NCLEX-RN
NCLEX RN Mental Health Questions Questions
Extract:
Question 1 of 5
A soldier is stationed in Iraq on his second tour of duty. His division was notified of the date they will be deployed to Afghanistan. As this date approaches, he is showing signs of excess anxiety and irritability and inability to sleep at night because of nightmares of IED (improvised explosive devices) tragedies, all leading to poor work performance. He is admitted to the base hospital for an evaluation. The admitting nurse should take the following actions in order of priority from first to last?
Order the Items
Source Container
Correct Answer: C, A, D, B
Rationale: The order is: 1) Remove weapons for safety (
C). 2) Remind him feelings are typical to normalize symptoms (
A). 3) Acknowledge injustices and offer empathy to build rapport (
D). 4) Ask about experiences to explore trauma (
B). Safety is the priority, followed by support and exploration.
Question 2 of 5
A client diagnosed with pain disorder is talking with the nurse about fishing when he suddenly reverts to talking about the pain in his arm. Which of the following should the nurse do next?
Correct Answer: D
Rationale: Redirecting back to fishing is appropriate, as it reinforces positive engagement and discourages focus on pain, a common strategy in managing pain disorder.
Question 3 of 5
An unconscious client in the emergency department is given I.V. naloxone (Narcan) due to an overdose of heroin. Which of the following would indicate a therapeutic response to the Narcan? Select all that apply.
Correct Answer: C,E
Rationale: Naloxone reverses opioid overdose, leading to dilated pupils and restored consciousness. Pulse rate may increase, respirations should improve, and skin changes are less specific.
Question 4 of 5
A client is taking diazepam (Valium) for generalized anxiety disorder. Which instruction should the nurse give to this client? Select all that apply.
Correct Answer: A,D,E,F
Rationale: Diazepam requires consulting the provider before stopping, avoiding alcohol, and stopping if allergic reactions (e.g., swelling, breathing difficulty) occur. Tyramine avoidance and empty stomach are not relevant.
Question 5 of 5
A client is brought to the emergency department (ED) by a friend who states that the client recently ran out of his phenytoin (Dilantin) and has been having a grand mal seizure for the last 10 minutes. The nurse observes that the client is still seizing. The nurse should do the following in order of priority from first to last?
Order the Items
Source Container
Correct Answer: A,C,B,D
Rationale: First ensure safety with seizure pads, then prepare diazepam, record seizure details, and gather history.