WGU D441 PHARMACOLOGY OA/WGU D441
OBJECTIVE ASSESSMENT FINAL EXAM
2025/2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST| BRAND NEW VERSION
!!!|LATEST UPDATE
The nurse has given instructions for taking codeine sulfate to a client with a severe headache.
Which statement by the client indicates the teaching has been effective?
Codeine sulfate can cause constipation, so the client is instructed to increase fluid intake to
prevent this occurrence.
The nurse is caring for a client receiving morphine sulfate for pain. Because this medication has
been prescribed for the client, which nursing action would be included in the plan of care?
Morphine sulfate suppresses the cough reflex. Clients need to be encouraged to cough and
deep-breathe to prevent pneumonia
The nurse is caring for a client who has been taking hydrocodone for the last 3 months. For
which side and adverse effects of this medication would the nurse assess the client?
Psychological and physical dependence
The nurse is caring for a client who underwent an open reduction internal fixation to the right
hip. When administering opioid analgesics for pain, the nurse would instruct the client that
which are side and adverse effects of opioid analgesics?
Sedation, Constipation, Respiratory Depression
A client reports frequent use of acetaminophen for relief of headaches and other discomforts.
The nurse would evaluate which diagnostic data to determine whether the client is at risk for
toxicity?
1|Page
,Liver function studies
The nurse is caring for a client receiving codeine sulfate for pain. The nurse determines that the
client is experiencing a side or adverse effect of the medication based on which finding?
No bowel movement in 3 days
A client with cancer is receiving a continuous intravenous infusion of morphine sulfate. The
nurse monitoring the client for adverse effects would become most concerned about which vital
sign?
Respirations of 10 breaths/minute as well as blood pressure and pulse if are low
Which drug is indicated for the treatment of Gout?
Allupurinol
Ketoralac is favorable for which patients?
For former Opiate Users
A client is Experiencing toxicity to Acetaminophen. Which of the following antidotes must be
given to the client to counteract the toxicity of the analgesic drug?
Acetylcysteine
A client presents with mild joint pain and has been taking over-the-counter acetaminophen for
the treatment of his symptoms. The client has a history of alcohol abuse. Based on the current
medication and social history of the client, which of the following is the client at risk for
developing?
Hepatotoxicity
Which of the following analgesics is a preferred choice for breastfeeding woman?
Acetaminophen
A client is receiving patient-controlled analgesia (PCA). When is it appropriate to notify the
healthcare provider (HCP) for an increase in dosage?
When the client attempts are two times the dose of medication given.
During an overdose of acetaminophen, which of the following labs must the nurse monitor?
AST and ALT as they are Liver Labs and Acetaminophen causes liver toxicity
A client with colorectal cancer undergoes bowel resection surgery. Which of the following
medications is recommended the treat the client's postoperative pain?
2|Page
,Morphine is recommended for sever, acute pain and Postoperatively
What is the priority action of the nurse caring for a client receiving opioid analgesic medication
via patient-controlled analgesic (PCA) pump?
AIR Acronym for the Nursing Process= Assessment, then Intervention, Then Reassessment
Answer is Pain Assesment
A nurse is caring for a 5-year-old client with influenza. The client has symptoms of a fever and
muscle aches. Which of the following pharmacological agents is recommended for this client?
Acetaminophen is an antipyretic and an analgesic used with children with fevers/Viruses
Which of the following pharmacological agents decreases prostaglandins response to reduce
pain and inflammation?
Ascetylsalicylic Acid (Aspirin)
Which of the following clients have an increased risk for death, in relation to opioid use?
A 70-year-old patient with hip surgery. Older patients and then patients with respiratory
problems like COPD, Asthma
A client presents with muscle aches and is prescribed a topical analgesic with capsaicin. Which
of the following statements from the client ensures the proper understanding of the use of the
medication?
The medication will cause local irritation which is normal
Which of the following is indicated for clients as pain management after surgery or long-term
recovery?
Patient controlled analgesia (PCA) pump
Which of the following is indicative of use of Fentanyl Patch?
Chronic Pain/Persistent Pain, Not Acute Pain; It does not provide immediate pain relief and is
not used Post-operatively
A client is receiving patient-controlled analgesia (PCA) postoperatively. After three hours the
nurse finds the client is having trouble breathing and is feeling dizzy and lightheaded. Which of
the following is the nurse's priority action?
Wake the client and asses vital signs: AIMS
A=ABC
I= Intervention Oxygenation
3|Page
, M= Make HCP aware
S= Second Dose of Naloxone
Which of the following potent analgesics is recommended for chronic, persistent pain that takes
up to 17 hours for full effect?
Fentanyl
A client with rheumatoid arthritis is educated to take ibuprofen to relieve the symptoms. Which
of the following must the nurse educate the client on the safety of the analgesic drug? Select all
that apply.
Dont Take on Empty Stomach
Dont Take Vitamin E Supplements
Dont Take Gingko Supplements
Which of the following clients must avoid using non-steroidal anti-inflammatory drugs
(NSAIDs)? Select all that apply.
A Client with Asthma/NasalPolyps, A Client with Peptic Ulcer Disease, A Client with a Recent
Nephrectomy, Not good for patients with Renal Disease
Most Common Long-Term Side Effects for Opioids
Constipation
Which is a priority nursing intervention for a client receiving IV Opioids for pain?
Assess for signs of respiratory depression because Assessment comes before Intervention
A client with a recent diagnosis of gout is seeking effective treatment for pain. Which of the
following analgesic drugs is most appropriate for this client?
Naproxen
N: Naproxen
S: Salicylic Acid
A: Acetylsylic Acid
I: Ibuprofen and another I med (Written in Notes)
K: Ketoralac
Which of the following topical agents is effective for relieving rheumatoid arthritis pain in adult
clients?
4|Page
OBJECTIVE ASSESSMENT FINAL EXAM
2025/2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST| BRAND NEW VERSION
!!!|LATEST UPDATE
The nurse has given instructions for taking codeine sulfate to a client with a severe headache.
Which statement by the client indicates the teaching has been effective?
Codeine sulfate can cause constipation, so the client is instructed to increase fluid intake to
prevent this occurrence.
The nurse is caring for a client receiving morphine sulfate for pain. Because this medication has
been prescribed for the client, which nursing action would be included in the plan of care?
Morphine sulfate suppresses the cough reflex. Clients need to be encouraged to cough and
deep-breathe to prevent pneumonia
The nurse is caring for a client who has been taking hydrocodone for the last 3 months. For
which side and adverse effects of this medication would the nurse assess the client?
Psychological and physical dependence
The nurse is caring for a client who underwent an open reduction internal fixation to the right
hip. When administering opioid analgesics for pain, the nurse would instruct the client that
which are side and adverse effects of opioid analgesics?
Sedation, Constipation, Respiratory Depression
A client reports frequent use of acetaminophen for relief of headaches and other discomforts.
The nurse would evaluate which diagnostic data to determine whether the client is at risk for
toxicity?
1|Page
,Liver function studies
The nurse is caring for a client receiving codeine sulfate for pain. The nurse determines that the
client is experiencing a side or adverse effect of the medication based on which finding?
No bowel movement in 3 days
A client with cancer is receiving a continuous intravenous infusion of morphine sulfate. The
nurse monitoring the client for adverse effects would become most concerned about which vital
sign?
Respirations of 10 breaths/minute as well as blood pressure and pulse if are low
Which drug is indicated for the treatment of Gout?
Allupurinol
Ketoralac is favorable for which patients?
For former Opiate Users
A client is Experiencing toxicity to Acetaminophen. Which of the following antidotes must be
given to the client to counteract the toxicity of the analgesic drug?
Acetylcysteine
A client presents with mild joint pain and has been taking over-the-counter acetaminophen for
the treatment of his symptoms. The client has a history of alcohol abuse. Based on the current
medication and social history of the client, which of the following is the client at risk for
developing?
Hepatotoxicity
Which of the following analgesics is a preferred choice for breastfeeding woman?
Acetaminophen
A client is receiving patient-controlled analgesia (PCA). When is it appropriate to notify the
healthcare provider (HCP) for an increase in dosage?
When the client attempts are two times the dose of medication given.
During an overdose of acetaminophen, which of the following labs must the nurse monitor?
AST and ALT as they are Liver Labs and Acetaminophen causes liver toxicity
A client with colorectal cancer undergoes bowel resection surgery. Which of the following
medications is recommended the treat the client's postoperative pain?
2|Page
,Morphine is recommended for sever, acute pain and Postoperatively
What is the priority action of the nurse caring for a client receiving opioid analgesic medication
via patient-controlled analgesic (PCA) pump?
AIR Acronym for the Nursing Process= Assessment, then Intervention, Then Reassessment
Answer is Pain Assesment
A nurse is caring for a 5-year-old client with influenza. The client has symptoms of a fever and
muscle aches. Which of the following pharmacological agents is recommended for this client?
Acetaminophen is an antipyretic and an analgesic used with children with fevers/Viruses
Which of the following pharmacological agents decreases prostaglandins response to reduce
pain and inflammation?
Ascetylsalicylic Acid (Aspirin)
Which of the following clients have an increased risk for death, in relation to opioid use?
A 70-year-old patient with hip surgery. Older patients and then patients with respiratory
problems like COPD, Asthma
A client presents with muscle aches and is prescribed a topical analgesic with capsaicin. Which
of the following statements from the client ensures the proper understanding of the use of the
medication?
The medication will cause local irritation which is normal
Which of the following is indicated for clients as pain management after surgery or long-term
recovery?
Patient controlled analgesia (PCA) pump
Which of the following is indicative of use of Fentanyl Patch?
Chronic Pain/Persistent Pain, Not Acute Pain; It does not provide immediate pain relief and is
not used Post-operatively
A client is receiving patient-controlled analgesia (PCA) postoperatively. After three hours the
nurse finds the client is having trouble breathing and is feeling dizzy and lightheaded. Which of
the following is the nurse's priority action?
Wake the client and asses vital signs: AIMS
A=ABC
I= Intervention Oxygenation
3|Page
, M= Make HCP aware
S= Second Dose of Naloxone
Which of the following potent analgesics is recommended for chronic, persistent pain that takes
up to 17 hours for full effect?
Fentanyl
A client with rheumatoid arthritis is educated to take ibuprofen to relieve the symptoms. Which
of the following must the nurse educate the client on the safety of the analgesic drug? Select all
that apply.
Dont Take on Empty Stomach
Dont Take Vitamin E Supplements
Dont Take Gingko Supplements
Which of the following clients must avoid using non-steroidal anti-inflammatory drugs
(NSAIDs)? Select all that apply.
A Client with Asthma/NasalPolyps, A Client with Peptic Ulcer Disease, A Client with a Recent
Nephrectomy, Not good for patients with Renal Disease
Most Common Long-Term Side Effects for Opioids
Constipation
Which is a priority nursing intervention for a client receiving IV Opioids for pain?
Assess for signs of respiratory depression because Assessment comes before Intervention
A client with a recent diagnosis of gout is seeking effective treatment for pain. Which of the
following analgesic drugs is most appropriate for this client?
Naproxen
N: Naproxen
S: Salicylic Acid
A: Acetylsylic Acid
I: Ibuprofen and another I med (Written in Notes)
K: Ketoralac
Which of the following topical agents is effective for relieving rheumatoid arthritis pain in adult
clients?
4|Page
