NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client with schizophrenia is prescribed risperidone (Risperdal) 2 mg twice daily. The nurse should monitor the client for which of the following side effects?
Correct Answer: B
Rationale: Risperidone, an antipsychotic, commonly causes extrapyramidal symptoms like tremors or rigidity, requiring monitoring.
Question 2 of 5
As a client's level of anxiety increases to a debilitating degree, the nurse should expect which of the following as a psychomotor behavior indicating a panic level of anxiety?
Correct Answer: A
Rationale: At a panic level of anxiety, psychomotor behaviors may include extreme actions such as suicide attempts or violence due to the client's inability to cope. Desperation and rage are emotional responses, disorganized reasoning is cognitive, and loss of contact with reality is a perceptual issue, none of which are primarily psychomotor behaviors.
Question 3 of 5
The nurse is to administer Xanax (alprazolam) to help a client of Japanese descent calm down. The order reads Xanax 0.25 to 1 mg by mouth as needed for agitation. What is the best dose for the nurse to give this client?
Correct Answer: 0.25 mg
Rationale: Starting with 0.25 mg is best, as individuals of Japanese descent may metabolize benzodiazepines more slowly due to genetic factors, and the lowest effective dose minimizes risks.
Question 4 of 5
The client with an Axis I diagnosis of bipolar disorder, manic phase, states to the nurse, 'I'm the Queen of England. Bow before me.' The nurse interprets this statement as important to document as which of the following areas of the mental status examination?
Correct Answer: D
Rationale: Grandiose delusions, like claiming to be royalty, are documented under thought content.
Question 5 of 5
The client diagnosed with severe major depression has been taking Lexapro 10 mg daily for 2 weeks. Using nursing process methodology, which of the following parameters should the nurse monitor most closely at this time?
Correct Answer: A
Rationale: Suicidal ideation must be closely monitored, especially early in antidepressant therapy, due to increased risk.