WGU D116 Pharmacology review || Most Recent
Exam 2026-2027 Actual Complete Real Exam
Questions And Correct Answers (Verified
Answers) Already Graded A+ | Guaranteed
Success!! Newest Exam | Just Released!!
A 58-year-old male patient presents to a clinic with rheumatoid
arthritis (RA). An advanced practice registered nurse plans to
prescribe leflunomide to treat this condition.Which laboratory
screening test is recommended prior to starting this
medication? - ANSWER -YES Tuberculosis
Cholesterol
Diabetes
Influenza
Correct! Leflunomide may increase the risk for serious
infection. The drug is immunosuppressive and can suppress
the bone marrow.
How will these drug interactions affect this patient?
An elderly patient with a history of asthma and hypertension
presents to the emergency department complaining of chest
pain and shortness of breath. The advanced practice registered
nurse (APRN) reviews the patient's current medications and
notes that the patient is taking propranolol and inhaled
albuterol.
Propranolol can increase albuterol's therapeutic effect.
,Albuterol can increase propranolol's therapeutic effect.
Propranolol can decrease albuterol's therapeutic effect.
Albuterol can decrease propranolol's therapeutic effect. -
ANSWER -Propranolol can decrease albuterol's therapeutic
effect.
A 35-year-old mother who is currently breastfeeding her four-
month-old baby comes to a clinic for an evaluation of a sinus
infection. The advanced practice registered nurse needs to
prescribe medication that does not pass across the membrane
into the breast milk.
Which type of medication crosses this membrane?
Ionized
Polar
Protein-
bound
Lipid-soluble - ANSWER -Lipid-
soluble
A 42-year-old patient suffering from pain due to cancer comes
to a clinic and visits with the advanced practice registered
nurse (APRN). The APRN previously had prescribed morphine
to treat the pain. The patient is concerned because her bowel
movements have become irregular and asks the APRN why she
is experiencing constipation.
How should the APRN respond?
The drug depresses peristalsis, prolonging drug transit time.
The drug causes an increase in the absorption of the nutrients.
The drug is minimally absorbed if taken orally.
,The drug reduces regional blood flow, reducing the absorption
of other drugs. - ANSWER -The drug depresses peristalsis,
prolonging drug transit time.
An advanced practice registered nurse is prescribing
dobutamine for a patient in cardiogenic shock.
Which outcome is expected when this drug is used?
Reduces blood clots from forming
Increases heart rate
Dissolves blood clots that are present
Decreases heart rate - ANSWER -Increases heart rate
An advanced practice registered nurse (APRN) volunteers one
day per month at a local free clinic in the community and is
seeing a 43-year-old Caucasian patient with hypertension. The
patient's blood pressure is 196/100, and the patient states being
prescribed three blood pressure medications: metoprolol 100
mg bid, losartan 50 mg daily, and clonidine 0.1 mg tid.
The patient states that there is no way to check blood pressure,
and upon reviewing all the patient's medications, the APRN
notes that the losartan has not been filled for three months and
only 10 pills remain. The patient admits taking half the
prescribed dose so the pills last longer.
Which action should be taken by the APRN?
Run liver and thyroid function tests due to skipping doses of
the losartan
Educate the patient on the need to take the medication as
prescribed
, Measure creatine kinase level to determine renal function
related to the losartan Enroll th - ANSWER -Enroll the patient in
the local Mission prescription assistance program
A 78-year-old woman is diagnosed with chronic open-angle
glaucoma. She has a past history of first-degree
atrioventricular block and bradycardia.
Which medication should be avoided by this patient?
Timolol
Pilocarpine
Dorzolamide
Acetazolamide - ANSWER -Timolol
An advanced practice registered nurse (APRN) is evaluating a
patient at a sixmonth follow-up appointment. The patient is
taking cimetidine 1 g at bedtime, metoprolol 100 mg daily,
aspirin 81 mg daily, and metformin 1 g daily. The patient's vitals
are BP 160/90, pulse 110, respirations 12, and temperature
97.8°F.
The patient is concerned that her blood pressure and pulse are
still elevated. The patient tells the APRN she does not want to
take another pill because she feels she is taking too many.
Which action should the APRN take next?
Use propranolol instead of metoprolol because the original
drug may decrease the effectiveness of the cimetidine
Change the cimetidine to ranitidine because the original drug
may decrease the effectiveness of the metoprolol
Increase the metoprolol to 150 mg daily because the current
dose does not appear to be working
Exam 2026-2027 Actual Complete Real Exam
Questions And Correct Answers (Verified
Answers) Already Graded A+ | Guaranteed
Success!! Newest Exam | Just Released!!
A 58-year-old male patient presents to a clinic with rheumatoid
arthritis (RA). An advanced practice registered nurse plans to
prescribe leflunomide to treat this condition.Which laboratory
screening test is recommended prior to starting this
medication? - ANSWER -YES Tuberculosis
Cholesterol
Diabetes
Influenza
Correct! Leflunomide may increase the risk for serious
infection. The drug is immunosuppressive and can suppress
the bone marrow.
How will these drug interactions affect this patient?
An elderly patient with a history of asthma and hypertension
presents to the emergency department complaining of chest
pain and shortness of breath. The advanced practice registered
nurse (APRN) reviews the patient's current medications and
notes that the patient is taking propranolol and inhaled
albuterol.
Propranolol can increase albuterol's therapeutic effect.
,Albuterol can increase propranolol's therapeutic effect.
Propranolol can decrease albuterol's therapeutic effect.
Albuterol can decrease propranolol's therapeutic effect. -
ANSWER -Propranolol can decrease albuterol's therapeutic
effect.
A 35-year-old mother who is currently breastfeeding her four-
month-old baby comes to a clinic for an evaluation of a sinus
infection. The advanced practice registered nurse needs to
prescribe medication that does not pass across the membrane
into the breast milk.
Which type of medication crosses this membrane?
Ionized
Polar
Protein-
bound
Lipid-soluble - ANSWER -Lipid-
soluble
A 42-year-old patient suffering from pain due to cancer comes
to a clinic and visits with the advanced practice registered
nurse (APRN). The APRN previously had prescribed morphine
to treat the pain. The patient is concerned because her bowel
movements have become irregular and asks the APRN why she
is experiencing constipation.
How should the APRN respond?
The drug depresses peristalsis, prolonging drug transit time.
The drug causes an increase in the absorption of the nutrients.
The drug is minimally absorbed if taken orally.
,The drug reduces regional blood flow, reducing the absorption
of other drugs. - ANSWER -The drug depresses peristalsis,
prolonging drug transit time.
An advanced practice registered nurse is prescribing
dobutamine for a patient in cardiogenic shock.
Which outcome is expected when this drug is used?
Reduces blood clots from forming
Increases heart rate
Dissolves blood clots that are present
Decreases heart rate - ANSWER -Increases heart rate
An advanced practice registered nurse (APRN) volunteers one
day per month at a local free clinic in the community and is
seeing a 43-year-old Caucasian patient with hypertension. The
patient's blood pressure is 196/100, and the patient states being
prescribed three blood pressure medications: metoprolol 100
mg bid, losartan 50 mg daily, and clonidine 0.1 mg tid.
The patient states that there is no way to check blood pressure,
and upon reviewing all the patient's medications, the APRN
notes that the losartan has not been filled for three months and
only 10 pills remain. The patient admits taking half the
prescribed dose so the pills last longer.
Which action should be taken by the APRN?
Run liver and thyroid function tests due to skipping doses of
the losartan
Educate the patient on the need to take the medication as
prescribed
, Measure creatine kinase level to determine renal function
related to the losartan Enroll th - ANSWER -Enroll the patient in
the local Mission prescription assistance program
A 78-year-old woman is diagnosed with chronic open-angle
glaucoma. She has a past history of first-degree
atrioventricular block and bradycardia.
Which medication should be avoided by this patient?
Timolol
Pilocarpine
Dorzolamide
Acetazolamide - ANSWER -Timolol
An advanced practice registered nurse (APRN) is evaluating a
patient at a sixmonth follow-up appointment. The patient is
taking cimetidine 1 g at bedtime, metoprolol 100 mg daily,
aspirin 81 mg daily, and metformin 1 g daily. The patient's vitals
are BP 160/90, pulse 110, respirations 12, and temperature
97.8°F.
The patient is concerned that her blood pressure and pulse are
still elevated. The patient tells the APRN she does not want to
take another pill because she feels she is taking too many.
Which action should the APRN take next?
Use propranolol instead of metoprolol because the original
drug may decrease the effectiveness of the cimetidine
Change the cimetidine to ranitidine because the original drug
may decrease the effectiveness of the metoprolol
Increase the metoprolol to 150 mg daily because the current
dose does not appear to be working
