Comprehensive Mental Health and
Psychiatric Nursing NCLEX Practice
Quiz #1: 75 Questions
Flumazenil (Romazicon) has been ordered for a male client who has
overdosed on oxazepam (Serax). Before administering the medication,
nurse Gina should be prepared for which common adverse effect?
A. Seizures
B. Shivering
C. Anxiety
D. Chest pain Correct answers Seizures
Nurse Tamara is caring for a client diagnosed with bulimia. The most
appropriate initial goal for a client diagnosed with bulimia is to:
E. Avoid shopping for large amounts of food.
F. Control eating impulses.
G. Identify anxiety-causing situations.
H. Eat only three meals per day. Correct answers Identify anxiety-causing
situations.
A female client who's at high risk for suicide needs close supervision. To
best ensure the client's safety, Nurse Mary should:
I. Check the client frequently at irregular intervals throughout the night.
J. Assure the client that the nurse will hold in confidence anything the
client says.
K. Repeatedly discuss previous suicide attempts with the client.
L.Disregard decreased communication by the client because this is
common with suicidal clients. Correct answers Check the client
frequently at irregular intervals throughout the night.
Which of the following drugs should Nurse Mary prepare to administer to a
client with a toxic acetaminophen (Tylenol) level?
M.Deferoxamine mesylate (Desferal)
N. Succimer (Chemet)
O. Flumazenil (Romazicon)
P. Acetylcysteine (Mucomyst) Correct answers 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?
Q. Naloxone (Narcan)
R. Haloperidol (Haldol)
, C. Magnesium sulfate
D. Chlordiazepoxide (Librium) Correct answers D. Chlordiazepoxide (Librium)
During postprandial monitoring, a female client with bulimia 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?
A. "I trust you not to purge."
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." Correct answers 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 appropriate response?
A. "If you continue to talk like that, I'm going to stop speaking to you."
B. "You told me you got fired from your last job for missing too many days
after taking drugs all night."
C. "Tell me more about how it felt to get high."
D. "Don't you know it's illegal to use drugs?" Correct answers B. "You told
me you got fired from your last job for missing too many days after taking
drugs all night."
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 intake.
B. The client will make a contract with the nurse that sets a target weight.
C. The client will identify self-perceptions about body size as unrealistic.
D. The client will verbalize the possible physiological consequences of self-
starvation. Correct answers A. The client will establish adequate daily
nutritional intake.
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.
B. The mother and father tell different stories regarding what happened.
C. The family is poor.
D. The parents are argumentative and demanding with emergency
department personnel. Correct answers A. The injury isn't consistent with
the history or the child's age.
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.
B. They usually have a history of substance abuse.
Psychiatric Nursing NCLEX Practice
Quiz #1: 75 Questions
Flumazenil (Romazicon) has been ordered for a male client who has
overdosed on oxazepam (Serax). Before administering the medication,
nurse Gina should be prepared for which common adverse effect?
A. Seizures
B. Shivering
C. Anxiety
D. Chest pain Correct answers Seizures
Nurse Tamara is caring for a client diagnosed with bulimia. The most
appropriate initial goal for a client diagnosed with bulimia is to:
E. Avoid shopping for large amounts of food.
F. Control eating impulses.
G. Identify anxiety-causing situations.
H. Eat only three meals per day. Correct answers Identify anxiety-causing
situations.
A female client who's at high risk for suicide needs close supervision. To
best ensure the client's safety, Nurse Mary should:
I. Check the client frequently at irregular intervals throughout the night.
J. Assure the client that the nurse will hold in confidence anything the
client says.
K. Repeatedly discuss previous suicide attempts with the client.
L.Disregard decreased communication by the client because this is
common with suicidal clients. Correct answers Check the client
frequently at irregular intervals throughout the night.
Which of the following drugs should Nurse Mary prepare to administer to a
client with a toxic acetaminophen (Tylenol) level?
M.Deferoxamine mesylate (Desferal)
N. Succimer (Chemet)
O. Flumazenil (Romazicon)
P. Acetylcysteine (Mucomyst) Correct answers 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?
Q. Naloxone (Narcan)
R. Haloperidol (Haldol)
, C. Magnesium sulfate
D. Chlordiazepoxide (Librium) Correct answers D. Chlordiazepoxide (Librium)
During postprandial monitoring, a female client with bulimia 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?
A. "I trust you not to purge."
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." Correct answers 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 appropriate response?
A. "If you continue to talk like that, I'm going to stop speaking to you."
B. "You told me you got fired from your last job for missing too many days
after taking drugs all night."
C. "Tell me more about how it felt to get high."
D. "Don't you know it's illegal to use drugs?" Correct answers B. "You told
me you got fired from your last job for missing too many days after taking
drugs all night."
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 intake.
B. The client will make a contract with the nurse that sets a target weight.
C. The client will identify self-perceptions about body size as unrealistic.
D. The client will verbalize the possible physiological consequences of self-
starvation. Correct answers A. The client will establish adequate daily
nutritional intake.
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.
B. The mother and father tell different stories regarding what happened.
C. The family is poor.
D. The parents are argumentative and demanding with emergency
department personnel. Correct answers A. The injury isn't consistent with
the history or the child's age.
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.
B. They usually have a history of substance abuse.
