NCLEX Psychosocial Integrity

Extract:

Question 1 of 5

A patient has a history of cardiac arrhythmia. A nurse has been ordered to give 2 units of blood to this patient. The nurse should take which of the following actions?

Correct Answer: D

Rationale: Warming the blood will reduce the risk of additional cardiac arrhythmia.

Question 2 of 5

Which of the following clients require airborne precautions?

A. a client with fever, chills, vomiting, and diarrhea B. a client suspected of varicella (chickenpox) C. a client with abdominal pain and purpura D. a client diagnosed with AIDS

Correct Answer: B

Rationale: Chickenpox (varicella) is an acute, infectious, airborne illness that requires others in direct contact to wear a respirator mask.

Question 3 of 5

A child comes to the clinic with a skin rash. The maculopapular lesions are distributed around the mouth and have honey-colored drainage. The caregiver states that the rash is getting worse and seems to spread with the child's scratching. Which of the following advisory comments should be given?

A. The history and presentation might indicate chickenpox, a highly contagious disease. B. The lesions might indicate a noncontagious infection that does not require isolation. C. The history and presentation might indicate an infectious illness called impetigo. D. The lesions are not contagious unless others have open wounds or lesions themselves.

Correct Answer: C

Rationale: The scenario describes classic impetigo for which the physician is likely to order antibiotic therapy. Chickenpox is highly contagious but presents with a history of high fever followed by a vesicular rash.

Question 4 of 5

A patient has a history of cardiac arrhythmia. A nurse has been ordered to give 2 units of blood to this patient. The nurse should take which of the following actions?

A. Prep the patient with pain medication. B. Notify the patient's family about the procedure via the telephone. C. Decrease the temperature of the blood to be given. D. Increase the temperature of the blood to be given.

Correct Answer: D

Rationale: Warming the blood will reduce the risk of additional cardiac arrhythmia.

Question 5 of 5

A nurse is caring for a patient who has experienced burns to the right lower extremity. According to the Rule of Nines which of the following percents most accurately describes the severity of the injury?

A. 36% B. 27% C. 18% D. 9%

Correct Answer: C

Rationale: Each lower extremity is scored as 18% according to the Rule of Nines, which estimates burn severity.

NCLEX Psychosocial Integrity | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN