NCLEX-RN
NCLEX RN Questions on Psychiatric Nursing Questions
Extract:
Question 1 of 5
While receiving disulfiram (Antabuse) therapy, the client becomes nauseated and vomits severely. Which of the following questions should the nurse ask first?
Correct Answer: C
Rationale: Asking 'How much alcohol did you drink today?' is first, as disulfiram causes severe nausea and vomiting when alcohol is consumed, and this is the most likely cause.
Question 2 of 5
Which of the following measures should the nurse include in the plan of care for a client with alcohol withdrawal delirium?
Correct Answer: C
Rationale: Remaining with the client when confused or disoriented is appropriate, as it ensures safety, provides reassurance, and reduces agitation during delirium.
Question 3 of 5
The friend of a client brought to the emergency department states, 'I guess she had some bad junk (heroin) today.' The client is drowsy and verbally nonresponsive. Which of the following assessment findings is of immediate concern to the nurse?
Correct Answer: A
Rationale: A respiratory rate of 9 breaths/minute is of immediate concern, as heroin overdose can cause respiratory depression, posing a life-threatening risk requiring urgent intervention.
Question 4 of 5
Which of the following should lead the nurse to suspect that a client is addicted to heroin?
Correct Answer: D
Rationale: Hypoactivity is a sign of heroin addiction, as it causes sedation and reduced activity, especially during intoxication or withdrawal phases.
Question 5 of 5
A client walks into the clinic and tells the nurse she has run out of money for crack, has crashed, and wants something to help her feel better. Which of the following is most important for the nurse to assess?
Correct Answer: D
Rationale: Assessing suicidal ideation is most important, as a crash after crack use can lead to severe depression and increased suicide risk, requiring immediate attention.