NCLEX-PN
Mental Health NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
If a client with chronic mental illness develops the following symptoms after the physician discontinues haloperidol, which one is most likely a consequence of the drug therapy?
Correct Answer: A
Rationale: Facial tics are a potential tardive dyskinesia symptom, a known side effect of long-term haloperidol use.
Question 2 of 5
Which technique is most therapeutic for helping clients with dementia remain oriented?
Correct Answer: D
Rationale: Large calendars provide a constant visual cue, aiding orientation to time in clients with dementia.
Question 3 of 5
What is the most appropriate nursing action when the terminally ill client's death is imminent?
Correct Answer: A
Rationale: Staying with the client provides comfort, and contacting family ensures support, aligning with the advance directive.
Question 4 of 5
The nurse assesses the client every 15 minutes. What objective evidence will the nurse detect that indicates that the restraints are too tight? Select all that apply.
Correct Answer: B,D,F
Rationale: Pallor, prolonged capillary refill, and numbness indicate impaired circulation, suggesting restraints are too tight and compromising blood flow.
Question 5 of 5
The client has been placed in restraints for violent behavior. Which statement best indicates the nurse’s understanding of the risk for client injury while being restrained?
Correct Answer: C
Rationale: Continuous monitoring (
C) prevents injury during restraint. Nutrition (
A) release mechanisms (
B) and circulation checks (
D) are secondary to constant observation.