Questions 95

NCLEX-RN

NCLEX-RN Test Bank

Psychiatric NCLEX RN Questions Questions

Extract:


Question 1 of 5

The expected outcome for using thiamine for a client being treated for an alcohol addiction is to:

Correct Answer: A

Rationale: Thiamine is used to prevent Wernicke's encephalopathy, a serious neurological condition caused by thiamine deficiency common in chronic alcohol use.

Question 2 of 5

Which of the following is an accurate response when a client asks the nurse about requirements to become a member of Alcoholics Anonymous (AA)?

Correct Answer: B

Rationale: Saying 'AA is open to anyone who wants sobriety' is accurate, as AA's only requirement is a desire to stop drinking, making it accessible to all.

Question 3 of 5

A client is brought to the emergency department by a friend who states, 'He's been using a lot of heroin until he ran out of money about 2 days ago.' The nurse judges the client to be in opioid withdrawal if he exhibits which of the following? Select all that apply.

Correct Answer: A, B, C

Rationale: Opioid withdrawal symptoms include rhinorrhea (
A), diaphoresis (
B), and piloerection (
C). Synesthesia and formication are not typical of opioid withdrawal.

Question 4 of 5

A client brought by ambulance to the emergency department after taking an overdose of barbiturates is comatose. The nurse should assess the client for:

Correct Answer: D

Rationale: Respiratory failure is the primary concern, as barbiturate overdose can cause severe respiratory depression, leading to life-threatening complications.

Question 5 of 5

A client in the emergency department is diagnosed as having amphetamine psychosis. The nurse should take all of the following actions in which order of priority from first to last?

Order the Items

Source Container

Transfer the client to the psychiatric unit.
Monitor cardiac and respiratory status.
Place seizure pads on the bed.
Administer IM haloperidol (Haldol) as ordered.

Correct Answer: B, C, D, A

Rationale: The order is: 1) Monitor cardiac and respiratory status for stability (
B). 2) Place seizure pads for safety (
C). 3) Administer haloperidol to manage psychosis (
D). 4) Transfer to the psychiatric unit for ongoing care (
A). This prioritizes immediate physiological safety and symptom management.

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