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WGU D116 Advanced Pharmacology Objective Assessment (2025/2026) – Actual Exam Questions with Verified Correct Solutions

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 17 pages. Originally published on StudyMerit.

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17
Academic year
2025/2026
Language
English

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1. A client is prescribed loratadine for seasonal allergies. What is A. key difference from diphenhydramine? A. Loratadine causes more drowsiness B. Loratadine causes GI upset C. Loratadine is non - sedating D. Loratadine is only available IV Answer: C Rationale: Second - generation antihistamines like loratadine are non - sedating. 2. A client taking haloperidol develops a high fever and muscle rigidity. What should the nurse suspect? A. Serotonin syndrome B. Neuroleptic malignant syndrome (NMS) C. Tardive dyskinesia D. Extrapyramidal symptoms (EPS) Answer: B Rationale: NMS is a rare but fatal reaction to antipsychotics. Requires immediate intervention. 3. A client is prescribed loperamide. Which condition is a contraindication? A. IBS B. Infectious diarrhea C. Traveler’s diarrhea D. Post - antibiotic diarrhea Answer: B Rationale: Do not use antidiarrheals in infectious diarrhea, as it may retain toxins in the bowel. 4. A nurse is preparing to administer metoprolol. Which Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: ruthaddison | ruthmens2@gmail.com Distribution of this document is illegal Want to earn $1.236 extra per year?

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Stuvia.com - The Marketplace to Buy and Sell your Study Material assessment is priority? A. Respiratory rate B. Heart rate C. Oxygen saturation D. Blood glucose Answer: B Rationale: Metoprolol can cause bradycardia. Always check HR before administering. 5. A client taking warfarin has an INR of 4.2. Which action should the nurse take? A. Administer the next dose of warfarin B. Hold the dose and notify the provider C. Give vitamin K IV immediately D. Prepare for platelet transfusion Answer: B Rationale: An INR >3.0 indicates increased bleeding risk. The n urse should hold the medication and notify the provider. 6. A client taking carbidopa/levodopa reports facial twitching and eye spasms. What should the nurse do? A. Reassure the client this is expected B. Hold the dose and notify the provider C. Administer diphenhydramine D. Document and continue monitoring Answer: B Rationale: Facial twitching and spasms are signs of toxicity. Notify the provider to adjust dosage. 7. A client is prescribed exenatide. What is a common side effect? A. Hyperglyc emia B. Constipation Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: ruthaddison | ruthmens2@gmail.com Distribution of this document is illegal Want to earn $1.236 extra per year?

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Stuvia.com - The Marketplace to Buy and Sell your Study Material C. Nausea D. Tachycardia Answer: C Rationale: Exenatide can cause nausea, especially when initiating therapy. It’s an injectable incretin mimetic. 8. Which statement indicates proper understanding of enoxaparin (Lovenox) administration? A. “I will inject it into my thigh muscle.” B. “I will rub the site after injection.” C. “I will inject it into my belly fat.” D. “I must monitor my INR daily.” Answer: C Rationale: Enoxaparin is given subcutaneously, preferably in the abdomen, and INR monitoring is not required. 9. A client taking omeprazole asks why it is prescribed. Which response is correct? A. "It coats the lining of the stomach." B. "It neutralizes gastric acid." C. "It blocks acid production." D. "It stimulates protective mucus production." Answer: C Rationale: Omeprazole is a proton pump inhibitor (PPI) that blocks gastric acid secretion. 10. A client with COPD is on prednisone. Which instruction is appropriate? A. Stop taking it once symptoms resolve B. Take on an empty stomach C. Report black tarry stools D. Avoid potassium - rich foods Answer: C Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: ruthaddison | ruthmens2@gmail.com Distribution of this document is illegal Want to earn $1.236 extra per year?

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