WGU D116 Unit 2 Questions and
Answers A+ Graded (2025)
Which .factor .increases .the .need .for .APRNs .to .have .full .prescriptive .authority?
.- .CORRECT .ANSWER-More .patients .will .have .access .to .healthcare
An .APRN .works .in .a .urology .clinic .under .the .supervision .of .a .physician .who
.does .not .restrict .the .types .of .medications .the .APRN .is .allowed .to .prescribe.
.State .law .does .not .require .the .APRN .to .practice .under .physician .supervision.
How .would .the .APRN's .prescriptive .authority .be .described? .- .CORRECT
.ANSWER-Independent
A .patient .taking .three .medications .for .hypertension .is .diagnosed .with .chronic
.obstructive .pulmonary .disease .(COPD).
Which .action .should .be .taken .prior .to .prescribing .medications .to .treat .COPD? .-
.CORRECT .ANSWER-Obtain .a .complete .medication .history
Need .to .assess .for .any .potential .drug-drug .interactions
A .patient .with .chronic .pain .calls .the .provider's .office .to .request .a .refill .for
.oxycodone.
Which .action .is .most .appropriate? .- .CORRECT .ANSWER-Schedule .an
.appointment .with .the .patient .
Oxycodone .is .a .schedule .2 .drug .
Schedule .2 .and .3 .APRN .need .a .waiver .as .well .as .authority .from .the .DEA .to
.prescribe .those .medications .
Schedule .1 .illegal .down .to .schedule .5
A .patient .is .using .a .metered-dose .inhaler .containing .albuterol .for .asthma. .The
.medication .label .instructs .the .patient .to .administer ."two .puffs .every .4 .hours .as
.needed .for .coughing .or .wheezing." .The .patient .reports .feeling .jittery
.sometimes .when .taking .the .medication, .and .she .does .not .feel .that .the
.medication .is .always .effective.
Which .action .is .most .appropriate? .- .CORRECT .ANSWER-Auscultating .the
.patients .lung .sounds .and .obtaining .VS
, Performing .a .physical .assessment .is .the .most .beneficial
The .nurse .administers .naloxone .to .a .patient .who .has .received .a .toxic .dose .of
.morphine .sulfate.
The .naloxone .is .effective .because .of .which .action? .- .CORRECT .ANSWER-
Preventing .activation .of .opioid .receptors .through .antagonist .actions .
Naloxone .acts .by .blocking .the .action .of .opioids .at .opioid .receptors
The .nurse .is .preparing .to .administer .penicillin .G .intramuscularly .to .a .child. .The
.child's .parents .ask .why .the .drug .cannot .be .given .in .an .oral .liquid .form.
What .is .the .nurse's .reply? .- .CORRECT .ANSWER-"This .drug .would .be
.inactivated .by .enzymes .in .the .stomach"
Ipratropium .bromide .is .a .quaternary .ammonium .derivative .of .the .prototype
.drug .atropine. .It .is .used .for .bronchodilation.
Why .would .a .medicinal .chemist .want .to .alter .this .prototype? .- .CORRECT
.ANSWER-To .allow .for .higher .doses .to .be .delivered .
Ipratropium .bromide .can .cause .greater .bronchodilation .with .less .toxicity .from
.systemic .absorption
Of .the .four .drugs .listed, .which .drug .would .you .expect .to .have .a .unique .side
.effect .profile .and .unique .mechanism .of .action .from .the .others? .- .CORRECT
.ANSWER-Losartan
Which .is .an .angiotensin .receptor .blocker .and .bradykinin .cough .is .not .present.
.Meds .end .in .-sartan
Angiotension .converting .enzyme .inhibitors .(ACE .Inhibitors) .increase .bradykinin
.which .produces .S/E .of .cough. .Meds .end .in .-pril
Sildenafil .is .a .prototype .of .phosphodiesterase .type .5 .inhibitors .(PDE5
.inhibitors) .that .Pfizer .launched .as .Viagra.
Which .drug .is .also .a .PDE5 .inhibitor? .- .CORRECT .ANSWER-Tadalafil .
Ends .in .-afil
A .family .nurse .practitioner .practicing .in .Maine .is .hired .at .a .practice .across
.state .lines .in .Virginia. .Which .aspect .of .practice .may .change .for .the .APRN? .-
.CORRECT .ANSWER-The .APRN .will .have .less .prescriptive .authority .in .the .new
.position
A .patient .prescribed .amoxicillin .for .streptococcal .pharyngitis .reports .new .onset
.of .a .flat, .itchy .red .rash .on .the .chest .and .neck. .Which .action .is .most
.important? .- .CORRECT .ANSWER-Discontinue .the .med
pt .is .experiencing .an .allergic .response
Answers A+ Graded (2025)
Which .factor .increases .the .need .for .APRNs .to .have .full .prescriptive .authority?
.- .CORRECT .ANSWER-More .patients .will .have .access .to .healthcare
An .APRN .works .in .a .urology .clinic .under .the .supervision .of .a .physician .who
.does .not .restrict .the .types .of .medications .the .APRN .is .allowed .to .prescribe.
.State .law .does .not .require .the .APRN .to .practice .under .physician .supervision.
How .would .the .APRN's .prescriptive .authority .be .described? .- .CORRECT
.ANSWER-Independent
A .patient .taking .three .medications .for .hypertension .is .diagnosed .with .chronic
.obstructive .pulmonary .disease .(COPD).
Which .action .should .be .taken .prior .to .prescribing .medications .to .treat .COPD? .-
.CORRECT .ANSWER-Obtain .a .complete .medication .history
Need .to .assess .for .any .potential .drug-drug .interactions
A .patient .with .chronic .pain .calls .the .provider's .office .to .request .a .refill .for
.oxycodone.
Which .action .is .most .appropriate? .- .CORRECT .ANSWER-Schedule .an
.appointment .with .the .patient .
Oxycodone .is .a .schedule .2 .drug .
Schedule .2 .and .3 .APRN .need .a .waiver .as .well .as .authority .from .the .DEA .to
.prescribe .those .medications .
Schedule .1 .illegal .down .to .schedule .5
A .patient .is .using .a .metered-dose .inhaler .containing .albuterol .for .asthma. .The
.medication .label .instructs .the .patient .to .administer ."two .puffs .every .4 .hours .as
.needed .for .coughing .or .wheezing." .The .patient .reports .feeling .jittery
.sometimes .when .taking .the .medication, .and .she .does .not .feel .that .the
.medication .is .always .effective.
Which .action .is .most .appropriate? .- .CORRECT .ANSWER-Auscultating .the
.patients .lung .sounds .and .obtaining .VS
, Performing .a .physical .assessment .is .the .most .beneficial
The .nurse .administers .naloxone .to .a .patient .who .has .received .a .toxic .dose .of
.morphine .sulfate.
The .naloxone .is .effective .because .of .which .action? .- .CORRECT .ANSWER-
Preventing .activation .of .opioid .receptors .through .antagonist .actions .
Naloxone .acts .by .blocking .the .action .of .opioids .at .opioid .receptors
The .nurse .is .preparing .to .administer .penicillin .G .intramuscularly .to .a .child. .The
.child's .parents .ask .why .the .drug .cannot .be .given .in .an .oral .liquid .form.
What .is .the .nurse's .reply? .- .CORRECT .ANSWER-"This .drug .would .be
.inactivated .by .enzymes .in .the .stomach"
Ipratropium .bromide .is .a .quaternary .ammonium .derivative .of .the .prototype
.drug .atropine. .It .is .used .for .bronchodilation.
Why .would .a .medicinal .chemist .want .to .alter .this .prototype? .- .CORRECT
.ANSWER-To .allow .for .higher .doses .to .be .delivered .
Ipratropium .bromide .can .cause .greater .bronchodilation .with .less .toxicity .from
.systemic .absorption
Of .the .four .drugs .listed, .which .drug .would .you .expect .to .have .a .unique .side
.effect .profile .and .unique .mechanism .of .action .from .the .others? .- .CORRECT
.ANSWER-Losartan
Which .is .an .angiotensin .receptor .blocker .and .bradykinin .cough .is .not .present.
.Meds .end .in .-sartan
Angiotension .converting .enzyme .inhibitors .(ACE .Inhibitors) .increase .bradykinin
.which .produces .S/E .of .cough. .Meds .end .in .-pril
Sildenafil .is .a .prototype .of .phosphodiesterase .type .5 .inhibitors .(PDE5
.inhibitors) .that .Pfizer .launched .as .Viagra.
Which .drug .is .also .a .PDE5 .inhibitor? .- .CORRECT .ANSWER-Tadalafil .
Ends .in .-afil
A .family .nurse .practitioner .practicing .in .Maine .is .hired .at .a .practice .across
.state .lines .in .Virginia. .Which .aspect .of .practice .may .change .for .the .APRN? .-
.CORRECT .ANSWER-The .APRN .will .have .less .prescriptive .authority .in .the .new
.position
A .patient .prescribed .amoxicillin .for .streptococcal .pharyngitis .reports .new .onset
.of .a .flat, .itchy .red .rash .on .the .chest .and .neck. .Which .action .is .most
.important? .- .CORRECT .ANSWER-Discontinue .the .med
pt .is .experiencing .an .allergic .response
