Comprehensive Mental Health and Psychiatric Nursing NCLEX Practice #1:
75 Questions with Verified Answers Rated A
Flumazenil (Romazicon) has been ordered for a male
client who has overdosed on oxazepam (Serax). Before
administering the medication, nurse Gina should be pre-
pared for which common adverse ettect?
Seizures
A. Seizures
B. Shivering
C. Anxiety
D. Chest pain
Nurse Tamara is caring for a client diagnosed with bulim-
ia. The most appropriate initial goal for a client diagnosed
with bulimia is to:
A. Avoid shopping for large amounts of food. Identify anxiety-causing situations.
B. Control eating impulses.
C. Identify anxiety-causing situations.
D. Eat only three meals per day.
A female client who's at high risk for suicide needs close
supervision. To best ensure the client's safety, Nurse Mary
should:
A. Check the client frequently at irregular intervals
throughout the night.
Check the client frequently at irregular intervals through-
B. Assure the client that the nurse will hold in confidence
out the night.
anything the client says.
C. Repeatedly discuss previous suicide attempts with the
client.
D. Disregard decreased communication by the client be-
cause this is common with suicidal clients.
Which of the following drugs should Nurse Mary pre-
pare to administer to a client with a toxic acetaminophen
D. Acetylcysteine (Mucomyst)
(Tylenol) level?
A. Deferoxamine mesylate (Desferal)
,Comprehensive Mental Health and Psychiatric Nursing NCLEX Practice #1:
75 Questions with Verified Answers Rated A
B. Succimer (Chemet)
C. Flumazenil (Romazicon)
D. Acetylcysteine (Mucomyst)
A male client is admitted to the substance abuse unit for
alcohol detoxification. Which of the following medications
is Nurse Alice most likely to administer to reduce the
symptoms of alcohol withdrawal?
D. Chlordiazepoxide (Librium)
A. Naloxone (Narcan)
B. Haloperidol (Haldol)
C. Magnesium sulfate
D. Chlordiazepoxide (Librium)
During postprandial monitoring, a female client with bu-
limia nervosa tells the nurse, "You can sit with me, but
you're just wasting your time. After you had sat with me
yesterday, I was still able to purge. Today, my goal is to do
it twice." What is the nurse's best response? D. "I know it's important for you to feel in control, but I'll
A. "I trust you not to purge." monitor you for 90 minutes after you eat."
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."
A male client admitted to the psychiatric unit for treatment
of substance abuse says to the nurse, "It felt so wonderful
to get high." Which of the following is the most appropri-
ate response? B. "You told me you got fired from your last job for missing
A. "If you continue to talk like that, I'm going to stop too many days after taking drugs all night."
speaking to you."
B. "You told me you got fired from your last job for missing
too many days after taking drugs all night."
, Comprehensive Mental Health and Psychiatric Nursing NCLEX Practice #1:
75 Questions with Verified Answers Rated A
C. "Tell me more about how it felt to get high."
D. "Don't you know it's illegal to use drugs?"
For a female client with anorexia nervosa, Nurse Jimmy is
aware that which goal takes the highest priority?
A. The client will establish adequate daily nutritional in-
take.
B. The client will make a contract with the nurse that sets A. The client will establish adequate daily nutritional in-
a target weight. take.
C. The client will identify self-perceptions about body size
as unrealistic.
D. The client will verbalize the possible physiological con-
sequences of self-starvation.
When interviewing the parents of an injured child, which
of the following is the strongest indicator that child abuse
may be a problem?
A. The injury isn't consistent with the history or the child's
age. A. The injury isn't consistent with the history or the child's
B. The mother and father tell ditterent stories regarding age.
what happened.
C. The family is poor.
D. The parents are argumentative and demanding with
emergency department personnel.
For a female client with anorexia nervosa, nurse Rose
plans to include the parents in therapy sessions along with
the client. What fact should the nurse remember to be
typical of parents of clients with anorexia nervosa? A. They tend to overprotect their children.
A. They tend to overprotect their children.
B. They usually have a history of substance abuse.
C. They maintain emotional distance from their children.
75 Questions with Verified Answers Rated A
Flumazenil (Romazicon) has been ordered for a male
client who has overdosed on oxazepam (Serax). Before
administering the medication, nurse Gina should be pre-
pared for which common adverse ettect?
Seizures
A. Seizures
B. Shivering
C. Anxiety
D. Chest pain
Nurse Tamara is caring for a client diagnosed with bulim-
ia. The most appropriate initial goal for a client diagnosed
with bulimia is to:
A. Avoid shopping for large amounts of food. Identify anxiety-causing situations.
B. Control eating impulses.
C. Identify anxiety-causing situations.
D. Eat only three meals per day.
A female client who's at high risk for suicide needs close
supervision. To best ensure the client's safety, Nurse Mary
should:
A. Check the client frequently at irregular intervals
throughout the night.
Check the client frequently at irregular intervals through-
B. Assure the client that the nurse will hold in confidence
out the night.
anything the client says.
C. Repeatedly discuss previous suicide attempts with the
client.
D. Disregard decreased communication by the client be-
cause this is common with suicidal clients.
Which of the following drugs should Nurse Mary pre-
pare to administer to a client with a toxic acetaminophen
D. Acetylcysteine (Mucomyst)
(Tylenol) level?
A. Deferoxamine mesylate (Desferal)
,Comprehensive Mental Health and Psychiatric Nursing NCLEX Practice #1:
75 Questions with Verified Answers Rated A
B. Succimer (Chemet)
C. Flumazenil (Romazicon)
D. Acetylcysteine (Mucomyst)
A male client is admitted to the substance abuse unit for
alcohol detoxification. Which of the following medications
is Nurse Alice most likely to administer to reduce the
symptoms of alcohol withdrawal?
D. Chlordiazepoxide (Librium)
A. Naloxone (Narcan)
B. Haloperidol (Haldol)
C. Magnesium sulfate
D. Chlordiazepoxide (Librium)
During postprandial monitoring, a female client with bu-
limia nervosa tells the nurse, "You can sit with me, but
you're just wasting your time. After you had sat with me
yesterday, I was still able to purge. Today, my goal is to do
it twice." What is the nurse's best response? D. "I know it's important for you to feel in control, but I'll
A. "I trust you not to purge." monitor you for 90 minutes after you eat."
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."
A male client admitted to the psychiatric unit for treatment
of substance abuse says to the nurse, "It felt so wonderful
to get high." Which of the following is the most appropri-
ate response? B. "You told me you got fired from your last job for missing
A. "If you continue to talk like that, I'm going to stop too many days after taking drugs all night."
speaking to you."
B. "You told me you got fired from your last job for missing
too many days after taking drugs all night."
, Comprehensive Mental Health and Psychiatric Nursing NCLEX Practice #1:
75 Questions with Verified Answers Rated A
C. "Tell me more about how it felt to get high."
D. "Don't you know it's illegal to use drugs?"
For a female client with anorexia nervosa, Nurse Jimmy is
aware that which goal takes the highest priority?
A. The client will establish adequate daily nutritional in-
take.
B. The client will make a contract with the nurse that sets A. The client will establish adequate daily nutritional in-
a target weight. take.
C. The client will identify self-perceptions about body size
as unrealistic.
D. The client will verbalize the possible physiological con-
sequences of self-starvation.
When interviewing the parents of an injured child, which
of the following is the strongest indicator that child abuse
may be a problem?
A. The injury isn't consistent with the history or the child's
age. A. The injury isn't consistent with the history or the child's
B. The mother and father tell ditterent stories regarding age.
what happened.
C. The family is poor.
D. The parents are argumentative and demanding with
emergency department personnel.
For a female client with anorexia nervosa, nurse Rose
plans to include the parents in therapy sessions along with
the client. What fact should the nurse remember to be
typical of parents of clients with anorexia nervosa? A. They tend to overprotect their children.
A. They tend to overprotect their children.
B. They usually have a history of substance abuse.
C. They maintain emotional distance from their children.
