ATI PN PHARMACOLOGY PROCTORED
REVIEW SCRIPT 2026 FULL ANSWERS
GRADED A+
⩥ 111.) A client arrives at the health care clinic and tells the nurse that
he has been doubling his daily dosage of bupropion hydrochloride
(Wellbutrin) to help him get better faster. The nurse understands that the
client is now at risk for which of the following?
1. Insomnia
2. Weight gain
3. Seizure activity
4. Orthostatic hypotension
Answer: 3. Seizure activity
Rationale:
Bupropion does not cause significant orthostatic blood pressure changes.
Seizure activity is common in dosages greater than 450 mg daily.
Bupropion frequently causes a drop in body weight. Insomnia is a side
effect, but seizure activity causes a greater client risk.
⩥ 112.) A hospitalized client is started on phenelzine sulfate (Nardil) for
the treatment of depression. The nurse instructs the client to avoid
consuming which foods while taking this medication? Select all that
apply.
1. Figs
,2. Yogurt
3. Crackers
4. Aged cheese
5 Tossed salad
6. Oatmeal cookies
Answer: 1. Figs
2. Yogurt
4. Aged cheese
Rationale:
Phenelzine sulfate (Nardil) is a monoamine oxidase inhibitor(MAOI).
The client should avoid taking in foods that are high in tyramine. Use of
these foods could trigger a potentially fatal hypertensive crisis. Some
foods to avoid include yogurt, aged cheeses, smoked or processed meats,
red wines, and fruits such as avocados, raisins, and figs.
⩥ 113.) A nurse is reinforcing discharge instructions to a client receiving
sulfisoxazole. Which of the following would be included in the plan of
care for instructions?
1. Maintain a high fluid intake.
2. Discontinue the medication when feeling better.
3. If the urine turns dark brown, call the health care provider
immediately.
4. Decrease the dosage when symptoms are improving to prevent an
allergic response.
,Answer: 1. Maintain a high fluid intake.
Rationale:
Each dose of sulfisoxazole should be administered with a full glass of
water, and the client should maintain a high fluid intake. The medication
is more soluble in alkaline urine. The client should not be instructed to
taper or discontinue the dose. Some forms of sulfisoxazole cause the
urine to turn dark brown or red. This does not indicate the need to notify
the health care provider.
⩥ 114.) A postoperative client requests medication for flatulence (gas
pains). Which medication from the following PRN list should the nurse
administer to this client?
1. Ondansetron (Zofran)
2. Simethicone (Mylicon)
3. Acetaminophen (Tylenol)
4. Magnesium hydroxide (milk of magnesia, MOM)
Answer: 2. Simethicone (Mylicon)
Rationale:
Simethicone is an antiflatulent used in the relief of pain caused by
excessive gas in the gastrointestinal tract. Ondansetron is used to treat
postoperative nausea and vomiting. Acetaminophen is a nonopioid
analgesic. Magnesium hydroxide is an antacid and laxative.
, ⩥ 115.) A client received 20 units of NPH insulin subcutaneously at 8:00
AM. The nurse should check the client for a potential hypoglycemic
reaction at what time?
1. 5:00 PM
2. 10:00 AM
3. 11:00 AM
4. 11:00 PM
Answer: 1. 5:00 PM
Rationale:
NPH is intermediate-acting insulin. Its onset of action is 1 to 2½ hours,
it peaks in 4 to 12 hours, and its duration of action is 24 hours.
Hypoglycemic reactions most likely occur during peak time.
⩥ 116.) A nurse administers a dose of scopolamine (Transderm-Scop) to
a postoperative client. The nurse tells the client to expect which of the
following side effects of this medication?
1. Dry mouth
2. Diaphoresis
3. Excessive urination
4. Pupillary constriction
Answer: 1. Dry mouth
Rationale:
Scopolamine is an anticholinergic medication for the prevention of
nausea and vomiting that causes the frequent side effects of dry mouth,
REVIEW SCRIPT 2026 FULL ANSWERS
GRADED A+
⩥ 111.) A client arrives at the health care clinic and tells the nurse that
he has been doubling his daily dosage of bupropion hydrochloride
(Wellbutrin) to help him get better faster. The nurse understands that the
client is now at risk for which of the following?
1. Insomnia
2. Weight gain
3. Seizure activity
4. Orthostatic hypotension
Answer: 3. Seizure activity
Rationale:
Bupropion does not cause significant orthostatic blood pressure changes.
Seizure activity is common in dosages greater than 450 mg daily.
Bupropion frequently causes a drop in body weight. Insomnia is a side
effect, but seizure activity causes a greater client risk.
⩥ 112.) A hospitalized client is started on phenelzine sulfate (Nardil) for
the treatment of depression. The nurse instructs the client to avoid
consuming which foods while taking this medication? Select all that
apply.
1. Figs
,2. Yogurt
3. Crackers
4. Aged cheese
5 Tossed salad
6. Oatmeal cookies
Answer: 1. Figs
2. Yogurt
4. Aged cheese
Rationale:
Phenelzine sulfate (Nardil) is a monoamine oxidase inhibitor(MAOI).
The client should avoid taking in foods that are high in tyramine. Use of
these foods could trigger a potentially fatal hypertensive crisis. Some
foods to avoid include yogurt, aged cheeses, smoked or processed meats,
red wines, and fruits such as avocados, raisins, and figs.
⩥ 113.) A nurse is reinforcing discharge instructions to a client receiving
sulfisoxazole. Which of the following would be included in the plan of
care for instructions?
1. Maintain a high fluid intake.
2. Discontinue the medication when feeling better.
3. If the urine turns dark brown, call the health care provider
immediately.
4. Decrease the dosage when symptoms are improving to prevent an
allergic response.
,Answer: 1. Maintain a high fluid intake.
Rationale:
Each dose of sulfisoxazole should be administered with a full glass of
water, and the client should maintain a high fluid intake. The medication
is more soluble in alkaline urine. The client should not be instructed to
taper or discontinue the dose. Some forms of sulfisoxazole cause the
urine to turn dark brown or red. This does not indicate the need to notify
the health care provider.
⩥ 114.) A postoperative client requests medication for flatulence (gas
pains). Which medication from the following PRN list should the nurse
administer to this client?
1. Ondansetron (Zofran)
2. Simethicone (Mylicon)
3. Acetaminophen (Tylenol)
4. Magnesium hydroxide (milk of magnesia, MOM)
Answer: 2. Simethicone (Mylicon)
Rationale:
Simethicone is an antiflatulent used in the relief of pain caused by
excessive gas in the gastrointestinal tract. Ondansetron is used to treat
postoperative nausea and vomiting. Acetaminophen is a nonopioid
analgesic. Magnesium hydroxide is an antacid and laxative.
, ⩥ 115.) A client received 20 units of NPH insulin subcutaneously at 8:00
AM. The nurse should check the client for a potential hypoglycemic
reaction at what time?
1. 5:00 PM
2. 10:00 AM
3. 11:00 AM
4. 11:00 PM
Answer: 1. 5:00 PM
Rationale:
NPH is intermediate-acting insulin. Its onset of action is 1 to 2½ hours,
it peaks in 4 to 12 hours, and its duration of action is 24 hours.
Hypoglycemic reactions most likely occur during peak time.
⩥ 116.) A nurse administers a dose of scopolamine (Transderm-Scop) to
a postoperative client. The nurse tells the client to expect which of the
following side effects of this medication?
1. Dry mouth
2. Diaphoresis
3. Excessive urination
4. Pupillary constriction
Answer: 1. Dry mouth
Rationale:
Scopolamine is an anticholinergic medication for the prevention of
nausea and vomiting that causes the frequent side effects of dry mouth,
