PHARM ATI CERTIFICATION EVALUATION
EXAMS SCRIPT 100% CORRECT FULL
SOLUTION 2026
(Older adults have reduced hepatic function, which can prolong the
effects of medications the liver metabolizes. The client probably
needs a lower dosage of the hypnotic medication)
◉ A nurse working in an emergency department is caring for a client
who has Benzodiazepine toxicity due to an overdose. Which of the
following actions is the nurse's priority?
A. Administer flumazenil.
B. Identify the client's level of orientation.
C. Infuse IV fluids.
D. Prepare the client for gastric lavage. Answer: B. Identify the
client's level of orientation.
(The first action the nurse should take when using the nursing process
is to assess the client. Identifying the client's level of orientation is the
priority action.)
◉ A nurse is teaching a client who has a new prescription for
Escitalopram for treatment of generalized Anxiety disorder. Which of
,the following statements by the client indicates understanding of the
teaching?
A. "I should take the medication on an empty stomach."
B. "I will follow a low-sodium diet while taking this medication."
C. "I need to discontinue this medication slowly."
D. "I should not crush this medication before swallowing.". Answer:
C. "I need to discontinue this medication slowly."
(When discontinuing escitalopram, the client should taper the
medication slowly according to a prescribed tapered dosing schedule
to reduce the risk of withdrawal syndrome.)
◉ A nurse is providing teaching to a client who has a new
prescription for Buspirone to treat Anxiety. Which of the following
information should the nurse include?
A. "Take this medication on an empty stomach"
B. "Expect optimal therapeutic effects within 24 hr."
C. "Take this medication when needed for anxiety"
D. "This medication has a low risk for dependency.". Answer: D.
"This medication has a low risk for dependency."
(Buspirone has a low risk for physical or psychological dependence or
tolerance.)
, ◉ A nurse is teaching a client who has OCD and has a new
prescription for Paroxetine. Which of the following instructions
should the nurse include?
A. "It can take several weeks before you feel like the medication is
helping."
B. "Take the medication just before bedtime to promote sleep."
C. "You should take the medication when needed for obsessive
urges."
D. "Monitor for weight gain while taking this medication.". Answer:
A. "It can take several weeks before you feel like the medication is
helping."
(Paroxetine can take 1 to 4 weeks before the client reaches full
therapeutic benefit.)
◉ A nurse is caring for a client who takes Paroxetine to treat PTSD
and reports that he grinds his teeth during the night. The nurse should
identify which of the following interventions to manage Bruxism?
(Select all that apply.)
A. Concurrent administration of buspirone
B. Administration of a different SSRI
C. Use of a mouth guard
D. Changing to a different class of antidepressant medication
E. Increasing the dose of paroxetine. Answer: A. Concurrent
administration of buspirone
, C. Use of a mouth guard
D. Changing to a different class of antidepressant medication
(A. Concurrent administration of a low dose of buspirone is an
effective measure to manage the adverse effects of paroxetine
C.Using a mouth guard during sleep can decrease the risk for oral
damage resulting from bruxism.
D. Changing to different class of antidepressant medication that does
not have the adverse effect of bruxism is an effective measure)
◉ A nurse is caring for a client who has a new prescription for
Phenelzine for the treatment of depression. Which of the following
indicates that the client has developed an adverse effect of this
medication?
A. Orthostatic hypotension
B. Hearing loss
C. Gastrointestinal bleeding
D. Weight loss. Answer: A. Orthostatic hypotension
(Orthostatic hypotension is an adverse of effect of mAOIs, including
phenelzine.)
EXAMS SCRIPT 100% CORRECT FULL
SOLUTION 2026
(Older adults have reduced hepatic function, which can prolong the
effects of medications the liver metabolizes. The client probably
needs a lower dosage of the hypnotic medication)
◉ A nurse working in an emergency department is caring for a client
who has Benzodiazepine toxicity due to an overdose. Which of the
following actions is the nurse's priority?
A. Administer flumazenil.
B. Identify the client's level of orientation.
C. Infuse IV fluids.
D. Prepare the client for gastric lavage. Answer: B. Identify the
client's level of orientation.
(The first action the nurse should take when using the nursing process
is to assess the client. Identifying the client's level of orientation is the
priority action.)
◉ A nurse is teaching a client who has a new prescription for
Escitalopram for treatment of generalized Anxiety disorder. Which of
,the following statements by the client indicates understanding of the
teaching?
A. "I should take the medication on an empty stomach."
B. "I will follow a low-sodium diet while taking this medication."
C. "I need to discontinue this medication slowly."
D. "I should not crush this medication before swallowing.". Answer:
C. "I need to discontinue this medication slowly."
(When discontinuing escitalopram, the client should taper the
medication slowly according to a prescribed tapered dosing schedule
to reduce the risk of withdrawal syndrome.)
◉ A nurse is providing teaching to a client who has a new
prescription for Buspirone to treat Anxiety. Which of the following
information should the nurse include?
A. "Take this medication on an empty stomach"
B. "Expect optimal therapeutic effects within 24 hr."
C. "Take this medication when needed for anxiety"
D. "This medication has a low risk for dependency.". Answer: D.
"This medication has a low risk for dependency."
(Buspirone has a low risk for physical or psychological dependence or
tolerance.)
, ◉ A nurse is teaching a client who has OCD and has a new
prescription for Paroxetine. Which of the following instructions
should the nurse include?
A. "It can take several weeks before you feel like the medication is
helping."
B. "Take the medication just before bedtime to promote sleep."
C. "You should take the medication when needed for obsessive
urges."
D. "Monitor for weight gain while taking this medication.". Answer:
A. "It can take several weeks before you feel like the medication is
helping."
(Paroxetine can take 1 to 4 weeks before the client reaches full
therapeutic benefit.)
◉ A nurse is caring for a client who takes Paroxetine to treat PTSD
and reports that he grinds his teeth during the night. The nurse should
identify which of the following interventions to manage Bruxism?
(Select all that apply.)
A. Concurrent administration of buspirone
B. Administration of a different SSRI
C. Use of a mouth guard
D. Changing to a different class of antidepressant medication
E. Increasing the dose of paroxetine. Answer: A. Concurrent
administration of buspirone
, C. Use of a mouth guard
D. Changing to a different class of antidepressant medication
(A. Concurrent administration of a low dose of buspirone is an
effective measure to manage the adverse effects of paroxetine
C.Using a mouth guard during sleep can decrease the risk for oral
damage resulting from bruxism.
D. Changing to different class of antidepressant medication that does
not have the adverse effect of bruxism is an effective measure)
◉ A nurse is caring for a client who has a new prescription for
Phenelzine for the treatment of depression. Which of the following
indicates that the client has developed an adverse effect of this
medication?
A. Orthostatic hypotension
B. Hearing loss
C. Gastrointestinal bleeding
D. Weight loss. Answer: A. Orthostatic hypotension
(Orthostatic hypotension is an adverse of effect of mAOIs, including
phenelzine.)
