Questions 97

NCLEX-RN

Home > NCLEX-RN > RN Mental Health > Mental Health RN NCLEX Questions
NCLEX-RN Test Bank

Mental Health RN NCLEX Questions Questions

Extract:


Question 1 of 5

A client known to have alcohol dependence is admitted to the emergency department with a temperature of 99°F, a pulse of 110, respirations of 26, and blood pressure of 150/98. The blood alcohol level is 0.25%, three times the legal limit. Now the client is becoming belligerent and uncooperative. In which order from first to last should the following nursing and medical orders be implemented?

Order the Items

Source Container

Administer lorazepam (Ativan) 2 mg I.M.
Draw blood for a magnesium level.
Take vital signs every 15 minutes.
Place client in a quiet room with dimmed lights.

Correct Answer: D, A, C, B

Rationale: The order is: 1) Place the client in a quiet room to reduce stimulation and agitation (
D). 2) Administer lorazepam to manage belligerence and withdrawal symptoms (
A). 3) Take vital signs every 15 minutes to monitor stability (
C). 4) Draw blood for magnesium level to assess electrolyte status (
B). This prioritizes de-escalation, symptom management, monitoring, and diagnostics.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

Similar Questions

The nurse should immediately address the client's
The nurse is caring for a client experiencing an acute episode of severe anxiety. The nurse should plan to take which appropriate action? Select all that apply.
A client diagnosed with schizophrenia is brought to the hospital from a group home where he became agitated, threw a chair at another client, and has been refusing medication for 8 weeks. The client exhibits a flat affect, is not caring for his hygiene, and has become increasingly withdrawn and asocial. The physician orders treatment with risperidone (Risperdal) to improve the client's negative and positive symptoms of schizophrenia. When evaluating the drug's effectiveness on the client's negative symptoms, the nurse should expect improvement in which of the following?
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?
The client sees no connection between her liver disorder and her alcohol intake. She believes that she drinks very little and that her family is making something out of nothing. The nurse interprets these behaviors as indicative of which of the following defense mechanisms?

Access More Questions!

NCLEX RN Basic

$89/ 30 days

 

NCLEX RN Premium

$150/ 90 days