WGU D116 Advanced Pharmacology
Elaborate Exam Study Questions with
Verified Answers | Latest Edition
1. A 44-year-old male with depression and sexual dysfunction history needs an
antidepressant that enhances libido. - ANSWER YES Bupropion
2. Explanation - ANSWER Bupropion does not cause sexual dysfunction and
may improve libido.
3. A wheezing patient receives a nonspecific beta-agonist. Besides respiratory
relief, what side effect should the nurse monitor? - ANSWER YES
Tachycardia
4. Explanation - ANSWER Beta1 stimulation causes tachycardia and
hypertension.
5. A patient has toxic atropine effects (delirium, hallucinations). Which
medication should the provider administer? - ANSWER YES
Physostigmine
6. Explanation - ANSWER Physostigmine treats atropine poisoning and
crosses the BBB.
7. A patient requires sutures. Provider orders local anesthetic with epinephrine.
Epinephrine is used to ________. - ANSWER Allow a reduced dose of the
anesthetic
,8. Explanation - ANSWER Epinephrine (alpha1 agonist) prolongs absorption
and reduces anesthetic needed.
9. A Parkinson patient on carbidopa reports no change after months. What
should the provider do? - ANSWER Reevaluate the diagnosis
10.A patient presents to an emergency room complaining of palpitations and
irregular heartbeat. The 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? - ANSWER YES With food
or an empty stomach
11.A 70-year-old male calls a clinic complaining of chest pain that started after
sexual activity. He took sildenafil 50 mg about eight hours ago. He has
nitroglycerin 0.3 mg on hand. How should the APRN respond? - ANSWER
Do not take the nitroglycerin and call 911
12.Taking the medications together can cause what? - ANSWER A serious
drop in blood pressure leading to cardiovascular collapse.
13.A patient with bipolar disorder is discussing beginning lithium. The APRN
wants baseline labs. The patient asks why. Which explanation should be
provided? - ANSWER A baseline BUN and creatinine is needed to assess
kidney function because lithium can decrease renal function.
14.A new nurse is reviewing sildenafil use. Which patient may take sildenafil
safely? - ANSWER YES A 54-year-old male with controlled hypertension,
mild eczema, and past urolithiasis without complications
,15.A 30-year-old patient with anxiety is prescribed citalopram. What is its
mechanism of action? - ANSWER YES Influences receptor activity on
target cells
16.Correct explanation of citalopram's mechanism - ANSWER This
medication influences the activity in the receptors, and it targets cells.
17.A Huntington disease patient has twitching, dysphagia, confusion, memory
loss. APRN prescribes baclofen. Mechanism of action? - ANSWER YES
Inhibits neurotransmitter GABA
18.NO Modulates the effects of glutamate at NMDA receptors - ANSWER
Incorrect.
19.NO Halts breakdown of acetylcholine by acetylcholinesterase - ANSWER
Incorrect. Cholinesterase inhibitors prevent ACh breakdown and are used for
Alzheimer's.
20.Alters synthesis and release of norepinephrine, serotonin, and dopamine -
ANSWER Incorrect.
21.A 21-year-old patient has a seizure with impaired consciousness followed by
CNS depression. Type of seizure? - ANSWER YES Tonic-clonic
22.Atonic - ANSWER NO
23.Myoclonic - ANSWER NO — consists of sudden 1-second contractions
24.Absence - ANSWER NO
, 25.A patient taking oxycodone every 6 hrs for 3 years suddenly stops. What is
the clinical concern? - ANSWER YES Physical dependence
Correct explanation - ANSWER Stopping abruptly causes withdrawal and can
cause symptoms from nausea to seizures.
26.Increase the dose of carbidopa - ANSWER Option but less correct
27.Discuss "on-off" phenomenon - ANSWER Possible but not primary
28.NO Add a dopamine agonist - ANSWER Incorrect
29.A woman taking oral contraceptives starts valproic acid and reports nausea.
What should the nurse do? - ANSWER YES Ask if she is taking valproic
acid with food
Explanation - ANSWER GI symptoms are common and reduced by taking
with food.
30.A cerebral palsy patient receiving baclofen via G-tube has new seizures.
Cause? - ANSWER YES Missed doses of baclofen
Explanation - ANSWER Abrupt withdrawal may cause hallucinations,
paranoia, and seizures.
31.A patient received lidocaine with epinephrine for sutures. Which symptom is
most concerning? - ANSWER YES Nervousness and tachycardia
Elaborate Exam Study Questions with
Verified Answers | Latest Edition
1. A 44-year-old male with depression and sexual dysfunction history needs an
antidepressant that enhances libido. - ANSWER YES Bupropion
2. Explanation - ANSWER Bupropion does not cause sexual dysfunction and
may improve libido.
3. A wheezing patient receives a nonspecific beta-agonist. Besides respiratory
relief, what side effect should the nurse monitor? - ANSWER YES
Tachycardia
4. Explanation - ANSWER Beta1 stimulation causes tachycardia and
hypertension.
5. A patient has toxic atropine effects (delirium, hallucinations). Which
medication should the provider administer? - ANSWER YES
Physostigmine
6. Explanation - ANSWER Physostigmine treats atropine poisoning and
crosses the BBB.
7. A patient requires sutures. Provider orders local anesthetic with epinephrine.
Epinephrine is used to ________. - ANSWER Allow a reduced dose of the
anesthetic
,8. Explanation - ANSWER Epinephrine (alpha1 agonist) prolongs absorption
and reduces anesthetic needed.
9. A Parkinson patient on carbidopa reports no change after months. What
should the provider do? - ANSWER Reevaluate the diagnosis
10.A patient presents to an emergency room complaining of palpitations and
irregular heartbeat. The 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? - ANSWER YES With food
or an empty stomach
11.A 70-year-old male calls a clinic complaining of chest pain that started after
sexual activity. He took sildenafil 50 mg about eight hours ago. He has
nitroglycerin 0.3 mg on hand. How should the APRN respond? - ANSWER
Do not take the nitroglycerin and call 911
12.Taking the medications together can cause what? - ANSWER A serious
drop in blood pressure leading to cardiovascular collapse.
13.A patient with bipolar disorder is discussing beginning lithium. The APRN
wants baseline labs. The patient asks why. Which explanation should be
provided? - ANSWER A baseline BUN and creatinine is needed to assess
kidney function because lithium can decrease renal function.
14.A new nurse is reviewing sildenafil use. Which patient may take sildenafil
safely? - ANSWER YES A 54-year-old male with controlled hypertension,
mild eczema, and past urolithiasis without complications
,15.A 30-year-old patient with anxiety is prescribed citalopram. What is its
mechanism of action? - ANSWER YES Influences receptor activity on
target cells
16.Correct explanation of citalopram's mechanism - ANSWER This
medication influences the activity in the receptors, and it targets cells.
17.A Huntington disease patient has twitching, dysphagia, confusion, memory
loss. APRN prescribes baclofen. Mechanism of action? - ANSWER YES
Inhibits neurotransmitter GABA
18.NO Modulates the effects of glutamate at NMDA receptors - ANSWER
Incorrect.
19.NO Halts breakdown of acetylcholine by acetylcholinesterase - ANSWER
Incorrect. Cholinesterase inhibitors prevent ACh breakdown and are used for
Alzheimer's.
20.Alters synthesis and release of norepinephrine, serotonin, and dopamine -
ANSWER Incorrect.
21.A 21-year-old patient has a seizure with impaired consciousness followed by
CNS depression. Type of seizure? - ANSWER YES Tonic-clonic
22.Atonic - ANSWER NO
23.Myoclonic - ANSWER NO — consists of sudden 1-second contractions
24.Absence - ANSWER NO
, 25.A patient taking oxycodone every 6 hrs for 3 years suddenly stops. What is
the clinical concern? - ANSWER YES Physical dependence
Correct explanation - ANSWER Stopping abruptly causes withdrawal and can
cause symptoms from nausea to seizures.
26.Increase the dose of carbidopa - ANSWER Option but less correct
27.Discuss "on-off" phenomenon - ANSWER Possible but not primary
28.NO Add a dopamine agonist - ANSWER Incorrect
29.A woman taking oral contraceptives starts valproic acid and reports nausea.
What should the nurse do? - ANSWER YES Ask if she is taking valproic
acid with food
Explanation - ANSWER GI symptoms are common and reduced by taking
with food.
30.A cerebral palsy patient receiving baclofen via G-tube has new seizures.
Cause? - ANSWER YES Missed doses of baclofen
Explanation - ANSWER Abrupt withdrawal may cause hallucinations,
paranoia, and seizures.
31.A patient received lidocaine with epinephrine for sutures. Which symptom is
most concerning? - ANSWER YES Nervousness and tachycardia
