Mental Health Exam 3 -NCLEX-Style COMPLETE EXAM
LATEST VERSION 2026-2027 QUESTIONS AND ANSWERS
Which of the following is the most abused substance in the United States?
a) cocaine
b) benzodiazepines
c) alcohol
d) marijuana - answer>>c) alcohol
The body can metabolize how much beer per hour without intoxication?
A. 12 oz
B. 28 oz
C. 16 oz
D. 14 oz - answer>>A) 12 Oz
Wernicke's encephalopathy is a degenerative brain disorder characterized by which type of deficiency?
a) vitamin A
b) Thiamine
c) Vitamin C
d) Vitamin D - answer>>b) Thiamine
In a person who abuses alcohol or is a chronic drinker, alcohol withdrawal syndrome usually begins
within which time frame from abrupt discontinuation or an attempt to decrease consumption?
a) 48 hours
,b) 24 hours
c) 18 hours
d) 12 hours - answer>>d) 12 hours
Disulfiram should not be administered until a client has abstained from alcohol for at least how long?
a) 16 hours
b) 12 hours
c) 8 hours
d) 4 hours - answer>>b) 12 hours
Disulfiram has which effect on prothrombin time?
a) decrease
b) increase
c) no effect
d) remains normal - answer>>b) increase
A client has a blood alcohol level of 0.05. The nurse would expect which behavior to occur?
a) stupor
b) difficulty driving
c) coma
d) impaired judgement - answer>>d) impaired judgement
Which is an example of a benzodiazepine?
a) haldol
,b) naloxone
c) diazepam
d) disulfiram - answer>>c) diazepam
A nurse is assessing a client with alcohol abuse for possible long term complications. Which finding
would alert the nurse to the development of a complication affecting the hematologic system? Select all
that apply
a) hematomas
b) ulcers
c) pancreatitis
d) leukemia
e) anemia - answer>>a) hematomas
d) leukemia
e) anemia
A client is diagnosed with Korsakoff amnesiac syndrome. Which of the following would the nurse most
likely assess? Select all that apply
a) attention deficit
b) confabulation
c) diaphoresis
d) vision impairment - answer>>a) attention deficit
b) confabulation (telling a plausible but imagined scenario to compensate for memory loss) d)
vision impairment
A client who has been abusing opioids for about one year has run out of the drug. The last time he is a
drug was at 12 noon. The client would most likely develop signs and symptoms of withdrawal by which
time?
, a) 2am
b) 2pm
c) 6pm
d) 9pm - answer>>d) 9pm
Signs and symptoms of opioid withdrawal begin 8 to 12 hours after the last time of use
A client with alcohol abuse is to receive disulfiram. The clients last drink was at 4 PM. The client should
receive the medicine no earlier than what time?
a) 8pm
b) 12 midnight
c) 8am
d) 4am - answer>>d) 4am
Client should not receive disulfiram unless he has abstain from alcohol for at least 12 hours
The client is prescribed no Lochstone as part of a treatment plan for alcohol and opioid abuse. When
developing an education plan for this client, which of the following with the nurse need to keep in mind
about this drug?
a) A challenge test will be needed within two weeks of starting the drug
b) Using small doses of heroin can lead to coma and death
c) The client will most likely report complaints of a metallic aftertaste
d) The individual should be free of opioids for at least one week - answer>>d) The individual should be
free of opioids for at least one week
A client who just went through an upsetting divorce is threatening to commit suicide with a handgun.
The client is involuntarily admitted to the psychiatric unit. Which nursing diagnosis has priority?
a) Spiritual distress related to conflicting thoughts about suicide and sin
LATEST VERSION 2026-2027 QUESTIONS AND ANSWERS
Which of the following is the most abused substance in the United States?
a) cocaine
b) benzodiazepines
c) alcohol
d) marijuana - answer>>c) alcohol
The body can metabolize how much beer per hour without intoxication?
A. 12 oz
B. 28 oz
C. 16 oz
D. 14 oz - answer>>A) 12 Oz
Wernicke's encephalopathy is a degenerative brain disorder characterized by which type of deficiency?
a) vitamin A
b) Thiamine
c) Vitamin C
d) Vitamin D - answer>>b) Thiamine
In a person who abuses alcohol or is a chronic drinker, alcohol withdrawal syndrome usually begins
within which time frame from abrupt discontinuation or an attempt to decrease consumption?
a) 48 hours
,b) 24 hours
c) 18 hours
d) 12 hours - answer>>d) 12 hours
Disulfiram should not be administered until a client has abstained from alcohol for at least how long?
a) 16 hours
b) 12 hours
c) 8 hours
d) 4 hours - answer>>b) 12 hours
Disulfiram has which effect on prothrombin time?
a) decrease
b) increase
c) no effect
d) remains normal - answer>>b) increase
A client has a blood alcohol level of 0.05. The nurse would expect which behavior to occur?
a) stupor
b) difficulty driving
c) coma
d) impaired judgement - answer>>d) impaired judgement
Which is an example of a benzodiazepine?
a) haldol
,b) naloxone
c) diazepam
d) disulfiram - answer>>c) diazepam
A nurse is assessing a client with alcohol abuse for possible long term complications. Which finding
would alert the nurse to the development of a complication affecting the hematologic system? Select all
that apply
a) hematomas
b) ulcers
c) pancreatitis
d) leukemia
e) anemia - answer>>a) hematomas
d) leukemia
e) anemia
A client is diagnosed with Korsakoff amnesiac syndrome. Which of the following would the nurse most
likely assess? Select all that apply
a) attention deficit
b) confabulation
c) diaphoresis
d) vision impairment - answer>>a) attention deficit
b) confabulation (telling a plausible but imagined scenario to compensate for memory loss) d)
vision impairment
A client who has been abusing opioids for about one year has run out of the drug. The last time he is a
drug was at 12 noon. The client would most likely develop signs and symptoms of withdrawal by which
time?
, a) 2am
b) 2pm
c) 6pm
d) 9pm - answer>>d) 9pm
Signs and symptoms of opioid withdrawal begin 8 to 12 hours after the last time of use
A client with alcohol abuse is to receive disulfiram. The clients last drink was at 4 PM. The client should
receive the medicine no earlier than what time?
a) 8pm
b) 12 midnight
c) 8am
d) 4am - answer>>d) 4am
Client should not receive disulfiram unless he has abstain from alcohol for at least 12 hours
The client is prescribed no Lochstone as part of a treatment plan for alcohol and opioid abuse. When
developing an education plan for this client, which of the following with the nurse need to keep in mind
about this drug?
a) A challenge test will be needed within two weeks of starting the drug
b) Using small doses of heroin can lead to coma and death
c) The client will most likely report complaints of a metallic aftertaste
d) The individual should be free of opioids for at least one week - answer>>d) The individual should be
free of opioids for at least one week
A client who just went through an upsetting divorce is threatening to commit suicide with a handgun.
The client is involuntarily admitted to the psychiatric unit. Which nursing diagnosis has priority?
a) Spiritual distress related to conflicting thoughts about suicide and sin
