NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client in the emergency department is diagnosed as having amphetamine psychosis. The nurse should take all of the following actions in which order of priority from first to last?
Correct Answer: B, C, D, A
Rationale: The order is: 1) Monitor cardiac and respiratory status for stability (
B). 2) Place seizure pads for safety (
C). 3) Administer haloperidol to manage psychosis (
D). 4) Transfer to the psychiatric unit for ongoing care (
A). This prioritizes immediate physiological safety and symptom management.
Question 2 of 5
The physician refers a client diagnosed with somatization disorder to the outpatient clinic because of problems with nausea. The client's past symptoms involved back pain, chest pain, and problems with urination. The client tells the nurse that the nausea began when his wife asked him for a divorce. Which of the following is most appropriate?
Correct Answer: B
Rationale: Directing the client to describe feelings about the divorce is most appropriate, as somatization disorder often reflects emotional distress, and addressing underlying stressors is key.
Question 3 of 5
When planning the care for a client who is being abused, which of the following measures is most important to include?
Correct Answer: D
Rationale: Helping the client develop a safety plan is the most important measure, as it directly addresses the immediate need to protect the client and her children from further harm.
Question 4 of 5
The expected outcome for using thiamine for a client being treated for an alcohol addiction is to:
Correct Answer: A
Rationale: Thiamine is used to prevent Wernicke's encephalopathy, a serious neurological condition caused by thiamine deficiency common in chronic alcohol use.
Question 5 of 5
A client is brought to the emergency department by a friend who states, 'He's been using a lot of heroin until he ran out of money about 2 days ago.' The nurse judges the client to be in opioid withdrawal if he exhibits which of the following? Select all that apply.
Correct Answer: A, B, C
Rationale: Opioid withdrawal symptoms include rhinorrhea (
A), diaphoresis (
B), and piloerection (
C). Synesthesia and formication are not typical of opioid withdrawal.