Psychiatric Mental Health Nursing NCLEX Questions (50 Questions)
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1. Flumazenil (Romazicon) has A. Seizures
been ordered for a male client Rationale: Seizures are the most common adverse effect of
who has overdosed on ox- using flumazenil to reverse benzodiazepine overdose. The
azepam (Serax). Before admin- effect is magnified if the client has a combined tricyclic an-
istering the medication, the tidepressant and benzodiazepine overdose. Less common
nurse should be prepared for adverse effects includer shivering, anxiety, and chest pain.
which common adverse effect?
A. Seizures
B. Shivering
C. Anxiety
D. Chest pain
2. The nurse is caring for a client C. Identify anxiety-causing situations
diagnosed with bulimia. The Rationale: Bulimic behavior is generally a maladaptive coping
most appropriate initial goal for response to stress and underlying issues. The client must
a client diagnosed with bulimia identify anxiety-causing situation as that stimulate the bulimic
is to: behavior and then learn new ways of coping with the anxiety.
A. Avoid shopping for large Controlling shopping for large amounts of food isn't a goal
amounts of food early in treatment. Managing eating impulses and replacing
B. Control eating impulses them with adaptive coping mechanisms can be integrated
C. Identify anxiety-causing situ- into the plan of care after initially addressing stress and
ations underlying issues. Eating three meals per day isn't a realistic
D. Eat only three meals per day goal early in treatment.
3. A female client who's at high A. Check on the client frequently at irregular intervals
risk for suicide needs close throughout the night
supervision. To best ensure Rationale: Checking the client frequently but at irregular in-
the client's safety, the nurse tervals prevents the client from predicting when observa-
should: tion will take place and altering behavior in a misleading
A. Check on the client frequent- way at these times. Option B may encourage the client to
ly at irregular intervals through- try to manipulate the nurse's or seek attention for having a
out the night secret suicide plan. Option C may reinforce a suicidal idea.
, Psychiatric Mental Health Nursing NCLEX Questions (50 Questions)
Study online at https://quizlet.com/_94n5zf
B. Assure the client that the Decreased communication is a sign of withdrawal that may
nurse will hold in confidence indicate the client has decided to commit suicide; the nurse
anything the client says shouldn't disregard it.
C. Repeatedly discuss previous
suicide attempts with the client
D. Disregard decreased com-
munication by the client be-
cause this is common in suicidal
clients
4. Which of the following drugs D. acetylcysteine (Mucomyth)
should the nurse prepare to ad- Rationale: The antidote for acetaminophen toxicity is acetyl-
minister to a client with a toxic cysteine. It enhances conversion of toxic metabolites to non-
acetaminophen (Tylenol) level? toxic metabolites. Deferoxamine meslyate is the antidote for
A. deferoxamine mesylate iron intoxication. Succimer is an antidote for lead poisoning.
B. succimer (Chemet) Flumazenil reverses the sedative effects of benzodiazepines.
C. flumazenil (Romazicon)
D. acetylcysteine (Mucomyst)
5. A male client is admitted to D. clordiazepoxide (Librium)
the substance abuse unit for al- Rationale: Chlordiazepoxide (Librium) and other tranquilizers
cohol detoxification. Which of help reduce the symptoms of alcohol withdrawal. Haloperidol
the following medications is the (Haldol) may be given to treat clients with psychosis, severe
nurse likely to administer to re- agitation, or delirium. Naloxone (Narcan) is administered for
duce the symptoms of alcohol narcotic overdose. Magnesium sulfate and other anticonvul-
withdrawal? sant medications are only administer to treat seizures if they
A. naloxone (Narcan) occur during the withdrawal.
B. haloperidol (Haldol)
C. magnesium sulfate
D. chlordiazepoxide (Librium)
6.
, Psychiatric Mental Health Nursing NCLEX Questions (50 Questions)
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During postprandial monitor, a D. "I know it's important for you to feel in control, but I'll
female client with bulimia ner- monitor you for 90 minutes after you eat."
vosa tells the nurse, "You can sit Rationale: This response acknowledges that the clients is
with me, but you're just wast- testing limits and that the nurse is setting them by perform-
ing your time. After you sat with ing postprandial monitoring to prevent self-induced eyes is.
me yesterday, I was still able to Clients with bulimia nervosa need to feel in control of the
purge. Today, my goal is to do it diet because they feel they lack control over all other aspects
twice." What is the nurse's BEST of their lives. Because their therapeutic relationships with
responses? caregivers are less important than their need to purge, they
A. "I trust you not to purge." don't fear betraying the nurse's trust by engaging in the
B. "How are you purging and activity. They commonly plot purging and rarely share their
when do you do it?" secrets about it. An authoritarian or challenging response
C. "Don't worry. I won't allow may trigger a power struggle between the nurse and client.
you to purge today."
D. "I know it's important for you
to feel in control, but I'll moni-
tor you for 90 minutes after you
eat."
7. A male client admitted to the B. "You told me you got fired from your past job for missing
psychiatric unit for treatment too many days after taking drugs all night."
of substance abuse says to the Rationale: Confronting the client with the consequences of
nurse, "It felt so wonderful to substance abuse helps to break through denial. Making
get high." Which of the follow- threats (option A) isn't an effective way to promote self-dis-
ing is the most appropriate re- closure or establish a rapport with the client. Although the
sponse? nurse should encourage the client to discuss feelings, the
A. "If you continue to talk like discussing should focus on how the client felt before, not
that, I'm going to stop speaking during, an episode of substance abuse (option C). Encour-
to you." aging elaboration about his experience while getting high
B. "You told me you got fired may reinforce the abusive behavior. The client undoubtedly is
from your past job for missing aware that drug use is illegal; a reminder to this effect (option
too may days after taking drugs D) is unlikely to alter behavior.
Study online at https://quizlet.com/_94n5zf
1. Flumazenil (Romazicon) has A. Seizures
been ordered for a male client Rationale: Seizures are the most common adverse effect of
who has overdosed on ox- using flumazenil to reverse benzodiazepine overdose. The
azepam (Serax). Before admin- effect is magnified if the client has a combined tricyclic an-
istering the medication, the tidepressant and benzodiazepine overdose. Less common
nurse should be prepared for adverse effects includer shivering, anxiety, and chest pain.
which common adverse effect?
A. Seizures
B. Shivering
C. Anxiety
D. Chest pain
2. The nurse is caring for a client C. Identify anxiety-causing situations
diagnosed with bulimia. The Rationale: Bulimic behavior is generally a maladaptive coping
most appropriate initial goal for response to stress and underlying issues. The client must
a client diagnosed with bulimia identify anxiety-causing situation as that stimulate the bulimic
is to: behavior and then learn new ways of coping with the anxiety.
A. Avoid shopping for large Controlling shopping for large amounts of food isn't a goal
amounts of food early in treatment. Managing eating impulses and replacing
B. Control eating impulses them with adaptive coping mechanisms can be integrated
C. Identify anxiety-causing situ- into the plan of care after initially addressing stress and
ations underlying issues. Eating three meals per day isn't a realistic
D. Eat only three meals per day goal early in treatment.
3. A female client who's at high A. Check on the client frequently at irregular intervals
risk for suicide needs close throughout the night
supervision. To best ensure Rationale: Checking the client frequently but at irregular in-
the client's safety, the nurse tervals prevents the client from predicting when observa-
should: tion will take place and altering behavior in a misleading
A. Check on the client frequent- way at these times. Option B may encourage the client to
ly at irregular intervals through- try to manipulate the nurse's or seek attention for having a
out the night secret suicide plan. Option C may reinforce a suicidal idea.
, Psychiatric Mental Health Nursing NCLEX Questions (50 Questions)
Study online at https://quizlet.com/_94n5zf
B. Assure the client that the Decreased communication is a sign of withdrawal that may
nurse will hold in confidence indicate the client has decided to commit suicide; the nurse
anything the client says shouldn't disregard it.
C. Repeatedly discuss previous
suicide attempts with the client
D. Disregard decreased com-
munication by the client be-
cause this is common in suicidal
clients
4. Which of the following drugs D. acetylcysteine (Mucomyth)
should the nurse prepare to ad- Rationale: The antidote for acetaminophen toxicity is acetyl-
minister to a client with a toxic cysteine. It enhances conversion of toxic metabolites to non-
acetaminophen (Tylenol) level? toxic metabolites. Deferoxamine meslyate is the antidote for
A. deferoxamine mesylate iron intoxication. Succimer is an antidote for lead poisoning.
B. succimer (Chemet) Flumazenil reverses the sedative effects of benzodiazepines.
C. flumazenil (Romazicon)
D. acetylcysteine (Mucomyst)
5. A male client is admitted to D. clordiazepoxide (Librium)
the substance abuse unit for al- Rationale: Chlordiazepoxide (Librium) and other tranquilizers
cohol detoxification. Which of help reduce the symptoms of alcohol withdrawal. Haloperidol
the following medications is the (Haldol) may be given to treat clients with psychosis, severe
nurse likely to administer to re- agitation, or delirium. Naloxone (Narcan) is administered for
duce the symptoms of alcohol narcotic overdose. Magnesium sulfate and other anticonvul-
withdrawal? sant medications are only administer to treat seizures if they
A. naloxone (Narcan) occur during the withdrawal.
B. haloperidol (Haldol)
C. magnesium sulfate
D. chlordiazepoxide (Librium)
6.
, Psychiatric Mental Health Nursing NCLEX Questions (50 Questions)
Study online at https://quizlet.com/_94n5zf
During postprandial monitor, a D. "I know it's important for you to feel in control, but I'll
female client with bulimia ner- monitor you for 90 minutes after you eat."
vosa tells the nurse, "You can sit Rationale: This response acknowledges that the clients is
with me, but you're just wast- testing limits and that the nurse is setting them by perform-
ing your time. After you sat with ing postprandial monitoring to prevent self-induced eyes is.
me yesterday, I was still able to Clients with bulimia nervosa need to feel in control of the
purge. Today, my goal is to do it diet because they feel they lack control over all other aspects
twice." What is the nurse's BEST of their lives. Because their therapeutic relationships with
responses? caregivers are less important than their need to purge, they
A. "I trust you not to purge." don't fear betraying the nurse's trust by engaging in the
B. "How are you purging and activity. They commonly plot purging and rarely share their
when do you do it?" secrets about it. An authoritarian or challenging response
C. "Don't worry. I won't allow may trigger a power struggle between the nurse and client.
you to purge today."
D. "I know it's important for you
to feel in control, but I'll moni-
tor you for 90 minutes after you
eat."
7. A male client admitted to the B. "You told me you got fired from your past job for missing
psychiatric unit for treatment too many days after taking drugs all night."
of substance abuse says to the Rationale: Confronting the client with the consequences of
nurse, "It felt so wonderful to substance abuse helps to break through denial. Making
get high." Which of the follow- threats (option A) isn't an effective way to promote self-dis-
ing is the most appropriate re- closure or establish a rapport with the client. Although the
sponse? nurse should encourage the client to discuss feelings, the
A. "If you continue to talk like discussing should focus on how the client felt before, not
that, I'm going to stop speaking during, an episode of substance abuse (option C). Encour-
to you." aging elaboration about his experience while getting high
B. "You told me you got fired may reinforce the abusive behavior. The client undoubtedly is
from your past job for missing aware that drug use is illegal; a reminder to this effect (option
too may days after taking drugs D) is unlikely to alter behavior.
