1|Page
WGU D027 Advanced Pathopharmacological
Foundations Mock Examination Package, Western
Governors University Nursing Programs||Verified
Exam!!!||, 2026/2027-Question OA-Style Examination
with Verified Answers and Rationales||Newest Exam!!!
A 45-year-old Muslim woman presents to a clinic for an
intervention for her type 2 diabetes. She is prescribed
metformin (Glucophage) 500 mg BID. During a follow-up
phone call a week later, it is discovered she has not been
taking the metformin. A second visit is scheduled. During
this visit, she states that she cannot take the medication
as prescribed because it is Ramadan, a month-long period
of religious observances. Due to her religious beliefs, she
fasts from dawn to sunset. When the pharmacist told her
to take metformin with breakfast and dinner, she decided
not to start the medication due to her fasting.
Which nursing intervention should be made for this
patient?
Continue metformin (Glucophage) 500 mg twice a day and
instruct the patient to eat a significant lunch
Start a regular insulin (Humulin R) sliding scale three
times a day
,2|Page
Start lantus insulin (insulin glargine) at 50 units once a day
before the preda - Answer-Start metformin XR
(Glucophage XR) 250 mg once a day and reevaluate after
Ramadan
Metformin XR (Glucophage XR) is an extended release
biguanide that can be given once daily at a time when it
will not impact the patient's cultural or religious practice. It
has a half-life elimination time of up to nine hours.
A 45-year-old Jewish man is visiting a clinic for an
adjustment of his diabetes medications. Though the
patient is taking oral medications, his blood sugar levels
continue to increase, and a decision is made to start him
on insulin. Although the patient is comfortable with the
concept of starting insulin, he is concerned with the
formulation of the insulin saying, "I heard insulin was made
from pigs. If that is the case, I cannot take it due to my
faith."
Which response should be given to this patient?
The amount of porcine DNA in insulin is minimal; it should
have no effect on your beliefs.
Long-acting insulin is derived from porcine sources; a
short-acting insulin will be used instead.
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Short-acting insulin is derived from porcine sources; a
long-acting insulin will be used instead.
While insulin did have porcine sources in the past, it is
now synthetically made. - Answer-While insulin did have
porcine sources in the past, it is now synthetically made.
All forms of insulin manufactured in the U.S. use
recombinant DNA technology. Some are identical to
human pancreatic insulin, and others are synthetic
analogs of natural human insulin. It is appropriate to
provide the patient with information that will decrease his
concerns about breaching his religious beliefs.
A 45-year-old man reports his preference for natural
methods of treating illness. He states he takes natural
supplements that he orders from China to boost his health
and well-being. One of the supplements he takes daily is
red yeast rice.
Which medication should be avoided with this patient's
supplement?
Ibuprofen (Motrin)
Sildenafil (Viagra)
Lisinopril (Zestril)
, 4|Page
Lovastatin (Mevacor) - Answer-Lovastatin (Mevacor)
Red yeast rice naturally contains lovastatin and other
statin-related compounds that significantly impact LDL
cholesterol; therefore, there is a risk for an increased
effect and side effects if taken with a statin.
A 40-year-old man presents to a clinic with an onset of a
frequent cough. The patient states the cough started when
he started his new blood pressure medication two weeks
ago. The patient does not remember the name of the drug
that was started. After a thorough assessment, it is
determined the cough is not being caused by an infection.
It is determined the likely cause of the frequent cough is
the new blood pressure medication.
Which medication is the likely cause of this patient's
symptoms?
Lisinopril (Zestril)
Amlodipine (Norvasc)
Metoprolol (Lopressor)
Losartan (Cozaar) - Answer-Lisinopril (Zestril)
ACE inhibitors such as lisinopril (Zestril) are associated
with dry, persistent coughing in many patients. They
WGU D027 Advanced Pathopharmacological
Foundations Mock Examination Package, Western
Governors University Nursing Programs||Verified
Exam!!!||, 2026/2027-Question OA-Style Examination
with Verified Answers and Rationales||Newest Exam!!!
A 45-year-old Muslim woman presents to a clinic for an
intervention for her type 2 diabetes. She is prescribed
metformin (Glucophage) 500 mg BID. During a follow-up
phone call a week later, it is discovered she has not been
taking the metformin. A second visit is scheduled. During
this visit, she states that she cannot take the medication
as prescribed because it is Ramadan, a month-long period
of religious observances. Due to her religious beliefs, she
fasts from dawn to sunset. When the pharmacist told her
to take metformin with breakfast and dinner, she decided
not to start the medication due to her fasting.
Which nursing intervention should be made for this
patient?
Continue metformin (Glucophage) 500 mg twice a day and
instruct the patient to eat a significant lunch
Start a regular insulin (Humulin R) sliding scale three
times a day
,2|Page
Start lantus insulin (insulin glargine) at 50 units once a day
before the preda - Answer-Start metformin XR
(Glucophage XR) 250 mg once a day and reevaluate after
Ramadan
Metformin XR (Glucophage XR) is an extended release
biguanide that can be given once daily at a time when it
will not impact the patient's cultural or religious practice. It
has a half-life elimination time of up to nine hours.
A 45-year-old Jewish man is visiting a clinic for an
adjustment of his diabetes medications. Though the
patient is taking oral medications, his blood sugar levels
continue to increase, and a decision is made to start him
on insulin. Although the patient is comfortable with the
concept of starting insulin, he is concerned with the
formulation of the insulin saying, "I heard insulin was made
from pigs. If that is the case, I cannot take it due to my
faith."
Which response should be given to this patient?
The amount of porcine DNA in insulin is minimal; it should
have no effect on your beliefs.
Long-acting insulin is derived from porcine sources; a
short-acting insulin will be used instead.
,3|Page
Short-acting insulin is derived from porcine sources; a
long-acting insulin will be used instead.
While insulin did have porcine sources in the past, it is
now synthetically made. - Answer-While insulin did have
porcine sources in the past, it is now synthetically made.
All forms of insulin manufactured in the U.S. use
recombinant DNA technology. Some are identical to
human pancreatic insulin, and others are synthetic
analogs of natural human insulin. It is appropriate to
provide the patient with information that will decrease his
concerns about breaching his religious beliefs.
A 45-year-old man reports his preference for natural
methods of treating illness. He states he takes natural
supplements that he orders from China to boost his health
and well-being. One of the supplements he takes daily is
red yeast rice.
Which medication should be avoided with this patient's
supplement?
Ibuprofen (Motrin)
Sildenafil (Viagra)
Lisinopril (Zestril)
, 4|Page
Lovastatin (Mevacor) - Answer-Lovastatin (Mevacor)
Red yeast rice naturally contains lovastatin and other
statin-related compounds that significantly impact LDL
cholesterol; therefore, there is a risk for an increased
effect and side effects if taken with a statin.
A 40-year-old man presents to a clinic with an onset of a
frequent cough. The patient states the cough started when
he started his new blood pressure medication two weeks
ago. The patient does not remember the name of the drug
that was started. After a thorough assessment, it is
determined the cough is not being caused by an infection.
It is determined the likely cause of the frequent cough is
the new blood pressure medication.
Which medication is the likely cause of this patient's
symptoms?
Lisinopril (Zestril)
Amlodipine (Norvasc)
Metoprolol (Lopressor)
Losartan (Cozaar) - Answer-Lisinopril (Zestril)
ACE inhibitors such as lisinopril (Zestril) are associated
with dry, persistent coughing in many patients. They
