NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client is complaining about blurred vision after 4 days of taking haloperidol (Haldol), benztropine (Cogentin), quetiapine (Seroquel), and buspirone (Buspar). Which of the following medications should the nurse suspect as the most likely cause of this adverse effect?
Correct Answer: D
Rationale: Benztropine, an anticholinergic, is most likely to cause blurred vision due to its effects on the eyes (e.g., mydriasis and cycloplegia), a common side effect of this medication class.
Question 2 of 5
Which of the following is the top priority for the client who is placed in restraints?
Correct Answer: A
Rationale: Monitoring every 15 minutes is the top priority to ensure the client's safety, assess for distress, and prevent complications from restraints. Nutrition, elimination, range-of-motion, and position changes are important but secondary to frequent monitoring.
Question 3 of 5
When developing appropriate short-term goals with clients who are inpatients, which of the following is most realistic?
Correct Answer: C
Rationale: Writing a list of strengths and needs is a realistic, achievable short-term goal for an inpatient, promoting self-awareness and planning. Demonstrating a positive self-image is too broad, planning for school is long-term, and practicing assertiveness in a specific confrontation may be too complex for short-term inpatient care.
Question 4 of 5
A client with schizophrenia reports weight gain on risperidone (Risperdal). What should the nurse do?
Correct Answer: B
Rationale: Monitoring weight and discussing diet addresses the side effect while maintaining treatment, promoting health.
Question 5 of 5
A client with dementia repeatedly asks, 'Where's my wife?' What is the nurse's best response?
Correct Answer: C
Rationale: Reassuring the client of their safety while gently redirecting avoids distress caused by confronting the reality of the wife's death.