1|Page
WGU D116 Pharmacology review ||Verified Exam!!||
Most Recent Exam Actual Complete Real Exam
Questions And Correct Answers (Verified Answers)
Already Graded A+ | Guaranteed Success!! Newest
Exam!!!
An advanced practice registered nurse has diagnosed a
44-year-old male with depression. A plan is developed to
start treatment with medication. The patient has a history
of sexual dysfunction and is concerned about taking
medication that may worsen this condition.
Which antidepressant has the benefit of enhancing libido?
- Answer-YES Bupropion
Correct! Bupropion does not cause sexual dysfunction.
This will help the patient with a history of sexual
dysfunction. This will enhance the patient's libido, which
will help with both depression and sexual dysfunction.
A patient is wheezing and short of breath. The nurse
assesses a heart rate of 88 beats per minute, a respiratory
rate of 24 breaths per minute, and a blood pressure of
124/78 mm Hg. The prescriber orders a nonspecific beta-
agonist medication.
,2|Page
Besides evaluating the patient for a reduction in
respiratory distress, the nurse should monitor for which
side effect? - Answer-YES Tachycardia
Correct! Beta-agonists are used for asthma because of
their beta2 effects on bronchial smooth muscle, causing
dilation. Beta1 effects cause tachycardia and
hypertension. Beta receptors do not exert effects on the
bladder.
A patient is experiencing toxic side effects from atropine,
including delirium and hallucinations. Which medication
should the provider administer? - Answer-YES
Physostigmine
Correct! Physostigmine is the drug of choice for treating
poisoning from atropine and other drugs that cause
muscarinic blockade. Donepezil is used to treat Alzheimer
disease. Edrophonium is used to distinguish between a
myasthenic crisis and a cholinesterase inhibitor overdose.
Neostigmine does not cross the blood-brain barrier and
would not effectively treat this patient's central nervous
system (CNS) symptoms.
,3|Page
A patient brought to the emergency department requires
sutures. The prescriber orders a local anesthetic with
epinephrine.
The epinephrine is ordered to ___________. - Answer-
allow a reduced dose of the anesthetic
Correct! Epinephrine prolongs absorption of the anesthetic
because it is an alpha1 agonist. It is frequently combined
with a local anesthetic for this purpose so the amount of
anesthetic required may be reduced. Local anesthetics do
not induce hypertension; therefore, epinephrine would not
be needed to prevent it. Epinephrine does not act as an
antiemetic and would not reduce anesthetic-induced
nausea. Epinephrine is not used to reduce the pain of an
injection.
A patient has been diagnosed with Parkinson disease
(PD) and begins treatment with carbidopa. After several
months of therapy, the patient reports no change in
symptoms.
As the provider, you should do which of the following? -
Answer-Increase the dose of carbidopa
Discuss the "on-off" phenomenon
Reevaluate the diagnosis
, 4|Page
NO Add a dopamine agonist
Incorrect. Adding a dopamine agonist is not indicated.
A patient who is taking oral contraceptives begins taking
valproic acid for seizures. After a week of therapy with
valproic acid, the patient tells the nurse that she is
experiencing nausea.
What should the nurse do? - Answer-YES Ask the patient
if she is taking the valproic acid with food because taking
the drug on an empty stomach can cause gastrointestinal
side effects
Correct! Gastrointestinal effects, including nausea,
vomiting, and indigestion, are common with valproic acid
and can be minimized by taking the drug with food or
using an enteric-coated product. Hyperammonemia can
occur when valproic acid is combined with topiramate.
Signs of pregnancy usually do not occur within a week, so
this is less likely. Hepatotoxicity is a rare adverse effect.
A patient with cerebral palsy who has been receiving
baclofen via gastrostomy tube for three months is admitted
to the hospital for evaluation of new-onset seizures.
WGU D116 Pharmacology review ||Verified Exam!!||
Most Recent Exam Actual Complete Real Exam
Questions And Correct Answers (Verified Answers)
Already Graded A+ | Guaranteed Success!! Newest
Exam!!!
An advanced practice registered nurse has diagnosed a
44-year-old male with depression. A plan is developed to
start treatment with medication. The patient has a history
of sexual dysfunction and is concerned about taking
medication that may worsen this condition.
Which antidepressant has the benefit of enhancing libido?
- Answer-YES Bupropion
Correct! Bupropion does not cause sexual dysfunction.
This will help the patient with a history of sexual
dysfunction. This will enhance the patient's libido, which
will help with both depression and sexual dysfunction.
A patient is wheezing and short of breath. The nurse
assesses a heart rate of 88 beats per minute, a respiratory
rate of 24 breaths per minute, and a blood pressure of
124/78 mm Hg. The prescriber orders a nonspecific beta-
agonist medication.
,2|Page
Besides evaluating the patient for a reduction in
respiratory distress, the nurse should monitor for which
side effect? - Answer-YES Tachycardia
Correct! Beta-agonists are used for asthma because of
their beta2 effects on bronchial smooth muscle, causing
dilation. Beta1 effects cause tachycardia and
hypertension. Beta receptors do not exert effects on the
bladder.
A patient is experiencing toxic side effects from atropine,
including delirium and hallucinations. Which medication
should the provider administer? - Answer-YES
Physostigmine
Correct! Physostigmine is the drug of choice for treating
poisoning from atropine and other drugs that cause
muscarinic blockade. Donepezil is used to treat Alzheimer
disease. Edrophonium is used to distinguish between a
myasthenic crisis and a cholinesterase inhibitor overdose.
Neostigmine does not cross the blood-brain barrier and
would not effectively treat this patient's central nervous
system (CNS) symptoms.
,3|Page
A patient brought to the emergency department requires
sutures. The prescriber orders a local anesthetic with
epinephrine.
The epinephrine is ordered to ___________. - Answer-
allow a reduced dose of the anesthetic
Correct! Epinephrine prolongs absorption of the anesthetic
because it is an alpha1 agonist. It is frequently combined
with a local anesthetic for this purpose so the amount of
anesthetic required may be reduced. Local anesthetics do
not induce hypertension; therefore, epinephrine would not
be needed to prevent it. Epinephrine does not act as an
antiemetic and would not reduce anesthetic-induced
nausea. Epinephrine is not used to reduce the pain of an
injection.
A patient has been diagnosed with Parkinson disease
(PD) and begins treatment with carbidopa. After several
months of therapy, the patient reports no change in
symptoms.
As the provider, you should do which of the following? -
Answer-Increase the dose of carbidopa
Discuss the "on-off" phenomenon
Reevaluate the diagnosis
, 4|Page
NO Add a dopamine agonist
Incorrect. Adding a dopamine agonist is not indicated.
A patient who is taking oral contraceptives begins taking
valproic acid for seizures. After a week of therapy with
valproic acid, the patient tells the nurse that she is
experiencing nausea.
What should the nurse do? - Answer-YES Ask the patient
if she is taking the valproic acid with food because taking
the drug on an empty stomach can cause gastrointestinal
side effects
Correct! Gastrointestinal effects, including nausea,
vomiting, and indigestion, are common with valproic acid
and can be minimized by taking the drug with food or
using an enteric-coated product. Hyperammonemia can
occur when valproic acid is combined with topiramate.
Signs of pregnancy usually do not occur within a week, so
this is less likely. Hepatotoxicity is a rare adverse effect.
A patient with cerebral palsy who has been receiving
baclofen via gastrostomy tube for three months is admitted
to the hospital for evaluation of new-onset seizures.
