NGN MENTAL HEALTH COMPREHENSIVE
EXAMINATION TEST 2026 QUESTIONS WITH
ANSWERS 100% CORRECT
◉ A homeless client who reports feeling sad and depressed tells the
mental health nurse that in the past 2 days she has only had 4 hours
of sleep. Which action is most important for the RN to implement
within the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep.
B. Ensure client attend groups addressing coping skills for dealing
with depression.
C. Begin planning for the clients discharge.
D. Encourage verbalization of feelings. Answer: A. Allow the client to
rest and sleep.
◉ A RN is teaching a client about initiation of a prescribed
abstinence therapy using Disulfiram (Antabuse). What information
should the client acknowledge understanding?
A. Admit to others that he is a substance abuser.
B. Remain alcohol free for 12 hours prior to first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Completely sustain from heroin or cocaine use. Answer: B. Remain
alcohol free for 12 hours prior to first dose.
,◉ Which client statement suggests the RN that the client is using a
defense mechanism of projection to deal with anxiety related to
admission to a psychiatricunit?
A. At least I hit the wall instead of hitting the psychiatric aide.
B. I am here because the police thought I was doing something
wrong.
C. I want to be here because I know it is the best psychiatric facility.
D. Don't believe everything my family tells you, I am not crazy.
Answer: B. I am here because the police thought I was doing
something wrong.
◉ The RN documents the mental status of a female client who has
been hospitalized for several days by court order. The client states" I
don't need to be here," and tells the RN that she believes that the T.V.
talks to her. The RN should document these assessment statements
in which section of the mental status exam?
A. Insight and judgement.
B. Mood and affect.
C. Remote memory.
D. Level of concentration. Answer: A. Insight and judgement.
◉ An older ale client with schizophrenia is found smearing feces on
the bathroom walls of the chronic mental health unit where he
resides. What action should the RN implement?
,A. Explain that the feces belong in the toilet.
B. Show the client how to clean the walls.
C. Escort the client out of the bathroom.
D. Assist the client to clean the walls Answer: C. Escort the client out
of the bathroom.
◉ A male client tells the RN that he does not want to take the
atypical antipsychotic drug, olanzapine (Zypexa), because of the side
effects he experienced when he took the drug for a year. Which
experience is most likely related to takingolanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequent days with diarrhea.
D. Alerted liver function test. Answer: A. Weight gain of 75 lbs.
◉ Following involvement in a MVC, a middle aged adult client is
admitted to the hospital with multiple facial fractures. The client's
blood alcohol level is high on admission. Which PRN prescription
should be administered if the client begins toexhibit signs and
symptoms of delirium tremens (DTs)?
A. Prochlorperazine (Compazine) 5 mg IM.
B. Hydromorphone (Dialuadid) 2 mg IM.
C. Chlorpromazine (Thorazine) 50 mg IM.
, D. Lorazepam (Ativan) 2 mg IM. Answer: D. Lorazepam (Ativan) 2
mg IM.
◉ The RN is preparing medications for a client with bipolar disorder
and notices that the client discontinued antipsychotic medication for
several days. Which medication should also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia). Answer: b. Benzotropine
(Cogentin).
◉ The RN on the day shift receive report about a client with
depression who was in bed most of the weekend. The RN walks into
the client's room in the morning and finds the client in bed. What
intervention is best for the RN to implement?
A. Monitor the client's appetite and pattern of sleep.
B. Assess the client's feelings about the hospital stay.
C. Assist the client to get out of bed and involved in an activity.
D. Explain that staff will check on the client every 30 minutes.
Answer: C. Assist the client to get out of bed and involved in an
activity.
EXAMINATION TEST 2026 QUESTIONS WITH
ANSWERS 100% CORRECT
◉ A homeless client who reports feeling sad and depressed tells the
mental health nurse that in the past 2 days she has only had 4 hours
of sleep. Which action is most important for the RN to implement
within the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep.
B. Ensure client attend groups addressing coping skills for dealing
with depression.
C. Begin planning for the clients discharge.
D. Encourage verbalization of feelings. Answer: A. Allow the client to
rest and sleep.
◉ A RN is teaching a client about initiation of a prescribed
abstinence therapy using Disulfiram (Antabuse). What information
should the client acknowledge understanding?
A. Admit to others that he is a substance abuser.
B. Remain alcohol free for 12 hours prior to first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Completely sustain from heroin or cocaine use. Answer: B. Remain
alcohol free for 12 hours prior to first dose.
,◉ Which client statement suggests the RN that the client is using a
defense mechanism of projection to deal with anxiety related to
admission to a psychiatricunit?
A. At least I hit the wall instead of hitting the psychiatric aide.
B. I am here because the police thought I was doing something
wrong.
C. I want to be here because I know it is the best psychiatric facility.
D. Don't believe everything my family tells you, I am not crazy.
Answer: B. I am here because the police thought I was doing
something wrong.
◉ The RN documents the mental status of a female client who has
been hospitalized for several days by court order. The client states" I
don't need to be here," and tells the RN that she believes that the T.V.
talks to her. The RN should document these assessment statements
in which section of the mental status exam?
A. Insight and judgement.
B. Mood and affect.
C. Remote memory.
D. Level of concentration. Answer: A. Insight and judgement.
◉ An older ale client with schizophrenia is found smearing feces on
the bathroom walls of the chronic mental health unit where he
resides. What action should the RN implement?
,A. Explain that the feces belong in the toilet.
B. Show the client how to clean the walls.
C. Escort the client out of the bathroom.
D. Assist the client to clean the walls Answer: C. Escort the client out
of the bathroom.
◉ A male client tells the RN that he does not want to take the
atypical antipsychotic drug, olanzapine (Zypexa), because of the side
effects he experienced when he took the drug for a year. Which
experience is most likely related to takingolanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequent days with diarrhea.
D. Alerted liver function test. Answer: A. Weight gain of 75 lbs.
◉ Following involvement in a MVC, a middle aged adult client is
admitted to the hospital with multiple facial fractures. The client's
blood alcohol level is high on admission. Which PRN prescription
should be administered if the client begins toexhibit signs and
symptoms of delirium tremens (DTs)?
A. Prochlorperazine (Compazine) 5 mg IM.
B. Hydromorphone (Dialuadid) 2 mg IM.
C. Chlorpromazine (Thorazine) 50 mg IM.
, D. Lorazepam (Ativan) 2 mg IM. Answer: D. Lorazepam (Ativan) 2
mg IM.
◉ The RN is preparing medications for a client with bipolar disorder
and notices that the client discontinued antipsychotic medication for
several days. Which medication should also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia). Answer: b. Benzotropine
(Cogentin).
◉ The RN on the day shift receive report about a client with
depression who was in bed most of the weekend. The RN walks into
the client's room in the morning and finds the client in bed. What
intervention is best for the RN to implement?
A. Monitor the client's appetite and pattern of sleep.
B. Assess the client's feelings about the hospital stay.
C. Assist the client to get out of bed and involved in an activity.
D. Explain that staff will check on the client every 30 minutes.
Answer: C. Assist the client to get out of bed and involved in an
activity.
