NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
A client with schizophrenia is started on paliperidone (Invega). Which laboratory test should the nurse monitor?
Correct Answer: C
Rationale: Paliperidone can increase the risk of metabolic syndrome, including elevated blood glucose, making monitoring blood glucose levels essential.
Question 2 of 5
A client with schizoaffective disorder reports insomnia. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Teaching relaxation techniques is a non-invasive first step to address insomnia, promoting self-management.
Question 3 of 5
Which of the following is the top priority for the client who is placed in restraints?
Correct Answer: A
Rationale: Monitoring every 15 minutes is the top priority to ensure the client's safety, assess for distress, and prevent complications from restraints. Nutrition, elimination, range-of-motion, and position changes are important but secondary to frequent monitoring.
Question 4 of 5
Which of the following observations by the nurse should suggest that a 15-month-old toddler has been abused?
Correct Answer: C
Rationale: Underdevelopment for age can indicate neglect or abuse, as it may reflect inadequate care or chronic stress.
Question 5 of 5
A client with dementia repeatedly asks, 'Where's my wife?' What is the nurse's best response?
Correct Answer: C
Rationale: Reassuring the client of their safety while gently redirecting avoids distress caused by confronting the reality of the wife's death.