NCLEX NCLEX-RN
NCLEX Psychosocial Questions
1. Which statement regarding an interpreter is correct?
- A. Relatives or friends of the client cannot serve as interpreters.
- B. The interpreter should aim to convey meaning rather than provide literal translations.
- C. Interpreting not only the language but also the culture is important.
- D. The interpreter should be available only during client-provider communication.
Correct answer: C: Interpreting not only the language but also the culture is important.
Rationale: The correct answer is that interpreting not only the language but also the culture is important. Health care facilities should provide professional interpreters to ensure accurate communication with clients who do not speak English proficiently. It is crucial for interpreters to understand and convey cultural nuances to prevent misunderstandings. Relatives or friends of the client should not serve as interpreters as they may not be impartial or adequately skilled. Providing literal word-for-word translations is not always effective as it may not capture the intended meaning. Interpreters should be available throughout the client's care process, not just during direct communication, to ensure effective and culturally sensitive care.
2. The patient's symptoms, lack of antibodies for hepatitis, and the abrupt onset of symptoms suggest toxic hepatitis, which can be caused by commonly used over-the-counter drugs such as acetaminophen (Tylenol). Travel to a foreign country and a history of IV drug use are risk factors for viral hepatitis. Corticosteroid use does not cause the symptoms listed.
- A. Hemoglobin
- B. Temperature
- C. Activity level
- D. Albumin level
Correct answer: Albumin level
Rationale: The low oncotic pressure caused by hypoalbuminemia is a major pathophysiologic factor in the development of edema. In this case, monitoring the albumin level is crucial to assess the patient's fluid balance and potential for edema. While hemoglobin, temperature, and activity level are important parameters to monitor in a patient's assessment, they are not directly associated with the patient's current symptoms of toxic hepatitis and edema development. Therefore, the correct choice is the albumin level.
3. The healthcare professional calculates the IV flow rate for a patient receiving an antibiotic. The patient is to receive 100mL of the antibiotic over 30 minutes. The IV infusion set has a drop factor of 10 drops per milliliter. How many drops per minute should the healthcare professional set the IV to deliver?
- A. 11
- B. 19
- C. 26
- D. 33
Correct answer: 33
Rationale: To determine the drops per minute for the IV flow rate, you can use the formula: Drops Per Minute = (Milliliters to be infused x Drop Factor) / Time in Minutes. Substituting the given values, you get 100 mL x 10 drops/mL / 30 minutes = 33 drops per minute. Therefore, the correct answer is 33, as the healthcare professional should set the IV to deliver 33 drops per minute to infuse the antibiotic correctly. Choices A, B, and C are incorrect as they do not match the calculated drops per minute based on the provided values.
4. A student is late for an appointment and has rushed across campus to the health clinic. How should the nurse proceed?
- A. Allow 5 minutes for the student to relax and rest before checking their vital signs.
- B. Check the blood pressure in both arms, expecting a difference in the readings due to the recent exercise.
- C. Immediately monitor the student’s vital signs upon arrival at the clinic and then 5 minutes later, recording any differences.
- D. Check the student’s blood pressure in the supine position to provide a more accurate reading and allow the student to relax at the same time.
Correct answer: A: Allow 5 minutes for the student to relax and rest before checking their vital signs.
Rationale: To ensure an accurate blood pressure reading, it is important for the student to be in a relaxed state. Allowing at least a 5-minute rest period helps reduce anxiety and provides a valid blood pressure measurement. Checking the blood pressure in both arms is unnecessary unless there is a specific reason to suspect an issue, and recent exercise should not significantly impact the readings. Monitoring vital signs immediately upon arrival may not yield accurate results due to the rush and anxiety of the student. Checking blood pressure in the supine position is not necessary in this scenario and does not provide a more accurate reading.
5. A nurse is providing dismissal instructions for a child who was admitted for rotavirus. Which of the following statements by the parent indicates the need for further teaching?
- A. I'll start giving him his antibiotics as soon as we get home.
- B. I will call the physician if he becomes dizzy or overly fussy.
- C. He will need to wash his hands a lot to keep this from spreading.
- D. I'll watch to see when he stops having diarrhea stools.
Correct answer: I'll start giving him his antibiotics as soon as we get home.
Rationale: The correct answer is 'I'll start giving him his antibiotics as soon as we get home.' Rotavirus is a viral illness, and antibiotics are ineffective for its treatment. The parent's statement indicates a need for further teaching as antibiotics are not appropriate for treating rotavirus. Option B is correct as it demonstrates the parent's understanding of when to contact the physician for concerning symptoms. Option C is a correct statement regarding infection control practices. Option D is also correct as monitoring diarrhea stools is essential to track recovery from rotavirus.
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