NCLEX-PN
Psychosocial Integrity NCLEX Questions
Question 1 of 5
Which isolation procedure will be followed for secretions and blood?
Correct Answer: B
Rationale: Standard precautions are taken in all situations for all clients and involve all body secretions except sweat and are designed to reduce the rate of transmission of microbes from one host to another or one source (environment such as the client's bedside table) to another.
Question 2 of 5
The nurse is preparing to administer IV Vancomycin to a client. Which of the following nursing actions should be taken first?
Correct Answer: D
Rationale: Even before the physical assessment (which might or might not be indicated at the time of administration of Vancomycin), ensuring that the client is not allergic to the medication is the most critical action the nurse must take before administering any drug. Lab values regarding renal functioning and therapeutic ranges via peaks and troughs are also important with some medications such as Vancomycin because renal damage can occur if blood drug levels remain high over time.
Question 3 of 5
Which of the following represents a normal serum potassium level?
Correct Answer: C
Rationale: Normal serum potassium levels fall in a range of 3.5-5.5 mEq/L. The other choices listed fall below or above this range.
Question 4 of 5
Which of the following conditions has a severe complication of respiratory failure?
Correct Answer: B
Rationale: Guillain-Barré syndrome can lead to respiratory failure due to progressive muscle weakness affecting respiratory muscles, unlike the other conditions.
Question 5 of 5
All of the following should be performed when fetal heart monitoring indicates fetal distress except:
Correct Answer: C
Rationale: Decreasing maternal fluids is the only intervention that should not be performed when fetal distress is indicated.