WGU D441 PHARMACOLOGY OA / WGU D441 OBJECTIVE ASSESSMENT
FINAL EXAM NEWEST 2025/2026 COMPLETE 100 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
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A client who received a renal transplant three months ago is readmitted to the
acute care unit with signs of graft rejection. While taking the client's history, the
nurse determines that the client has been self-administering St. John's Wort, an
herbal preparation, on the advice of a friend. Which information is most
significant about this finding?
A. St. John's Wort can decrease plasma concentrations of cyclosporine.
B. Adding the herb can decrease the need for corticosteroids.
C. Ingestion of St. John's Wort can reduce the client's intake of sodium.
D. The client probably used this herb to treat depression.
A. St. John's Wort can decrease plasma concentrations of cyclosporine
A female client starts a new prescription, oxybutynin, for symptoms of an
overactive bladder. The client tells the nurse that she is training to run in a half-
marathon. Which instruction should the nurse emphasize?
A. Avoid crowds to help prevent acquiring infections.
B. Take measures to avoid dehydration and over-heating.
C. Wear padding to protect from bruising if a fall occurs.
D. Keep skin and eyes covered to protect from sun injury.
B. Take measures to avoid dehydration and over-heating
male client is admitted for observation because he is reporting progressively
increasing fatigue over the past month and a brief episode of dizziness that
occurred today. He has a history of heartburn and indigestion that he self-treats
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, WGU D441 Pharmacology OA / WGU D441 Objective Assessment Final Exam
with ibuprofen and antacids. Which assessment finding should the nurse report
immediately to the healthcare provider?
Reference Ranges:
Hemoglobin [14 to 18 g/dL (8.7 to 11.2 mmol/L)]
Hematocrit [42% to 52% (0.42 to 0.52 volume fraction)]
Gastric pH [1.5 to 3.5]
A. Hematocrit 42% (0.42 volume fraction).
B. Gastric pH 2.0.
C. Positive guaiac of stool.
D. Hemoglobin 13 g/dL (8.07 mmol/L).
B. Gastric pH 2.0.
A client with benign prostatic hyperplasia receives a new prescription of
tamsulosin. Which intervention should the nurse perform to monitor for an
adverse reaction?
A. Perform a bladder scan.
B. Monitor blood pressure.
C. Obtain daily weights.
D. Assess urine output.
B. Monitor blood pressure.
The nurse is providing discharge instructions to a client who has been prescribed
gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia.
Which symptom should the nurse tell the client to report to the healthcare
provider,
A. Photosensitivity.
B. Gastric Irritation.
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, WGU D441 Pharmacology OA / WGU D441 Objective Assessment Final Exam
C. Sexual dysfunction.
D. Rapid weight gain.
D. Rapid weight gain.
The nurse is providing discharge instructions to a client who has been prescribed
gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia.
Which symptom should the nurse tell the client to report to the healthcare
provider,
A. Rinsing the mouth with water should be done after each use.
B. To mask taste of the medication, inhaler can be used during meal
C. Caffeinated beverages should be limited to two cups per day
D. The inhaler will be used before bed each night.
A. Rinsing the mouth with water should be done after each use.
A client with peptic ulcer disease receives a new prescription for cimetidine.
Which statement provided by the dent requires
A. Take the medication an hour after antacids.
B. Monitor for any signs of sexual dysfunction.
C. Notify the healthcare provider of lethargy.
D. Decrease cigarette use to a pack per day.
D. Decrease cigarette use to a pack per day.
A client with generalized anxiety disorder (GAD) receives a new prescription for
lorazepam. Which statement provided by the client requires additional
instruction by the nurse?
A. Use relaxation techniques to reduce excessive anxiety.
B. Move slowly from a sitting position to a standing position.
C. Avoid alcohol and other sedatives while taking the medication.
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