NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
A school nurse is planning a program for parents on 'Drugs Commonly Abused by Teenagers'. Which of the following information should be included about inhalants? Select all that apply.
Correct Answer: A,D,E,F
Rationale: Inhalants are dangerous due to risks like sudden death (cardiac arrhythmia, suffocation, aspiration) and CNS depression. Monitoring for paraphernalia (paper bags, rags) is key. Brain damage is possible, and teen use is not necessarily declining.
Question 2 of 5
A client with a history of domestic violence is anxious about returning home. Which action should the nurse take first?
Correct Answer: B
Rationale: Assessing safety concerns identifies specific risks and guides the plan, prioritizing the client's safety. Providing resources, encouraging confrontation, or contacting the partner are premature or unsafe without understanding the situation.
Question 3 of 5
A client with schizophrenia is prescribed olanzapine (Zyprexa). Which dietary advice should the nurse provide?
Correct Answer: A
Rationale: Olanzapine can cause weight gain and metabolic issues, so limiting sugar and fat helps mitigate these risks.
Question 4 of 5
A client experiencing acute mania has been taking lithium carbonate 600 mg P.O. three times daily for 14 days. The client's serum lithium level is 1.8 mEq/L. The nurse should:
Correct Answer: A
Rationale: A lithium level of 1.8 mEq/L is toxic; holding the dose, notifying the provider, and increasing fluids are critical.
Question 5 of 5
In addition to developing over a period of hours or days, the nurse should assess delirium as distinguishable by which of the following characteristics?
Correct Answer: A
Rationale: Fluctuating disturbances in cognition and consciousness are hallmark features of delirium, distinguishing it from other conditions like dementia or agnosia.