NCLEX-PN
Mental Health NCLEX Questions with Rationale Questions
Extract:
Question 1 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 2 of 5
The student participating in college sports is suspected of abusing anabolic steroids and is referred to the college’s health service. Which nursing assessment findings are consistent with anabolic steroid abuse? Select all that apply.
Correct Answer: A ,B ,D, E
Rationale: Anabolic steroids cause acne (
A) aggression (
B) UTIs (
D) and hair thinning (E not thickening). Heavy menstruation (
C) is incorrect; menses cease. Edema (F) may occur but isn’t selected.
Question 3 of 5
The emergency department nurse describes procedures and their purposes to the rape victim before they are implemented. What is the rationale for the nurse's action?
Correct Answer: A
Rationale: Explaining procedures empowers the victim by restoring some control, counteracting the powerlessness experienced during the assault.
Question 4 of 5
When the counselor asks the members of the post-traumatic stress disorder (PTSD) support group to draw pictures of their traumatic experiences, the nurse understands that the primary purpose for drawing is to achieve what outcome?
Correct Answer: A
Rationale: Drawing traumatic experiences externalizes memories, helping clients confront and process painful events in a controlled, therapeutic way.
Question 5 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.