ATI Retake Study Guide Questions and
Answers 2025
BipolarAdisordersAareAprimarilyAmanagedAwithAmood-stabilizingAmedicationsAsuchAasA-
AcorrectAanswers-lithiumAcarbonate
OtherAmedicationsAusedAtoAtreatAbipolarAdisordersAincludeAtheAfollowingA-
AcorrectAanswers-ValproicAacidA(Depakote),
CarbamazepineA(Tegretol,AEquetro),
LamotrigineA(Lamicta
LithiumA-AcorrectAanswers-
treatmentAofAbipolarAdisorders.ALithiumAcontrolsAepisodesAofAacuteAmania,A
helpsApreventAtheAreturnAofAmaniaAorAdepression,AandAdecreasesAtheAincidenceAofAsuicide
NursingAConsiderationAw/LithiumA-AcorrectAanswers-
•AdministerAmedicationAwithAmealsAorAmilk.
•AdviseAclientsAtoAreportAanAincreaseAinAtremors.
•AssessAbaselineAkidneyAfunction,AandAmonitorAkidneyAfunctionA
periodically.
•ObtainAtheAclient'sAbaselineAT3,T4,AandATSHAlevelsApriorAtoAstartingAtreatment,AandAthenA
annually.A
•EncourageAclientsAtoAmaintainAaAdietAadequateAinAsodium,AandAtoAdrinkA2,000mLAtoA3,00
0mLAofAwaterAeachAdayAfromAfoodAbeverageAsources.A
•AAvoidAuseAofANSAIDs.
•AAvoidAinApregnancy
LithiumASideAEffectsA-AcorrectAanswers-FineAhandAtremors
Polyuria
MildAthirst
WeightAgain
RenalAtoxicity
GoiterAandAhypothyroidism
Bradydysrhythmias
Hypotension
LithiumALevelsA-AcorrectAanswers-.4-A1.0AmEq/lAaboveA1.5mEq/lAtoxicity
1.AAAnurseAisAreviewingAlaboratoryAfindingsAandAnotesAthatAaAclient'sAplasmaAlithiumAlevelAi
sA2.1AmEq/L.A
WhichAofAtheAfollowingAisAanAappropriateAactionAbyAtheAnurse?
A.APerformAimmediateAgastricAlavage.
B.APrepareAtheAclientAforAhemodialysis.
C.AAdministerAanAadditionalAoralAdoseAofAlithium.
D.ARequestAaAstatArepeatAofAtheAlaboratoryAtestA-AcorrectAanswers-A.ACORRECT:A
GastricAlavageAisAappropriateAforAaAclientAwhoAhasAsevereAtoxicity,AasAevidencedAbyAaAplas
maAlithiumAlevelAofA2.1AmEq/L.AThisAactionAwillAlowerAtheAclient'sAlithiumAlevel.
B.AINCORRECT:AHemodialysisAisAappropriateAforAaAclientAwhoAhasAaAplasmaAlithiumAlevel
AgreaterAthanA
, 2.5AmEq/L
2.AAAnurseAisAcaringAforAaAclientAwhoAhasAaAnewAprescriptionAforAlithiumAcarbonateA(Lithobi
d).AWhenAteachingAtheA
clientAaboutAwaysAtoApreventAlithiumAtoxicity,AtheAnurseAshouldAadviseAtheAclientAtoAdoAwhi
chAofAtheAfollowing?
A.AAvoidAtheAuseAofAacetaminophenAforAheadaches.
B.ARestrictAintakeAofAfoodsArichAinAsodium.
C.ADecreaseAfluidAintakeAtoAlessAthanA1,500AmLAdaily
D.ALimitAaerobicAactivityAinAhotAweather.A-AcorrectAanswers-
2.AA.AINCORRECT:ATheAclientAshouldAuseAacetaminophen,AratherAthanANSAIDs,AsuchAasA
ibuprofen,AforAheadachesAbecauseANSAIDsAinteractAwithAlithiumAandAcanAcauseAincrease
dAbloodAlevelsAofAlithium.
D.ACORRECT:ATheAclientAshouldAavoidAactivitiesAthatAhaveAtheApotentialAtoAcauseAsodium
/waterAdepletion,AwhichAcanAincreaseAtheAriskAforAtoxicity
5.AAAnurseAisAteachingAaAfemaleAclientAwhoAhasAbipolarAdisorderAaboutAherAnewAprescripti
onAforAlithiumA
carbonateA(Lithobid).AWhichAofAtheAfollowingAisAappropriateAforAtheAnurseAtoAincludeAinAtheA
teaching?A
(SelectAallAthatAapply.)
AA.AAnAadverseAeffectAof AthisAmedicationAisAamenorrhea.
AB.AAnAantidepressantAisAcombinedAwithAlithiumAtherapyAduringAphasesAof Amania.
AC.ATakeAthisAmedicationAwithAfoodAorAaAglassAof Amilk.
AD.AAvoidApregnancyAwhileAtakingAthisAmedication.
AE.AThyroidAfunctionAisAassessedApriorAtoAlithiumAtherapy.A-AcorrectAanswers-
C.ACORRECT:ATakingAlithiumAwithAfoodAorAaAglassAofAmilkAcanAhelpAreduceAgastrointestin
alAdistress.
D.ACORRECT:ALithiumAisAaAPregnancyARiskACategoryADAmedicationAthatAisAteratogenic,Ae
speciallyAduringAtheAfirstAtrimester.ATherefore,AtheAclientAshouldAavoidApregnancyAwhileAta
kingAthisA
medication.
E.ACORRECT:ABecauseAlithiumAcanAcauseAgoiterAandAhypothyroidism,AtheAclient'sAthyroid
AfunctionAisAassessedApriorAtoAlithiumAtherapy.
BenzodiazepinesA
ChlordiazepoxideA,Adiazepam,AlorazepamAIntendedAeffectsA-AcorrectAanswers-
•DecreaseAinAtheAriskAofAseizures
•DecreaseAinAtheAintensityAofAwithdrawalAmanifestations
•MaintenanceAofAtheAclient'sAvitalAsignsAwithinAnormalAlimits
DisulfiramA-AcorrectAanswers-•aAtypeAofAaversionA(Abehavioral)AtherapyA
•AdviseAclientsAtoAavoidAanyAproductsAthatAcontainAalcoholA(coughAsyrups,Amouthwash,A
aftershaveAlotion).A
•AMonitorAfrequentAliverAfunctionAtestsAtoAdetectAhepatotoxicity.
NaltrexoneA-AcorrectAanswers-
•ANaltrexoneAisAaApureAopioidAantagonistAthatAsuppressesAtheAcravingAandApleasurableAeff
ectsAofAalcoholA(alsoAusedAforAopioidAwithdrawal).
•AAdviseAclientsAtoAtakeAtheAmedicationAwithAmealsAtoAdecreaseAgastrointestinalAdistress.
•ASuggestAmonthlyAIMAinjectionsAforAclientsAwhoAhaveAdifficultyAadheringAtoAregimen.
Answers 2025
BipolarAdisordersAareAprimarilyAmanagedAwithAmood-stabilizingAmedicationsAsuchAasA-
AcorrectAanswers-lithiumAcarbonate
OtherAmedicationsAusedAtoAtreatAbipolarAdisordersAincludeAtheAfollowingA-
AcorrectAanswers-ValproicAacidA(Depakote),
CarbamazepineA(Tegretol,AEquetro),
LamotrigineA(Lamicta
LithiumA-AcorrectAanswers-
treatmentAofAbipolarAdisorders.ALithiumAcontrolsAepisodesAofAacuteAmania,A
helpsApreventAtheAreturnAofAmaniaAorAdepression,AandAdecreasesAtheAincidenceAofAsuicide
NursingAConsiderationAw/LithiumA-AcorrectAanswers-
•AdministerAmedicationAwithAmealsAorAmilk.
•AdviseAclientsAtoAreportAanAincreaseAinAtremors.
•AssessAbaselineAkidneyAfunction,AandAmonitorAkidneyAfunctionA
periodically.
•ObtainAtheAclient'sAbaselineAT3,T4,AandATSHAlevelsApriorAtoAstartingAtreatment,AandAthenA
annually.A
•EncourageAclientsAtoAmaintainAaAdietAadequateAinAsodium,AandAtoAdrinkA2,000mLAtoA3,00
0mLAofAwaterAeachAdayAfromAfoodAbeverageAsources.A
•AAvoidAuseAofANSAIDs.
•AAvoidAinApregnancy
LithiumASideAEffectsA-AcorrectAanswers-FineAhandAtremors
Polyuria
MildAthirst
WeightAgain
RenalAtoxicity
GoiterAandAhypothyroidism
Bradydysrhythmias
Hypotension
LithiumALevelsA-AcorrectAanswers-.4-A1.0AmEq/lAaboveA1.5mEq/lAtoxicity
1.AAAnurseAisAreviewingAlaboratoryAfindingsAandAnotesAthatAaAclient'sAplasmaAlithiumAlevelAi
sA2.1AmEq/L.A
WhichAofAtheAfollowingAisAanAappropriateAactionAbyAtheAnurse?
A.APerformAimmediateAgastricAlavage.
B.APrepareAtheAclientAforAhemodialysis.
C.AAdministerAanAadditionalAoralAdoseAofAlithium.
D.ARequestAaAstatArepeatAofAtheAlaboratoryAtestA-AcorrectAanswers-A.ACORRECT:A
GastricAlavageAisAappropriateAforAaAclientAwhoAhasAsevereAtoxicity,AasAevidencedAbyAaAplas
maAlithiumAlevelAofA2.1AmEq/L.AThisAactionAwillAlowerAtheAclient'sAlithiumAlevel.
B.AINCORRECT:AHemodialysisAisAappropriateAforAaAclientAwhoAhasAaAplasmaAlithiumAlevel
AgreaterAthanA
, 2.5AmEq/L
2.AAAnurseAisAcaringAforAaAclientAwhoAhasAaAnewAprescriptionAforAlithiumAcarbonateA(Lithobi
d).AWhenAteachingAtheA
clientAaboutAwaysAtoApreventAlithiumAtoxicity,AtheAnurseAshouldAadviseAtheAclientAtoAdoAwhi
chAofAtheAfollowing?
A.AAvoidAtheAuseAofAacetaminophenAforAheadaches.
B.ARestrictAintakeAofAfoodsArichAinAsodium.
C.ADecreaseAfluidAintakeAtoAlessAthanA1,500AmLAdaily
D.ALimitAaerobicAactivityAinAhotAweather.A-AcorrectAanswers-
2.AA.AINCORRECT:ATheAclientAshouldAuseAacetaminophen,AratherAthanANSAIDs,AsuchAasA
ibuprofen,AforAheadachesAbecauseANSAIDsAinteractAwithAlithiumAandAcanAcauseAincrease
dAbloodAlevelsAofAlithium.
D.ACORRECT:ATheAclientAshouldAavoidAactivitiesAthatAhaveAtheApotentialAtoAcauseAsodium
/waterAdepletion,AwhichAcanAincreaseAtheAriskAforAtoxicity
5.AAAnurseAisAteachingAaAfemaleAclientAwhoAhasAbipolarAdisorderAaboutAherAnewAprescripti
onAforAlithiumA
carbonateA(Lithobid).AWhichAofAtheAfollowingAisAappropriateAforAtheAnurseAtoAincludeAinAtheA
teaching?A
(SelectAallAthatAapply.)
AA.AAnAadverseAeffectAof AthisAmedicationAisAamenorrhea.
AB.AAnAantidepressantAisAcombinedAwithAlithiumAtherapyAduringAphasesAof Amania.
AC.ATakeAthisAmedicationAwithAfoodAorAaAglassAof Amilk.
AD.AAvoidApregnancyAwhileAtakingAthisAmedication.
AE.AThyroidAfunctionAisAassessedApriorAtoAlithiumAtherapy.A-AcorrectAanswers-
C.ACORRECT:ATakingAlithiumAwithAfoodAorAaAglassAofAmilkAcanAhelpAreduceAgastrointestin
alAdistress.
D.ACORRECT:ALithiumAisAaAPregnancyARiskACategoryADAmedicationAthatAisAteratogenic,Ae
speciallyAduringAtheAfirstAtrimester.ATherefore,AtheAclientAshouldAavoidApregnancyAwhileAta
kingAthisA
medication.
E.ACORRECT:ABecauseAlithiumAcanAcauseAgoiterAandAhypothyroidism,AtheAclient'sAthyroid
AfunctionAisAassessedApriorAtoAlithiumAtherapy.
BenzodiazepinesA
ChlordiazepoxideA,Adiazepam,AlorazepamAIntendedAeffectsA-AcorrectAanswers-
•DecreaseAinAtheAriskAofAseizures
•DecreaseAinAtheAintensityAofAwithdrawalAmanifestations
•MaintenanceAofAtheAclient'sAvitalAsignsAwithinAnormalAlimits
DisulfiramA-AcorrectAanswers-•aAtypeAofAaversionA(Abehavioral)AtherapyA
•AdviseAclientsAtoAavoidAanyAproductsAthatAcontainAalcoholA(coughAsyrups,Amouthwash,A
aftershaveAlotion).A
•AMonitorAfrequentAliverAfunctionAtestsAtoAdetectAhepatotoxicity.
NaltrexoneA-AcorrectAanswers-
•ANaltrexoneAisAaApureAopioidAantagonistAthatAsuppressesAtheAcravingAandApleasurableAeff
ectsAofAalcoholA(alsoAusedAforAopioidAwithdrawal).
•AAdviseAclientsAtoAtakeAtheAmedicationAwithAmealsAtoAdecreaseAgastrointestinalAdistress.
•ASuggestAmonthlyAIMAinjectionsAforAclientsAwhoAhaveAdifficultyAadheringAtoAregimen.