WGU D116 ADVANCED PHARMACOLOGY OBJECTIVE ASESEMENT
EXAM AND STUDY GUIDE LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A patient who uses an inhaled glucocorticoid for chronic asthma
calls the nurse to report hoarseness.
What should the nurse do?
Ask whether the patient is rinsing the mouth after each dose
Suggest that the patient be tested for a bronchial infection
Request an order for an antifungal medication
Tell the patient to discontinue use of the glucocorticoid -
ANSWER-Ask whether the patient is rinsing the mouth after each
dose
Correct! The most common side effects of inhaled
glucocorticoids are oropharyngeal candidiasis and
dysphonia. To minimize these, patients should be advised to
gargle after each administration. Antifungal medications are
used after a fungal infection has been diagnosed.
Hoarseness is not a sign of a bronchial infection. There is no
need to discontinue the glucocorticoid.
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What is ipratropium bromide?
A cholinergic agent used for perennial rhinitis
An anticholinergic used for allergic rhinitis and colds
A drug that is inappropriate for use in patients with allergic rhinitis
A medication that is used only in patients with asthma - ANSWER-
An anticholinergic used for allergic rhinitis and colds
Correct! Ipratropium bromide is an anticholinergic that is
indicated for allergic rhinitis, asthma, and the common cold.
The drug reduces rhinorrhea. Ipratropium bromide is an
anticholinergic. In addition to asthma, ipratropium bromide
can be used for allergic rhinitis and the common cold.
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?
Fexofenadine/pseudoephedrine
Phenylephrine drops
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Guaifenesin
Diphenhydramine - ANSWER-Diphenhydramine
Correct! Diphenhydramine is effective in suppressing cough
and also has sedative effects when used in doses to
suppress cough. Fexofenadine/pseudoephedrine is a
combination antihistamine/decongestant and will not help
with cough. Guaifenesin helps make coughs more productive
but will not suppress cough or help with sleep.
Phenylephrine drops have decongestant properties.
A parent asks the provider about giving diphenhydramine to a
child to relieve cold symptoms.
Which response by the provider is correct?
"Intranasal glucocorticoids are more effective for treating cold
symptoms."
"Because histamine does not cause cold symptoms,
diphenhydramine would not be effective."
"Nasal antihistamines are more effective for treating cold
symptoms."
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"Diphenhydramine must be given in higher doses to provide relief
for cold symptoms." - ANSWER-Because histamine does not
cause cold symptoms, diphenhydramine would not be effective."
Correct! Histamine does not contribute to symptoms of
infectious rhinitis; therefore, antihistamines are of no use in
treating cold symptoms. Giving antihistamines in higher
doses does not provide relief for infectious rhinitis.
Intranasal glucocorticoids are not useful for infectious
rhinitis. Nasal antihistamines are not effective for treating
infectious rhinitis.
A nurse is preparing to give an antibiotic to a patient who reports
being allergic to antibiotics.
Before giving the medication, what should the nurse do?
Request an order for a lower dose of the antibiotic
Ask whether the patient has taken this antibiotic for other
infections
Question the patient about allergies to other medications
Request an order for an antihistamine - ANSWER-Ask whether
the patient has taken this antibiotic for other infections