Advanced Pharmacology WGU D116 Unit 4 Exam Questions
and Already graded Solutions and Assured Satisfactions
2025/2026
A patient begins taking an ACE inhibitor and complains of a dry cough. What does the
NP correctly tell the patient about this symptom? - correct answer It may be
uncomfortable enough that the drug will need to be discontinued
A patient who stops taking an ACE inhibitor because of its side effects will begin taking
an angiotensin II receptor blocker (ARB) medication. Which side effect of ACE inhibitors
will not occur with an ARB medication? - correct answer Cough
A patient takes an ACE inhibitor to treat hypertension and tells the NP that she wants to
become pregnant. She asks whether she should continue taking the medication while
she is pregnant. What will the NP tell her? - correct answer Discuss using methyldopa
instead while she is pregnant
A 60-year-old African-American patient has a blood pressure of 120/80 mm Hg and
reports a family history of hypertension. The patient has a body mass index of 22.3. The
patient reports consuming alcohol occasionally. Which therapeutic lifestyle change will
the NP teach this patient? - correct answer Sodium restriction
A restricted sodium diet will help decrease BP. African-Americans are more at risk for
HTN
A patient with heart failure who has been taking an ACE inhibitor, a thiazide diuretic, and
a beta blocker for several months comes to the clinic for evaluation. As part of the
ongoing assessment of this patient, the NP should evaluate: - correct answer Serum
electrolyte levels
ACE inhibitors increased risk of hyperkalemia, thiazide diuretic can cause hypokalamia
, A patient with Stage C heart failure (HF) who has been taking an ACE inhibitor, a beta
blocker, and a diuretic begins to have increased dyspnea, weight gain, and decreased
urine output. The provider orders spironolactone [Aldactone]. The NP will instruct the
patient to - correct answer Avoid potassium supplements because spironolactone is
potassium-SPARING
The potassium-sparing diuretic spironolactone prolongs survival and improves heart
failure symptoms by which mechanism? - correct answer Blocking aldosterone
receptors which is why potassium is spared
A prescriber has ordered propranolol for a patient with recurrent ventricular tachycardia.
Which factor in the patients history is concerning? - correct answer Asthma
Propranolol is a nonselective BB and will cause bronchoconstriction and can exacerbate
asthma
A nurse practitioner is discussing adenosine with an NP student. What does adenosine
do? - correct answer Acts by suppressing action potentials in the SA and AV nodes
Has a half-life that lasts only a few seconds and must be given IV
Not effective for treating a fib, a flutter, or ventricular dysrhythmias... mainly used to treat
SVT
Which plasma lipoprotein level is most concerning when considering the risk of coronary
atherosclerosis? - correct answer Elevated LDL
needs to be < 100
An Asian patient will begin taking rosuvastatin to treat hypercholesterolemia. What will
the NP include when teaching this patient about this medication? - correct answer
Serum drug levels must be monitored more frequently than with other patients
and Already graded Solutions and Assured Satisfactions
2025/2026
A patient begins taking an ACE inhibitor and complains of a dry cough. What does the
NP correctly tell the patient about this symptom? - correct answer It may be
uncomfortable enough that the drug will need to be discontinued
A patient who stops taking an ACE inhibitor because of its side effects will begin taking
an angiotensin II receptor blocker (ARB) medication. Which side effect of ACE inhibitors
will not occur with an ARB medication? - correct answer Cough
A patient takes an ACE inhibitor to treat hypertension and tells the NP that she wants to
become pregnant. She asks whether she should continue taking the medication while
she is pregnant. What will the NP tell her? - correct answer Discuss using methyldopa
instead while she is pregnant
A 60-year-old African-American patient has a blood pressure of 120/80 mm Hg and
reports a family history of hypertension. The patient has a body mass index of 22.3. The
patient reports consuming alcohol occasionally. Which therapeutic lifestyle change will
the NP teach this patient? - correct answer Sodium restriction
A restricted sodium diet will help decrease BP. African-Americans are more at risk for
HTN
A patient with heart failure who has been taking an ACE inhibitor, a thiazide diuretic, and
a beta blocker for several months comes to the clinic for evaluation. As part of the
ongoing assessment of this patient, the NP should evaluate: - correct answer Serum
electrolyte levels
ACE inhibitors increased risk of hyperkalemia, thiazide diuretic can cause hypokalamia
, A patient with Stage C heart failure (HF) who has been taking an ACE inhibitor, a beta
blocker, and a diuretic begins to have increased dyspnea, weight gain, and decreased
urine output. The provider orders spironolactone [Aldactone]. The NP will instruct the
patient to - correct answer Avoid potassium supplements because spironolactone is
potassium-SPARING
The potassium-sparing diuretic spironolactone prolongs survival and improves heart
failure symptoms by which mechanism? - correct answer Blocking aldosterone
receptors which is why potassium is spared
A prescriber has ordered propranolol for a patient with recurrent ventricular tachycardia.
Which factor in the patients history is concerning? - correct answer Asthma
Propranolol is a nonselective BB and will cause bronchoconstriction and can exacerbate
asthma
A nurse practitioner is discussing adenosine with an NP student. What does adenosine
do? - correct answer Acts by suppressing action potentials in the SA and AV nodes
Has a half-life that lasts only a few seconds and must be given IV
Not effective for treating a fib, a flutter, or ventricular dysrhythmias... mainly used to treat
SVT
Which plasma lipoprotein level is most concerning when considering the risk of coronary
atherosclerosis? - correct answer Elevated LDL
needs to be < 100
An Asian patient will begin taking rosuvastatin to treat hypercholesterolemia. What will
the NP include when teaching this patient about this medication? - correct answer
Serum drug levels must be monitored more frequently than with other patients
