ATI RN
ATI Pharmacology Assessment 2 Questions
Question 1 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 2 of 5
A patient with a history of pancreatitis and cirrhosis is also being treated for hypertension. Which drug will most likely be ordered for this patient?
Correct Answer: D
Rationale: Given the patient's medical history of pancreatitis and cirrhosis, both conditions can affect the functioning of the liver and potentially interact with medications that are metabolized by the liver. Captopril is an angiotensin-converting enzyme (ACE) inhibitor, which is often a preferred choice for patients with liver disease as it has minimal hepatic metabolism. This decreased reliance on hepatic metabolism makes captopril a safer choice for this patient compared to other antihypertensive medications that may cause liver-related complications. Additionally, ACE inhibitors like captopril are commonly used in patients with hypertension to help reduce blood pressure and protect against further complications related to cardiovascular health.
Question 3 of 5
A patient is receiving tetracycline. Which advice should the nurse include when teaching this patient about tetracycline?
Correct Answer: A
Rationale: Tetracycline can cause photosensitivity, increasing the risk of severe sunburn. Patients should be advised to use sunscreen and avoid prolonged sun exposure. Taking antacids with tetracycline is contraindicated, as they can bind to the drug and reduce its absorption. Hearing loss and retinal damage are not associated with tetracycline use. Instead, patients should be monitored for gastrointestinal side effects and advised to take the medication with food if tolerated.
Question 4 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 5 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.