WGU D116 Pharmacology review
A 16-12 months-antique girl presents to a health center to talk about birth control. She would
really like to begin an oral contraceptive and has no contraindications for estrogen. She also
asks a sophisticated practice registered nurse (APRN) if there may be some thing she will be
able to take to help with her pimples.Which FDA-accepted medicinal drug will specially manage
each troubles? - ANS-NO Norethindrone
NO Levonorgestrel
NO Desogestrel
YES Drospirenone
Incorrect. This is a 2d-era blended oral contraceptive that does not work as each an oral
contraceptive and pimples control.
A 20-12 months-vintage patient with most cancers is admitted to a medical surgical floor with
diarrhea. The stool cultures return nice for Clostridium difficile.
Which antibiotic have to be prescribed for this patient?
Metronidazole
Ciprofloxacin
Doxycycline
Gentamicin - ANS-Metronidazole
A 21-12 months-vintage affected person followed by means of a discern involves a medical
institution for an emergency go to with a complicated exercise registered nurse (APRN)
following a seizure. Upon interviewing the affected person and the figure, the APRN determines
that the seizure is assessed via marked impairment of attention and is followed by using a
length of important apprehensive machine (CNS) despair.
Which form of seizure is that this affected person experiencing? - ANS-Atonic
NO Myoclonic
YES Tonic-clonic
Absence
Incorrect. Myoclonic seizures encompass a unexpected muscle contraction that lasts for simply
one second.
Correct! A tonic-clonic seizure is a form of seizure that is additionally known as a convulsion.
This sort of seizure can encompass muscle stiffness, lack of focus, and frame jerking.
A 26-year-antique affected person presents with sneezing, itching of the eyes and nostril, and
rhinorrhea. It is determined that the affected person has slight seasonal hypersensitive
reactions. The patient leads an lively life-style and wants to take some thing that does not cause
drowsiness.
Which oral antihistamine need to a sophisticated exercise registered nurse endorse? - ANS-NO
Promethazine
YES Fexofenadine
,Diphenhydramine
Hydroxyzine
Incorrect. This drug is used to treat sleeplessness and would now not be an excellent candidate
for this affected person because of causing drowsiness. Correct! This is a 2d-generation
antihistamine that has low to no ability to reason drowsiness.
A 30-year-vintage patient affords to a number one care sanatorium with a history of tension. The
superior practice registered nurse evaluations the mechanism of movement by way of which
many neuropharmacological marketers act and comes to a decision to prescribe citalopram.
What is the mechanism of action of this medicinal drug? - ANS-YES Influences receptor interest
on course cells
Correct! This medication impacts the activity within the receptors, and it objectives cells.
A 30-year-old affected person with a prognosis of paranoid schizophrenia has been residing in a
long-term mental fitness institute. The patient is getting ready to be discharged into a set-home
putting that has no clinical personnel on site. The patient has been noncompliant with taking oral
remedy within the past and is in need of an antipsychotic.
A case manager is working on a plan to assist the affected person stay compliant with
medication.
Which approach need to be used to meet this intention?
Reminder phone call
Home fitness
Monthly injections
Automatic pill box - ANS-Monthly injections
A 32-12 months-antique woman is discussing contraceptive alternatives with a complicated
practice registered nurse (APRN). The affected person is currently taking an oral contraceptive
pill and has no contraindications to estrogen remedy. She tells the APRN that she is satisfied
with the pill because it helps her skin but actually does no longer like having to take some thing
each day. She is making plans on getting pregnant in 10-three hundred and sixty five days while
she is done together with her graduate diploma.
Which recommendation have to the APRN make for this patient?
Sub-dermal etonogestrel implant
Intrauterine device
Vaginal contraceptive ring
Continue oral contraceptive pill - ANS-Vaginal contraceptive ring
A 32-year-antique lady offers to an advanced exercise registered nurse (APRN) with excessive
nausea and vomiting at some point of being pregnant and calls for pharmaceutical therapy. The
APRN knows that a few medicinal drug solutions must be averted for the duration of being
pregnant.
Which medicine falls into this class?
Metoclopramide
,Chenodiol
Prochlorperazine
Ondansetron - ANS-Chenodiol
A 34-12 months-antique patient involves a health facility complaining of pain inside the left
shoulder. The advanced practice registered nurse (APRN) assesses the affected person and
notices that the affected person has a limited variety of motion inside the shoulder because of
swelling. The APRN determines that the patient must be prescribed a medicinal drug that treats
peripheral frightened gadget disorders.
Which remedy has the APRN prescribed?
Naproxen
Metoclopramide Hcl
Sumatriptan
Acetaminophen - ANS-
A 34-year-vintage affected person involves a medical institution complaining of pain within the
left shoulder. The advanced exercise registered nurse (APRN) assesses the affected person
and notices that the patient has a limited variety of movement in the shoulder because of
swelling. The APRN determines that the affected person need to be prescribed a medicinal drug
that treats peripheral frightened machine problems.
Which medicine has the APRN prescribed?
Naproxen
Metoclopramide Hcl
Sumatriptan
Acetaminophen - ANS-Naproxen
A 35-12 months-antique female who's a nonsmoker is satisfied along with her blended oral
hormonal contraceptive; however, she regularly forgets to take her capsules and would love to
speak about other options. She would also choose to avoid any contraceptive that must be
inserted into her frame.
Which medication ought to be recommended for this patient?
Spermicide
Transdermal patch
Subdermal implant
Vaginal IUD - ANS-Transdermal patch
A 35-yr-antique mom who's currently breastfeeding her four-month-antique child comes to a
hospital for an assessment of a sinus contamination. The superior exercise registered nurse
needs to prescribe medication that doesn't pass across the membrane into the breast milk.
Which type of medicinal drug crosses this membrane?
Ionized
Polar
Protein-sure
Lipid-soluble - ANS-Lipid-soluble
, A forty-yr-antique woman is recognized with acute pyelonephritis with symptoms of fever, chills,
excessive flank pain, dysuria, urinary frequency, and urinary urgency. The affected person is
prescribed levofloxacin for 14 days.
Which bacterium is being handled in this patient?
Pseudomonas aeruginosa
Borrelia burgdorferi
Staphylococcus aureus
Escherichia coli - ANS-Escherichia coli
A 42-12 months-vintage lady asks a complicated exercise registered nurse (APRN) for assist
with weight loss. Her cutting-edge body mass index (BMI) is 33.
Which intention is sensible for this affected person?
Target weight reduction of 20%-25% in six months
Reaching target body mass index (BMI) in a single month
Reaching target body mass index (BMI) in three months
Target weight loss of 10%-15% in six months - ANS-Target weight loss of 10%-15% in six
months
A forty two-yr-old affected person stricken by pain due to most cancers comes to a health center
and visits with the advanced practice registered nurse (APRN). The APRN formerly had
prescribed morphine to deal with the ache. The patient is concerned because her bowel
movements have grow to be irregular and asks the APRN why she is experiencing constipation.
How need to the APRN respond?
The drug depresses peristalsis, prolonging drug transit time.
The drug reasons an boom in the absorption of the nutrients.
The drug is minimally absorbed if taken orally.
The drug reduces nearby blood go with the flow, reducing the absorption of other pills. -
ANS-The drug depresses peristalsis, prolonging drug transit time.
A 43-year-vintage male has type 2 diabetes, high blood pressure, melancholy, and obesity. He
is presently on the following medications: 50 mg losartan qd, 1000 mg metformin bid,
atorvastatin 20 mg, and escitalopram 10 mg. The affected person has formerly attempted
liraglutide but most effective misplaced 6.Five lbs. During his visit he says, "I'm in order that
frustrated with my weight. Nothing appears to work, and I don't know what to do."His vital
symptoms are as follows:BP: 134/88HR: 80SpO2: 98%T: ninety eight.7Height: 6'Weight: 325
lbs.In addition to discussing therapeutic lifestyle modifications such as diet and exercising, the
crew dietitian and therapist are helping with behavioral adjustments.Which treatment plan
addition is suitable for this patient? - ANS-Discuss an outpatient weightloss program
Trial of phentermine
YES Discuss bariatric surgical operation
Trial of phentermine and topiramate
Correct! Due to the patient's failed attempts at both way of life changes and the usage of
medicines, it is advisable to speak about the choice of bariatric surgical procedure.
A 16-12 months-antique girl presents to a health center to talk about birth control. She would
really like to begin an oral contraceptive and has no contraindications for estrogen. She also
asks a sophisticated practice registered nurse (APRN) if there may be some thing she will be
able to take to help with her pimples.Which FDA-accepted medicinal drug will specially manage
each troubles? - ANS-NO Norethindrone
NO Levonorgestrel
NO Desogestrel
YES Drospirenone
Incorrect. This is a 2d-era blended oral contraceptive that does not work as each an oral
contraceptive and pimples control.
A 20-12 months-vintage patient with most cancers is admitted to a medical surgical floor with
diarrhea. The stool cultures return nice for Clostridium difficile.
Which antibiotic have to be prescribed for this patient?
Metronidazole
Ciprofloxacin
Doxycycline
Gentamicin - ANS-Metronidazole
A 21-12 months-vintage affected person followed by means of a discern involves a medical
institution for an emergency go to with a complicated exercise registered nurse (APRN)
following a seizure. Upon interviewing the affected person and the figure, the APRN determines
that the seizure is assessed via marked impairment of attention and is followed by using a
length of important apprehensive machine (CNS) despair.
Which form of seizure is that this affected person experiencing? - ANS-Atonic
NO Myoclonic
YES Tonic-clonic
Absence
Incorrect. Myoclonic seizures encompass a unexpected muscle contraction that lasts for simply
one second.
Correct! A tonic-clonic seizure is a form of seizure that is additionally known as a convulsion.
This sort of seizure can encompass muscle stiffness, lack of focus, and frame jerking.
A 26-year-antique affected person presents with sneezing, itching of the eyes and nostril, and
rhinorrhea. It is determined that the affected person has slight seasonal hypersensitive
reactions. The patient leads an lively life-style and wants to take some thing that does not cause
drowsiness.
Which oral antihistamine need to a sophisticated exercise registered nurse endorse? - ANS-NO
Promethazine
YES Fexofenadine
,Diphenhydramine
Hydroxyzine
Incorrect. This drug is used to treat sleeplessness and would now not be an excellent candidate
for this affected person because of causing drowsiness. Correct! This is a 2d-generation
antihistamine that has low to no ability to reason drowsiness.
A 30-year-vintage patient affords to a number one care sanatorium with a history of tension. The
superior practice registered nurse evaluations the mechanism of movement by way of which
many neuropharmacological marketers act and comes to a decision to prescribe citalopram.
What is the mechanism of action of this medicinal drug? - ANS-YES Influences receptor interest
on course cells
Correct! This medication impacts the activity within the receptors, and it objectives cells.
A 30-year-old affected person with a prognosis of paranoid schizophrenia has been residing in a
long-term mental fitness institute. The patient is getting ready to be discharged into a set-home
putting that has no clinical personnel on site. The patient has been noncompliant with taking oral
remedy within the past and is in need of an antipsychotic.
A case manager is working on a plan to assist the affected person stay compliant with
medication.
Which approach need to be used to meet this intention?
Reminder phone call
Home fitness
Monthly injections
Automatic pill box - ANS-Monthly injections
A 32-12 months-antique woman is discussing contraceptive alternatives with a complicated
practice registered nurse (APRN). The affected person is currently taking an oral contraceptive
pill and has no contraindications to estrogen remedy. She tells the APRN that she is satisfied
with the pill because it helps her skin but actually does no longer like having to take some thing
each day. She is making plans on getting pregnant in 10-three hundred and sixty five days while
she is done together with her graduate diploma.
Which recommendation have to the APRN make for this patient?
Sub-dermal etonogestrel implant
Intrauterine device
Vaginal contraceptive ring
Continue oral contraceptive pill - ANS-Vaginal contraceptive ring
A 32-year-antique lady offers to an advanced exercise registered nurse (APRN) with excessive
nausea and vomiting at some point of being pregnant and calls for pharmaceutical therapy. The
APRN knows that a few medicinal drug solutions must be averted for the duration of being
pregnant.
Which medicine falls into this class?
Metoclopramide
,Chenodiol
Prochlorperazine
Ondansetron - ANS-Chenodiol
A 34-12 months-antique patient involves a health facility complaining of pain inside the left
shoulder. The advanced practice registered nurse (APRN) assesses the affected person and
notices that the affected person has a limited variety of motion inside the shoulder because of
swelling. The APRN determines that the patient must be prescribed a medicinal drug that treats
peripheral frightened gadget disorders.
Which remedy has the APRN prescribed?
Naproxen
Metoclopramide Hcl
Sumatriptan
Acetaminophen - ANS-
A 34-year-vintage affected person involves a medical institution complaining of pain within the
left shoulder. The advanced exercise registered nurse (APRN) assesses the affected person
and notices that the patient has a limited variety of movement in the shoulder because of
swelling. The APRN determines that the affected person need to be prescribed a medicinal drug
that treats peripheral frightened machine problems.
Which medicine has the APRN prescribed?
Naproxen
Metoclopramide Hcl
Sumatriptan
Acetaminophen - ANS-Naproxen
A 35-12 months-antique female who's a nonsmoker is satisfied along with her blended oral
hormonal contraceptive; however, she regularly forgets to take her capsules and would love to
speak about other options. She would also choose to avoid any contraceptive that must be
inserted into her frame.
Which medication ought to be recommended for this patient?
Spermicide
Transdermal patch
Subdermal implant
Vaginal IUD - ANS-Transdermal patch
A 35-yr-antique mom who's currently breastfeeding her four-month-antique child comes to a
hospital for an assessment of a sinus contamination. The superior exercise registered nurse
needs to prescribe medication that doesn't pass across the membrane into the breast milk.
Which type of medicinal drug crosses this membrane?
Ionized
Polar
Protein-sure
Lipid-soluble - ANS-Lipid-soluble
, A forty-yr-antique woman is recognized with acute pyelonephritis with symptoms of fever, chills,
excessive flank pain, dysuria, urinary frequency, and urinary urgency. The affected person is
prescribed levofloxacin for 14 days.
Which bacterium is being handled in this patient?
Pseudomonas aeruginosa
Borrelia burgdorferi
Staphylococcus aureus
Escherichia coli - ANS-Escherichia coli
A 42-12 months-vintage lady asks a complicated exercise registered nurse (APRN) for assist
with weight loss. Her cutting-edge body mass index (BMI) is 33.
Which intention is sensible for this affected person?
Target weight reduction of 20%-25% in six months
Reaching target body mass index (BMI) in a single month
Reaching target body mass index (BMI) in three months
Target weight loss of 10%-15% in six months - ANS-Target weight loss of 10%-15% in six
months
A forty two-yr-old affected person stricken by pain due to most cancers comes to a health center
and visits with the advanced practice registered nurse (APRN). The APRN formerly had
prescribed morphine to deal with the ache. The patient is concerned because her bowel
movements have grow to be irregular and asks the APRN why she is experiencing constipation.
How need to the APRN respond?
The drug depresses peristalsis, prolonging drug transit time.
The drug reasons an boom in the absorption of the nutrients.
The drug is minimally absorbed if taken orally.
The drug reduces nearby blood go with the flow, reducing the absorption of other pills. -
ANS-The drug depresses peristalsis, prolonging drug transit time.
A 43-year-vintage male has type 2 diabetes, high blood pressure, melancholy, and obesity. He
is presently on the following medications: 50 mg losartan qd, 1000 mg metformin bid,
atorvastatin 20 mg, and escitalopram 10 mg. The affected person has formerly attempted
liraglutide but most effective misplaced 6.Five lbs. During his visit he says, "I'm in order that
frustrated with my weight. Nothing appears to work, and I don't know what to do."His vital
symptoms are as follows:BP: 134/88HR: 80SpO2: 98%T: ninety eight.7Height: 6'Weight: 325
lbs.In addition to discussing therapeutic lifestyle modifications such as diet and exercising, the
crew dietitian and therapist are helping with behavioral adjustments.Which treatment plan
addition is suitable for this patient? - ANS-Discuss an outpatient weightloss program
Trial of phentermine
YES Discuss bariatric surgical operation
Trial of phentermine and topiramate
Correct! Due to the patient's failed attempts at both way of life changes and the usage of
medicines, it is advisable to speak about the choice of bariatric surgical procedure.
