NCLEX-PN Psychosocial Integrity Practice Questions
Psychosocial Integrity · 9–15% of the NCLEX-PN · Psychosocial Integrity
85 questions weighted to every client-needs category, three case studies, and a score for Psychosocial Integrity so you know where you stand.
Free psychosocial integrity drillA nurse in a long-term care facility leads a reminiscence group for older residents. What is the main purpose of the group?
Psychosocial Integrity on the 2026 PN test plan
Psychosocial Integrity is 9–15% of the NCLEX-PN, a larger share than on the RN exam. It covers therapeutic communication, coping, suicide and violence risk, substance use and withdrawal, dementia and delirium, de-escalation, cultural and spiritual care and end-of-life care. The questions reward responses that keep the client safe and keep the conversation open.
- Share of the exam
- 9–15% of scored stand-alone items (we weight our mock exams at 12%)
- Client Needs category
- Psychosocial Integrity
- Our drill
- 10 questions, untimed, a rationale for every option; one free attempt, unlimited with a pass
What Psychosocial Integrity questions test
- Therapeutic communication: open-ended, reflective responses versus false reassurance, advice and “why” questions
- Collecting data on psychosocial functioning, coping mechanisms and self-esteem
- Collecting data on potential for violence to self and others, and the first action when a client voices a plan
- Signs of substance misuse, withdrawal and overdose, including the alcohol withdrawal timeline
- Care of the cognitively impaired client: dementia, delirium, reality orientation, validation and reminiscence therapy
- Managing an angry or agitated client with de-escalation and behavioral techniques
- Hallucinations and other sensory or perceptual alterations
- Cultural, spiritual and gender-identity considerations, group sessions and the therapeutic environment
- Coping with stressful events and changes in health, grief, and end-of-life care
Sit the full exam under the real clock
85 questions weighted to every client-needs category, three case studies, and a score for Psychosocial Integrity so you know where you stand.
Free psychosocial integrity drillHow to study it
- In a communication question, pick the response that acknowledges the feeling and invites the client to say more. Eliminate anything that reassures, judges or changes the subject.
- Safety first: a client who voices a plan for self-harm is not left alone; stay with the client and report to the RN at once.
- Learn the alcohol withdrawal timeline (tremor and anxiety at 6–12 hours, seizures at 12–48 hours, delirium tremens at 48–96 hours).
- Validation therapy fits moderate to late dementia; reality orientation fits mild confusion and delirium. Do not argue with a client’s reality in dementia.
Common questions
What makes a response “therapeutic” on the NCLEX-PN?
It focuses on the client, acknowledges what they feel and invites them to continue: reflecting, restating, clarifying, offering self and silence. Nontherapeutic responses give false reassurance, advice or approval, ask “why,” change the subject or defend the staff.
How do I tell delirium from dementia?
Delirium starts over hours to days, fluctuates through the day, disturbs attention and often has a reversible cause such as infection, medication or dehydration, so a new change is reported. Dementia develops over months to years with a steady decline in memory and function and a clear level of consciousness.
What is the difference between validation therapy and reality orientation?
Reality orientation reminds a mildly confused client of the date, place and people. Validation therapy, used in moderate to advanced dementia, accepts the client’s feelings and reality without correcting them, and redirects gently. Arguing with a client who has dementia raises agitation.
85 questions weighted to every client-needs category, three case studies, and a score for Psychosocial Integrity so you know where you stand.
Free psychosocial integrity drillMore NCLEX-PN guides
- NCLEX-PN Coordinated Care Practice Questions
- NCLEX-PN Safety and Infection Control Practice Questions
- NCLEX-PN Health Promotion Practice Questions
- NCLEX-PN Basic Care and Comfort Practice Questions
- NCLEX-PN Pharmacology Practice Questions
- NCLEX-PN Reduction of Risk Potential Practice Questions
- NCLEX-PN Physiological Adaptation Practice Questions
- NCLEX-PN Next Generation case studies
- NCLEX-PN vs NCLEX-RN
- Retaking the NCLEX-PN
- Studying for the NCLEX-RN instead? RN practice test
- NCLEX-PN practice exam (85 items)
Sources
- NCSBN: 2026 NCLEX-PN Test Plan (effective April 1, 2026)
- NCLEX.com: Test plans
- NCSBN: NCLEX Candidate Bulletin (October 2025): fees, retake policy, exam length and breaks
- NCSBN: NCLEX registration fee change effective February 1, 2027
- NCSBN: 2025 NCLEX Examination Statistics (NCLEX-PN volumes, pass rates and test length)
- NCLEX.com FAQs: partial-credit scoring (plus/minus, zero/one, rationale)
- NCSBN: Candidate Performance Report
Original practice questions for exam preparation, written to the 2026 NCLEX-PN Test Plan. Independent practice, not affiliated with or endorsed by the National Council of State Boards of Nursing (NCSBN) or Pearson VUE. NCLEX and NCLEX-PN are registered trademarks of NCSBN.