Psychiatric Mental Health Nursing NCLEX
Questions (50 Questions) exam Questions
Latest 2026 Update
Flumazenil (Romazicon) has been ordered for a male client
who has overdosed on oxazepam (Serax). Before
administering the medication, the nurse should be prepared
for which common adverse effect?
A. Seizures
B. Shivering
C. Anxiety
D. Chest pain - Correct Answers ✅A. Seizures
Rationale: Seizures are the most common adverse effect of
using flumazenil to reverse benzodiazepine overdose. The
effect is magnified if the client has a combined tricyclic
antidepressant and benzodiazepine overdose. Less common
adverse effects includer shivering, anxiety, and chest pain.
The nurse is caring for a client diagnosed with bulimia. The
most appropriate initial goal for a client diagnosed with
bulimia is to:
A. Avoid shopping for large amounts of food
B. Control eating impulses
C. Identify anxiety-causing situations
D. Eat only three meals per day - Correct Answers ✅C.
Identify anxiety-causing situations
Rationale: Bulimic behavior is generally a maladaptive coping
response to stress and underlying issues. The client must
identify anxiety-causing situation as that stimulate the
bulimic behavior and then learn new ways of coping with the
,Psychiatric Mental Health Nursing NCLEX
Questions (50 Questions) exam Questions
Latest 2026 Update
anxiety. Controlling shopping for large amounts of food isn't a
goal early in treatment. Managing eating impulses and
replacing them with adaptive coping mechanisms can be
integrated into the plan of care after initially addressing
stress and underlying issues. Eating three meals per day isn't
a realistic goal early in treatment.
A female client who's at high risk for suicide needs close
supervision. To best ensure the client's safety, the nurse
should:
A. Check on the client frequently at irregular intervals
throughout the night
B. Assure the client that the nurse will hold in confidence
anything the client says
C. Repeatedly discuss previous suicide attempts with the
client
D. Disregard decreased communication by the client because
this is common in suicidal clients - Correct Answers ✅A.
Check on the client frequently at irregular intervals
throughout the night
Rationale: Checking the client frequently but at irregular
intervals prevents the client from predicting when
observation will take place and altering behavior in a
misleading way at these times. Option B may encourage the
client to try to manipulate the nurse's or seek attention for
having a secret suicide plan. Option C may reinforce a
suicidal idea. Decreased communication is a sign of
,Psychiatric Mental Health Nursing NCLEX
Questions (50 Questions) exam Questions
Latest 2026 Update
withdrawal that may indicate the client has decided to
commit suicide; the nurse shouldn't disregard it.
Which of the following drugs should the nurse prepare to
administer to a client with a toxic acetaminophen (Tylenol)
level?
A. deferoxamine mesylate
B. succimer (Chemet)
C. flumazenil (Romazicon)
D. acetylcysteine (Mucomyst) - Correct Answers ✅D.
acetylcysteine (Mucomyth)
Rationale: The antidote for acetaminophen toxicity is
acetylcysteine. It enhances conversion of toxic metabolites to
nontoxic metabolites. Deferoxamine meslyate is the antidote
for iron intoxication. Succimer is an antidote for lead
poisoning. Flumazenil reverses the sedative effects of
benzodiazepines.
A male client is admitted to the substance abuse unit for
alcohol detoxification. Which of the following medications is
the nurse likely to administer to reduce the symptoms of
alcohol withdrawal?
A. naloxone (Narcan)
B. haloperidol (Haldol)
C. magnesium sulfate
, Psychiatric Mental Health Nursing NCLEX
Questions (50 Questions) exam Questions
Latest 2026 Update
D. chlordiazepoxide (Librium) - Correct Answers ✅D.
clordiazepoxide (Librium)
Rationale: Chlordiazepoxide (Librium) and other tranquilizers
help reduce the symptoms of alcohol withdrawal. Haloperidol
(Haldol) may be given to treat clients with psychosis, severe
agitation, or delirium. Naloxone (Narcan) is administered for
narcotic overdose. Magnesium sulfate and other
anticonvulsant medications are only administer to treat
seizures if they occur during the withdrawal.
During postprandial monitor, a female client with bulimia
nervosa tells the nurse, "You can sit with me, but you're just
wasting your time. After you sat with me yesterday, I was still
able to purge. Today, my goal is to do it twice." What is the
nurse's BEST responses?
A. "I trust you not to purge."
B. "How are you purging and when do you do it?"
C. "Don't worry. I won't allow you to purge today."
D. "I know it's important for you to feel in control, but I'll
monitor you for 90 minutes after you eat." - Correct
Answers ✅D. "I know it's important for you to feel in
control, but I'll monitor you for 90 minutes after you eat."
Rationale: This response acknowledges that the clients is
testing limits and that the nurse is setting them by
performing postprandial monitoring to prevent self-induced
eyes is. Clients with bulimia nervosa need to feel in control of
the diet because they feel they lack control over all other
Questions (50 Questions) exam Questions
Latest 2026 Update
Flumazenil (Romazicon) has been ordered for a male client
who has overdosed on oxazepam (Serax). Before
administering the medication, the nurse should be prepared
for which common adverse effect?
A. Seizures
B. Shivering
C. Anxiety
D. Chest pain - Correct Answers ✅A. Seizures
Rationale: Seizures are the most common adverse effect of
using flumazenil to reverse benzodiazepine overdose. The
effect is magnified if the client has a combined tricyclic
antidepressant and benzodiazepine overdose. Less common
adverse effects includer shivering, anxiety, and chest pain.
The nurse is caring for a client diagnosed with bulimia. The
most appropriate initial goal for a client diagnosed with
bulimia is to:
A. Avoid shopping for large amounts of food
B. Control eating impulses
C. Identify anxiety-causing situations
D. Eat only three meals per day - Correct Answers ✅C.
Identify anxiety-causing situations
Rationale: Bulimic behavior is generally a maladaptive coping
response to stress and underlying issues. The client must
identify anxiety-causing situation as that stimulate the
bulimic behavior and then learn new ways of coping with the
,Psychiatric Mental Health Nursing NCLEX
Questions (50 Questions) exam Questions
Latest 2026 Update
anxiety. Controlling shopping for large amounts of food isn't a
goal early in treatment. Managing eating impulses and
replacing them with adaptive coping mechanisms can be
integrated into the plan of care after initially addressing
stress and underlying issues. Eating three meals per day isn't
a realistic goal early in treatment.
A female client who's at high risk for suicide needs close
supervision. To best ensure the client's safety, the nurse
should:
A. Check on the client frequently at irregular intervals
throughout the night
B. Assure the client that the nurse will hold in confidence
anything the client says
C. Repeatedly discuss previous suicide attempts with the
client
D. Disregard decreased communication by the client because
this is common in suicidal clients - Correct Answers ✅A.
Check on the client frequently at irregular intervals
throughout the night
Rationale: Checking the client frequently but at irregular
intervals prevents the client from predicting when
observation will take place and altering behavior in a
misleading way at these times. Option B may encourage the
client to try to manipulate the nurse's or seek attention for
having a secret suicide plan. Option C may reinforce a
suicidal idea. Decreased communication is a sign of
,Psychiatric Mental Health Nursing NCLEX
Questions (50 Questions) exam Questions
Latest 2026 Update
withdrawal that may indicate the client has decided to
commit suicide; the nurse shouldn't disregard it.
Which of the following drugs should the nurse prepare to
administer to a client with a toxic acetaminophen (Tylenol)
level?
A. deferoxamine mesylate
B. succimer (Chemet)
C. flumazenil (Romazicon)
D. acetylcysteine (Mucomyst) - Correct Answers ✅D.
acetylcysteine (Mucomyth)
Rationale: The antidote for acetaminophen toxicity is
acetylcysteine. It enhances conversion of toxic metabolites to
nontoxic metabolites. Deferoxamine meslyate is the antidote
for iron intoxication. Succimer is an antidote for lead
poisoning. Flumazenil reverses the sedative effects of
benzodiazepines.
A male client is admitted to the substance abuse unit for
alcohol detoxification. Which of the following medications is
the nurse likely to administer to reduce the symptoms of
alcohol withdrawal?
A. naloxone (Narcan)
B. haloperidol (Haldol)
C. magnesium sulfate
, Psychiatric Mental Health Nursing NCLEX
Questions (50 Questions) exam Questions
Latest 2026 Update
D. chlordiazepoxide (Librium) - Correct Answers ✅D.
clordiazepoxide (Librium)
Rationale: Chlordiazepoxide (Librium) and other tranquilizers
help reduce the symptoms of alcohol withdrawal. Haloperidol
(Haldol) may be given to treat clients with psychosis, severe
agitation, or delirium. Naloxone (Narcan) is administered for
narcotic overdose. Magnesium sulfate and other
anticonvulsant medications are only administer to treat
seizures if they occur during the withdrawal.
During postprandial monitor, a female client with bulimia
nervosa tells the nurse, "You can sit with me, but you're just
wasting your time. After you sat with me yesterday, I was still
able to purge. Today, my goal is to do it twice." What is the
nurse's BEST responses?
A. "I trust you not to purge."
B. "How are you purging and when do you do it?"
C. "Don't worry. I won't allow you to purge today."
D. "I know it's important for you to feel in control, but I'll
monitor you for 90 minutes after you eat." - Correct
Answers ✅D. "I know it's important for you to feel in
control, but I'll monitor you for 90 minutes after you eat."
Rationale: This response acknowledges that the clients is
testing limits and that the nurse is setting them by
performing postprandial monitoring to prevent self-induced
eyes is. Clients with bulimia nervosa need to feel in control of
the diet because they feel they lack control over all other
