NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
The client is taking 50 mg of lamotrigine (Lamictal) daily for bipolar depression. The client shows the nurse a rash on his arm. What should the nurse do?
Correct Answer: A
Rationale: A rash with Lamictal may indicate a serious reaction like Stevens-Johnson syndrome, requiring immediate physician notification.
Question 2 of 5
A client with schizophrenia is admitted after stopping medication. He exhibits disorganized speech and bizarre behavior. Which nursing diagnosis is most appropriate?
Correct Answer: D
Rationale: Disorganized speech and bizarre behavior are hallmarks of disturbed thought processes, making this the priority nursing diagnosis.
Question 3 of 5
The physician refers a client diagnosed with somatization disorder to the outpatient clinic because of problems with nausea. The client's past symptoms involved back pain, chest pain, and problems with urination. The client tells the nurse that the nausea began when his wife asked him for a divorce. Which of the following is most appropriate?
Correct Answer: B
Rationale: Directing the client to describe feelings about the divorce is most appropriate, as somatization disorder often reflects emotional distress, and addressing underlying stressors is key.
Question 4 of 5
When collaborating with the health care provider to develop a the plan of care for a child diagnosed with attention deficit hyperactivity disorder (ADHD), the treatment plan will likely include which the following?
Correct Answer: D
Rationale: ADHD is typically treated with psychostimulants like methylphenidate, combined with behavior modification, to manage symptoms effectively.
Question 5 of 5
Parents of a 7-year-old child newly diagnosed with attention deficit hyperactivity disorder (ADHD) ask the nurse whether their son will always have to take medication for this condition. The nurse should tell the parents:
Correct Answer: B
Rationale: This response accurately reflects that 30-50% of children with ADHD may need medication into adulthood.