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ATI PHARMACOLOGY PROCTORED EXAM NEWEST TEST
BANK 2023 EXAMS UPDATED 2024 COMPLETE 650
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+|| BRAND NEW VERSION!!!
A nurse is reviewing laboratory findings and notes that a client's plasma
Lithium level is 2.1 mEq/L. Which of the following is an appropriate
action by the nurse?
A. Perform immediate gastric lavage.
B. Prepare the client for hemodialysis.
C. Administer an additional oral dose of lithium.
D. Request a stat repeat of the laboratory test - ANSWER- A. Perform
immediate gastric lavage.
Rationale; Gastric lavage is appropriate for a client who has severe
toxicity, as evidenced by a plasma lithium level of 2.1 mEq/L. This
action will lower the client's lithium level.
A nurse is caring for a client who has a new prescription for Lithium
Carbonate. When teaching the client about ways to prevent Lithium
toxicity, the nurse should advise the client to do which of the following?
A. Avoid the use of acetaminophen for headaches.
B. Restrict intake of foods rich in sodium.
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C. Decrease fluid intake to less than 1,500 mL daily
D. Limit aerobic activity in hot weather - ANSWER- D. Limit aerobic
activity in hot weather
Rationale; The client should avoid activities that have the potential
to cause sodium/water depletion, which can increase the risk for
toxicity
A nurse is assessing a client who takes Lithium Carbonate for the
treatment of Bipolar disorder. The nurse should recognize which of the
following findings as a possible indication of toxicity to this medication?
A. Severe hypertension
B. Coarse tremors
C. Constipation
D. Muscle spasm - ANSWER- B. Coarse tremors
Rationale; Coarse tremors are an indication of toxicity
A nurse is caring for a client who has a new prescription for Valproic
Acid. The nurse should instruct the client that while taking this
medication he will need to have which of the following laboratory tests
completed periodically? (Select all that apply.)
A. Thrombocyte count
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B. Hematocrit
C. Amylase
D. Liver function tests
E. Potassium - ANSWER- A. Thrombocyte count
C. Amylase
D. Liver function tests
Rationale; A.Treatment with valproic acid can result in
thrombocytopenia. The client's thrombocyte
count should be monitored periodically.
C.Treatment with valproic acid can result in pancreatitis.
The client's amylase should be monitored periodically.
D.Treatment with valproic acid can result in hepatotoxicity.
The client's liver function should be monitored periodically.
A nurse is preparing a teaching plan for a female client who has Bipolar
disorder and a new prescription for Carbamazepine. Which of the
following instructions should the nurse include in the teaching? (Select
all that apply.)
A. "This medication can safely be taken during pregnancy."
B. "Eliminate grapefruit juice from your diet."
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C. "You will need to have a complete blood count and carbamazepine
levels drawn periodically."
D. "Notify your provider if you develop a rash."
E. "Avoid driving for the first few days after starting this medication. -
ANSWER- B. "Eliminate grapefruit juice from your diet."
C. "You will need to have a complete blood count and carbamazepine
levels drawn periodically."
D. "Notify your provider if you develop a rash."
E. "Avoid driving for the first few days after starting this medication.
(B. Grapefruit juice affects carbamazepine
metabolism and should be avoided.
C. Carbamazepine blood levels and the CBC should
be monitored during therapy. The client is at risk for bone marrow
depression while taking carbamazepine and should notify the provider
for a sore throat or other manifestations of an infection.
D. Carbamazepine can cause Stevens‑Johnson
syndrome, which can be fatal. The client should
notify the provider promptly if a rash occurs.
E. CNS effects such as drowsiness or dizziness can
ATI PHARMACOLOGY PROCTORED EXAM NEWEST TEST
BANK 2023 EXAMS UPDATED 2024 COMPLETE 650
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+|| BRAND NEW VERSION!!!
A nurse is reviewing laboratory findings and notes that a client's plasma
Lithium level is 2.1 mEq/L. Which of the following is an appropriate
action by the nurse?
A. Perform immediate gastric lavage.
B. Prepare the client for hemodialysis.
C. Administer an additional oral dose of lithium.
D. Request a stat repeat of the laboratory test - ANSWER- A. Perform
immediate gastric lavage.
Rationale; Gastric lavage is appropriate for a client who has severe
toxicity, as evidenced by a plasma lithium level of 2.1 mEq/L. This
action will lower the client's lithium level.
A nurse is caring for a client who has a new prescription for Lithium
Carbonate. When teaching the client about ways to prevent Lithium
toxicity, the nurse should advise the client to do which of the following?
A. Avoid the use of acetaminophen for headaches.
B. Restrict intake of foods rich in sodium.
,2|Page
C. Decrease fluid intake to less than 1,500 mL daily
D. Limit aerobic activity in hot weather - ANSWER- D. Limit aerobic
activity in hot weather
Rationale; The client should avoid activities that have the potential
to cause sodium/water depletion, which can increase the risk for
toxicity
A nurse is assessing a client who takes Lithium Carbonate for the
treatment of Bipolar disorder. The nurse should recognize which of the
following findings as a possible indication of toxicity to this medication?
A. Severe hypertension
B. Coarse tremors
C. Constipation
D. Muscle spasm - ANSWER- B. Coarse tremors
Rationale; Coarse tremors are an indication of toxicity
A nurse is caring for a client who has a new prescription for Valproic
Acid. The nurse should instruct the client that while taking this
medication he will need to have which of the following laboratory tests
completed periodically? (Select all that apply.)
A. Thrombocyte count
,3|Page
B. Hematocrit
C. Amylase
D. Liver function tests
E. Potassium - ANSWER- A. Thrombocyte count
C. Amylase
D. Liver function tests
Rationale; A.Treatment with valproic acid can result in
thrombocytopenia. The client's thrombocyte
count should be monitored periodically.
C.Treatment with valproic acid can result in pancreatitis.
The client's amylase should be monitored periodically.
D.Treatment with valproic acid can result in hepatotoxicity.
The client's liver function should be monitored periodically.
A nurse is preparing a teaching plan for a female client who has Bipolar
disorder and a new prescription for Carbamazepine. Which of the
following instructions should the nurse include in the teaching? (Select
all that apply.)
A. "This medication can safely be taken during pregnancy."
B. "Eliminate grapefruit juice from your diet."
, 4|Page
C. "You will need to have a complete blood count and carbamazepine
levels drawn periodically."
D. "Notify your provider if you develop a rash."
E. "Avoid driving for the first few days after starting this medication. -
ANSWER- B. "Eliminate grapefruit juice from your diet."
C. "You will need to have a complete blood count and carbamazepine
levels drawn periodically."
D. "Notify your provider if you develop a rash."
E. "Avoid driving for the first few days after starting this medication.
(B. Grapefruit juice affects carbamazepine
metabolism and should be avoided.
C. Carbamazepine blood levels and the CBC should
be monitored during therapy. The client is at risk for bone marrow
depression while taking carbamazepine and should notify the provider
for a sore throat or other manifestations of an infection.
D. Carbamazepine can cause Stevens‑Johnson
syndrome, which can be fatal. The client should
notify the provider promptly if a rash occurs.
E. CNS effects such as drowsiness or dizziness can
