NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A client is brought to the emergency department (ED) by a friend who states that the client recently ran out of his phenytoin (Dilantin) and has been having a grand mal seizure for the last 10 minutes. The nurse observes that the client is still seizing. The nurse should do the following in order of priority from first to last?
Correct Answer: A,C,B,D
Rationale: First ensure safety with seizure pads, then prepare diazepam, record seizure details, and gather history.
Question 2 of 5
A nurse observes a male client who is hyperactive and intrusive sitting very close to a female client with his arm around her shoulders. The nurse hears the male client tell a sexually explicit joke. The nurse approaches the client and asks him to walk down the hallway. Which of the following statements by the nurse should benefit the client?
Correct Answer: B
Rationale: Setting clear boundaries about inappropriate behavior promotes a safe environment.
Question 3 of 5
The client is laughing and telling jokes to a group of clients. Suddenly, the client is crying and talking about a death in the family. A moment later, the client is laughing and joking again. The nurse should:
Correct Answer: D
Rationale: Redirecting to a quiet area allows assessment of labile mood and de-escalation.
Question 4 of 5
An unconscious client in the emergency department is given I.V. naloxone (Narcan) due to an overdose of heroin. Which of the following would indicate a therapeutic response to the Narcan? Select all that apply.
Correct Answer: C,E
Rationale: Naloxone reverses opioid overdose, leading to dilated pupils and restored consciousness. Pulse rate may increase, respirations should improve, and skin changes are less specific.
Question 5 of 5
A client is brought to the emergency department (ED) by a friend who states that the client recently ran out of his phenytoin (Dilantin) and has been having a grand mal seizure for the last 10 minutes. The nurse observes that the client is still seizing. The nurse should do the following in order of priority from first to last?
Order the Items
Source Container
Correct Answer: A,C,B,D
Rationale: First ensure safety with seizure pads, then prepare diazepam, record seizure details, and gather history.