NCLEX-RN
Psychosocial Integrity NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
Which of the following is an example of an opioid?
Correct Answer: D
Rationale: Opioids are a type of drug classified as narcotics. Nurses working with clients with substance abuse issues often encounter opioids. Opioids have the potential for addiction. Examples of opioids include methadone, codeine, morphine, and hydromorphone. Mescaline (
Choice
A) is a hallucinogen, not an opioid. Diazepam (
Choice
B) is a benzodiazepine used to treat anxiety and other conditions, not an opioid. Phenobarbital (
Choice
C) is a barbiturate used to treat seizures and insomnia, not an opioid.
Question 2 of 5
When assisting a client from the bed to a chair, which procedure is best for the nurse to follow?
Correct Answer: B
Rationale: Option B is the correct procedure for assisting a client from the bed to a chair. By positioning the nurse's feet apart and aligning the knees with the client's knees, the nurse maintains a stable base of support while pivoting the client into the chair. This technique minimizes the risk of injury to both the nurse and the client. Placing the chair at a 45-degree angle to the bed, with the back of the chair toward the head of the bed, provides a clear path for the client to move. Option C is incorrect because lifting a client under the axillae can potentially cause nerve damage and strain. Option D is also incorrect as it involves an unsafe method of moving the client and can lead to injuries or accidents.
Question 3 of 5
When taking a client's blood pressure, the nurse is unable to distinguish the point at which the first sound was heard. Which is the best action for the nurse to take?
Correct Answer: C
Rationale: When the nurse is unable to distinguish the point at which the first sound was heard while taking a client's blood pressure, the best action is to deflate the cuff to zero and wait 30 to 60 seconds before reattempting the reading. Deflating the cuff for this duration allows blood flow to return to the extremity, ensuring an accurate reading on that extremity a second time. Option A of deflating the cuff completely and immediately reattempting the reading could lead to a falsely high reading. Option B, re-inflating the cuff completely and leaving it inflated for 90 to 110 seconds, reduces circulation, causes pain, and may alter the reading. Option D, documenting the exact level visualized on the sphygmomanometer where the first fluctuation was seen, is not a reliable method for assessing blood pressure and does not address the issue of obtaining an accurate reading.
Question 4 of 5
When bathing an uncircumcised boy older than 3 years, which action should the nurse take?
Correct Answer: C
Rationale: When bathing an uncircumcised boy older than 3 years, it is essential to gently retract the foreskin to cleanse the penis. This helps in preventing the buildup of bacteria and maintaining good hygiene. Reminding the child to clean his genital area (Option
A) may not be effective due to the child's cognitive development level. Perineal care should not be deferred (Option
B) as it is necessary for maintaining hygiene at any age. Asking the parents why the child is not circumcised (Option
D) is not relevant to the immediate care required during bathing.
Question 5 of 5
What step should be taken when administering ear drops to an adult client?
Correct Answer: A
Rationale: The correct step when administering ear drops to an adult client is to place the client in a side-lying position (
A). This position allows for easier administration of the drops and helps prevent spillage. The dropper should be held approximately 1 cm (½ inch) above the ear canal (
B) to ensure accurate delivery of the medication. Placing a cotton ball into the outermost canal (
C) is unnecessary and may interfere with the absorption of the ear drops. Pulling the auricle down and back (
D) is a technique used for children younger than 3 years old to straighten the ear canal, but it is not necessary for adults and may cause discomfort.