ATI RN
Advanced Pharmacology Across the Lifespan Questions
Question 1 of 4
A newlywed 23-year-old woman presents to the urgent care center with 24 h of burning and pain with urination. She also feels a constant need to urinate but produces only small amounts of urine at a time. She is given trimethoprim-sulfamethoxazole to treat her urinary tract infection. Three days into her regimen, she develops fever and a sore throat. Physical exam reveals ulcerations in her throat. Which of the following is a potential complication if her treatment is continued?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 4
A 44-year-old man with depression is currently being managed with paroxetine. He presents to his primary care physician complaining of loss of libido, delayed ejaculation, and occasional inability to ejaculate. Which of the following is the best course of action for this patient?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 4
A 35-year-old woman is brought to the emergency department because of an 18-hour history of severe pain, nausea, vomiting, diarrhea, and anxiety. She was discharged with a pain medication from the hospital 2 weeks ago after treatment of multiple injuries sustained in a motor vehicle collision. She took her last dose 36 hours ago. Her temperature is 36.6°C (97.8°F), pulse is 105/min, respirations are 24/min, and blood pressure is 160/85 mm Hg. Physical examination shows rhinorrhea and piloerection. Bowel sounds are normal. She rates the pain as an 8 on a 10-point scale. Which of the following is the most likely diagnosis?
Correct Answer: C
Rationale: Symptoms (pain, nausea, vomiting, diarrhea, anxiety, tachycardia, hypertension, rhinorrhea, piloerection) 36 hours after stopping pain medication suggest opioid withdrawal, likely oxycodone (F) from her recent hospitalization. Appendicitis causes localized pain and fever, caffeine withdrawal headaches, ethanol withdrawal tremors and seizures, gastric ulcers epigastric pain, and gastroenteritis (E) fever and infection signs—none match this autonomic and piloerection profile.
Question 4 of 4
The nurse will be administering an antitussive medication containing codeine to a patient. What is the priority assessment?
Correct Answer: C
Rationale: Codeine, an opioid antitussive, suppresses cough but can cause respiratory depression, a serious adverse effect. Assessing respiratory rate is the priority to ensure safety before administration. Pulse oximetry and lung sounds are useful but secondary; sputum consistency relates to expectorants, not antitussives.