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NCLEX RN· Psychosocial Integrity · Psychosocial Integrity NCLEX RN Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is assigned to care for a close friend in the hospital setting. Which action should the nurse take first when given the assignment?

A. Notify the friend that all medical information will be kept confidential.
B. Explain the relationship to the charge nurse and ask for reassignment.
C. Approach the client and ask if the assignment is uncomfortable.
D. Accept the assignment but protect the client's confidentiality.

Expert Explanatory Rationale

Correct Answer: Explain the relationship to the charge nurse and ask for reassignment.

Question 2 of 5

The healthcare provider is assessing several clients before surgery. Which factor in a client's history poses the greatest threat for complications during surgery?

A. Taking birth control pills for the past 2 years
B. Taking anticoagulants for the past year
C. Recently completing antibiotic therapy
D. Having taken laxatives PRN for the last 6 months

Expert Explanatory Rationale

Correct Answer: Taking anticoagulants for the past year

Question 3 of 5

The healthcare provider is aware that malnutrition is a common problem among clients served by a community health clinic for the homeless. Which laboratory value is the most reliable indicator of chronic protein malnutrition?

A. Low serum albumin level
B. Low serum transferrin level
C. High hemoglobin level
D. High cholesterol level

Expert Explanatory Rationale

Correct Answer: Low serum albumin level

Question 4 of 5

During a routine assessment, an obese 50-year-old female client expresses concern about her sexual relationship with her husband. Which is the best response by the nurse?

A. Reassure the client that many obese individuals have concerns about sex.
B. Remind the client that sexual relationships can remain unaffected by obesity.
C. Determine the frequency of sexual intercourse.
D. Ask the client to talk about specific concerns.

Expert Explanatory Rationale

Correct Answer: Ask the client to talk about specific concerns.

Question 5 of 5

A male client is laughing at a television program with his wife when the evening nurse enters the room. He says his foot is hurting and he would like a pain pill. How should the nurse respond?

A. Ask him to rate his pain on a scale of 1 to 10.
B. Encourage him to wait until bedtime so the pill can help him sleep.
C. Attend to the acutely ill client's needs first because this client is laughing.
D. Instruct him in the use of deep breathing exercises for pain control.

Expert Explanatory Rationale

Correct Answer: Ask him to rate his pain on a scale of 1 to 10.

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