ATI RN
ATI Pharmacology Assessment 2 Questions
Question 1 of 5
After a severe auto accident, a patient has been taken to the trauma unit and has an estimated
Correct Answer: D
Rationale: Packed red blood cells (PRBCs) are the most appropriate product to administer after a severe auto accident when there is significant blood loss and anemia. PRBCs are used to increase the oxygen-carrying capacity of the blood and improve tissue oxygenation. They are specifically designed to deliver red blood cells without the unnecessary components found in whole blood. This targeted approach helps to avoid volume overload and reduce the risk of complications such as transfusion reactions. In a trauma situation where there is active bleeding and a need to rapidly restore oxygen-carrying capacity, PRBCs are the preferred blood product.
Question 2 of 5
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, can cause respiratory depression as a side effect. The nurse must assess the patient’s respiratory rate before administration to ensure it is within a safe range (typically >12 breaths per minute). While lung sounds (B) and sputum consistency (D) are important, they are not the priority when administering a medication that can suppress respiration. Pulse oximetry (A) is useful but secondary to direct respiratory rate assessment.
Question 3 of 5
Colchicine is prescribed for a client with gout. The nurse reviews the client’s record, knowing that this medication would be used in caution in which of the following medical conditions?
Correct Answer: B
Rationale: Colchicine should be used with caution in patients with aplastic anemia or other blood dyscrasias, as it can exacerbate bone marrow suppression. While colchicine is used to treat conditions like Behcet disease and familial Mediterranean fever, it is not contraindicated in these conditions. Amyloidosis is not a primary concern with colchicine use. Monitoring blood counts is essential in patients with pre-existing hematologic conditions.
Question 4 of 5
The patient has been depressed, and the physician plans to begin treatment with an antidepressant medication. In performing the initial assessment, what is the most important question for the nurse to ask?
Correct Answer: D
Rationale: Suicide risk is critical in depression-antidepressants may increase it early (e.g., energy before mood lifts), per black box warnings. Alcohol use, allergies, and duration matter but aren't immediate life threats. Suicidal thoughts guide urgent intervention, per psychiatric priority.
Question 5 of 5
The classi昀椀cation of digoxin is:
Correct Answer: D
Rationale: Digoxin belongs to the class of drugs known as cardiac glycosides. Cardiac glycosides are a group of compounds derived from plants and some animals that have the ability to increase the contractility of the heart muscle. Digoxin is commonly used to treat conditions such as congestive heart failure and irregular heart rhythms. It works by inhibiting the sodium-potassium pump in heart muscle cells, leading to an increase in intracellular calcium levels and subsequently improving the heart's pumping ability.