medication
