Rhode Island Psychiatric Mental Health
Nursing NCLEX ACTUAL EXAM 2026 LATEST
UPDATE WITH VERIFIED QUESTIONS AND
CORRECT ANSWERS|| LATEST VERSION
WITHCOMPLETE QUESTIONS & ANSWERS||
ALREADY GRADED A+ | LATEST UPDATE
2026-2027
,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
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
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 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
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 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)
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
D. chlordiazepoxide (Librium)
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.
Nursing NCLEX ACTUAL EXAM 2026 LATEST
UPDATE WITH VERIFIED QUESTIONS AND
CORRECT ANSWERS|| LATEST VERSION
WITHCOMPLETE QUESTIONS & ANSWERS||
ALREADY GRADED A+ | LATEST UPDATE
2026-2027
,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
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
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 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
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 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)
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
D. chlordiazepoxide (Librium)
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.
