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ATI N211 Pharmacology Exam Questions

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Question 1 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 2 of 5

A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following manifestations should the nurse include as an indication of mild toxicity?

Correct Answer: B

Rationale: Muscle weakness is an early sign of lithium toxicity. Urinary retention, constipation, and hyperactivity are not typical indicators.

Question 3 of 5

A nurse is providing teaching for a client who has schizophrenia and a new prescription for fluphenazine. Which of the following information should the nurse provide?

Correct Answer: A

Rationale: Sleepiness from fluphenazine typically subsides within a week. Fever is not expected, stopping for hypotension requires provider consultation, and orange urine is associated with other drugs like rifampin.

Question 4 of 5

A nurse is preparing to administer the monthly injection of haloperidol decanoate to a client who has schizophrenia. Which of the following actions should the nurse plan to take?

Correct Answer: B

Rationale: Having the client lie down for 30 minutes post-injection prevents orthostatic hypotension, a common side effect. Bradycardia is not a typical concern, a tuberculin syringe is inappropriate for depot injections, and relapse is not an immediate post-injection issue.

Question 5 of 5

A nurse is teaching a client who has a new prescription for codeine. Which of the following instructions should the nurse include in the teaching?

Correct Answer: D

Rationale: Codeine can cause dizziness or orthostatic hypotension, so changing positions slowly prevents falls. It causes constipation, not diarrhea, should not be combined with alcohol, and is better taken with food.

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