PROCTORED EXAM
QUESTIONS AND ANSWERS
UPDATED 2024/2025
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, 1. By what mechanism do diuretics such as furosemide (Lasix) improve the
symptoms of heart failure?
C. Reducing fluid/plasma volume
2. Which of the following drugs acts by inhibiting aldosterone?
A. Spironolactone (Aldactone)
3. A nurse is scheduled to administer a dose of digoxin (Lanoxin) to an adult client
with atrial fibrillation. The client has a potassium level of 4.3 mEq/L. The nurse
should perform which of the following activities next?
D. Administer dose as ordered
4. The nursing instructor is talking with students about the renal system. What
would the instructor tell the students about the renal system, especially how it
helps maintain calcium levels in the body by regulating the activation of what?
D. Vitamin D
5. The renal system has several major functions in the body. What are they? (Select
all that apply.)
B. Clearing nitrogenous wastes from protein metabolism
C. Regulating red blood cell production
D. Regulating blood pressure
E. Concentrating urine
6. The emergency department (ED) nurse is caring for a patient who is experiencing
pulmonary edema. The patient is treated with furosemide (Lasix). What will the
nurse monitor?
D. Potassium levels
7. A student asks the pharmacy instructor what the difference is between the
diuretics spironolactone (Aldactone) and furosemide (Lasix). What would the
instructor reply?
A. Potassium losses are lower with spironolactone
8. The nurse is caring for a patient with a severe head injury. An osmotic diuretic is
ordered. The nurse understands which drug is an osmotic diuretic?
C. Mannitol (Osmitrol)
9. The nurse is conducting an admission assessment of a patient who has been
prescribed hydrochlorothiazide (HydroDIURIL). Which situation would
contraindicate the administration of hydrochlorothiazide (HydroDIURIL)?
A. Allergy to sulfa drugs
10. A patient has just begun to take a prescribed diuretic. Why would the nurse tell
the patient to drink 8 to 10 glasses of water daily (unless it is contraindicated)?
D. To avoid rebound edema