1|Page
WGU D116 Objective Assessment Final Exam
Advanced Pharmacology Exam Newest 2026-2027
Actual Exam Preparation With Complete Questions
And 100%Correct Answers With Rationales ||Already
Graded A+||Updated Version!!
A patient with severe, chronic COPD uses an inhaled
LABA / glucocorticoid but continues to have frequent
exacerbations of symptoms. The APN should order which
of the following?
-Add ipratropium / albuterol MDI twice daily
-Add oral steroids once daily
-Change to oral theophylline twice daily
-Add roflumilast [Daliresp] once daily - ANSWER-Add
roflumilast [Daliresp] once daily
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A patient with COPD is prescribed tiotropium [Spiriva].
After the initial dose, the patient reports only mild relief
within 30 minutes. What should the APN tell the patient?
-They may have another dose in 4 hours.
-Peak effects should occur in about 6 hours.
-They should see improved effects within the next week
-Switch to another anticholinergic inhaler - ANSWER--
They should see improved effects within the next week
The APN performs an HPI on a new patient with asthma.
She has not been treated for a while. She complains of
daily but not continual symptoms, greater than 1 week and
at nighttime. She has been using her rescue inhaler. Her
,3|Page
FEV1 is 60% to 80% predicted. How would you classify
her asthma severity?
-Mild intermittent
-Mild persistent
-Moderate persistent
-Severe persistent - ANSWER--Moderate persistent
Joyce is taking a long-acting beta agonist for her asthma.
What additional medication should she be taking?
-Inhaled corticosteroid
-Systemic corticosteroid
-Leukotriene receptor antagonist
-Methylxanthine - ANSWER--Inhaled corticosteroid
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George has chronic obstructive pulmonary disease
(COPD) and an 80% forced expiratory volume in 1
second. How would you classify the severity of his COPD?
Stage 1 mild COPD
Stage 2 moderate COPD
Stage 3 severe COPD
Stage 5 very severe COPD - ANSWER-Stage 1 mild
COPD
The forced vital capacity is decreased in:
Asthma
COPD: emphysema
COPD: chronic bronchitis
Interstitial lung disease - ANSWER-Interstitial lung disease
WGU D116 Objective Assessment Final Exam
Advanced Pharmacology Exam Newest 2026-2027
Actual Exam Preparation With Complete Questions
And 100%Correct Answers With Rationales ||Already
Graded A+||Updated Version!!
A patient with severe, chronic COPD uses an inhaled
LABA / glucocorticoid but continues to have frequent
exacerbations of symptoms. The APN should order which
of the following?
-Add ipratropium / albuterol MDI twice daily
-Add oral steroids once daily
-Change to oral theophylline twice daily
-Add roflumilast [Daliresp] once daily - ANSWER-Add
roflumilast [Daliresp] once daily
,2|Page
A patient with COPD is prescribed tiotropium [Spiriva].
After the initial dose, the patient reports only mild relief
within 30 minutes. What should the APN tell the patient?
-They may have another dose in 4 hours.
-Peak effects should occur in about 6 hours.
-They should see improved effects within the next week
-Switch to another anticholinergic inhaler - ANSWER--
They should see improved effects within the next week
The APN performs an HPI on a new patient with asthma.
She has not been treated for a while. She complains of
daily but not continual symptoms, greater than 1 week and
at nighttime. She has been using her rescue inhaler. Her
,3|Page
FEV1 is 60% to 80% predicted. How would you classify
her asthma severity?
-Mild intermittent
-Mild persistent
-Moderate persistent
-Severe persistent - ANSWER--Moderate persistent
Joyce is taking a long-acting beta agonist for her asthma.
What additional medication should she be taking?
-Inhaled corticosteroid
-Systemic corticosteroid
-Leukotriene receptor antagonist
-Methylxanthine - ANSWER--Inhaled corticosteroid
, 4|Page
George has chronic obstructive pulmonary disease
(COPD) and an 80% forced expiratory volume in 1
second. How would you classify the severity of his COPD?
Stage 1 mild COPD
Stage 2 moderate COPD
Stage 3 severe COPD
Stage 5 very severe COPD - ANSWER-Stage 1 mild
COPD
The forced vital capacity is decreased in:
Asthma
COPD: emphysema
COPD: chronic bronchitis
Interstitial lung disease - ANSWER-Interstitial lung disease
