NCLEX-RN
NCLEX RN Psychiatric Questions Questions
Extract:
Question 1 of 5
When caring for the client diagnosed with delirium, which condition is the most important for the nurse to investigate?
Correct Answer: C
Rationale: Prescription drug intoxication is a common and reversible cause of delirium, making it critical to investigate to identify and correct the underlying issue.
Question 2 of 5
A client diagnosed with borderline personality disorder has self-inflicted cuts on her arms. The nurse is assessing the client for the risk of suicide. What should the nurse ask the client first?
Correct Answer: C
Rationale: Asking if the client has a suicide plan is the priority because it directly assesses the immediate risk of suicide, which is critical in ensuring safety. Understanding the plan helps determine the level of intent and urgency for intervention.
Question 3 of 5
When developing appropriate short-term goals with clients who are inpatients, which of the following is most realistic?
Correct Answer: C
Rationale: Writing a list of strengths and needs is a realistic, achievable short-term goal for an inpatient, promoting self-awareness and planning. Demonstrating a positive self-image is too broad, planning for school is long-term, and practicing assertiveness in a specific confrontation may be too complex for short-term inpatient care.
Question 4 of 5
A client with schizophrenia is started on paliperidone (Invega). Which laboratory test should the nurse monitor?
Correct Answer: C
Rationale: Paliperidone can increase the risk of metabolic syndrome, including elevated blood glucose, making monitoring blood glucose levels essential.
Question 5 of 5
The mother of a school-aged child tells the nurse that, 'For most of the past year my husband was unemployed and I worked a second job. Twice during the ... he was the school ... he refused to obey. It has not happened again. Our family is back to normal.' After assessing the family, the nurse decides that the child is still at risk for abuse. Which of the following observations best supports this conclusion?
Correct Answer: D
Rationale: Wearing long sleeves and pants in warm weather may indicate the child is hiding bruises or marks, a common sign of abuse.