1|Page
WGU D116 Objective Assessment Final Exam
Advanced Pharmacology Verified Exam Newest Actual
Exam Preparation With Complete Questions And
Correct Answers With Rationales | Already Graded
A+||Newest Exam Version!!!
Which factors could be attributed to limited prescriptive
authority for APRNs?Select all that apply. - Answer-
Inaccessibility of patient care
Feedback: Limiting prescriptive authority for APRNs can
create barriers to quality, affordable, and accessible
patient care. It may also lead to poor collaboration among
providers and higher health care costs. It would not
directly impact patient's health literacy.
Higher health care costs
Feedback: Limiting prescriptive authority for APRNs can
create barriers to quality, affordable, and accessible
patient care. It may also lead to poor collaboration among
providers and higher health care costs. It would not
directly impact patient's health literacy.
A patient reports that a medication prescribed for recurrent
migraine headaches is not working. Which action should
,2|Page
be taken first? - Answer-Ask the patient about the number
and frequency of tablets taken
Feedback: using the drug as ordered. Asking the patient to
tell the nurse how many tablets are taken and how often
helps the nurse determine compliance. Assessing current
pain does not yield information about how well the
medication is working unless the patient is currently taking
it. The nurse should gather as much information about
compliance, symptoms, and drug effectiveness as
possible before contacting the prescriber. Biofeedback
may be an effective adjunct to treatment, but it should not
be recommended without complete information about drug
effectiveness
A patient is receiving intravenous gentamicin. A serum
drug test reveals toxic levels. The dosing is correct, and
this medication has been tolerated bythis patient inthe
past. Which could be a probable cause of the test result? -
Answer-The patient is taking another medication that
binds to serum albumin
Feedback: Gentamicin binds to albumin, but only weakly,
and in the presence of another drug that binds to albumin,
it can rise to toxic levels in blood serum. A loading dose
increases the initial amount ofa drug and is used to bring
drug levels to the desired plateau more quickly. A drug that
,3|Page
is not completely dissolved carries a risk of causing
embolism. A drug given at a frequency longer than the
drug half-life will likely be at subtherapeutic levels and not
at toxic levels
The nurse is administering morning medications. The
nurse gives a patient multiple medications, two of which
compete for plasma albumin receptor sites. As a result of
this concurrent administration, the nurse can anticipate
that what might occur? Select all that apply - Answer-
Binding of one or both agents will be reduced
Plasma levels of free drug will rise
The increase in free drug will intensify effects
Feedback: When two drugs bind to the same site on
plasma albumin, coadministration of those drugs produces
competition for binding. As a result, binding of one or both
agents is reduced, causing plasma levels of free drug to
rise. The increase in free drug can intensify the effect, but
it usually undergoes rapid elimination. The increase in
plasma levels of free drug is rarely sustained.
Which patients are at increased risk for adverse drug
events? Select all that apply - Answer-A 2-month-old infant
taking a medication for gastroesophageal reflux disease
, 4|Page
A 40-year-old male who is intubated in the intensive care
unit and taking antibiotics and cardiac medications
A 7-year-old female receiving insulin for diabetes
An 80-year-old male taking medications for COPD
Feedback: Patients at increased risk for adverse drug
events include the very young, the very old, and those
who have serious illnesses. Females, children, and young
adults taking single medications do not have increased
risk for adverse events.
A patient asks a nurse why a friend who is taking the same
drug responds differently to that drug. The nurse knows
that the most common variation in drug response is due to
differences in each patient's: - Answer-metabolism of
drugs
Feedback: The most common source of genetic variation
in drug response is related to alterations in drug
metabolism and is determined by genetic codes for
various drug-metabolizing isoenzymes. There are known
genetic differences in codes for drug target sites, but these
are not as numerous asthose for metabolic isoenzymes.
Hypersensitivity potential is also genetically determined,
but variations produce differences in adverse reactions to
drugs and not in drug effectiveness. Psychosocial
WGU D116 Objective Assessment Final Exam
Advanced Pharmacology Verified Exam Newest Actual
Exam Preparation With Complete Questions And
Correct Answers With Rationales | Already Graded
A+||Newest Exam Version!!!
Which factors could be attributed to limited prescriptive
authority for APRNs?Select all that apply. - Answer-
Inaccessibility of patient care
Feedback: Limiting prescriptive authority for APRNs can
create barriers to quality, affordable, and accessible
patient care. It may also lead to poor collaboration among
providers and higher health care costs. It would not
directly impact patient's health literacy.
Higher health care costs
Feedback: Limiting prescriptive authority for APRNs can
create barriers to quality, affordable, and accessible
patient care. It may also lead to poor collaboration among
providers and higher health care costs. It would not
directly impact patient's health literacy.
A patient reports that a medication prescribed for recurrent
migraine headaches is not working. Which action should
,2|Page
be taken first? - Answer-Ask the patient about the number
and frequency of tablets taken
Feedback: using the drug as ordered. Asking the patient to
tell the nurse how many tablets are taken and how often
helps the nurse determine compliance. Assessing current
pain does not yield information about how well the
medication is working unless the patient is currently taking
it. The nurse should gather as much information about
compliance, symptoms, and drug effectiveness as
possible before contacting the prescriber. Biofeedback
may be an effective adjunct to treatment, but it should not
be recommended without complete information about drug
effectiveness
A patient is receiving intravenous gentamicin. A serum
drug test reveals toxic levels. The dosing is correct, and
this medication has been tolerated bythis patient inthe
past. Which could be a probable cause of the test result? -
Answer-The patient is taking another medication that
binds to serum albumin
Feedback: Gentamicin binds to albumin, but only weakly,
and in the presence of another drug that binds to albumin,
it can rise to toxic levels in blood serum. A loading dose
increases the initial amount ofa drug and is used to bring
drug levels to the desired plateau more quickly. A drug that
,3|Page
is not completely dissolved carries a risk of causing
embolism. A drug given at a frequency longer than the
drug half-life will likely be at subtherapeutic levels and not
at toxic levels
The nurse is administering morning medications. The
nurse gives a patient multiple medications, two of which
compete for plasma albumin receptor sites. As a result of
this concurrent administration, the nurse can anticipate
that what might occur? Select all that apply - Answer-
Binding of one or both agents will be reduced
Plasma levels of free drug will rise
The increase in free drug will intensify effects
Feedback: When two drugs bind to the same site on
plasma albumin, coadministration of those drugs produces
competition for binding. As a result, binding of one or both
agents is reduced, causing plasma levels of free drug to
rise. The increase in free drug can intensify the effect, but
it usually undergoes rapid elimination. The increase in
plasma levels of free drug is rarely sustained.
Which patients are at increased risk for adverse drug
events? Select all that apply - Answer-A 2-month-old infant
taking a medication for gastroesophageal reflux disease
, 4|Page
A 40-year-old male who is intubated in the intensive care
unit and taking antibiotics and cardiac medications
A 7-year-old female receiving insulin for diabetes
An 80-year-old male taking medications for COPD
Feedback: Patients at increased risk for adverse drug
events include the very young, the very old, and those
who have serious illnesses. Females, children, and young
adults taking single medications do not have increased
risk for adverse events.
A patient asks a nurse why a friend who is taking the same
drug responds differently to that drug. The nurse knows
that the most common variation in drug response is due to
differences in each patient's: - Answer-metabolism of
drugs
Feedback: The most common source of genetic variation
in drug response is related to alterations in drug
metabolism and is determined by genetic codes for
various drug-metabolizing isoenzymes. There are known
genetic differences in codes for drug target sites, but these
are not as numerous asthose for metabolic isoenzymes.
Hypersensitivity potential is also genetically determined,
but variations produce differences in adverse reactions to
drugs and not in drug effectiveness. Psychosocial
