Advanced Pharmacology WGU D116 Unit 7 Essential Test
Toolkit Exam Questions and solutions approved for
credibility; Latest 2025/2026
The FNP would expect which symptom to be a side effect of metformin? - correct
answer GI upset
When prescribing an antihypertensive medication for a patient with type 2 diabetes,
what are the drug classifications that would tend to reduce insulin sensitivity? - correct
answer Diuretics and BB
Tend to reduce insulin sensitivity and can cause hyperglycemia
A patient on antithyroid drug therapy for hyperthyroidism presents with complaints of
palpitations and dry mouth for the last 2 days. He has had a cough and cold symptoms
for the last 3 days, which he has been treating with OTC medications. Which medication
would the FNP encourage the patient to avoid? - correct answer Pseudoephederine
Overstimulation of SNS which can cause palpitations, HA, hypertension, and
nervousness
An older patient with a history of hypertension and coronary bypass surgery has been
diagnosed with hypothyroidism. What is the appropriate medication management? -
correct answer Levothyroxine 25mcg daily for 6 weeks with a gradual increase in dose
every 4-6 weeks until therapeutic level is maintained
Small amount of thyroid med in older population
A patient with hypothyroidism receiving daily levothyroxine for 3 weeks presents to the
clinic with complaints of intermittent chest pain. What is the appropriate therapeutic
response by the FNP? - correct answer Decrease dose of levothyroxine, order an
ECG, and consult immediately with endocrine and cardiology
, A patient with type 1 diabetes who takes insulin reports taking propranolol for
hypertension. Which statement is true regarding these 2 medications? - correct answer
BB can mask s/s of hypoglycemia
A patient in her twenties with Graves disease who takes methimazole tells the nurse
practitioner that she is trying to conceive and asks about disease management during
pregnancy. What will the nurse practitioner tell her? - correct answer Pt should change
to propylthiouracil and continue the new medication through the 2nd trimester of her
pregnancy
A patient arrives in the emergency department with a heart rate of 128 beats/minute and
a temperature of 105°F. The patient's skin feels hot and moist. The free T4 level is 4
ng/dL, the free T3 level is 685 pg/dL, and the TSH level is 0.1 microunits/mL. The nurse
practitioner should order: - correct answer Propylthiouracil for thyroid storm
You have a patient with a fecal antigen test positive for H-pylori. The patient has a
documented drug allergy to penicillin. Which of the following medication regimens can
be utilized along with a proton pump inhibitor for this patient to treat the H-pylori? -
correct answer Tetracycline, pepto-bismol, flagyl
Quadruple therapy recommended with penicillin allergy: bismuth subsalicylate, flagyl,
tetracyline, and standard dose PPI
The patient in the prior question was started on the appropriate H-pylori regimen for a
patient with a medication allergy to penicillin. After being on the correct drug regimen
the patient calls in to report development of nearly black stools. When queried about
additional characteristics of the stool the patient tells you the stool is not tarry or sticky.
The advanced practice nurse will discuss which of the following with the patient? -
correct answer Stool is nearly black secondary to the peto (bismuth subsalicylate)
black discoloration of tongue is common too
A patient with a BMI of 33 complains of daily heartburn, 'lots of belching' and frequent
acid taste in their mouth after eating a meal. After your comprehensive evaluation of the
patient you determine the patient has gastroesophageal reflux. Understanding current
guidelines for managing this problem you recommend which of the following? - correct
answer Omeprazole (Prilosec) 20 mg daily before breakfast
Toolkit Exam Questions and solutions approved for
credibility; Latest 2025/2026
The FNP would expect which symptom to be a side effect of metformin? - correct
answer GI upset
When prescribing an antihypertensive medication for a patient with type 2 diabetes,
what are the drug classifications that would tend to reduce insulin sensitivity? - correct
answer Diuretics and BB
Tend to reduce insulin sensitivity and can cause hyperglycemia
A patient on antithyroid drug therapy for hyperthyroidism presents with complaints of
palpitations and dry mouth for the last 2 days. He has had a cough and cold symptoms
for the last 3 days, which he has been treating with OTC medications. Which medication
would the FNP encourage the patient to avoid? - correct answer Pseudoephederine
Overstimulation of SNS which can cause palpitations, HA, hypertension, and
nervousness
An older patient with a history of hypertension and coronary bypass surgery has been
diagnosed with hypothyroidism. What is the appropriate medication management? -
correct answer Levothyroxine 25mcg daily for 6 weeks with a gradual increase in dose
every 4-6 weeks until therapeutic level is maintained
Small amount of thyroid med in older population
A patient with hypothyroidism receiving daily levothyroxine for 3 weeks presents to the
clinic with complaints of intermittent chest pain. What is the appropriate therapeutic
response by the FNP? - correct answer Decrease dose of levothyroxine, order an
ECG, and consult immediately with endocrine and cardiology
, A patient with type 1 diabetes who takes insulin reports taking propranolol for
hypertension. Which statement is true regarding these 2 medications? - correct answer
BB can mask s/s of hypoglycemia
A patient in her twenties with Graves disease who takes methimazole tells the nurse
practitioner that she is trying to conceive and asks about disease management during
pregnancy. What will the nurse practitioner tell her? - correct answer Pt should change
to propylthiouracil and continue the new medication through the 2nd trimester of her
pregnancy
A patient arrives in the emergency department with a heart rate of 128 beats/minute and
a temperature of 105°F. The patient's skin feels hot and moist. The free T4 level is 4
ng/dL, the free T3 level is 685 pg/dL, and the TSH level is 0.1 microunits/mL. The nurse
practitioner should order: - correct answer Propylthiouracil for thyroid storm
You have a patient with a fecal antigen test positive for H-pylori. The patient has a
documented drug allergy to penicillin. Which of the following medication regimens can
be utilized along with a proton pump inhibitor for this patient to treat the H-pylori? -
correct answer Tetracycline, pepto-bismol, flagyl
Quadruple therapy recommended with penicillin allergy: bismuth subsalicylate, flagyl,
tetracyline, and standard dose PPI
The patient in the prior question was started on the appropriate H-pylori regimen for a
patient with a medication allergy to penicillin. After being on the correct drug regimen
the patient calls in to report development of nearly black stools. When queried about
additional characteristics of the stool the patient tells you the stool is not tarry or sticky.
The advanced practice nurse will discuss which of the following with the patient? -
correct answer Stool is nearly black secondary to the peto (bismuth subsalicylate)
black discoloration of tongue is common too
A patient with a BMI of 33 complains of daily heartburn, 'lots of belching' and frequent
acid taste in their mouth after eating a meal. After your comprehensive evaluation of the
patient you determine the patient has gastroesophageal reflux. Understanding current
guidelines for managing this problem you recommend which of the following? - correct
answer Omeprazole (Prilosec) 20 mg daily before breakfast
