NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 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, E, F
Rationale: Actions include: Placing seizure pads (
B) for safety, administering haloperidol (
C) for psychosis, encouraging deep breathing (E) for respiratory distress, and monitoring for metabolic acidosis (F) due to overdose effects. Inducing vomiting (
A) and monitoring respiratory acidosis (
D) are not indicated.
Question 2 of 5
A child with Asperger's disorder is being referred to the mental health clinic along with his parents. To provide the best care for this family, the nurse makes a care plan based on the fact that this disorder differs from autism in which of the following areas?
Correct Answer: C
Rationale: Asperger's is often diagnosed later, with social interaction issues becoming evident in school settings.
Question 3 of 5
A client receiving dialysis directs profanities at the nurse and then abruptly hangs his head and pleads, 'Please forgive me. Something just came over me. Why do I say those things?' The nurse interprets this as which of the following?
Correct Answer: D
Rationale: The client's rapid shift from anger to remorse indicates emotional lability, characterized by unstable and unpredictable emotions. Neologism involves made-up words, confabulation is fabricating stories to fill memory gaps, and flight of ideas is rapid thought shifts, none of which fit this behavior.
Question 4 of 5
A client with Alzheimer's disease is unable to recognize family. What should the nurse suggest?
Correct Answer: B
Rationale: Using photos and names helps cue recognition, reducing frustration and supporting family interaction.
Question 5 of 5
The mother of a school-aged child tells the nurse that, 'For most of the past year my husband was unemployed and I worked a second job. Twice during the ... he was the school ... he refused to obey. It has not happened again. Our family is back to normal.' After assessing the family, the nurse decides that the child is still at risk for abuse. Which of the following observations best supports this conclusion?
Correct Answer: D
Rationale: Wearing long sleeves and pants in warm weather may indicate the child is hiding bruises or marks, a common sign of abuse.