WGU D116 Pharmacology review
COMPREHENSIVE QUESTIONS AND VERIFIED
ANSWERS (DETAILED & ELABORATED) ACTUAL
EXAM 2026 TEST 100% SOLVED !!
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Terms in this set (161)
A patient presents to an emergency YES With food or an empty stomach
room complaining of palpitations
and irregular heartbeat. The
advanced practice registered nurse
(APRN) places the patient on a
cardiac monitor and observes atrial
fibrillation. The APRN orders
dofetilide.
How should the APRN recommend
this medication be taken?
A 70-year-old male calls a clinic Do not take the nitroglycerin and call 911
complaining of chest pain that
started after having sexual activity. Taking the medications together can cause a
He took sildenafil 50 mg about serious drop in blood pressure leading to
eight hours ago. He has cardiovascular collapse.
nitroglycerin 0.3 mg on hand.
How should the advanced practice
registered nurse respond?
,A patient diagnosed with bipolar A baseline blood urea nitrogen (BUN) and
disorder who is in a mental health creatinine (CREA) level needs to be drawn to
clinic is discussing the possibility of assess kidney function prior to treatment.
beginning lithium with an advanced
practice registered nurse (APRN). This drug can cause decreased renal function,
The patient expresses and a baseline should be drawn for future
understanding and wishes to comparison.
proceed with treatment. The APRN
explains to the patient that this
medication requires specific lab
monitoring and wants to draw
baseline labs. The patient asks why
the test is needed.
Which explanation should the
APRN provide to this patient?
An advanced practice registered YES A 54-year-male with a medical history of
nurse (APRN) is reviewing the hypertension, mild eczema, and previous history
medications that will be commonly of a urolithiasis where all is well controlled and
experienced with a new nurse to there are no current complications
determine whether the drugs are
safe for the patients. The new nurse
is given a scenario where a patient
is being prescribed sildenafil 25 mg
po prn, a prototype drug for
erectile dysfunction.
Which patient may take this drug
safely?
,A 30-year-old patient presents to a YES Influences receptor activity on target cells
primary care clinic with a history of
anxiety. The advanced practice Correct! This medication influences the activity in
registered nurse reviews the the receptors, and it targets cells.
mechanism of action by which many
neuropharmacological agents act
and decides to prescribe
citalopram.
What is the mechanism of action of
this medication?
A patient is admitted with a NO Modulates the effects of glutamate at NMDA
diagnosis of Huntington disease. receptors
On admission, the patient exhibits YES Inhibits neurotransmitter GABA
uncontrolled twitching, difficulty NO Halts the breakdown of acetylcholine by
walking, trouble swallowing, acetylcholinesterase
confusion, and memory loss. The Alters the synthesis and release of
advanced practice registered nurse norepinephrine, serotonin, and dopamine
(APRN) prescribes baclofen. Incorrect. Cholinesterase inhibitors prevent the
What is the mechanism of action of breakdown of acetylcholine by
this medication? acetylcholinesterase. They are used in patients
with Alzheimer's.
Correct! Huntington's disease involves a
deficiency of the neurotransmitters acetylcholine
and y-aminobutyric acid in the basal ganglia and
extrapyramidal system.
, A 21-year-old patient accompanied Atonic
by a parent comes to a clinic for an NO Myoclonic
emergency visit with an advanced YES Tonic-clonic
practice registered nurse (APRN) Absence
following a seizure. Upon Incorrect. Myoclonic seizures consist of a sudden
interviewing the patient and the muscle contraction that lasts for just one second.
parent, the APRN determines that Correct! A tonic-clonic seizure is a type of
the seizure is classified by marked seizure that is also called a convulsion. This type
impairment of consciousness and is of seizure can include muscle stiffness, loss of
followed by a period of central consciousness, and body jerking.
nervous system (CNS) depression.
Which type of seizure is this patient
experiencing?
A patient has been taking oral YES Physical dependence
oxycodone every six hours for back Correct! The patient suddenly stopping the
pain during the past three years. medication will cause physical symptoms that can
The patient suddenly decides to range from nausea to seizures.
stop taking the pain medication and
is trying an alternative therapy
without a clinician's approval.
Which risk is of clinical concern?
An advanced practice registered YES Bupropion
nurse has diagnosed a 44-year-old
male with depression. A plan is Correct! Bupropion does not cause sexual
developed to start treatment with dysfunction. This will help the patient with a
medication. The patient has a history of sexual dysfunction. This will enhance
history of sexual dysfunction and is the patient's libido, which will help with both
concerned about taking medication depression and sexual dysfunction.
that may worsen this condition.
Which antidepressant has the
benefit of enhancing libido?
COMPREHENSIVE QUESTIONS AND VERIFIED
ANSWERS (DETAILED & ELABORATED) ACTUAL
EXAM 2026 TEST 100% SOLVED !!
Save
Terms in this set (161)
A patient presents to an emergency YES With food or an empty stomach
room complaining of palpitations
and irregular heartbeat. The
advanced practice registered nurse
(APRN) places the patient on a
cardiac monitor and observes atrial
fibrillation. The APRN orders
dofetilide.
How should the APRN recommend
this medication be taken?
A 70-year-old male calls a clinic Do not take the nitroglycerin and call 911
complaining of chest pain that
started after having sexual activity. Taking the medications together can cause a
He took sildenafil 50 mg about serious drop in blood pressure leading to
eight hours ago. He has cardiovascular collapse.
nitroglycerin 0.3 mg on hand.
How should the advanced practice
registered nurse respond?
,A patient diagnosed with bipolar A baseline blood urea nitrogen (BUN) and
disorder who is in a mental health creatinine (CREA) level needs to be drawn to
clinic is discussing the possibility of assess kidney function prior to treatment.
beginning lithium with an advanced
practice registered nurse (APRN). This drug can cause decreased renal function,
The patient expresses and a baseline should be drawn for future
understanding and wishes to comparison.
proceed with treatment. The APRN
explains to the patient that this
medication requires specific lab
monitoring and wants to draw
baseline labs. The patient asks why
the test is needed.
Which explanation should the
APRN provide to this patient?
An advanced practice registered YES A 54-year-male with a medical history of
nurse (APRN) is reviewing the hypertension, mild eczema, and previous history
medications that will be commonly of a urolithiasis where all is well controlled and
experienced with a new nurse to there are no current complications
determine whether the drugs are
safe for the patients. The new nurse
is given a scenario where a patient
is being prescribed sildenafil 25 mg
po prn, a prototype drug for
erectile dysfunction.
Which patient may take this drug
safely?
,A 30-year-old patient presents to a YES Influences receptor activity on target cells
primary care clinic with a history of
anxiety. The advanced practice Correct! This medication influences the activity in
registered nurse reviews the the receptors, and it targets cells.
mechanism of action by which many
neuropharmacological agents act
and decides to prescribe
citalopram.
What is the mechanism of action of
this medication?
A patient is admitted with a NO Modulates the effects of glutamate at NMDA
diagnosis of Huntington disease. receptors
On admission, the patient exhibits YES Inhibits neurotransmitter GABA
uncontrolled twitching, difficulty NO Halts the breakdown of acetylcholine by
walking, trouble swallowing, acetylcholinesterase
confusion, and memory loss. The Alters the synthesis and release of
advanced practice registered nurse norepinephrine, serotonin, and dopamine
(APRN) prescribes baclofen. Incorrect. Cholinesterase inhibitors prevent the
What is the mechanism of action of breakdown of acetylcholine by
this medication? acetylcholinesterase. They are used in patients
with Alzheimer's.
Correct! Huntington's disease involves a
deficiency of the neurotransmitters acetylcholine
and y-aminobutyric acid in the basal ganglia and
extrapyramidal system.
, A 21-year-old patient accompanied Atonic
by a parent comes to a clinic for an NO Myoclonic
emergency visit with an advanced YES Tonic-clonic
practice registered nurse (APRN) Absence
following a seizure. Upon Incorrect. Myoclonic seizures consist of a sudden
interviewing the patient and the muscle contraction that lasts for just one second.
parent, the APRN determines that Correct! A tonic-clonic seizure is a type of
the seizure is classified by marked seizure that is also called a convulsion. This type
impairment of consciousness and is of seizure can include muscle stiffness, loss of
followed by a period of central consciousness, and body jerking.
nervous system (CNS) depression.
Which type of seizure is this patient
experiencing?
A patient has been taking oral YES Physical dependence
oxycodone every six hours for back Correct! The patient suddenly stopping the
pain during the past three years. medication will cause physical symptoms that can
The patient suddenly decides to range from nausea to seizures.
stop taking the pain medication and
is trying an alternative therapy
without a clinician's approval.
Which risk is of clinical concern?
An advanced practice registered YES Bupropion
nurse has diagnosed a 44-year-old
male with depression. A plan is Correct! Bupropion does not cause sexual
developed to start treatment with dysfunction. This will help the patient with a
medication. The patient has a history of sexual dysfunction. This will enhance
history of sexual dysfunction and is the patient's libido, which will help with both
concerned about taking medication depression and sexual dysfunction.
that may worsen this condition.
Which antidepressant has the
benefit of enhancing libido?
