NCLEX-RN
Psychiatric Mental Health Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client with schizophrenia completes a self-care task independently. Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Praising the achievement and encouraging further tasks reinforces independence and builds confidence.
Question 2 of 5
A client with depression who is taking doxepin (Sinequan) 100 mg P.O. at bedtime has dizziness on arising. Which of the following suggestions is most appropriate?
Correct Answer: B
Rationale: Orthostatic hypotension is a side effect of doxepin; rising slowly minimizes dizziness and fall risk.
Question 3 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,D,E,F
Rationale: Cocaine overdose management includes seizure precautions, administering haloperidol for psychosis, monitoring for respiratory/metabolic acidosis, and encouraging deep breathing. Vomiting is not induced.
Question 4 of 5
The nurse assesses a client to be at risk for self-mutilation and implements a safety contract with the client. Which of the following client behaviors indicate that the contract is working?
Correct Answer: B
Rationale: Notifying staff when anxiety is increasing indicates the safety contract is working, as it shows the client is actively engaging in the plan to manage risk and seek help proactively.
Question 5 of 5
A teacher is talking to the school nurse about a child in her classroom who has a tic disorder. The teacher mentions that the boy frequently trips other children should be a good, about the teacher then further states that she ignores him when that happens because it is part of his disorder. The nurse should tell the teacher?
Correct Answer: A
Rationale: Tripping others is not a tic and should be addressed as a behavioral issue, not ignored.