WGU D116 ADVANCED PHARMACOLOGY OBJECTIVE
ASSESSMENT ACTUAL 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 42-year-old patient suffering from pain due to cancer comes to a clinic
and visits with the advanced practice registered nurse (APRN). The APRN
previously had prescribed morphine to treat the pain. The patient is
concerned because her bowel movements have become irregular and asks
the APRN why she is experiencing constipation.
How should the APRN respond?
-The drug depresses peristalsis, prolonging drug transit time.
-The drug causes an increase in the absorption of the nutrients.
-The drug is minimally absorbed if taken orally.
-The drug reduces regional blood flow, reducing the absorption of other
drugs.
Correct Answer: The drug depresses peristalsis, prolonging drug transit time.
2. An advanced practice registered nurse is prescribing dobutamine for a
patient in cardiogenic shock.
Which outcome is expected when this drug is used?
-Reduces blood clots from forming
-Increases heart rate
, -Dissolves blood clots that are present
-Decreases heart rate
Correct Answer: Increases heart rate
3. An advanced practice registered nurse (APRN) volunteers one day per
month at a local free clinic in the community and is seeing a 43-year-old
Caucasian patient with hypertension. The patient's blood pressure is
196/100, and the patient states being prescribed three blood pressure
medications: metoprolol 100 mg bid, losartan 50 mg daily, and clonidine
0.1 mg tid.
The patient states that there is no way to check blood pressure, and upon
reviewing all the patient's medications, the APRN notes that the losartan
has not been filled for three months and only 10 pills remain. The patient
admits taking half the prescribed dose so the pills last longer.
Which action should be taken by the APRN?
-Run liver and thyroid function tests due to skipping doses of the losartan
-Educate the patient on the need to take the medication as prescribed
-Measure creatine kinase level to determine renal function related to the
losartan
-Enroll the patient in the local Mission prescription assistance program
Correct Answer: Enroll the patient in the local Mission prescription assistance
program
4. A 78-year-old woman is diagnosed with chronic open-angle glaucoma. She
has a past history of first-degree atrioventricular block and bradycardia.
Which medication should be avoided by this patient?
-Timolol
-Pilocarpine
-Dorzolamide
-Acetazolamide
,Correct Answer: Timolol
5. An advanced practice registered nurse (APRN) is evaluating a patient at a
six-month follow-up appointment. The patient is taking cimetidine 1 g at
bedtime, metoprolol 100 mg daily, aspirin 81 mg daily, and metformin 1 g
daily. The patient's vitals are BP 160/90, pulse 110, respirations 12, and
temperature 97.8°F.
The patient is concerned that her blood pressure and pulse are still
elevated. The patient tells the APRN she does not want to take another
pill because she feels she is taking too many.
Which action should the APRN take next?
-Use propranolol instead of metoprolol because the original drug may
decrease the effectiveness of the cimetidine
-Change the cimetidine to ranitidine because the original drug may
decrease the effectiveness of the metoprolol
-Increase the metoprolol to 150 mg daily because the current dose does not
appear to be working
-Make sure the patient is taking the medications at the same time ever
Correct Answer: Change the cimetidine to ranitidine because the original
drug may decrease the effectiveness of the metoprolol
6. A 47-year-old male is brought to an emergency department with
lacerations to the forearm. After applying lidocaine as local anesthetic, the
patient states he feels like he may pass out and is sweating profusely.
Which action by the patient's advanced practice registered nurse should
be taken first?
-Reassure the patient the symptoms are anxiety related
-Assess for acute lidocaine toxicity
-Identify this as a normal vasovagal response
-Recognize this as an allergic reaction
, Correct Answer: Assess for acute lidocaine toxicity
7. A 34-year-old patient comes to a clinic complaining of pain in the left
shoulder. The advanced practice registered nurse (APRN) assesses the
patient and notices that the patient has a limited range of motion in the
shoulder due to swelling. The APRN determines that the patient should be
prescribed a medication that treats peripheral nervous system disorders.
Which medication has the APRN prescribed?
-Naproxen
-Metoclopramide Hcl
-Sumatriptan
-Acetaminophen
Correct Answer: Naproxen
8. A 68-year-old patient has chronic pain due to a workplace back injury. At
times, the patient suffers from uncontrollable pain. The patient also has a
history of chronic bowel obstructions. The patient uses a combination of
nonpharmacological treatments to control pain, but from time to time,
the pain becomes uncontrollable. The advanced practice registered nurse
(APRN) decides to prescribe a medication that will help with the pain
without increasing the risk of constipation.
What should the APRN prescribe?
-An agonist-antagonist opioid
-A pure opioid agonist
-A beta opioid agonist
-Pure opioid antagonists
Correct Answer: An agonist-antagonist opioid
9. An advanced practice registered nurse (APRN) is in the process of selecting
a medication to treat an adult patient for obesity. The patient has tried
ASSESSMENT ACTUAL 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 42-year-old patient suffering from pain due to cancer comes to a clinic
and visits with the advanced practice registered nurse (APRN). The APRN
previously had prescribed morphine to treat the pain. The patient is
concerned because her bowel movements have become irregular and asks
the APRN why she is experiencing constipation.
How should the APRN respond?
-The drug depresses peristalsis, prolonging drug transit time.
-The drug causes an increase in the absorption of the nutrients.
-The drug is minimally absorbed if taken orally.
-The drug reduces regional blood flow, reducing the absorption of other
drugs.
Correct Answer: The drug depresses peristalsis, prolonging drug transit time.
2. An advanced practice registered nurse is prescribing dobutamine for a
patient in cardiogenic shock.
Which outcome is expected when this drug is used?
-Reduces blood clots from forming
-Increases heart rate
, -Dissolves blood clots that are present
-Decreases heart rate
Correct Answer: Increases heart rate
3. An advanced practice registered nurse (APRN) volunteers one day per
month at a local free clinic in the community and is seeing a 43-year-old
Caucasian patient with hypertension. The patient's blood pressure is
196/100, and the patient states being prescribed three blood pressure
medications: metoprolol 100 mg bid, losartan 50 mg daily, and clonidine
0.1 mg tid.
The patient states that there is no way to check blood pressure, and upon
reviewing all the patient's medications, the APRN notes that the losartan
has not been filled for three months and only 10 pills remain. The patient
admits taking half the prescribed dose so the pills last longer.
Which action should be taken by the APRN?
-Run liver and thyroid function tests due to skipping doses of the losartan
-Educate the patient on the need to take the medication as prescribed
-Measure creatine kinase level to determine renal function related to the
losartan
-Enroll the patient in the local Mission prescription assistance program
Correct Answer: Enroll the patient in the local Mission prescription assistance
program
4. A 78-year-old woman is diagnosed with chronic open-angle glaucoma. She
has a past history of first-degree atrioventricular block and bradycardia.
Which medication should be avoided by this patient?
-Timolol
-Pilocarpine
-Dorzolamide
-Acetazolamide
,Correct Answer: Timolol
5. An advanced practice registered nurse (APRN) is evaluating a patient at a
six-month follow-up appointment. The patient is taking cimetidine 1 g at
bedtime, metoprolol 100 mg daily, aspirin 81 mg daily, and metformin 1 g
daily. The patient's vitals are BP 160/90, pulse 110, respirations 12, and
temperature 97.8°F.
The patient is concerned that her blood pressure and pulse are still
elevated. The patient tells the APRN she does not want to take another
pill because she feels she is taking too many.
Which action should the APRN take next?
-Use propranolol instead of metoprolol because the original drug may
decrease the effectiveness of the cimetidine
-Change the cimetidine to ranitidine because the original drug may
decrease the effectiveness of the metoprolol
-Increase the metoprolol to 150 mg daily because the current dose does not
appear to be working
-Make sure the patient is taking the medications at the same time ever
Correct Answer: Change the cimetidine to ranitidine because the original
drug may decrease the effectiveness of the metoprolol
6. A 47-year-old male is brought to an emergency department with
lacerations to the forearm. After applying lidocaine as local anesthetic, the
patient states he feels like he may pass out and is sweating profusely.
Which action by the patient's advanced practice registered nurse should
be taken first?
-Reassure the patient the symptoms are anxiety related
-Assess for acute lidocaine toxicity
-Identify this as a normal vasovagal response
-Recognize this as an allergic reaction
, Correct Answer: Assess for acute lidocaine toxicity
7. A 34-year-old patient comes to a clinic complaining of pain in the left
shoulder. The advanced practice registered nurse (APRN) assesses the
patient and notices that the patient has a limited range of motion in the
shoulder due to swelling. The APRN determines that the patient should be
prescribed a medication that treats peripheral nervous system disorders.
Which medication has the APRN prescribed?
-Naproxen
-Metoclopramide Hcl
-Sumatriptan
-Acetaminophen
Correct Answer: Naproxen
8. A 68-year-old patient has chronic pain due to a workplace back injury. At
times, the patient suffers from uncontrollable pain. The patient also has a
history of chronic bowel obstructions. The patient uses a combination of
nonpharmacological treatments to control pain, but from time to time,
the pain becomes uncontrollable. The advanced practice registered nurse
(APRN) decides to prescribe a medication that will help with the pain
without increasing the risk of constipation.
What should the APRN prescribe?
-An agonist-antagonist opioid
-A pure opioid agonist
-A beta opioid agonist
-Pure opioid antagonists
Correct Answer: An agonist-antagonist opioid
9. An advanced practice registered nurse (APRN) is in the process of selecting
a medication to treat an adult patient for obesity. The patient has tried
