NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse judges that a client is ready to be released from seclusion and restraints when the client demonstrates which of the following behaviors?
Correct Answer: D
Rationale: Showing signs of self-control indicates the client is no longer a danger, justifying release from seclusion/restraints. Sedation, reduced struggling, or stopping verbal outbursts do not necessarily confirm restored self-control.
Question 2 of 5
When administering antipsychotics to a client with paranoid schizophrenia, the nurse understands that the newer atypical antipsychotics, such as olanzapine (Zyprexa) and risperidone (Risperdal), are more effective than the older medications in treating the negative symptoms of schizophrenia because of which of the following?
Correct Answer: B
Rationale: Atypical antipsychotics like olanzapine and risperidone block both dopamine and serotonin receptors, which contributes to their effectiveness in treating negative symptoms, unlike older antipsychotics that primarily target dopamine.
Question 3 of 5
The nurse is assessing a client who is taking an antipsychotic medication. Which of the following symptoms is uniquely indicative of Neuroleptic Malignant Syndrome (NMS) and requires immediate attention?
Correct Answer: A
Rationale: Very high temperature (hyperthermia) is a hallmark symptom of NMS, a life-threatening condition requiring immediate intervention, distinguishing it from other side effects like rigidity or tremors.
Question 4 of 5
Which of the following statements by the nurse participating in a group confrontation of a coworker's most helpful in reducing the coworker's denial about alcohol being a problem?
Correct Answer: D
Rationale: Saying 'You have alcohol on your breath' is most helpful, as it provides concrete evidence of the problem, directly challenging denial in a factual manner.
Question 5 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.