LPN Mental Health Nursing Module 6 Exam 2026/2027 UPDATE
1. A nurse is caring for a client with schizophrenia who reports hearing voices
telling them to ‘hurt the others.’ Which is the most appropriate initial nursing
response?
A. ‘You know those voices are not real, right?’
B. ‘What are the voices telling you to do exactly?’
C. ‘I don’t hear the voices, but I understand they are real to you.’
D. ‘Try to ignore them and focus on the group activity.’
Answer: C
Rationale: Acknowledging the client’s experience without validating the hallucination as
reality is a key therapeutic communication technique for hallucinations.
2. A client is prescribed Lithium Carbonate for bipolar disorder. Which
laboratory value should the nurse monitor most closely to prevent toxicity?
A. Serum glucose
B. Serum sodium
C. Hemoglobin A1c
D. Prothrombin time
Answer: B
Rationale: Lithium is a salt; low sodium levels can lead to lithium retention and toxicity,
while high sodium can lower lithium levels.
,3. A nurse is assessing a client for potential suicidal ideation. Which statement
by the client requires immediate follow-up?
A. ‘I’ve finally found a way to end all this pain next week.’
B. ‘I don’t think my family cares about me anymore.’
C. ‘I have been feeling very tired lately.’
D. ‘I hope things get better once I start my new job.’
Answer: A
Rationale: A specific plan and timeline for self-harm indicate a high risk of suicide and
require immediate intervention.
4. A client with an eating disorder is being treated for Anorexia Nervosa. Which
is the highest priority nursing diagnosis?
A. Disturbed Body Image
B. Imbalanced Nutrition: Less Than Body Requirements
C. Chronic Low Self-Esteem
D. Social Isolation
Answer: B
Rationale: Physiological stability, specifically nutrition and hydration, always takes
priority over psychosocial diagnoses in acute care.
5. Which medication is typically prescribed to treat the extrapyramidal side
effects (EPS) of antipsychotic medications?
A. Benztropine
B. Haloperidol
C. Risperidone
D. Lorazepam
Answer: A
Rationale: Benztropine is an anticholinergic medication used to treat EPS such as tremors
and muscle rigidity caused by antipsychotics.
, 6. A nurse is caring for a client in the manic phase of bipolar disorder. Which
environment is most appropriate?
A. A quiet, low-stimulus private room.
B. A shared room with a talkative roommate.
C. A room near the nurse’s station with high activity.
D. The dayroom where group therapy is held.
Answer: A
Rationale: Clients in a manic state require a low-stimulus environment to prevent over-
excitement and promote rest.
7. A client is admitted for alcohol detoxification. Which vital sign change most
likely indicates the onset of alcohol withdrawal delirium?
A. Decreased heart rate
B. Decreased respiratory rate
C. Increased blood pressure and pulse
D. Increased oxygen saturation
Answer: C
Rationale: Autonomic hyperactivity, including tachycardia and hypertension, is a hallmark
sign of alcohol withdrawal delirium.
8. A client experiencing a panic attack is hyperventilating. What should the
nurse do first?
A. Instruct the client to breathe into a paper bag or use pursed lips.
B. Administer an immediate dose of an SSRI.
C. Ask the client to explain what triggered the attack.
D. Leave the client alone to allow them to calm down.
Answer: A
Rationale: Immediate physical intervention to stabilize breathing is the priority during an
active panic attack.
1. A nurse is caring for a client with schizophrenia who reports hearing voices
telling them to ‘hurt the others.’ Which is the most appropriate initial nursing
response?
A. ‘You know those voices are not real, right?’
B. ‘What are the voices telling you to do exactly?’
C. ‘I don’t hear the voices, but I understand they are real to you.’
D. ‘Try to ignore them and focus on the group activity.’
Answer: C
Rationale: Acknowledging the client’s experience without validating the hallucination as
reality is a key therapeutic communication technique for hallucinations.
2. A client is prescribed Lithium Carbonate for bipolar disorder. Which
laboratory value should the nurse monitor most closely to prevent toxicity?
A. Serum glucose
B. Serum sodium
C. Hemoglobin A1c
D. Prothrombin time
Answer: B
Rationale: Lithium is a salt; low sodium levels can lead to lithium retention and toxicity,
while high sodium can lower lithium levels.
,3. A nurse is assessing a client for potential suicidal ideation. Which statement
by the client requires immediate follow-up?
A. ‘I’ve finally found a way to end all this pain next week.’
B. ‘I don’t think my family cares about me anymore.’
C. ‘I have been feeling very tired lately.’
D. ‘I hope things get better once I start my new job.’
Answer: A
Rationale: A specific plan and timeline for self-harm indicate a high risk of suicide and
require immediate intervention.
4. A client with an eating disorder is being treated for Anorexia Nervosa. Which
is the highest priority nursing diagnosis?
A. Disturbed Body Image
B. Imbalanced Nutrition: Less Than Body Requirements
C. Chronic Low Self-Esteem
D. Social Isolation
Answer: B
Rationale: Physiological stability, specifically nutrition and hydration, always takes
priority over psychosocial diagnoses in acute care.
5. Which medication is typically prescribed to treat the extrapyramidal side
effects (EPS) of antipsychotic medications?
A. Benztropine
B. Haloperidol
C. Risperidone
D. Lorazepam
Answer: A
Rationale: Benztropine is an anticholinergic medication used to treat EPS such as tremors
and muscle rigidity caused by antipsychotics.
, 6. A nurse is caring for a client in the manic phase of bipolar disorder. Which
environment is most appropriate?
A. A quiet, low-stimulus private room.
B. A shared room with a talkative roommate.
C. A room near the nurse’s station with high activity.
D. The dayroom where group therapy is held.
Answer: A
Rationale: Clients in a manic state require a low-stimulus environment to prevent over-
excitement and promote rest.
7. A client is admitted for alcohol detoxification. Which vital sign change most
likely indicates the onset of alcohol withdrawal delirium?
A. Decreased heart rate
B. Decreased respiratory rate
C. Increased blood pressure and pulse
D. Increased oxygen saturation
Answer: C
Rationale: Autonomic hyperactivity, including tachycardia and hypertension, is a hallmark
sign of alcohol withdrawal delirium.
8. A client experiencing a panic attack is hyperventilating. What should the
nurse do first?
A. Instruct the client to breathe into a paper bag or use pursed lips.
B. Administer an immediate dose of an SSRI.
C. Ask the client to explain what triggered the attack.
D. Leave the client alone to allow them to calm down.
Answer: A
Rationale: Immediate physical intervention to stabilize breathing is the priority during an
active panic attack.
