NCLEX-PN
Mental Health NCLEX PN Questions Questions
Extract:
Question 1 of 5
When the nurse responds to a call from a 22-year-old rape victim, which instruction is most important before referring the client to the emergency department of the local hospital?
Correct Answer: A
Rationale: Advising the victim not to bathe preserves forensic evidence, which is critical for potential criminal investigation and prosecution.
Question 2 of 5
Which assessment finding is most atypical of a 65-year-old client?
Correct Answer: A
Rationale: Errors in copying a drawing suggest visuospatial deficits, less common in typical aging and more indicative of neurological issues.
Question 3 of 5
The nurse completed an admission interview and assessment of the client who is under the influence of cocaine. Which finding should the nurse attribute to the client being under the influence of cocaine?
Correct Answer: C
Rationale: Cocaine causes hypersensitivity (
C). It increases BP/HR (
A) causes hypervigilance (not inattention
B) and underreporting (
D) is general not specific.
Question 4 of 5
The nurse observes that the client diagnosed with intermittent explosive disorder is becoming aggressive and that lorazepam was prescribed. The client is now exhibiting a tense posture a clenched fist and a defiant affect. Prioritize the nurse’s actions to de-escalate the client’s aggression.
Order the Items
Source Container
Correct Answer: B ,E ,D ,A, C
Rationale: Talk down (
B) builds trust offering physical outlets (E) releases tension medication choice (
D) calms staff assistance (
A) ensures safety and restraints (
C) are last resort for harm prevention.
Question 5 of 5
If the home health nurse documented all of the following findings, which one is most suggestive that the client is depressed?
Correct Answer: B
Rationale: Multiple somatic complaints are a hallmark of depression in older adults, often masking emotional symptoms.