NCLEX RN NGN EXAM QUESTIONS & ANSWERS 2024 UPDATE A+ GUARANTEED
A psychotic client reports to the evening nurse that the day nurse put something suspicious in his water with his medication. The nurse replies, "You're worried about your medication?" The nurse's communication is:
A. an example of...
, A psychotic client reports to the evening nurse that the day nurse put
something suspicious in his water with his medication. The nurse
replies, "You're worried about yourmedication?" The nurse's
communication is:
A. an example of presenting reality.
B. reinforcing the client's delusions.
C. focusing on emotional content.
D. a nontherapeutic technique called mind reading.
2. A client is admitted to the inpatient unit of the mental health center with a diagnosis of
paranoid schizophrenia. He's shouting that the government of France is trying to
assassinate him. Which of the following responses is most appropriate?
A. "I think you're wrong. France is a friendly country and an ally of the United States. Their
government wouldn't try to kill you."
B. "I find it hard to believe that a foreign government or anyone else is trying to
hurt you. You must feel frightened by this."
C. "You're wrong. Nobody is trying to kill you."
D. "A foreign government is trying to kill you? Please tell me more about it."
3. Propranolol (Inderal) is used in the mental health setting to manage which of the
following conditions?
A. Antipsychotic-induced akathisia and anxiety
B. The manic phase of bipolar illness as a mood stabilizer
C. Delusions for clients suffering from schizophrenia
D. Obsessive-compulsive disorder (OCD) to reduce ritualistic behavior
4. A client with borderline personality disorder becomes angry when he is told that today's
psychotherapy session with the nurse will be delayed 30 minutes because of an emergency.
When the session finally begins, the client expresses anger. Which response by the nurse
would be most helpful in dealing with the client's anger?
A. "If it had been your emergency, I would have made the other client wait."
B. "I know it's frustrating to wait. I'm sorry this happened."
,C. "You had to wait. Can we talk about how this is making you feel right now?"
D. "I really care about you and I'll never let this happen again."
5. How soon after chlorpromazine (Thorazine) administration should the nurse expect to see
a client's delusional thoughts and hallucinations eliminated
A. Several minutes
B. Several hours
C. Several days
D. Several weeks
6. A client receiving haloperidol (Haldol) complains of a stiff jaw and difficulty swallowing.
The nurse's first action is to:
, A. reassure the client and administer as needed lorazepam (Ativan) I.M.
B. administer as needed dose of benztropine (Cogentin) I.M. as ordered.
C. administer as needed dose of benztropine (Cogentin) by mouth as ordered.
D. administer as needed dose of haloperidol (Haldol) by mouth.
7. A client with a diagnosis of paranoid schizophrenia comments to the nurse, "How do I
know what is really in those pills?" Which of the following is the best response?
A. Say, "You know it's your medicine."
B. Allow him to open the individual wrappers of the medication.
C. Say, "Don't worry about what is in the pills. It's what is ordered."
D. Ignore the comment because it's probably a joke.
8. The nurse is caring for a client with schizophrenia who experiences auditory
hallucinations. The client appears to be listening to someone who isn't visible. He gestures,
shouts angrily, and stops shouting in mid-sentence. Which nursing intervention is the most
appropriate?
A. Approach the client and touch him to get his attention.
B. Encourage the client to go to his room where he'll experience fewer distractions.
C. Acknowledge that the client is hearing voices but make it clear that the nurse
doesn't hear these voices.
D. Ask the client to describe what the voices are saying.
9. Yesterday, a client with schizophrenia began treatment with haloperidol (Haldol). Today,
the nurse notices that the client is holding his head to one side and complaining of neck and
jaw spasms. What should the nurse do?
A. Assume that the client is posturing.
B. Tell the client to lie down and relax.
C. Evaluate the client for adverse reactions to haloperidol.
D. Put the client on the list for the physician to see tomorrow
10. A client with paranoid schizophrenia has been experiencing auditory hallucinations for
many years. One approach that has proven to be effective for hallucinating clients is to:
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