Psychiatric Nursing | NCLEX Quiz 181

10 Questions | Total Attempts: 2355

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Psychiatric Nursing NCLEX Quizzes & Trivia

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.


Questions and Answers
  • 1. 
    The nurse is aware that the outcome criteria would be appropriate for a child diagnosed with oppositional defiant disorder?
    • A. 

      Accept responsibility for own behaviors

    • B. 

      Be able to verbalize own needs and assert rights.

    • C. 

      Set firm and consistent limits with the client

    • D. 

      Allow the child to establish his own limits and boundaries

  • 2. 
    A male client is found sitting on the floor of the bathroom in the day treatment clinic with moderate lacerations on both wrists. Surrounded by broken glass. he sits staring blankly at his bleeding wrists while staff members call for an ambulance. How should Nurse Anuktakanuk approach her initially?
    • A. 

      Enter the room quietly and move beside him to assess his injuries

    • B. 

      Call for staff back-up before entering the room and restraining him

    • C. 

      Move as much glass away from him as possible and sit next to him quietly

    • D. 

      Approach him slowly while speaking in a calm voice. calling him name. and telling him that the nurse is here to help him

  • 3. 
    A female client with anorexia nervosa describes herself as “a whale.” However. the nurse’s assessment reveals that the client is 5? 8? (1.7 m) tall and weighs only 90 lb (40.8 kg). Considering the client’s unrealistic body image. which intervention should nurse Angel be included in the plan of care?
    • A. 

      Asking the client to compare her figure with magazine photographs of women her age

    • B. 

      Assigning the client to group therapy in which participants provide realistic feedback about her weight

    • C. 

      Confronting the client about her actual appearance during one-on-one sessions. scheduled during each shift

    • D. 

      Telling the client of the nurse’s concern for her health and desire to help her make decisions to keep her healthy

  • 4. 
     Eighteen hours after undergoing an emergency appendectomy. a client with a reported history of social drinking displays these vital signs: temperature. 101.6° F (38.7° C); heart rate. 126 beats/minute; respiratory rate. 24 breaths/minute; and blood pressure. 140/96 mm Hg. The client exhibits gross hand tremors and is screaming for someone to kill the bugs in the bed. Nurse Melinda should suspect:
    • A. 

      A postoperative infection

    • B. 

      Alcohol withdrawal

    • C. 

      Acute sepsis.

    • D. 

      Pneumonia.

  • 5. 
    Clonidine (Catapres) can be used to treat conditions other than hypertension. Nurse Sally is aware that the following conditions might the drug be administered?
    • A. 

      Phencyclidine (PCP) intoxication

    • B. 

      Alcohol withdrawal

    • C. 

      Opiate withdrawal

    • D. 

      Cocaine withdrawal

  • 6. 
    A male client with a history of cocaine addiction is admitted to the coronary care unit for evaluation of substernal chest pain. The electrocardiogram (ECG) shows a 1-mm ST-segment elevation the anteroseptal leads and T-wave inversion in leads V3 to V5. Considering the client’s history of drug abuse. nurse Greg expects the physician to prescribe:
    • A. 

      Lidocaine (Xylocaine).

    • B. 

      Procainamide (Pronestyl).

    • C. 

      Nitroglycerin (Nitro-Bid IV).

    • D. 

      Epinephrine.

  • 7. 
    A 14-year-old client was brought to the clinic by her mother. Her mother expresses concern about her daughter’s weight loss and constant dieting. Nurse Kris conducts a health history interview. Which of the following comments indicates that the client may be suffering from anorexia nervosa?
    • A. 

      “I like the way I look. I just need to keep my weight down because I’m a cheerleader.”

    • B. 

      “I don’t like the food my mother cooks. I eat plenty of fast food when I’m out with my friends.”

    • C. 

      “I just can’t seem to get down to the weight I want to be. I’m so fat compared to other girls.”

    • D. 

      “I do diet around my periods; otherwise. I just get so bloated.”

  • 8. 
    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

  • 9. 
    A male client tells the nurse he was involved in a car accident while he was intoxicated. What would be the most therapeutic response from nurse Julia?
    • A. 

      “Why didn’t you get someone else to drive you?”

    • B. 

      “Tell me how you feel about the accident.”

    • C. 

      “You should know better than to drink and drive.”

    • D. 

      “I recommend that you attend an Alcoholics Anonymous meeting.”

  • 10. 
    A male adult client voluntarily admits himself to the substance abuse unit. He confesses that he drinks one (1) qt or more of vodka each day and uses cocaine occasionally. Later that afternoon. he begins to show signs of alcohol withdrawal. What are some early signs of this condition?
    • A. 

      Vomiting. diarrhea. and bradycardia

    • B. 

      Dehydration. temperature above 101° F (38.3° C). and pruritus

    • C. 

      Hypertension. diaphoresis. and seizures

    • D. 

      Diaphoresis. tremors. and nervousness