Questions 73

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Psychiatric Questions Questions

Extract:


Question 1 of 5

The nurse is developing a teaching plan for a group of middle school children about the drug 3,4-methylenedioxymethamphetamine (Ecstasy). What information should the nurse expect to include? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Ecstasy, similar to amphetamines, is used at raves, causes teeth grinding (hence pacifiers), and reduces self-consciousness.

Question 2 of 5

A client with schizophrenia is prescribed clozapine (Clozaril) 200 mg daily. Which of the following laboratory tests should the nurse monitor regularly?

Correct Answer: B

Rationale: Clozapine can cause agranulocytosis, requiring regular monitoring of white blood cell counts.

Question 3 of 5

A client with dementia who prefers to stay in his room has been brought to the dayroom. After 10 minutes, the client becomes agitated and retreats to his room again. The nurse decides to assess the conditions in the dayroom. Which is the most likely occurrence that is disturbing to this client?

Correct Answer: C

Rationale: Conflicting stimuli, such as a relaxation tape and a crime show on TV, can overwhelm a client with dementia, causing agitation due to difficulty processing multiple inputs.

Question 4 of 5

A client was admitted to the inpatient unit 3 days ago with a flat affect, psychomotor retardation, anorexia, hopelessness, and suicidal ideation. The physician prescribed 75 mg of venlafaxine extended release (Effexor XR) to be given every morning. The client interacted minimally with the staff and spent most of the day in his room. As the nurse enters the unit at the beginning of the evening shift, the client is smiling and cheerfully greets the nurse. He appears to be relaxed and joins the group for community meeting before supper. What should the nurse interpret as the most likely cause of the client's behavior?

Correct Answer: B

Rationale: Sudden improvement in a suicidal client may indicate a resolved decision to act on suicidal thoughts, requiring close observation.

Question 5 of 5

Which of the following should the nurse use as the best measure to determine a client's progress in rehabilitation?

Correct Answer: B

Rationale: The number of drug-free days is the best measure, as it directly reflects sustained abstinence, a primary goal of rehabilitation.

Similar Questions

Access More Questions!

NCLEX RN Basic


$89/ 30 days

 

NCLEX RN Premium


$150/ 90 days