ATI RN
ATI N211 Pharmacology Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent client who is receiving carbamazepine for partial seizure disorder. Which of the following statements by the client's parent is the nurse's priority?
Correct Answer: D
Rationale: New bruises can indicate a serious adverse effect, such as bone marrow suppression leading to thrombocytopenia, which requires immediate attention. Naps, nausea, and dry mouth are less urgent concerns.
Question 2 of 5
A nurse is preparing to administer phenytoin 50 mg IV bolus to a client who has a seizure disorder. The medication is supplied as a 50 mg/mL vial. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Administering phenytoin over at least 1 minute reduces complications like hypotension. It should be diluted with saline, not sterile water, and not injected if crystallized.
Question 3 of 5
A nurse is teaching a female client who is experiencing alcohol withdrawal about chlordiazepoxide. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Chlordiazepoxide is teratogenic, so notifying the provider about pregnancy is critical. Doubling the dose risks overdose, breast tenderness is not a side effect, and it causes hypotension, not hypertension.
Question 4 of 5
A nurse is preparing to administer phenytoin IV to a client who has a seizure disorder. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Administering a saline solution after injection ensures the drug is flushed through the IV line. Phenytoin should be given at no faster than 50 mg/min, diluted in saline (not dextrose), and administered during active seizures.
Question 5 of 5
A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Taking ibuprofen with food minimizes gastrointestinal irritation. It does not require refrigeration, tinnitus is associated with aspirin, and weight loss is not a common side effect.