NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse should determine that a client lacks understanding of her acute cardiac illness and the ability to make changes in her lifestyle by which of the following statements?
Correct Answer: A
Rationale: The statement about not missing a meeting despite an airline ticket indicates a lack of understanding of the need for rest and recovery post-cardiac illness. The other statements show willingness to adapt or engage in lifestyle changes, reflecting some understanding.
Question 2 of 5
A member of a nurse-led group for depressed adolescents tells the group that she is not coming back because she is taking medication and no longer needs to talk about her problems. Which of the following responses by the nurse is most appropriate?
Correct Answer: C
Rationale: This response reinforces the group's purpose, encouraging continued participation for support.
Question 3 of 5
A psychiatric unit reports increased client aggression. Which intervention should the nurse manager implement first?
Correct Answer: B
Rationale: Training staff on de-escalation techniques addresses the root cause by equipping them to manage aggression proactively, reducing incidents. Security, policy revisions, or cameras are secondary without improving staff skills.
Question 4 of 5
A client known to have alcohol dependence is admitted to the emergency department with a temperature of 99°F, a pulse of 110, respirations of 26, and blood pressure of 150/98. The blood alcohol level is 0.25%, three times the legal limit. Now the client is becoming belligerent and uncooperative. In which order from first to last should the following nursing and medical orders be implemented?
Order the Items
Source Container
Correct Answer: D, A, C, B
Rationale: The order is: 1) Place the client in a quiet room to reduce stimulation and agitation (
D). 2) Administer lorazepam to manage belligerence and withdrawal symptoms (
A). 3) Take vital signs every 15 minutes to monitor stability (
C). 4) Draw blood for magnesium level to assess electrolyte status (
B). This prioritizes de-escalation, symptom management, monitoring, and diagnostics.
Question 5 of 5
A client who took an overdose of Tylenol in a suicide attempt is transferred overnight to the psychiatric inpatient unit from the intensive care unit. The night shift nurse called the physician on call to obtain initial orders. The physician ordered the typical routine medications for clients on this unit: Milk of Magnesia, Maalox, and Tylenol as needed. Prior to administering the orders, the nurse should:
Correct Answer: B
Rationale: Tylenol is contraindicated due to the client's recent overdose; the order must be questioned.