WGU D116 ADVANCED PHARMACOLOGY OBJECTIVE
ASSESSMENT ACTUAL EXAM 2025/2026
QUESTIONS WITH VERIFIED CORRECT SOLUTIONS ||
100% GUARANTEED PASS <BRAND NEW VERSION>
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
Taking the medications together can cause a serious drop in blood pressure
leading to cardiovascular collapse.
A 20-year-old patient with cancer is admitted to a medical surgical floor with
diarrhea. The stool cultures return positive for Clostridium difficile.
Which antibiotic should be prescribed for this patient?
Metronidazole
Ciprofloxacin
Doxycycline
Gentamicin - ANSWER Metronidazole
, A mother brings her one-year-old son to a routine checkup. It is almost flu
season, and she wants to get a flu vaccine for her son. This will be his first flu
vaccine. She is hoping the intranasal vaccine will be used so her son does not
have to be poked with a needle.
What are the flu vaccine options, if any, for this patient?
Intradermal influenza vaccines are the only recommended formulations for
children four years and younger.
The intranasal vaccine is recommended as first choice for children six months
and older.
Influenza vaccines are only available for children two years and older.
For patients six months old to two years old, the influenza vaccine
administered intramuscularly is the only recommended option. - ANSWER
For patients six months old to two years old, the influenza vaccine
administered intramuscularly is the only recommended option.
An adult female patient was placed on doxycycline. The patient states it has
made her stomach upset, and she wants to know if there are any problems
with her taking it with meals.
Which advice should be provided?
Milk will help with the absorption of doxycycline and will protect the
stomach from being upset.
Doxycycline may be given with food to decrease the upset stomach and will
only slightly decrease absorption of the drug.
An over-the-counter antacid may be taken with doxycycline to protect the
stomach from being upset and will have little effect on the absorption of
doxycycline.
Iron supplements will be helpful in decreasing the upset stomach and will not
affect absorption of doxycycline. - ANSWER Doxycycline may be given
with food to decrease the upset stomach and will only slightly decrease
absorption of the drug.
, A 75-year-old patient comes to an emergency room after eating shellfish. He
presents with shortness of breath, swollen eyes, and hives. The patient was
given a dose of epinephrine intravenously and is stable enough to discharge.
Which other medication should the patient be placed on to prevent a second
reaction?
Phenobarbital
Hydrocodone
Atropine sulfate
Cetirizine - ANSWER Cetirizine
An adult patient presents to a clinic complaining of nasal congestion with
sneezing, itching, and rhinorrhea. The patient reports to an advanced practice
registered nurse (APRN) that cetirizine 10 mg is taken once daily, but the
nasal congestion continues.
Which medication should the APRN consider adding to this regimen?
Fluticasone
Ipratropium
Azelastine
Olopatadine - ANSWER Fluticasone
A two-year-old patient accompanied by a parent comes into a clinic to see an
advanced practice registered nurse (APRN). The APRN determines that the
patient is suffering from allergic rhinitis and prescribes an antihistamine to
treat a mild allergy.
Which medication should the APRN avoid prescribing?
Fexofenadine
Desloratadine
Promethazine
Cetirizine - ANSWER Promethazine
A patient presents with complaint of pain and swelling of the big left toe.
The patient has never experienced this problem before. It is determined that
, the patient is having an acute gouty attack. The patient's history is significant
for an allergy to ibuprofen that results in a rash.
Which treatment is appropriate for this patient?
Allopurinol
Indomethacin
Naproxen
Colchicine - ANSWER Colchicine
An adult patient with rheumatoid arthritis is being treated with methotrexate,
folic acid, hydroxychloroquine, etanercept, and aspirin. Liver and kidney
function tests, complete blood count (CBC), and platelet count are requested
regularly.
Which additional procedure should be included to assess for adverse effects
of the drug regimen?
Lipid panel
Thyroid-stimulating hormone (TSH)
Ophthalmic exam
Hemoglobin A1c - ANSWER Ophthalmic exam
A patient has been diagnosed with rheumatoid arthritis, and the decision has
been made to start the patient on methotrexate and folic acid.
What is an appropriate starting dose of methotrexate for this patient? -
ANSWER 7.5 mg by mouth once weekly
A patient diagnosed with bipolar disorder who is in a mental health clinic is
discussing the possibility of beginning lithium with an advanced practice
registered nurse (APRN). The patient expresses understanding and wishes to
proceed with treatment. The APRN explains to the patient that this
medication requires specific lab monitoring and wants to draw baseline labs.
The patient asks why the test is needed.
ASSESSMENT ACTUAL EXAM 2025/2026
QUESTIONS WITH VERIFIED CORRECT SOLUTIONS ||
100% GUARANTEED PASS <BRAND NEW VERSION>
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
Taking the medications together can cause a serious drop in blood pressure
leading to cardiovascular collapse.
A 20-year-old patient with cancer is admitted to a medical surgical floor with
diarrhea. The stool cultures return positive for Clostridium difficile.
Which antibiotic should be prescribed for this patient?
Metronidazole
Ciprofloxacin
Doxycycline
Gentamicin - ANSWER Metronidazole
, A mother brings her one-year-old son to a routine checkup. It is almost flu
season, and she wants to get a flu vaccine for her son. This will be his first flu
vaccine. She is hoping the intranasal vaccine will be used so her son does not
have to be poked with a needle.
What are the flu vaccine options, if any, for this patient?
Intradermal influenza vaccines are the only recommended formulations for
children four years and younger.
The intranasal vaccine is recommended as first choice for children six months
and older.
Influenza vaccines are only available for children two years and older.
For patients six months old to two years old, the influenza vaccine
administered intramuscularly is the only recommended option. - ANSWER
For patients six months old to two years old, the influenza vaccine
administered intramuscularly is the only recommended option.
An adult female patient was placed on doxycycline. The patient states it has
made her stomach upset, and she wants to know if there are any problems
with her taking it with meals.
Which advice should be provided?
Milk will help with the absorption of doxycycline and will protect the
stomach from being upset.
Doxycycline may be given with food to decrease the upset stomach and will
only slightly decrease absorption of the drug.
An over-the-counter antacid may be taken with doxycycline to protect the
stomach from being upset and will have little effect on the absorption of
doxycycline.
Iron supplements will be helpful in decreasing the upset stomach and will not
affect absorption of doxycycline. - ANSWER Doxycycline may be given
with food to decrease the upset stomach and will only slightly decrease
absorption of the drug.
, A 75-year-old patient comes to an emergency room after eating shellfish. He
presents with shortness of breath, swollen eyes, and hives. The patient was
given a dose of epinephrine intravenously and is stable enough to discharge.
Which other medication should the patient be placed on to prevent a second
reaction?
Phenobarbital
Hydrocodone
Atropine sulfate
Cetirizine - ANSWER Cetirizine
An adult patient presents to a clinic complaining of nasal congestion with
sneezing, itching, and rhinorrhea. The patient reports to an advanced practice
registered nurse (APRN) that cetirizine 10 mg is taken once daily, but the
nasal congestion continues.
Which medication should the APRN consider adding to this regimen?
Fluticasone
Ipratropium
Azelastine
Olopatadine - ANSWER Fluticasone
A two-year-old patient accompanied by a parent comes into a clinic to see an
advanced practice registered nurse (APRN). The APRN determines that the
patient is suffering from allergic rhinitis and prescribes an antihistamine to
treat a mild allergy.
Which medication should the APRN avoid prescribing?
Fexofenadine
Desloratadine
Promethazine
Cetirizine - ANSWER Promethazine
A patient presents with complaint of pain and swelling of the big left toe.
The patient has never experienced this problem before. It is determined that
, the patient is having an acute gouty attack. The patient's history is significant
for an allergy to ibuprofen that results in a rash.
Which treatment is appropriate for this patient?
Allopurinol
Indomethacin
Naproxen
Colchicine - ANSWER Colchicine
An adult patient with rheumatoid arthritis is being treated with methotrexate,
folic acid, hydroxychloroquine, etanercept, and aspirin. Liver and kidney
function tests, complete blood count (CBC), and platelet count are requested
regularly.
Which additional procedure should be included to assess for adverse effects
of the drug regimen?
Lipid panel
Thyroid-stimulating hormone (TSH)
Ophthalmic exam
Hemoglobin A1c - ANSWER Ophthalmic exam
A patient has been diagnosed with rheumatoid arthritis, and the decision has
been made to start the patient on methotrexate and folic acid.
What is an appropriate starting dose of methotrexate for this patient? -
ANSWER 7.5 mg by mouth once weekly
A patient diagnosed with bipolar disorder who is in a mental health clinic is
discussing the possibility of beginning lithium with an advanced practice
registered nurse (APRN). The patient expresses understanding and wishes to
proceed with treatment. The APRN explains to the patient that this
medication requires specific lab monitoring and wants to draw baseline labs.
The patient asks why the test is needed.
