NCLEX-PN
Psychosocial Integrity NCLEX Questions
Extract:
Question 1 of 5
Which of the following might be an appropriate nursing diagnosis for an epileptic client?
Correct Answer: B
Rationale: The epileptic client is at risk for injury due to the complications of seizure activity, such as possible head trauma associated with a fall. The other choices are not related to the question.
Question 2 of 5
When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client's body should she measure?
Correct Answer: A
Rationale: An oropharyngeal airway is measured from the corner of the client's mouth, to the tragus of the ear.
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
How often must physical restraints be released?
Correct Answer: A
Rationale: Restraints must be released every 2 hours to assess circulation, skin integrity, and client comfort, with assessments every 30 minutes while restrained.
Question 5 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.