NCLEX-RN
Mental Health RN NCLEX Questions Questions
Question 1 of 5
After administering naloxone (Narcan), an opioid antagonist, the nurse should monitor the client carefully for which of the following?
Correct Answer: D
Rationale: Naloxone can precipitate withdrawal, and its effects may wear off, leading to recurrent respiratory depression, which requires close monitoring.
Question 2 of 5
A client with schizophrenia comes to the outpatient mental health clinic 5 days after being discharged from the hospital. The client was given a 1-week supply of clozapine (Clozaril). The client tells the nurse that she has too much saliva and frequently needs to spit. The nurse interprets the client's statement as indicating which of the following?
Correct Answer: C
Rationale: Excessive salivation (sialorrhea) is a common side effect of clozapine, and the nurse should recognize it as an expected adverse effect rather than a delusion or symptom.
Question 3 of 5
Before his hospitalization, a client needed increasingly larger doses of barbiturates to achieve the same effect. The nurse interprets this information to indicate the client has developed which of the following conditions?
Correct Answer: B
Rationale: Needing larger doses indicates tolerance, where the body adapts to barbiturates, requiring more to achieve the same effect, a hallmark of substance misuse.
Question 4 of 5
Which parental characteristic is least likely to be a risk factor for child abuse?
Correct Answer: D
Rationale: Being a member of a large family is not a direct risk factor for abuse, unlike the other characteristics, which are associated with increased risk.
Question 5 of 5
When conducting a mental status examination with a newly admitted client who has an Axis I diagnosis of paranoid schizophrenia, the client states, 'I'm being followed; it's not safe. They're monitoring my every move.' In which of the following areas of the mental status examination should be the mental status examined.
Correct Answer: A
Rationale: The client's statement reflects paranoid delusions, which are assessed under thought content in a mental status examination, as this area evaluates the presence of delusions or hallucinations.