WGU D116 Unit 4 OA Review Latest Update 2024-
2025 Actual Exam from Credible Sources with 55
Questions and Verified Correct Answers Golden
Ticket to Guaranteed A+ Verified by Professor
A 50-year-old male patient is taking theophylline for the management of chronic
obstructive pulmonary disease (COPD). The patient reports symptoms of sneezing,
itching, and a runny nose. An advanced practice registered nurse wishes to prescribe a
medication to control allergies but is concerned about drug interactions.
Which medication should be considered? - CORRECT ANSWER: Singulair
Used to help reduce the effects of an asthma attack
A 60-year-old African-American patient has a blood pressure of 120/80 mm Hg and
reports a family history of hypertension. The patient has a body mass index of 22.3. The
patient reports consuming alcohol occasionally. Which therapeutic lifestyle change will
the NP teach this patient? - CORRECT ANSWER: Sodium restriction
A restricted sodium diet will help decrease BP. African-Americans are more at risk for
HTN
A female patient with essential hypertension is being treated with hydralazine 25 mg
twice daily. The nurse assesses the patient and notes a heart rate of 96 beats per
minute and a blood pressure of 110/72 mm Hg.
What should the provider place an order for? - CORRECT ANSWER: Administer a beta-
blocker
Pt is showing signs of reflex tachycardia so a BB is indicated to slow the heart rate
A NP is reviewing the medications of a patient with diabetes before discharge. The
patient will be going home on colesevelam, a bile acid sequestrant, and insulin. What
patient education should the NP provide in the discharge teaching for this patient? -
, CORRECT ANSWER: The patient needs to monitor BS carefully, because colesevelam
can cause hypoglycemia
A nurse practitioner is discussing adenosine with an NP student. What does adenosine
do? - CORRECT ANSWER: Acts by suppressing action potentials in the SA and AV
nodes
Has a half-life that lasts only a few seconds and must be given IV
Not effective for treating a fib, a flutter, or ventricular dysrhythmias... mainly used to treat
SVT
A nursing student is preparing to give a medication that has a boxed warning. The
student asks the nurse what this means.
What should the nurse explain about boxed warnings? - CORRECT ANSWER: They
alert prescribers to measures to mitigate potential harm from side effects
Boxed warning does not include antidotes to toxicity
A patient asks the NP how nitroglycerin works to relieve anginal pain. The NP correctly
states, "Nitroglycerin: - CORRECT ANSWER: Promotes vasodilation, which reduces
preload and oxygen demand
A patient begins taking an ACE inhibitor and complains of a dry cough. What does the
NP correctly tell the patient about this symptom? - CORRECT ANSWER: It may be
uncomfortable enough that the drug will need to be discontinued
A patient has 2+ pitting edema of the lower extremities bilaterally. Auscultation of the
lungs reveals crackles bilaterally, and the serum potassium level is 6 mEq/L. Which
diuretic agent ordered by the prescriber should the nurse question? - CORRECT
ANSWER: Spironolactone
2025 Actual Exam from Credible Sources with 55
Questions and Verified Correct Answers Golden
Ticket to Guaranteed A+ Verified by Professor
A 50-year-old male patient is taking theophylline for the management of chronic
obstructive pulmonary disease (COPD). The patient reports symptoms of sneezing,
itching, and a runny nose. An advanced practice registered nurse wishes to prescribe a
medication to control allergies but is concerned about drug interactions.
Which medication should be considered? - CORRECT ANSWER: Singulair
Used to help reduce the effects of an asthma attack
A 60-year-old African-American patient has a blood pressure of 120/80 mm Hg and
reports a family history of hypertension. The patient has a body mass index of 22.3. The
patient reports consuming alcohol occasionally. Which therapeutic lifestyle change will
the NP teach this patient? - CORRECT ANSWER: Sodium restriction
A restricted sodium diet will help decrease BP. African-Americans are more at risk for
HTN
A female patient with essential hypertension is being treated with hydralazine 25 mg
twice daily. The nurse assesses the patient and notes a heart rate of 96 beats per
minute and a blood pressure of 110/72 mm Hg.
What should the provider place an order for? - CORRECT ANSWER: Administer a beta-
blocker
Pt is showing signs of reflex tachycardia so a BB is indicated to slow the heart rate
A NP is reviewing the medications of a patient with diabetes before discharge. The
patient will be going home on colesevelam, a bile acid sequestrant, and insulin. What
patient education should the NP provide in the discharge teaching for this patient? -
, CORRECT ANSWER: The patient needs to monitor BS carefully, because colesevelam
can cause hypoglycemia
A nurse practitioner is discussing adenosine with an NP student. What does adenosine
do? - CORRECT ANSWER: Acts by suppressing action potentials in the SA and AV
nodes
Has a half-life that lasts only a few seconds and must be given IV
Not effective for treating a fib, a flutter, or ventricular dysrhythmias... mainly used to treat
SVT
A nursing student is preparing to give a medication that has a boxed warning. The
student asks the nurse what this means.
What should the nurse explain about boxed warnings? - CORRECT ANSWER: They
alert prescribers to measures to mitigate potential harm from side effects
Boxed warning does not include antidotes to toxicity
A patient asks the NP how nitroglycerin works to relieve anginal pain. The NP correctly
states, "Nitroglycerin: - CORRECT ANSWER: Promotes vasodilation, which reduces
preload and oxygen demand
A patient begins taking an ACE inhibitor and complains of a dry cough. What does the
NP correctly tell the patient about this symptom? - CORRECT ANSWER: It may be
uncomfortable enough that the drug will need to be discontinued
A patient has 2+ pitting edema of the lower extremities bilaterally. Auscultation of the
lungs reveals crackles bilaterally, and the serum potassium level is 6 mEq/L. Which
diuretic agent ordered by the prescriber should the nurse question? - CORRECT
ANSWER: Spironolactone
