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Home » My Account » NCLEX-RN Psychosocial Integrity Exam

NCLEX-RN Psychosocial Integrity Exam

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Question 1 of 20

1. Question

A client recently laid off from work states, “I am worried that I cannot keep up with my responsibilities at home, and I do not know how I will pay my bills.”

> Which nursing diagnosis is the highest priority?

1. Anxiety
Correct Incorrect Correct answer

2. Distorted perception of the situation
Correct Incorrect Correct answer

3. Impaired thought processes
Correct Incorrect Correct answer

4. Ineffective coping
Correct Incorrect Correct answer

Correct

Incorrect
Question 2 of 20

2. Question

A client has just been diagnosed with type 2 diabetes mellitus. The nurse is assessing readiness to learn before beginning teaching on glucose monitoring.

> Which client behavior indicates a lack of readiness to learn?

1. Reporting feeling too tired whenever teaching is scheduled
Correct Incorrect Correct answer

2. Asking if a family member can attend the session
Correct Incorrect Correct answer

3. Requesting handouts to review after class
Correct Incorrect Correct answer

4. Asking specific questions about the topic
Correct Incorrect Correct answer

Correct

Incorrect
Question 3 of 20

3. Question

A client diagnosed with peptic ulcer disease reports that symptoms worsen during stressful periods at work.

> Which situation described by the client is most likely contributing to exacerbations?

1. Being required to take last-minute overtime shifts
Correct Incorrect Correct answer

2. Enjoying the flexibility to work from home
Correct Incorrect Correct answer

3. Sleeping nine hours each night
Correct Incorrect Correct answer

4. Eating several small meals throughout the day
Correct Incorrect Correct answer

Correct

Incorrect
Question 4 of 20

4. Question

A client appears anxious before a scheduled cast removal and states, “That machine sounds like it will cut my arm.”

> Which action by the nurse is most helpful?

1. Showing the client the cast cutter and explaining how it functions
Correct Incorrect Correct answer

2. Telling the client that accidents almost never occur
Correct Incorrect Correct answer

3. Warning the client that the noise may be uncomfortable
Correct Incorrect Correct answer

4. Explaining that the blade becomes hot only in rare cases
Correct Incorrect Correct answer

Correct

Incorrect
Question 5 of 20

5. Question

A client’s tuberculin skin test converts from negative to positive. The client is upset and asks what this result means.

> The nurse bases the explanation on which interpretation?

1. Active tuberculosis is present
Correct Incorrect Correct answer

2. No tuberculosis exposure has occurred
Correct Incorrect Correct answer

3. The client has been exposed to tuberculosis
Correct Incorrect Correct answer

4. The client has pulmonary tuberculosis
Correct Incorrect Correct answer

Correct

Incorrect
Question 6 of 20

6. Question

A nurse is caring for a dying client whose family members are gathered at the bedside.

> Which communication strategies are therapeutic? Select all that apply.

1. Allowing time for reminiscing and storytelling
Correct Incorrect Correct answer

2. Encouraging honest expression of emotions
Correct Incorrect Correct answer

3. Touching the client or family’s hand when appropriate
Correct Incorrect Correct answer

4. Telling family members the nurse will make decisions for them
Correct Incorrect Correct answer

5. Providing clear explanations about what is happening
Correct Incorrect Correct answer

6. Assuring the family that the nurse will remain available and supportive
Correct Incorrect Correct answer

Correct / 5 Points

Incorrect / 5 Points
Question 7 of 20

7. Question

The parent of a 5-year-old asks whether the child should attend their grandparent’s funeral, noting disagreement within the family.

> Which is the best nursing response?

1. “What feels right for you and your spouse regarding involving the children?”
Correct Incorrect Correct answer

2. “Children should always attend funerals to promote healthy grieving.”
Correct Incorrect Correct answer

3. “It would be better for children their age to skip the visitation and only go to the funeral.”
Correct Incorrect Correct answer

4. “Their grandparent is in heaven now, so it is not necessary for them to attend.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 8 of 20

8. Question

A nurse evaluates a parent four weeks after delivery and is assessing for postpartum depression.

> Which observation would require follow-up?

1. The parent shows warmth and affection while holding the infant
Correct Incorrect Correct answer

2. The parent expresses enjoyment being around family
Correct Incorrect Correct answer

3. The parent frequently reports persistent fatigue and difficulty concentrating
Correct Incorrect Correct answer

4. The parent appears eager for the partner to participate in newborn care
Correct Incorrect Correct answer

Correct

Incorrect
Question 9 of 20

9. Question

A client with severe peripheral vascular disease is told that a leg amputation is necessary. The client becomes angry and says, “This is all the surgeon’s fault.”

> How should the nurse interpret this reaction?

1. It represents an inappropriate coping strategy requiring confrontation
Correct Incorrect Correct answer

2. It indicates guilt about past health behaviors
Correct Incorrect Correct answer

3. It suggests the client is preparing legal action
Correct Incorrect Correct answer

4. It is a normal expression of anger during the grieving process
Correct Incorrect Correct answer

Correct

Incorrect
Question 10 of 20

10. Question

A client being treated for alcohol use disorder asks about medications that can help maintain sobriety after detoxification.

> Which medication would the nurse most likely discuss?

1. Pyridoxine
Correct Incorrect Correct answer

2. Disulfiram
Correct Incorrect Correct answer

3. Clonidine
Correct Incorrect Correct answer

4. Chlordiazepoxide
Correct Incorrect Correct answer

Correct

Incorrect
Question 11 of 20

11. Question

During a substance-use risk assessment, a client reports that two close biological relatives struggled with addiction.

> Which factor would the nurse identify as a primary biological risk?

1. Being in early adulthood
Correct Incorrect Correct answer

2. Working in a high-stress occupation
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3. Having limited cultural ties to the community
Correct Incorrect Correct answer

4. Having multiple family members with substance-use disorders
Correct Incorrect Correct answer

Correct

Incorrect
Question 12 of 20

12. Question

A client with a history of aggressive outbursts begins pacing quickly, clenching fists, and shouting at others on the unit.

> Which nurse statement is most therapeutic?

1. “Why are you acting this way toward the other clients?”
Correct Incorrect Correct answer

2. “You need to calm down or I will have to put you in seclusion.”
Correct Incorrect Correct answer

3. “Can you tell me what is making you feel so upset right now?”
Correct Incorrect Correct answer

4. “If you keep this up, we will have to restrain you for safety.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 13 of 20

13. Question

A client awaiting surgery says, “I am nervous. I do not know what to expect, and I am scared something will go wrong.”

> Which nurse response is most likely to encourage further discussion?

1. “Everyone gets nervous before surgery. It is completely normal.”
Correct Incorrect Correct answer

2. “Let me explain every step of the surgical procedure to you.”
Correct Incorrect Correct answer

3. “Let us focus on what recovery will look like after the surgery.”
Correct Incorrect Correct answer

4. “Can you tell me what you have been told so far about the surgery?”
Correct Incorrect Correct answer

Correct

Incorrect
Question 14 of 20

14. Question

A client says, “Government agents are watching me and are planning to eliminate me.”

> Which nurse response is most therapeutic?

1. “That’s not true at all.”
Correct Incorrect Correct answer

2. “No one is out to hurt you.”
Correct Incorrect Correct answer

3. “It sounds like this feels very frightening for you. Are you feeling unsafe?”
Correct Incorrect Correct answer

4. “What evidence do you have that agents are after you?”
Correct Incorrect Correct answer

Correct

Incorrect
Question 15 of 20

15. Question

A client newly admitted with bulimia nervosa is undergoing a physical assessment.

> Which findings would the nurse expect? Select all that apply.

1. Dental caries
Correct Incorrect Correct answer

2. Oily skin
Correct Incorrect Correct answer

3. Thinning or eroded enamel
Correct Incorrect Correct answer

4. Markedly underweight for height
Correct Incorrect Correct answer

5. Hypokalemia or other electrolyte disturbance
Correct Incorrect Correct answer

Correct / 3 Points

Incorrect / 3 Points
Question 16 of 20

16. Question

A client admitted after expressing suicidal intent states, “I cannot handle anything anymore. I do not care what happens to me.”

> What is the priority nursing action?

1. React with firmness and detachment so the client does not manipulate the situation
Correct Incorrect Correct answer

2. Encourage the client by saying they are capable of working through stress
Correct Incorrect Correct answer

3. Provide structure, take a leadership role, and help the client begin problem solving
Correct Incorrect Correct answer

4. Offer reassurance that the current problems will resolve with time
Correct Incorrect Correct answer

Correct

Incorrect
Question 17 of 20

17. Question

A client recovering from colostomy creation expresses concerns about appearance and independence.

> Which client behavior demonstrates the greatest progress toward acceptance?

1. Practicing how to size and cut their own ostomy wafer
Correct Incorrect Correct answer

2. Viewing the stoma in the mirror
Correct Incorrect Correct answer

3. Reading pamphlets about pouching systems
Correct Incorrect Correct answer

4. Watching the nurse empty the colostomy bag
Correct Incorrect Correct answer

Correct

Incorrect
Question 18 of 20

18. Question

A client scheduled for left nephrectomy due to renal cell carcinoma expresses fear about needing dialysis afterward.

> Which information should the nurse provide?

1. “Dialysis is almost always required within several years after nephrectomy.”
Correct Incorrect Correct answer

2. “Because the diseased kidney is removed, dialysis is never necessary.”
Correct Incorrect Correct answer

3. “One healthy kidney is typically able to meet all metabolic needs if it functions normally.”
Correct Incorrect Correct answer

4. “You may need dialysis only if you restrict fluids more than recommended postoperatively.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 19 of 20

19. Question

A nurse is speaking with a parent of a terminally ill child.

> Which response indicates the caregiver needs more teaching regarding palliative care?

1. “Palliative care focuses on helping children function as fully as possible.”
Correct Incorrect Correct answer

2. “Palliative care emphasizes managing symptoms and improving comfort.”
Correct Incorrect Correct answer

3. “Palliative care teams help families cope with the child’s illness.”
Correct Incorrect Correct answer

4. “Palliative care is designed to shorten the dying process.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 20 of 20

20. Question

A client transitioning from exclusive enteral tube feedings to partial oral intake expresses worry about managing supplemental tube feedings independently at home.

> What is the nurse’s best response?

1. “Maybe someone in your family could take over doing the feedings.”
Correct Incorrect Correct answer

2. “Tell me more about what concerns you most about performing them at home.”
Correct Incorrect Correct answer

3. “We can ask your provider to extend your hospital stay if you feel uncertain.”
Correct Incorrect Correct answer

4. “You should discuss these worries with your provider and relatives.”
Correct Incorrect Correct answer

Correct

Incorrect

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