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ATI RN PHARM PRACTICE C 2024 ACTUAL
EXAM COMPLETE 100 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
Discharge teaching for a patient with bipolar disorder includes
explaining how lithium interacts with diet. The nurse would
instruct the client to:
A. Maintain a table salt free diet to reduce edema
B. Main a reduced table salt free diet since lithium is a salt
C. Maintain a regular sodium diet to reduce lithium toxicity
D. Not worry about table salt, because it does not affect lithium
levels - CORRECT ANSWER-D
Rationale: to cross the neuron membrane, the lithium needs to
be transported with sodium, so a normal amount of salt should
be included in the diet. A, B and C are incorrect because
adequate sodium intake is important.
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A nurse reviews the laboratory results of a client taking lithium
carbonate (Lithobid). Which serum electrolyte value would the
nurse identify as a precipitating factor for lithium toxicity?
A. Sodium 130 mEq/L
B. Sodium 145 mEq/L
C. Calcium 8.4 mg/dL
D. Calcium 10.2 mg/dL - CORRECT ANSWER-A
Rationale: Hyponatremia precipitate lithium toxicity
What is a possible consequence of sudden withdrawal to
diazepam (Valium)?
A. Drowsiness
B. Ataxia
C. Confusion
D. seizures - CORRECT ANSWER-D
Rationale: A, B and C are incorrect because these are side
effects while on valium. D is correct because seizures are what
occurs when the patient suddenly stops taking valium. In this
case you could miss this question because of missing the word
withdrawal. Always be sure to look for key words in the stem of
the question.
Antianxiety medications, such as benzodiazepines, produce a
calming effect by:
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A. Depressing the CNS
B. Decreasing levels of norepinephrine and serotonin in the
brain
C. Decreasing levels of dopamine in the brain
D. Inhibiting production of the enzyme MAO - CORRECT
ANSWER-A
The nurse is assessing a patient that is started on lithium. The
nurse knows that symptoms of toxicity are more likely to occur
if the patient's drug level is higher than which of the following?
A. 0.15 mEq/L
B. 1.5 mEq/L
C. 15 mEq/L
D. 150 mEq/L - CORRECT ANSWER-B
There is a very narrow margin between the therapeutic and toxic
levels of lithium
carbonate. Symptoms of toxicity are most likely to appear if the
serum levels exceed:
A. 0.15 mEq/L
B. 1.5 mEq/L
C. 15 mEq/L
D. 150 mEq/L - CORRECT ANSWER-B
, 4|Page
Initial symptoms of lithium toxicity include:
A. Constipation, dry mouth, drowsiness, oliguria.
B. Dizziness, thirst, dysuria, arrhythmias.
C. Ataxia, tinnitus, blurred vision, diarrhea.
D. Fatigue, vertigo, anuria, weakness. - CORRECT ANSWER-
C
Antipsychotic medications are thought to decrease psychotic
symptoms by:
A. Blocking reuptake of norepinephrine and serotonin.
B. Blocking the action of dopamine in the brain.
C. Inhibiting production of the enzyme MAO.
D. Depressing the CNS. - CORRECT ANSWER-B
If the foregoing extrapyramidal symptoms should occur, which
of the following would
be a priority nursing intervention?
A. Notify the physician immediately.
B. Administer prn trihexyphenidyl (Artane).
C. Withhold the next dose of antipsychotic medication.
ATI RN PHARM PRACTICE C 2024 ACTUAL
EXAM COMPLETE 100 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
Discharge teaching for a patient with bipolar disorder includes
explaining how lithium interacts with diet. The nurse would
instruct the client to:
A. Maintain a table salt free diet to reduce edema
B. Main a reduced table salt free diet since lithium is a salt
C. Maintain a regular sodium diet to reduce lithium toxicity
D. Not worry about table salt, because it does not affect lithium
levels - CORRECT ANSWER-D
Rationale: to cross the neuron membrane, the lithium needs to
be transported with sodium, so a normal amount of salt should
be included in the diet. A, B and C are incorrect because
adequate sodium intake is important.
,2|Page
A nurse reviews the laboratory results of a client taking lithium
carbonate (Lithobid). Which serum electrolyte value would the
nurse identify as a precipitating factor for lithium toxicity?
A. Sodium 130 mEq/L
B. Sodium 145 mEq/L
C. Calcium 8.4 mg/dL
D. Calcium 10.2 mg/dL - CORRECT ANSWER-A
Rationale: Hyponatremia precipitate lithium toxicity
What is a possible consequence of sudden withdrawal to
diazepam (Valium)?
A. Drowsiness
B. Ataxia
C. Confusion
D. seizures - CORRECT ANSWER-D
Rationale: A, B and C are incorrect because these are side
effects while on valium. D is correct because seizures are what
occurs when the patient suddenly stops taking valium. In this
case you could miss this question because of missing the word
withdrawal. Always be sure to look for key words in the stem of
the question.
Antianxiety medications, such as benzodiazepines, produce a
calming effect by:
,3|Page
A. Depressing the CNS
B. Decreasing levels of norepinephrine and serotonin in the
brain
C. Decreasing levels of dopamine in the brain
D. Inhibiting production of the enzyme MAO - CORRECT
ANSWER-A
The nurse is assessing a patient that is started on lithium. The
nurse knows that symptoms of toxicity are more likely to occur
if the patient's drug level is higher than which of the following?
A. 0.15 mEq/L
B. 1.5 mEq/L
C. 15 mEq/L
D. 150 mEq/L - CORRECT ANSWER-B
There is a very narrow margin between the therapeutic and toxic
levels of lithium
carbonate. Symptoms of toxicity are most likely to appear if the
serum levels exceed:
A. 0.15 mEq/L
B. 1.5 mEq/L
C. 15 mEq/L
D. 150 mEq/L - CORRECT ANSWER-B
, 4|Page
Initial symptoms of lithium toxicity include:
A. Constipation, dry mouth, drowsiness, oliguria.
B. Dizziness, thirst, dysuria, arrhythmias.
C. Ataxia, tinnitus, blurred vision, diarrhea.
D. Fatigue, vertigo, anuria, weakness. - CORRECT ANSWER-
C
Antipsychotic medications are thought to decrease psychotic
symptoms by:
A. Blocking reuptake of norepinephrine and serotonin.
B. Blocking the action of dopamine in the brain.
C. Inhibiting production of the enzyme MAO.
D. Depressing the CNS. - CORRECT ANSWER-B
If the foregoing extrapyramidal symptoms should occur, which
of the following would
be a priority nursing intervention?
A. Notify the physician immediately.
B. Administer prn trihexyphenidyl (Artane).
C. Withhold the next dose of antipsychotic medication.
