WGU D116 Objective Assessment Final Exam Advanced

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WGU D116 Objective Assessment Final Exam Advanced Pharmacology Exam Newest 2026-2027 Actual Exam Preparation With Complete Questions And Correct Answers With Rationales | Already Graded A+||Brand New Version!!

A prescriber has ordered propranolol for a patient with recurrent ventricular tachycardia.The provider should tell the nurse preparing to administer this drug to be concerned about which condition in the patient's history? - ANSWER-Paroxysmal atrial tachycardia associated with emotion Hypertension Exercise-induced tachyarrhythmias YES Asthma Correct! Propranolol is contraindicated in patients with asthma because it is a nonselective beta-adrenergic antagonist and can cause bronchoconstriction and exacerbate asthma. It is used to treat tachyarrhythmias and paroxysmal atrial tachycardia evoked by emotion, so it is not contraindicated for patients with these conditions. It lowers blood pressure, so it would be helpful in patients with hypertension.

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A patient with severe, chronic COPD uses an inhaled LABA/glucocorticoid but continues to have frequent exacerbation of symptoms.What should the nurse contact the provider to discuss? - ANSWER-Changing to oral theophylline twice daily YES Adding roflumilast once daily NO Using an ipratropium/albuterol combination twice daily Prescribing oral steroids once daily Incorrect. Ipratropium is used to treat bronchospasm in COPD.Correct! For patients with chronic, severe COPD, the risk of exacerbations may be reduced with roflumilast. Theophylline is used only when other bronchodilators are not effective. Oral steroids are not indicated for this use. Ipratropium is used to treat bronchospasm in COPD.

A patient with persistent, frequent asthma exacerbations asks the provider about a long-acting beta2-agonist medication.What should the provider tell this patient? - ANSWER-YES "LABAs should be combined with an inhaled glucocorticoid." "LABAs can be used on an as-needed basis to treat symptoms." "LABAs reduce the risk of asthma-related deaths." "LABAs are safer than short-acting beta2 agonists." 2 / 4

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Correct! LABAs can increase the risk of asthma-related deaths when used improperly; this risk is minimized when LABAs are combined with an inhaled glucocorticoid. LABAs are not safer than SABAs, and they are not used PRN. LABAs increase the risk of asthma-related deaths.

A patient with a cough has been advised to use guaifenesin. The patient asks the provider to explain the purpose of the drug.Which statement by the provider explains the function of guaifenesin? - ANSWER-"It helps relieve chest pain associated with a cough." "It dries secretions to help suppress coughing so patients can rest." YES "It helps stimulate the flow of secretions to increase cough productivity." "It stimulates the body's natural immune responses." Correct! Expectorants stimulate the flow of respiratory tract secretions to improve cough productivity. Guaifenesin does not dry secretions because it does not have anticholinergic effects.Guaifenesin does not alleviate the pain associated with cough.Guaifenesin does not stimulate immune responses.

A nursing student is preparing to give a medication that has a boxed warning. The student asks the nurse what this means. 3 / 4

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What should the nurse explain about boxed warnings? - ANSWER-They provide information about antidotes in the event that toxicity occurs.YES They alert prescribers to measures to mitigate potential harm from side effects.They provide detailed information about the adverse effects of the drug.They indicate that a drug should not be given except in life- threatening circumstances.Correct! Boxed warnings (also known as black box warnings) are used to alert providers to potential side effects and ways to prevent or reduce harm from these side effects. A boxed warning is placed on any drug that, although useful, has serious side effects; this is a way to keep drugs on the market while protecting patients. Many of these drugs are used in situations that are not life-threatening. The boxed warning provides a concise summary and not a detailed explanation of drug side effects. The boxed warning does not include antidotes to toxicity.

What is polypharmacy? - ANSWER-NO A person takes a combination of prescription and over-the-counter medications.A person takes different dosage forms (e.g., oral and injectable medications).

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