NCLEX NCLEX-RN
Psychosocial Integrity NCLEX Questions
1. How is the secondary use of data from the 2000 census classification system utilized to address disparities in mental health care along racial-ethnic lines?
- A. To provide culturally relevant care to the required ethnic group
- B. To identify all racial and ethnic groups in the United States
- C. To identify why there are disparities in the United States
- D. To determine when and how the health care needs of the ethnic populations are being met
Correct answer: To determine when and how the health care needs of the ethnic populations are being met
Rationale: The census classification system categorizes individuals based on racial and ethnic descriptions. Utilizing this data helps in identifying health disparities and assessing how the health care needs of ethnic populations are being addressed. Option A is incorrect because the primary focus is on analyzing healthcare needs met, not providing care. Option B is incorrect as the census does not encompass every single racial and ethnic group in the United States. Option C is incorrect as the census is not designed to investigate the reasons behind disparities, but rather to quantify and analyze them.
2. What initial response would the nurse give to a husband who is upset that his wife's alcohol withdrawal delirium has persisted for a second day?
- A. “I see that you're worried. We're using medication to ease your wife's discomfort.”
- B. “This is expected. I suggest that you go home because there's nothing you can do to help.”
- C. “If you’re afraid that she will die, I assure you, very few alcoholics die during detoxification.”
- D. “If you are concerned that she is uncomfortable, I'm sure that she's not in pain.”
Correct answer: “I see that you're worried. We're using medication to ease your wife's discomfort.”
Rationale: The correct response is to acknowledge the husband's feelings and provide information on the treatment plan to alleviate his concerns. This approach validates his emotions and educates him on the steps being taken to help his wife, promoting understanding and reducing anxiety. Choice B is incorrect as it dismisses the husband's worries and implies helplessness, potentially increasing his distress. Choice C is inappropriate as it introduces the concept of death, which can heighten fear and anxiety in the husband. Choice D is not recommended as it provides reassurance about the wife's pain without accurate knowledge of her discomfort, which could undermine trust and communication between the nurse and the husband.
3. A patient is asked to abduct her arms. Which of the following accurately describes her arm movement?
- A. She moves her arms away from her trunk
- B. She moves her arms toward her trunk
- C. She rotates her arms at the wrists while holding them away from her body
- D. She crosses her arms over her abdomen
Correct answer: She moves her arms away from her trunk
Rationale: Abduction refers to moving a body part away from the midline of the body. In this case, when the patient abducts her arms, she is moving them away from her trunk. Choice A is correct. Choices B, C, and D are incorrect. Choice B describes adduction, which is the movement of a body part toward the midline. Choice C describes wrist rotation, not arm abduction. Choice D describes crossing the arms over the abdomen, which is not the movement associated with abduction.
4. A patient with Meningitis is being treated with Vancomycin intravenously 3 times per day. The nurse notes that the urine output during the last 8 hours was 200mL. What is the nurse's priority action?
- A. Check the patient's last BUN levels
- B. Ask the patient to increase their fluid intake
- C. Ask the physician to order a diuretic
- D. Notify the physician of this finding
Correct answer: Notify the physician of this finding
Rationale: Vancomycin is a nephrotoxic drug and can cause impaired renal perfusion, which would lead to decreased urine output. This is a serious adverse effect that should be promptly reported to the physician. Checking the patient's last BUN levels (Choice A) may provide additional information but does not address the urgency of the situation. Asking the patient to increase fluid intake (Choice B) may not be appropriate if the cause is related to Vancomycin toxicity. Ordering a diuretic (Choice C) without physician evaluation can exacerbate the issue, making notifying the physician (Choice D) the most critical action to take.
5. What is the most common complication of chest wall injury?
- A. Hemothorax
- B. Atelectasis
- C. Pneumonia
- D. Pneumothorax
Correct answer: C: Pneumonia
Rationale: Pneumonia is the most common complication of chest wall injury. Chest wall trauma can lead to impaired lung function, making patients more susceptible to pneumonia due to reduced ability to clear secretions and impaired breathing. While hemothorax and pneumothorax are potential complications of chest wall injury, pneumonia is more commonly encountered. Atelectasis, although a common pulmonary complication, is not typically the most common complication seen in chest wall injuries.
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