PROCTORED 2019 B EXAM /
ACTUAL QUESTIONS AND
COMPLETE SOLUTIONS LATEST
UPDATE .
,1. A nurse is assessing a client who reports using several herbal and vitamin supplements daily,
including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by
clients to elicit which of the following therapeutic effects
A. urinary health promotion
B. immune system stimulation
C. decreased leg pain from arterial disease
D. prevention of nausea caused by motion sickness CORRECT ANSWER A. urinary health promotio
Saw palmetto is used primarily for manifestations related to prostatic conditions, such as benign prostati
hypertrophy (BPH). Its effectiveness has not been scientif- ically proven, however. The nurse should teac
the client to check with the provider about interactions between saw palmetto and other medications.
2. A nurse is providing teaching to a group of new parents about medications.
The nurse
should include that aspirin is contraindicated for children who have a viral infection due
to the risk of developing which of the following adverse effects?
a. Reye's syndrome
b. Visual disturbances
c. Diabetes mellitus
d. Wilm's tumor CORRECT ANSWER a. Reye's syndrome
3. A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for
hemodialysis and new prescription for epoetin alfa. Which of the following therapeutic effects of
epoetin alfa should the nurse include in the teaching?
a. Reduces blood pressure
b. Inhibits clotting of fistula
c. Promotes RBC production
d. Stimulates growth of neutrophils CORRECT ANSWER c. Promotes RBC production
4. A nurse is caring for a client who has peptic ulcer disease and reports a headache. Which
,of the following medications should the nurse plan to administer?
a. Ibuprofen (NSAIDS)
b. Naproxen (NSAIDS)
c. Aspirin (NSAIDS)
d. Acetaminophen (anlagesics) CORRECT ANSWER d. Acetaminophen (anlagesics)
5. A nurse is caring for a client who has prescription for clopidogrel.The nurse should monitor the
client for which of the following adverse effects?
a. Insomnia
b. Hypotension
c. Bleeding
d. Constipation CORRECT ANSWER c. Bleeding
6. A nurse is teaching a newly licensed nurse about contraindications to cef- triaxone. The nurse
should include a severe allergy to which of the following medications as contraindication to
ceftriaxone?
a. Gentamicin
b. Clindamycin
c. Piperacillin
d. Sulfamethoxazole-trimethroprim CORRECT ANSWER c. Piperacillin
7. A nurse is providing teaching to a newly licensed nurse about metoclo- pramide. The nurse
should include in the teaching that which of the following conditions is a
contraindication to this medication?
a. Hyperthyroidism
b. Intestinal obstruction
c. Glaucoma
d. Low blood pressure CORRECT ANSWER b. Intestinal obstruction
8. A nurse is assessing a client who has a new prescription for chlorpromazine to treat
schizophrenia. The client has a mask like facial expression and is experiencing involuntary
movements and tremors. Which of the following medications should the nurse anticipate
, administering?
a. Amantadine
b. Bupropion (aytpical antidepressant)
c. Phenelzine (MAOI)
d. Hydroxyzine (Antihistamine) CORRECT ANSWER a. Amantadine
9. A nurse is administering subQ epinephrine for a client who is experiencing anaphylaxis.
The nurse should monitor the client for which of the following adverse ef- fects?
a. Hypotension
b. Hyperthermia
c. Hypoglycemia
d. Tachycardia CORRECT ANSWER d. Tachycardia
10. A nurse is providing teaching to a client who has UTI and new prescription for
phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates the
need for further teaching?
a. If the phenazopyridine upsets my stomach, I can take it with meals.
b. The phenazopyridine will relieve my discomfort, but the cipro will get rid of the
infections.
c. I need to drink2 liters of fluid per day while I am taking cipro.
d. I should notify my provider immediately if my urine turns an orange color. CORRECT ANSWER
d. I should notify my provider immediately if my urine turns an orange color.
11. A nurse is caring for an older adult client who has a prescription for zolpidem at bedtime to
promote sleep. The nurse should plan to monitor the client for which of the following
adverse effects?
a. Ecchymosis
b. Decreased urine output
c. Increased blood pressure