NCLEX-PN
Mental Health NCLEX Questions with Rationale Questions
Extract:
Question 1 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.
Question 2 of 5
If the client snorts cocaine on a regular basis, which physical assessment findings will the nurse most likely find? Select all that apply.
Correct Answer: A,B,D,E,F
Rationale: Regular cocaine snorting causes nasal irritation, septal damage, sinus pain, hypertension, and insomnia due to its stimulant effects.
Question 3 of 5
The nurse is caring for an unresponsive toddler in a PICU. The child’s parent was arrested for alleged child abuse but released on bail. The parent is pounding at the door belligerent and demanding to visit the child. Which is the most appropriate nursing plan of action?
Correct Answer: D
Rationale: Initiating the emergency response (
D) ensures safety. Allowing entry (
A) deferring to HCP (
B) or reporting to Social Services (C likely already done) are inappropriate.
Question 4 of 5
Which approach is best for managing the client's care?
Correct Answer: A
Rationale: A nonjudgmental approach preserves the client's dignity, reducing embarrassment and supporting self-esteem during hygiene care.
Question 5 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.