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WGU D116 ADVANCED PHARMACOLOGY OA 2025 NEWEST
ACTUAL EXAM 2 VERSIONS COMPLETE 290 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
WGU D116 OA VERSION A
A patient appears malnourished. The patient's folic acid levels are
low, and vitamin B12 levels are normal.
What should this patient's treatment include? - ANSWER ✔✔-
Oral folic acid and vitamin B12
Oral folic acid supplements
Intramuscular folic acid
YES A diet high in folic acid
Correct! If a folic acid deficiency is caused by a poor diet, it should
be corrected with dietary measures, not supplements.
Intramuscular or oral supplements of folic acid are not indicated.
Vitamin B12 is not recommended.
A patient is admitted to the hospital. The patient's initial laboratory
results reveal megaloblastic anemia. The patient complains of
tingling of the hands and appears confused.
What should the provider suspect in this patient? - ANSWER ✔✔-
Iron deficiency anemia
Folic acid deficiency
Celiac disease
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YES Vitamin B12 deficiency
Correct! When patients present with megaloblastic anemia, it is
essential to distinguish between a folic acid deficiency and a
vitamin B12 deficiency. If neurologic deficits are observed, a
vitamin B12 deficiency is more likely to be the cause. This patient
does not have signs of celiac disease. Iron deficiency anemia
would be indicated by low hemoglobin and hematocrit.
A patient will begin taking immunosuppressant drugs for
rheumatoid arthritis (RA).
Which dietary supplement should this patient avoid? - ANSWER
✔✔- Black cohosh
YES Echinacea
Glucosamine
Feverfew
Correct! Echinacea stimulates the immune system, so it should
not be used in patients with autoimmune diseases such as RA; it
also compromises the effectiveness of immunosuppressive drugs.
Black cohosh, feverfew, and glucosamine are not contraindicated
in patients with RA.
A patient admitted to the emergency department with abdominal
pain tells the provider he has been taking kava.
Which action should be the provider's priority at this time? -
ANSWER ✔✔- YES Review liver function studies
Monitor cardiovascular status
Review complete blood count results
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Assess breath sounds and respiratory effort
Correct! Kava can cause severe liver injury and, in some cases,
require liver transplantation. This patient has abdominal pain,
which can be the result of liver damage, so liver function tests
should be reviewed. Kava does not affect the respiratory system,
the cardiovascular system, or the blood-forming organs.
A patient who will begin combination estrogen-progestin therapy
(EPT) for menopause asks the nurse why she cannot take an
estrogen-only preparation. The patient has not had a
hysterectomy, has a slightly increased risk of cardiovascular
disease, and has mild osteopenia.
What response from the provider about progestin is correct? -
ANSWER ✔✔- "Progestin lowers your risk of myocardial infarction
(MI)."
"Progestin prevents deep vein thrombosis (DVT)."
YES "Progestin decreases your risk of endometrial cancer."
"Progestin increases bone resorption to prevent fractures."
Correct! In patients who still have a uterus, progestin is necessary
to reduce the risk of endometrial carcinoma. Progestins do not
have effects on bone density and do not decrease the risk of MI
or DVT.
An adolescent female patient with multiple sexual partners asks a
nurse about birth control methods. The patient tells the nurse she
tried oral contraceptives once but often forgot to take her pills.
, 4|Page
The nurse should recommend discussing which contraceptive
method with the provider? - ANSWER ✔✔- Progestin-only oral
contraceptives
Tubal ligation and condoms
An intrauterine device with a spermicide
YES DMPA (Depo-Provera) and condoms
Correct! This patient has demonstrated a previous history of
nonadherence, so a long-acting contraceptive would be more
effective for her. Because she has multiple sexual partners, she
should use a condom for protection against STDs. An IUD is not
indicated for her. Patients with multiple sexual partners who use
IUDs are at greater risk for STDs. Tubal ligation carries surgical
risks and is not recommended to be used by young women
because it is irreversible. Progestin-only oral contraceptives must
be taken every day.
A patient presents to an emergency room complaining of
palpitations and irregular heartbeat. The advanced practice
registered nurse (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
A 70-year-old male calls a clinic complaining of chest pain that
started after having sexual activity. He took sildenafil 50 mg about
eight hours ago. He has nitroglycerin 0.3 mg on hand.
How should the advanced practice registered nurse respond? -
ANSWER ✔✔- Do not take the nitroglycerin and call 911
WGU D116 ADVANCED PHARMACOLOGY OA 2025 NEWEST
ACTUAL EXAM 2 VERSIONS COMPLETE 290 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
WGU D116 OA VERSION A
A patient appears malnourished. The patient's folic acid levels are
low, and vitamin B12 levels are normal.
What should this patient's treatment include? - ANSWER ✔✔-
Oral folic acid and vitamin B12
Oral folic acid supplements
Intramuscular folic acid
YES A diet high in folic acid
Correct! If a folic acid deficiency is caused by a poor diet, it should
be corrected with dietary measures, not supplements.
Intramuscular or oral supplements of folic acid are not indicated.
Vitamin B12 is not recommended.
A patient is admitted to the hospital. The patient's initial laboratory
results reveal megaloblastic anemia. The patient complains of
tingling of the hands and appears confused.
What should the provider suspect in this patient? - ANSWER ✔✔-
Iron deficiency anemia
Folic acid deficiency
Celiac disease
,2|Page
YES Vitamin B12 deficiency
Correct! When patients present with megaloblastic anemia, it is
essential to distinguish between a folic acid deficiency and a
vitamin B12 deficiency. If neurologic deficits are observed, a
vitamin B12 deficiency is more likely to be the cause. This patient
does not have signs of celiac disease. Iron deficiency anemia
would be indicated by low hemoglobin and hematocrit.
A patient will begin taking immunosuppressant drugs for
rheumatoid arthritis (RA).
Which dietary supplement should this patient avoid? - ANSWER
✔✔- Black cohosh
YES Echinacea
Glucosamine
Feverfew
Correct! Echinacea stimulates the immune system, so it should
not be used in patients with autoimmune diseases such as RA; it
also compromises the effectiveness of immunosuppressive drugs.
Black cohosh, feverfew, and glucosamine are not contraindicated
in patients with RA.
A patient admitted to the emergency department with abdominal
pain tells the provider he has been taking kava.
Which action should be the provider's priority at this time? -
ANSWER ✔✔- YES Review liver function studies
Monitor cardiovascular status
Review complete blood count results
,3|Page
Assess breath sounds and respiratory effort
Correct! Kava can cause severe liver injury and, in some cases,
require liver transplantation. This patient has abdominal pain,
which can be the result of liver damage, so liver function tests
should be reviewed. Kava does not affect the respiratory system,
the cardiovascular system, or the blood-forming organs.
A patient who will begin combination estrogen-progestin therapy
(EPT) for menopause asks the nurse why she cannot take an
estrogen-only preparation. The patient has not had a
hysterectomy, has a slightly increased risk of cardiovascular
disease, and has mild osteopenia.
What response from the provider about progestin is correct? -
ANSWER ✔✔- "Progestin lowers your risk of myocardial infarction
(MI)."
"Progestin prevents deep vein thrombosis (DVT)."
YES "Progestin decreases your risk of endometrial cancer."
"Progestin increases bone resorption to prevent fractures."
Correct! In patients who still have a uterus, progestin is necessary
to reduce the risk of endometrial carcinoma. Progestins do not
have effects on bone density and do not decrease the risk of MI
or DVT.
An adolescent female patient with multiple sexual partners asks a
nurse about birth control methods. The patient tells the nurse she
tried oral contraceptives once but often forgot to take her pills.
, 4|Page
The nurse should recommend discussing which contraceptive
method with the provider? - ANSWER ✔✔- Progestin-only oral
contraceptives
Tubal ligation and condoms
An intrauterine device with a spermicide
YES DMPA (Depo-Provera) and condoms
Correct! This patient has demonstrated a previous history of
nonadherence, so a long-acting contraceptive would be more
effective for her. Because she has multiple sexual partners, she
should use a condom for protection against STDs. An IUD is not
indicated for her. Patients with multiple sexual partners who use
IUDs are at greater risk for STDs. Tubal ligation carries surgical
risks and is not recommended to be used by young women
because it is irreversible. Progestin-only oral contraceptives must
be taken every day.
A patient presents to an emergency room complaining of
palpitations and irregular heartbeat. The advanced practice
registered nurse (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
A 70-year-old male calls a clinic complaining of chest pain that
started after having sexual activity. He took sildenafil 50 mg about
eight hours ago. He has nitroglycerin 0.3 mg on hand.
How should the advanced practice registered nurse respond? -
ANSWER ✔✔- Do not take the nitroglycerin and call 911
