NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client who took an overdose of Tylenol in a suicide attempt is transferred overnight to the psychiatric inpatient unit from the intensive care unit. The night shift nurse called the physician on call to obtain initial orders. The physician ordered the typical routine medications for clients on this unit: Milk of Magnesia, Maalox, and Tylenol as needed. Prior to administering the orders, the nurse should:
Correct Answer: B
Rationale: Tylenol is contraindicated due to the client's recent overdose; the order must be questioned.
Question 2 of 5
A client with schizophrenia is admitted with catatonic stupor. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: Monitoring nutrition and hydration is critical in catatonic stupor, as immobility can lead to dehydration or malnutrition.
Question 3 of 5
The family of a client, diagnosed with Alzheimer's disease, wants to keep the client at home. They say that they have the most difficulty in managing his wandering. The nurse should suggest the family to do which of the following? (Select all that apply).
Correct Answer: B,D,E
Rationale: Motion and sound detectors (
B), a Medical Alert bracelet (
D), and door alarms with high locks (E) enhance safety by preventing or alerting to wandering, a common Alzheimer's behavior.
Question 4 of 5
The nurse is advising a client with schizophrenia about what to do when she begins to get agitated. The client has been compliant with taking her medications and has worked with clinic staff on dealing with her illness and recognizing when she is becoming agitated. Indicate the order from first to last the nurse should suggest the following actions be taken.
Order the Items
Source Container
Correct Answer: C,D,A,B
Rationale: The nurse should suggest: 1) Remove to a quiet environment to reduce stimuli (
C); 2) Tell trusted people to seek support (
D); 3) Take lorazepam for immediate anxiety relief (
A); 4) Take haloperidol for longer-term symptom control (
B). This order prioritizes non-pharmacological interventions first, followed by medications based on their onset of action.
Question 5 of 5
The friend of a client with depression and suicidal ideation asks the nurse, 'How should I act around her?' Which of the following responses by the nurse is best?
Correct Answer: B
Rationale: Being caring and genuine fosters trust and supports the client's emotional needs.