WGU D116 ADVANCED PHARMACOLOGY
OBJECTIVE ASSESSMENT ACTUAL Objective
Assessment Comprehensive Resource To Help You
Ace 2026-2027 Includes Frequently Tested
Questions With ELABORATED 100% Correct
COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!!
Current Update!!
1. A nurse is providing patient education about colesevelam, a bile acid
sequestrant.
Which statement made by the patient demonstrates a need for further
teaching?
A. "I will not have to worry about having as many drug interactions as I did
when I took cholestyramine."
B. "I will need to take supplements of fat-soluble vitamins."
C. "Colesevelam will augment my statin drug therapy."
D. "Colesevelam will reduce my levels of low-density lipoprotein."
Correct Answer: B. "I will need to take supplements of fat-soluble vitamins."
2. A patient taking gemfibrozil and rosuvastatin concurrently begins to complain of
muscle aches, fatigue, and weakness.
What should the nurse monitor?
A. The patient's creatine kinase levels
B. Tendon tenderness
C. A lupus-like syndrome
D. The patient's liver function test results
Correct Answer:A. The patient's creatine kinase levels
3. A patient has begun taking an HMG-COA reductase inhibitor (statin).
Which statement about this class of drugs made by the nurse during patient
,education would be inappropriate?
A. "Statins reduce the risk of morbidity from influenza."
B. "Statins reduce the risk of coronary events in people with normal LDL levels."
C. "You should maintain a healthy lifestyle and avoid high-fat foods."
D. "You should come into the clinic for liver enzymes in one month."
Correct Answer:D. "You should come into the clinic for liver enzymes in one
month."
4. A nurse has just received an order for tenecteplase for a patient experiencing
an acute myocardial infarction.
The nurse should administer this drug how?
A. via monitored, prolonged infusion
B. by bolus injection
C. slowly over 90 minutes
D. by infusion pump over 24 hours
Correct Answer: B. by bolus injection
5. A patient is brought to the emergency department after accidentally taking too
much warfarin. The patient's heart rate is 78 beats per minute and the blood
pressure is 120/80 mm Hg. A dipstick urinalysis is normal. The patient does not
have any obvious hematoma or petechiae and does not complain of pain.
What should the provider place an order for?
Correct Answer: A prothrombin time (PT) and international normalized ratio (INR)
6. A nursing student who is preparing to care for a postoperative patient with
deep vein thrombosis asks the nurse why the patient must take heparin rather
than warfarin.
Which response by the nurse is correct?
A. "Heparin has a longer half-life."
B. "The onset of warfarin is delayed."
C. "Warfarin prevents platelet aggregation."
D. "Heparin has fewer adverse effects."
Correct Answer: B. "The onset of warfarin is delayed."
,7. Which medication should be used for asthma patients as part of step 1
management?
A. Short-acting beta2 agonists (SABAs)
B. Inhaled low-dose glucocorticoids
C. Combination inhaled glucocorticoids/long-acting beta2 agonists (LABAs)
D. Long acting beta2 agonists (LABAs)
Correct Answer: A. Short-acting beta2 agonists (SABAs)
8. A patient with severe chronic obstructive pulmonary disease (COPD) uses an
inhaled LABA/glucocorticoid but continues to have frequent exacerbation of
symptoms.
The nurse should contact the provider to discuss adding what?
A. prescribing oral steroids once daily
B. using an ipratropium/albuterol combination twice daily
C. adding roflumilast once daily
D. changing to oral theophylline twice daily
Correct Answer: C. adding roflumilast once daily
9. A patient with stable COPD is prescribed a bronchodilator medication.
Which type of bronchodilator is preferred for this patient?
A. An oral beta2 agonist
B. A short-acting beta2 agonist
C. An intravenous methylxanthine
D. A long-acting inhaled beta2 agonist
Correct Answer: D. A long-acting inhaled beta2 agonist
10. What is ipratropium bromide?
A. A drug that is inappropriate for use in patients with allergic rhinitis
B. A medication that is used only in patients with asthma
C. An anticholinergic used for allergic rhinitis and colds
D. A cholinergic agent used for perennial rhinitis
Correct Answer: C. An anticholinergic used for allergic rhinitis and colds
, 11. A patient who has a viral upper respiratory infection reports having a runny
nose and a cough that prevents sleep and asks the nurse to recommend an over-
the-counter medication.
Which medication should the provider recommend?
A. Guaifenesin
B. Phenylephrine drops
C. Diphenhydramine
D. Fexofenadine/pseudoephedrine
Correct Answer: C. Diphenhydramine (cough suppressant)
12. A parent asks the provider about giving diphenhydramine to a child to relieve
cold symptoms.
Which response by the provider is correct?
A. "Nasal antihistamines are more effective for treating cold symptoms."
B. "Because histamine does not cause cold symptoms, diphenhydramine would
not be effective."
C. "Diphenhydramine must be given in higher doses to provide relief for cold
symptoms."
D. "Intranasal glucocorticoids are more effective for treating cold symptoms."
Correct Answer: B. "Because histamine does not cause cold symptoms,
diphenhydramine would not be effective."
13. A patient who has seasonal allergies in the spring and fall asks the provider
about oral antihistamines.
Which response by the provider is correct?
A. "You should take oral antihistamines daily during each allergy season to get
maximum effects."
B. "Make sure you take antihistamines only when you have symptoms to minimize
side effects."
C. "First-generation antihistamines, such as diphenhydramine, are more effective."
OBJECTIVE ASSESSMENT ACTUAL Objective
Assessment Comprehensive Resource To Help You
Ace 2026-2027 Includes Frequently Tested
Questions With ELABORATED 100% Correct
COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!!
Current Update!!
1. A nurse is providing patient education about colesevelam, a bile acid
sequestrant.
Which statement made by the patient demonstrates a need for further
teaching?
A. "I will not have to worry about having as many drug interactions as I did
when I took cholestyramine."
B. "I will need to take supplements of fat-soluble vitamins."
C. "Colesevelam will augment my statin drug therapy."
D. "Colesevelam will reduce my levels of low-density lipoprotein."
Correct Answer: B. "I will need to take supplements of fat-soluble vitamins."
2. A patient taking gemfibrozil and rosuvastatin concurrently begins to complain of
muscle aches, fatigue, and weakness.
What should the nurse monitor?
A. The patient's creatine kinase levels
B. Tendon tenderness
C. A lupus-like syndrome
D. The patient's liver function test results
Correct Answer:A. The patient's creatine kinase levels
3. A patient has begun taking an HMG-COA reductase inhibitor (statin).
Which statement about this class of drugs made by the nurse during patient
,education would be inappropriate?
A. "Statins reduce the risk of morbidity from influenza."
B. "Statins reduce the risk of coronary events in people with normal LDL levels."
C. "You should maintain a healthy lifestyle and avoid high-fat foods."
D. "You should come into the clinic for liver enzymes in one month."
Correct Answer:D. "You should come into the clinic for liver enzymes in one
month."
4. A nurse has just received an order for tenecteplase for a patient experiencing
an acute myocardial infarction.
The nurse should administer this drug how?
A. via monitored, prolonged infusion
B. by bolus injection
C. slowly over 90 minutes
D. by infusion pump over 24 hours
Correct Answer: B. by bolus injection
5. A patient is brought to the emergency department after accidentally taking too
much warfarin. The patient's heart rate is 78 beats per minute and the blood
pressure is 120/80 mm Hg. A dipstick urinalysis is normal. The patient does not
have any obvious hematoma or petechiae and does not complain of pain.
What should the provider place an order for?
Correct Answer: A prothrombin time (PT) and international normalized ratio (INR)
6. A nursing student who is preparing to care for a postoperative patient with
deep vein thrombosis asks the nurse why the patient must take heparin rather
than warfarin.
Which response by the nurse is correct?
A. "Heparin has a longer half-life."
B. "The onset of warfarin is delayed."
C. "Warfarin prevents platelet aggregation."
D. "Heparin has fewer adverse effects."
Correct Answer: B. "The onset of warfarin is delayed."
,7. Which medication should be used for asthma patients as part of step 1
management?
A. Short-acting beta2 agonists (SABAs)
B. Inhaled low-dose glucocorticoids
C. Combination inhaled glucocorticoids/long-acting beta2 agonists (LABAs)
D. Long acting beta2 agonists (LABAs)
Correct Answer: A. Short-acting beta2 agonists (SABAs)
8. A patient with severe chronic obstructive pulmonary disease (COPD) uses an
inhaled LABA/glucocorticoid but continues to have frequent exacerbation of
symptoms.
The nurse should contact the provider to discuss adding what?
A. prescribing oral steroids once daily
B. using an ipratropium/albuterol combination twice daily
C. adding roflumilast once daily
D. changing to oral theophylline twice daily
Correct Answer: C. adding roflumilast once daily
9. A patient with stable COPD is prescribed a bronchodilator medication.
Which type of bronchodilator is preferred for this patient?
A. An oral beta2 agonist
B. A short-acting beta2 agonist
C. An intravenous methylxanthine
D. A long-acting inhaled beta2 agonist
Correct Answer: D. A long-acting inhaled beta2 agonist
10. What is ipratropium bromide?
A. A drug that is inappropriate for use in patients with allergic rhinitis
B. A medication that is used only in patients with asthma
C. An anticholinergic used for allergic rhinitis and colds
D. A cholinergic agent used for perennial rhinitis
Correct Answer: C. An anticholinergic used for allergic rhinitis and colds
, 11. A patient who has a viral upper respiratory infection reports having a runny
nose and a cough that prevents sleep and asks the nurse to recommend an over-
the-counter medication.
Which medication should the provider recommend?
A. Guaifenesin
B. Phenylephrine drops
C. Diphenhydramine
D. Fexofenadine/pseudoephedrine
Correct Answer: C. Diphenhydramine (cough suppressant)
12. A parent asks the provider about giving diphenhydramine to a child to relieve
cold symptoms.
Which response by the provider is correct?
A. "Nasal antihistamines are more effective for treating cold symptoms."
B. "Because histamine does not cause cold symptoms, diphenhydramine would
not be effective."
C. "Diphenhydramine must be given in higher doses to provide relief for cold
symptoms."
D. "Intranasal glucocorticoids are more effective for treating cold symptoms."
Correct Answer: B. "Because histamine does not cause cold symptoms,
diphenhydramine would not be effective."
13. A patient who has seasonal allergies in the spring and fall asks the provider
about oral antihistamines.
Which response by the provider is correct?
A. "You should take oral antihistamines daily during each allergy season to get
maximum effects."
B. "Make sure you take antihistamines only when you have symptoms to minimize
side effects."
C. "First-generation antihistamines, such as diphenhydramine, are more effective."
