NCLEX-RN
Psychiatric NCLEX RN Questions Questions
Extract:
Question 1 of 5
When assessing an aggressive client, which of the following behaviors warrants the nurse's prompt reporting and use of safety precautions?
Correct Answer: D
Rationale: Naming another client as an adversary indicates a potential threat, requiring prompt reporting and safety measures to prevent harm.
Question 2 of 5
A client in the emergency department is diagnosed as having amphetamine psychosis. The nurse should take all of the following actions in which order of priority from first to last?
Order the Items
Source Container
Correct Answer: B, C, D, A
Rationale: The order is: 1) Monitor cardiac and respiratory status for stability (
B). 2) Place seizure pads for safety (
C). 3) Administer haloperidol to manage psychosis (
D). 4) Transfer to the psychiatric unit for ongoing care (
A). This prioritizes immediate physiological safety and symptom management.
Question 3 of 5
A client moves in with her family after her boyfriend of 4 weeks told her to leave. She is admitted to the subacute unit after complaining of feeling empty and lonely, being unable to sleep, and eating very little for the last week. Her arms are scarred from frequent self-mutilation. The nurse should do which of the following from first to last?
Order the Items
Source Container
Correct Answer: A, C, B, D
Rationale: The order is: 1) Monitor for suicide and self-mutilation to ensure safety (
A). 2) Monitor sleeping and eating behaviors to address physical health (
C). 3) Discuss loneliness and emptiness to explore emotional triggers (
B). 4) Discuss housing options to plan for discharge (
D). This prioritizes safety, then physical and emotional needs, and finally future planning.
Question 4 of 5
The client diagnosed with severe major depression has been taking Lexapro 10 mg daily for 2 weeks. Using nursing process methodology, which of the following parameters should the nurse monitor most closely at this time?
Correct Answer: A
Rationale: Suicidal ideation must be closely monitored, especially early in antidepressant therapy, due to increased risk.
Question 5 of 5
The client is taking 50 mg of lamotrigine (Lamictal) daily for bipolar depression. The client shows the nurse a rash on his arm. What should the nurse do?
Correct Answer: A
Rationale: A rash with Lamictal may indicate a serious reaction like Stevens-Johnson syndrome, requiring immediate physician notification.