NCLEX-RN
Mental Health RN NCLEX Questions Questions
Extract:
Question 1 of 5
Which of the following statements by a client who has been taking buspirone (BuSpar) as prescribed for 2 days indicates the need for further teaching?
Correct Answer: A
Rationale: Saying buspirone helps tight muscles indicates a need for teaching, as it treats anxiety, not muscle tension, unlike benzodiazepines.
Question 2 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 3 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 4 of 5
A client with schizophrenia comes to the outpatient mental health clinic 5 days after being discharged from the hospital. The client was given a 1-week supply of clozapine (Clozaril). The client tells the nurse that she has too much saliva and frequently needs to spit. The nurse interprets the client's statement as indicating which of the following?
Correct Answer: C
Rationale: Excessive salivation (sialorrhea) is a common side effect of clozapine, and the nurse should recognize it as an expected adverse effect rather than a delusion or symptom.
Question 5 of 5
The nurse manager of a psychiatric unit notices that one of the nurses commonly avoids a 75-year-old client's company. Which of the following factors should the nurse manager identify as being the most likely cause of this nurse's discomfort with older clients?
Correct Answer: A
Rationale: Fears and conflicts about aging are a common psychological reason for discomfort with elderly clients, as they may trigger personal anxieties about the nurse's own aging process.