NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client diagnosed with Post Traumatic Stress Disorder is readmitted for suicidal thoughts and continued trouble sleeping. She states that when she closes her eyes, she has vivid memories about being awakened at night. 'My dad would be on top of me trying to have sex with me. I couldn't breathe.' Which of the following suggestions would be appropriate for the nurse to make for the insomnia? Select all that apply.
Correct Answer: A, B, C, D
Rationale: Suggestions include: Relaxation techniques (
A), quetiapine as ordered (
B), journaling nightmares (
C), and listening to music (
D), all of which address insomnia and anxiety related to PTSD.
Question 2 of 5
A client who chronically snorts cocaine is brought to the emergency department due to a cocaine overdose. The client is experiencing delusions, hallucinations, mild respiratory distress and mild tachycardia initially. The nurse should do which of the following? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: Cocaine overdose management includes seizure precautions, administering haloperidol for psychosis, monitoring for respiratory/metabolic acidosis, and encouraging deep breathing. Vomiting is not induced.
Question 3 of 5
A client with Alzheimer's disease has difficulty swallowing. Which intervention should the nurse prioritize?
Correct Answer: B
Rationale: Consulting a speech therapist evaluates swallowing difficulties, ensuring safe nutrition and preventing aspiration.
Question 4 of 5
Which of the following is the best predictor of a client's favorable response to the choice of an antidepressant?
Correct Answer: D
Rationale: A family member's positive response to the same antidepressant often predicts a similar response due to genetic factors.
Question 5 of 5
Which of the following amounts of medications is appropriate for a client who is being treated with imipramine (Tofranil) on an outpatient basis for recurring depression and suicidal ideation to have at one time?
Correct Answer: D
Rationale: A 7-day supply minimizes the risk of overdose in a suicidal client.