WGU D116 - PHARMACOLOGY - PRE-ASSESSMENT EXAM
WITH 100% CORRECT AND VERIFIED ANSWERS
100% Correct 57
Incorrect 00
Your answers
1 of 57
Definition
The patient should stop taking the medication and contact her
provider immediately - ACE and ARBS carry the same risk during
pregnancy
Feedback:ACE inhibitors are known to cause serious fetal injury
during the second and third trimesters of pregnancy. Whether
injury occurs earlier in pregnancy is unknown, and the incidence
probably is low. However, women should be counseled to stop
taking the
drug if they become pregnant, and they should not take it if they
are contemplating becoming pregnant. Women who take ACE
inhibitors in the first trimester should be counseled that the risk to
the fetus is probably low. Women should stop taking the drug when
pregnant.
ARBs carry the same risk as ACE inhibitors.
Give this one a try later!
, A client is being treated for gonorrhea. Which agent would the nurse expect the
physician to prescribe?
A patient in her twenties with Graves disease who takes methimazole
[Tapazole] tells a nurse Practitionerthat she is trying to conceive and asks
about disease
management during pregnancy. What will the NP tell her?
A patient is receiving intravenous gentamicin. A serum drug test reveals toxic
levels. The dosing is correct, and this medication has been tolerated by this
patient in the past. Which could be a probable cause of the test result?
A female patient taking an ACE inhibitor learns that she is pregnant.
What will the nurse tell this patient?
Don't know?
2 of 57
Definition
To change the patch every week.
Feedback: Transdermal patches are to be changed every 7 days.
Medication administered by patch has the same therapeutic effect
and adverse effects as that given by other routes, except that
localized skin reactions may occur and are common with clonidine
patches.
Give this one a try later!
, A psychiatric nurse is teaching a patient about an antidepressant medication. The
nurse tells the patient that therapeutic effects may not occur for several weeks.
The nurse understands that this is likely the result of:
A patient reports that a medication prescribed for recurrent migraine headaches
is not working. Which action should be taken first?
An NP student asks the instructor what an accurate description of a drug agonist
is. What is the instructors best response?
A prescriber orders transdermal clonidine [Catapres TTS] for a patient with
hypertension. What will the nurse teach this patient?
Don't know?
3 of 57
Term
A patient who will begin taking colchicine for gout reports taking
nonsteroidal anti-inflammatory drugs, simvastatin, amoxicillin, and
digoxin. What will the nurse Practitioner do?
Give this one a try later!
Consider the potential risk of kidney Evaluate the interaction between
stones when colchicine is taken colchicine and NSAIDs for
with digoxin cardiovascular effects
Consider the potential risk of
Monitor liver function closely when
muscle injury when simvastatin
prescribing colchicine with
amoxicillin
, is taken with colchicine
when prescribing
Don't know?
4 of 57
Term
An 88-year-old patient with heart failure has progressed to Stage D
and is hospitalized for the third time in a month. The nurse will
expect to discuss which topic with the patient'sfamily?
Give this one a try later!
Reassure the parent that fever can occur with the MMR vaccine.
Feedback:The MMR vaccine can have several adverse effects, including fever
up to 103°F; this is not considered a serious effect and does not warrant filing
an adverse event report with VAERS.
“This drug significantly slows the progression of the disease.”
Feedback: Cholinesterase inhibitors produce modest improvements in
cognition, behavior, and function and may slightly delay disease progression;
they do not
have a major impact on delaying progression of the disease.
End-of-life care
Feedback:Patients in Stage D heart failure have advanced structural heart
disease. For eligible patients, the best long-term solution is heart
transplantation, but this patient probably is not eligible, given his advanced
age. End-of-life care should be discussed.
WITH 100% CORRECT AND VERIFIED ANSWERS
100% Correct 57
Incorrect 00
Your answers
1 of 57
Definition
The patient should stop taking the medication and contact her
provider immediately - ACE and ARBS carry the same risk during
pregnancy
Feedback:ACE inhibitors are known to cause serious fetal injury
during the second and third trimesters of pregnancy. Whether
injury occurs earlier in pregnancy is unknown, and the incidence
probably is low. However, women should be counseled to stop
taking the
drug if they become pregnant, and they should not take it if they
are contemplating becoming pregnant. Women who take ACE
inhibitors in the first trimester should be counseled that the risk to
the fetus is probably low. Women should stop taking the drug when
pregnant.
ARBs carry the same risk as ACE inhibitors.
Give this one a try later!
, A client is being treated for gonorrhea. Which agent would the nurse expect the
physician to prescribe?
A patient in her twenties with Graves disease who takes methimazole
[Tapazole] tells a nurse Practitionerthat she is trying to conceive and asks
about disease
management during pregnancy. What will the NP tell her?
A patient is receiving intravenous gentamicin. A serum drug test reveals toxic
levels. The dosing is correct, and this medication has been tolerated by this
patient in the past. Which could be a probable cause of the test result?
A female patient taking an ACE inhibitor learns that she is pregnant.
What will the nurse tell this patient?
Don't know?
2 of 57
Definition
To change the patch every week.
Feedback: Transdermal patches are to be changed every 7 days.
Medication administered by patch has the same therapeutic effect
and adverse effects as that given by other routes, except that
localized skin reactions may occur and are common with clonidine
patches.
Give this one a try later!
, A psychiatric nurse is teaching a patient about an antidepressant medication. The
nurse tells the patient that therapeutic effects may not occur for several weeks.
The nurse understands that this is likely the result of:
A patient reports that a medication prescribed for recurrent migraine headaches
is not working. Which action should be taken first?
An NP student asks the instructor what an accurate description of a drug agonist
is. What is the instructors best response?
A prescriber orders transdermal clonidine [Catapres TTS] for a patient with
hypertension. What will the nurse teach this patient?
Don't know?
3 of 57
Term
A patient who will begin taking colchicine for gout reports taking
nonsteroidal anti-inflammatory drugs, simvastatin, amoxicillin, and
digoxin. What will the nurse Practitioner do?
Give this one a try later!
Consider the potential risk of kidney Evaluate the interaction between
stones when colchicine is taken colchicine and NSAIDs for
with digoxin cardiovascular effects
Consider the potential risk of
Monitor liver function closely when
muscle injury when simvastatin
prescribing colchicine with
amoxicillin
, is taken with colchicine
when prescribing
Don't know?
4 of 57
Term
An 88-year-old patient with heart failure has progressed to Stage D
and is hospitalized for the third time in a month. The nurse will
expect to discuss which topic with the patient'sfamily?
Give this one a try later!
Reassure the parent that fever can occur with the MMR vaccine.
Feedback:The MMR vaccine can have several adverse effects, including fever
up to 103°F; this is not considered a serious effect and does not warrant filing
an adverse event report with VAERS.
“This drug significantly slows the progression of the disease.”
Feedback: Cholinesterase inhibitors produce modest improvements in
cognition, behavior, and function and may slightly delay disease progression;
they do not
have a major impact on delaying progression of the disease.
End-of-life care
Feedback:Patients in Stage D heart failure have advanced structural heart
disease. For eligible patients, the best long-term solution is heart
transplantation, but this patient probably is not eligible, given his advanced
age. End-of-life care should be discussed.
