(HU) NU 011 - Pre NCLEX Licensure Prep II - Latest Exam Guide (HU) NU 011 - Pre NCLEX Licensure Prep II - Latest Exam Guide (HU) NU 011 - Pre NCLEX Licensure Prep II - Latest Exam Guide
,1. A patient with chronic heart failure is prescribed a medication
that inhibits the renin-angiotensin-aldosterone system. Which of
the following medications achieves this effect?
A. Metoprolol
B. Furosemide
C. Lisinopril
D. Digoxin
Correct Answer: C. Lisinopril
Rationale: Lisinopril is an ACE inhibitor that blocks the
conversion of angiotensin I to angiotensin II, a potent
vasoconstrictor, thereby inhibiting the renin-angiotensin-
aldosterone system and reducing blood pressure and afterload on
the heart.
2. A nurse is caring for a patient who is receiving intravenous
therapy. The nurse notices signs of phlebitis at the IV site. What is
the most appropriate nursing action?
A. Apply a warm compress and elevate the limb.
B. Discontinue the IV line and start a new one at a different site.
C. Administer prescribed analgesics.
D. Slow the rate of infusion.
, Correct Answer: B. Discontinue the IV line and start a new one
at a different site.
Rationale: Phlebitis is an inflammation of the vein, and the
appropriate action is to discontinue the IV line to prevent further
irritation and start a new one at a different site to maintain IV
access.
3. A patient is diagnosed with type 1 diabetes mellitus. Which of
the following pharmacological therapies is essential for this patient?
A. Oral hypoglycemic agents
B. Insulin therapy
C. Glucagon injections
D. Dietary supplements
Correct Answer: B. Insulin therapy
Rationale: Type 1 diabetes mellitus is characterized by the
destruction of pancreatic beta cells, leading to an absolute insulin
deficiency. Insulin therapy is essential for survival in these patients.
, D. Increase alcohol consumption.
Correct Answer: B. Begin a regular exercise program.
Rationale: Regular physical activity can help lower blood pressure
and reduce the risk of cardiovascular complications associated with
hypertension.
5. A nurse is preparing to administer a parenteral medication.
Which of the following is the most important consideration to
ensure patient safety?
A. The patient's preference for the injection site.
B. The expiration date of the medication.
C. The cost of the medication.
D. The color of the medication.
Correct Answer: B. The expiration date of the medication.
Rationale: Ensuring that the medication is not expired is crucial
to patient safety, as expired medications can be ineffective or
harmful.
6. A patient with a history of tuberculosis is admitted for treatment
of a pulmonary infection. Which of the following actions is most
important to prevent the spread of infection?
A. Placing the patient in a private room with negative pressure.
B. Providing the patient with a standard surgical mask.
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