ATI RN
ATI Pharmacology Assessment 2 Questions
Question 1 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 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
The nurse has completed medication education with the patient who is receiving risperidone (Risperdal). The nurse evaluates that the education has been effective when the patient makes which statement?
Correct Answer: B
Rationale: Risperidone, an atypical antipsychotic, can cause agranulocytosis, a rare but life-threatening drop in white blood cells, necessitating regular blood monitoring . This statement reflects understanding of a critical safety measure, indicating effective education. Nightmares aren't a primary concern with risperidone. Weight loss contrasts with its common side effect of weight gain, making it less relevant. Metallic taste isn't associated with this drug. The nurse evaluates learning based on recognition of monitoring for severe adverse effects like agranulocytosis, ensuring patient safety, making choice B the best indicator of comprehension.
Question 4 of 5
Toxicity of nicotine containing products:
Correct Answer: D
Rationale: Nicotine toxicity can cause neuromuscular blockade (late phase), but atropine treats muscarinic effects, not paralysis, so that's false. It causes hypertension initially via catecholamine release, not hypotension, making that false. It harms the fetus (e.g., growth restriction), so that's incorrect. Benzodiazepines control agitation and seizures symptomatically, a true statement, useful in acute poisoning. Nausea/vomiting resolve faster than days. Benzodiazepines' symptomatic relief is a practical approach, addressing CNS overstimulation in nicotine overdose.
Question 5 of 5
A 48-year-old man presents to the emergency department in the morning with urticaria and difficulty breathing following a bee sting received while gardening. He is treated, recovers, and is sent home. Later that evening, his symptoms return and he is treated again in the emergency department. He denies having been stung again. What should have been given to this patient to avoid his return to the emergency department?
Correct Answer: D
Rationale: Recurrent allergic symptoms post-bee sting suggest ongoing inflammation. Prednisolone , a corticosteroid, reduces late-phase reactions. Diphenhydramine and Loratadine treat acute symptoms. Epinephrine is for anaphylaxis but short-acting. Prednisolone prevents biphasic reactions, avoiding his return.