PSYCHIATRIC MENTAL
HEALTH NURSING
NCLEX QUESTIONS (50
QUESTIONS)
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
, Certainly! Here are all the questions numbered with the correct full answers and rationales:
1. **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?**
**Answer:** A. Seizures
**Rationale:** Seizures are the most common adverse effect of flumazenil when reversing
benzodiazepine overdose, especially if combined with tricyclic antidepressant overdose. Less
common adverse effects include shivering, anxiety, and chest pain.
2. **The nurse is caring for a client diagnosed with bulimia. The most appropriate initial goal
for a client diagnosed with bulimia is to:**
**Answer:** C. Identify anxiety-causing situations
**Rationale:** Bulimic behavior is a maladaptive coping response to stress; identifying
anxiety-causing situations helps the client address underlying issues.
3. **A female client who's at high risk for suicide needs close supervision. To best ensure the
client's safety, the nurse should:**
**Answer:** A. Check on the client frequently at irregular intervals throughout the night
**Rationale:** Irregular checks prevent the client from predicting observation times and
manipulating behavior.
4. **Which of the following drugs should the nurse prepare to administer to a client with a
toxic acetaminophen (Tylenol) level?**
**Answer:** D. Acetylcysteine (Mucomyst)
**Rationale:** Acetylcysteine is the antidote for acetaminophen toxicity, helping to
neutralize toxic metabolites.
5. **During alcohol detoxification, which medication is the nurse likely to administer to
reduce withdrawal symptoms?**
**Answer:** D. Chlordiazepoxide (Librium)
HEALTH NURSING
NCLEX QUESTIONS (50
QUESTIONS)
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
, Certainly! Here are all the questions numbered with the correct full answers and rationales:
1. **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?**
**Answer:** A. Seizures
**Rationale:** Seizures are the most common adverse effect of flumazenil when reversing
benzodiazepine overdose, especially if combined with tricyclic antidepressant overdose. Less
common adverse effects include shivering, anxiety, and chest pain.
2. **The nurse is caring for a client diagnosed with bulimia. The most appropriate initial goal
for a client diagnosed with bulimia is to:**
**Answer:** C. Identify anxiety-causing situations
**Rationale:** Bulimic behavior is a maladaptive coping response to stress; identifying
anxiety-causing situations helps the client address underlying issues.
3. **A female client who's at high risk for suicide needs close supervision. To best ensure the
client's safety, the nurse should:**
**Answer:** A. Check on the client frequently at irregular intervals throughout the night
**Rationale:** Irregular checks prevent the client from predicting observation times and
manipulating behavior.
4. **Which of the following drugs should the nurse prepare to administer to a client with a
toxic acetaminophen (Tylenol) level?**
**Answer:** D. Acetylcysteine (Mucomyst)
**Rationale:** Acetylcysteine is the antidote for acetaminophen toxicity, helping to
neutralize toxic metabolites.
5. **During alcohol detoxification, which medication is the nurse likely to administer to
reduce withdrawal symptoms?**
**Answer:** D. Chlordiazepoxide (Librium)
