WGU D116 Advances pharmacology for the advanced practice Nurse (PDC2) Answered OA

35. Which body mass index (BMI) range indicates obesity?

• 30 to 39.9
• 25 to 29.9
• 40 to 45.9
• 18.5 to 24.9

Correct Answer: 30 to 39.9

36. A patient with celiac disease presents to a clinic with complaints of diarrhea lasting two days. The patient reports easy bruising and a nosebleed last night. Which vitamin deficiency is the source of these problems?

• Vitamin D
• Vitamin A
• Vitamin E
• Vitamin K

Correct Answer: Vitamin K

37. Which food is the best source of calcium to assist in the prevention of osteoporotic fractures in a patient with osteoporosis?

• 1 cup cottage cheese
• 1 cup whole milk
• 1 cup ice cream
• 1 ounce Swiss cheese

Correct Answer: 1 cup whole milk

38. An advanced practice registered nurse (APRN) wants to ensure that reliable, evidence-based resources are used to evaluate the efficacy and safety of complementary and alternative (CAM) therapies. Which website provides the APRN with this information?

• The Food and Drug Center
• The National Center for Complementary and Integrative Health
• The National Center for Health
• The National Center for Alternative Medicine

Correct Answer: The National Center for Complementary and Integrative Health

39. A nurse is caring for a patient who has prostate cancer. Which medication should the nurse expect the provider to prescribe?

• Tamoxifen
• Finasteride
• Cyclophosphamide
• Leuprolide

Correct Answer: Leuprolide

40. A 34-year-old female who is para 1 and gravida 1 (P1G1) presents to a clinic for a well-woman exam. She is currently taking a combined oral contraceptive pill and wants to continue this contraceptive method. She tells an advanced practice registered nurse (APRN) that she felt slightly depressed over the winter and recently started taking St. John’s wort, which appears to be helping. Which piece of information should the APRN discuss with this patient?

• St. John’s wort has not been shown to be efficacious and should be avoided.
• St. John’s wort increases hepatic cytochrome P450, which improves the efficacy of oral contraceptives.
• Oral contraceptive pills may become toxic because they are not metabolized in the presence of St. John’s wort.
• Oral contraceptive pills have a lowered efficacy in the presence of St. John’s wort, so there is an increased risk of an unplanned pregnancy.

Correct Answer: Oral contraceptive pills have a lowered efficacy in the presence of St. John’s wort, so there is an increased risk of an unplanned pregnancy.

41. An 18-year-old female patient is using the barrier method (i.e., a condom) as her primary method of birth control. She contacts an advanced practice registered nurse (APRN) to report that she had sex the evening before, and the condom broke. The patient is concerned because she does not want an unplanned pregnancy. What should the APRN suggest to this patient?

• Make an appointment for the insertion of an intrauterine device in two weeks
• Take progesterone 40 mg by mouth daily
• Consider taking over-the-counter levonorgestrel
• Take 200 mg of mifepristone every day for three days

Correct Answer: Consider taking over-the-counter levonorgestrel

42. A nurse is teaching a patient who has peptic ulcer disease and a new prescription for sucralfate tablets. Which information should the nurse provide?

• Take the tablets whole.
• An antacid may be taken with the medication if indigestion occurs.
• Take sucralfate one hour before meals.
• Store sucralfate in the refrigerator.

Correct Answer: Take sucralfate one hour before meals.

56. A nurse is caring for a patient who has HIV-1 infection and is prescribed zidovudine as part of antiretroviral therapy. Which adverse effect of the medication should the nurse monitor the patient for?

• Metabolic alkalosis
• Renal failure
• Cardiac dysrhythmia
• Aplastic anemia

Correct Answer: Aplastic anemia

57. A nurse is caring for a patient who has meningitis and is receiving gentamicin. Which action should the nurse take to minimize the risk of an adverse effect of the medication?

• Instruct the patient to report agitation.
• Monitor the serum medication levels.
• Administer the medicine with food.
• Limit the client’s fluid intake.

Correct Answer: Monitor the serum medication levels.

58. A nurse is teaching a patient who has impetigo caused by group A Streptococcus and a new prescription for gentamicin topical cream. Which instruction should the nurse provide?

• The medication might cause temporary blurred vision.
• Apply the medication to large areas around the infection.
• Increase intake of fluids while using this medication.
• Wash the affected area with soap and water before applying the medication.

Correct Answer: Wash the affected area with soap and water before applying the medication.

Students place their trust in exam experts who prioritize reliability, integrity, and measurable results. Through continuous support, transparent processes, and a strong success record, ProctoredExamsExperts.com empowers learners to perform at their best while enjoying complete peace of mind