RN HESI Mental Health with NGN | Nurselytic

Questions 51

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RN HESI Mental Health with NGN Questions

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Question 1 of 5

Two days after being admitted with alcohol withdrawal, a client has constant liquid stools and abdominal cramping. The emesis and stool are hemoccult positive. The client is confused and refusing to take oral medication. Which action should the nurse implement first?

Correct Answer: C

Rationale: Inserting a peripheral intravenous catheter is the priority to address the client's fluid and electrolyte imbalance and provide necessary hydration and medications.

Question 2 of 5

An 18-year-old client is brought to the emergency department with a suspected drug overdose. Which information is most important for the nurse to obtain from the family?

Correct Answer: A

Rationale: Knowing the specific drug ingested is critical to determine the appropriate treatment, as different drugs require specific antidotes or interventions.

Question 3 of 5

When assessing a female client who has been taking an antipsychotic medication for the past year, the nurse observes that the client demonstrates involuntary foot tapping while both feet are flat on the floor. The nurse plans to report the observation to the healthcare provider. Which additional action should the nurse take?

Correct Answer: A

Rationale: Documenting on the AIMS is appropriate to assess and record abnormal movements, such as tardive dyskinesia, associated with antipsychotics.

Question 4 of 5

The healthcare provider prescribes lithium carbonate for a client diagnosed with bipolar, manic depression. It is most important for the nurse to review which laboratory finding prior to beginning the drug therapy?

Correct Answer: D

Rationale: Serum creatinine is critical to review before starting lithium, as it is excreted by the kidneys, and impaired renal function can lead to toxicity.

Question 5 of 5

When preparing to administer a domestic violence screening tool to a female client, which statement should the nurse provide?

Correct Answer: C

Rationale: This statement normalizes the screening process, reducing stigma and encouraging disclosure by emphasizing its routine nature.

Similar Questions

The nurse interacts with a client who is very depressed and slow to respond to questions. The nurse asks the client to describe current feelings, but the client looks down at the table. Which action is best for the nurse to implement?
Which goal has the highest priority for an adolescent client who is hospitalized for weight loss related to anorexia nervosa?
A client is completing an admission assessment for a client with a known history of depression and multiple, unexplained fractures. Which action should the nurse delegate to the unlicensed assistive personnel (UAP)?
A middle-aged female client with no previous psychiatric history is seen in the mental health clinic because her family describes her as having paranoid thoughts. On assessment, she tells the nurse, 'I want to find out why these people are stalking me!' Which response should the nurse provide?
A young adult female visits the mental health clinic complaining of diarrhea, headache, and muscle aches. She is afebrile, denies chills, and all laboratory findings are within normal limits. During the physical assessment, the client tells the nurse that her sister thinks she is neurotic and calls her a hypochondriac. Which response is best for the nurse to provide?

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