NCLEX-RN
NCLEX RN Psychosocial Integrity Questions
Extract:
Question 1 of 5
The nurse obtains an electrocardiogram (ECG) rhythm strip for an adult client who is anxious about the results. The ECG shows that the heart rate is 90 beats per minute. Which statement should the nurse make to the client to relieve anxiety?
Correct Answer: A
Rationale: A normal adult resting pulse rate ranges between 60 and 100 beats per minute; therefore, the rate is normal. The nurse would not tell a client not to worry. Options 3 and 4 indicate that the ECG is abnormal.
Question 2 of 5
A client has been prescribed imipramine. The nurse notifies the primary health care provider if which adverse effect to the medication is noted?
Correct Answer: B
Rationale: Imipramine is a tricyclic antidepressant that is used to treat various forms of depression and anxiety. The client is also often in psychotherapy while prescribed this medication. Adverse effects to report to the primary health care provider include drowsiness, lethargy, and fatigue. Expected effects of the medication include an increased appetite and time spent sleeping, a reduced sense of anxiety, and an improved sense of well-being.
Question 3 of 5
The nurse is caring for a client who presented to the ED with a blood alcohol level of 208 mg/dL. The client states that his last drink was about 8 hours ago. He exhibits coarse tremors of the hands, anxiety, and elevated blood pressure. Which of the following would the nurse expect if his condition progresses to withdrawal delirium? Select all that apply.
Correct Answer: A,E,F
Rationale: Withdrawal delirium typically includes fever, disorientation, and fluctuating consciousness, with onset 48-72 hours after the last drink. Increased appetite or excessive sleeping are not typical.
Question 4 of 5
The nurse provides care for a client diagnosed with dementia. The nurse instructs the unlicensed assistive personnel (UAP) about bathing the client. Which strategies will the nurse identify as appropriate for the client? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: For a client with dementia, appropriate bathing strategies include: (
A) Singing or talking to provide comfort and reduce anxiety; (
B) Exposing only one area to maintain dignity and prevent chilling; (
D) Organizing supplies to minimize disruption; (E) Bathing slowly and explaining actions to reduce confusion. Completing the bath quickly (
C) may increase agitation and is not appropriate.
Question 5 of 5
The nurse is monitoring the neurological status on a client with dementia and assessing the limbic system. Which should the nurse assess to yield the best information about this area of functioning?
Correct Answer: B
Rationale: Feelings and emotions are part of the role of the limbic system. Eye movements are under the control of cranial nerves III, IV, and VI. The level of consciousness is controlled by the reticular activating system. Insight, judgment, and planning are part of the function of the frontal lobe.