ATI RN
ATI N211 Pharmacology Exam Questions
Extract:
Question 1 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 2 of 5
A nurse in a public clinic is planning a health fair for older adult clients in the community. In teaching medication safety, which of the following foods should the nurse advise the clients to avoid when taking their prescriptions?
Correct Answer: D
Rationale: Grapefruit juice interacts with many medications by inhibiting the cytochrome P450 enzyme system, potentially leading to dangerous drug levels. Carbonated beverages, orange juice, and milk have fewer and less severe interactions.
Question 3 of 5
A nurse is caring for a client who has just begun therapy with alprazolam to treat anxiety. The nurse should monitor the client for which of the following adverse effects of this medication?
Correct Answer: C
Rationale: Insomnia can occur with alprazolam, especially if not taken as prescribed or due to paradoxical reactions. Alprazolam typically causes hypotension, not hypertension, and is not associated with hearing loss or bradycardia.
Question 4 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 5 of 5
A nurse is teaching a client about adverse effects of zolpidem. Which of the following adverse effects should the nurse include in the teaching?
Correct Answer: B
Rationale: Daytime sleepiness is a common adverse effect of zolpidem, a sedative-hypnotic used for insomnia. Nighttime sweating, double vision, and change in taste are not typically associated with zolpidem.