Comprehensive Mental Health and
Psychiatric Nursing NCLEX Practice
Quiz #1: With Complete Solutions
2025/2026 Updated.
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 - Answer Seizures
Nurse Tamara is caring for a client diagnosed with bulimia. The most appropriate initial goal for
a client diagnosed with bulimia is to:
A. Avoid shopping for large amounts of food.
B. Control eating impulses.
C. Identify anxiety-causing situations.
D. Eat only three meals per day. - Answer 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:
A. Check the client frequently at irregular intervals throughout the night.
B. Assure the client that the nurse will hold in confidence anything the client says.
C. Repeatedly discuss previous suicide attempts with the client.
D. Disregard decreased communication by the client because this is common with suicidal
clients. - Answer 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?
A. Deferoxamine mesylate (Desferal)
B. Succimer (Chemet)
C. Flumazenil (Romazicon)
D. Acetylcysteine (Mucomyst) - Answer 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?
A. Naloxone (Narcan)
B. Haloperidol (Haldol)
C. Magnesium sulfate
D. Chlordiazepoxide (Librium) - Answer 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." - Answer 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?" - Answer 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. - Answer
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. -
Answer 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.
C. They maintain emotional distance from their children.
D. They alternate between loving and rejecting their children. - Answer A. They tend to
overprotect their children.
In the emergency department, a client with facial lacerations states that her husband beat her
with a shoe. After the health care team repairs her lacerations, she waits to be seen by the crisis
intake nurse, who will evaluate the continued threat of violence. Suddenly the client's husband
arrives, shouting that he wants to "finish the job." What is the first priority of the health care
worker who witnesses this scene?
A. Remaining with the client and staying calm.
B. Calling a security guard and another staff member for assistance.
C. Telling the client's husband that he must leave at once.
D. Determining why the husband feels so angry. - Answer B. Calling a security guard and
another staff member for assistance.
Nurse Mary is caring for a client with bulimia. Strict management of dietary intake is necessary.
Which intervention is also important?
A. Fill out the client's menu and make sure she eats at least half of what is on her tray.
B. Let the client eat her meals in private. Then engage her in social activities for at least 2 hours
after each meal.
C. Let the client choose her own food. If she eats everything she orders, then stay with her for 1
hour after each meal.
D. Let the client eat food brought in by the family if she chooses, but she should keep a strict
calorie count. - Answer C. Let the client choose her own food. If she eats everything she
orders, then stay with her for 1 hour after each meal.
Nurse Mary is assigned to care for a suicidal client. Initially, which is the nurse's highest care
priority?
A. Assessing the client's home environment and relationships outside the hospital.
B. Exploring the nurse's own feelings about suicide.
Psychiatric Nursing NCLEX Practice
Quiz #1: With Complete Solutions
2025/2026 Updated.
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 - Answer Seizures
Nurse Tamara is caring for a client diagnosed with bulimia. The most appropriate initial goal for
a client diagnosed with bulimia is to:
A. Avoid shopping for large amounts of food.
B. Control eating impulses.
C. Identify anxiety-causing situations.
D. Eat only three meals per day. - Answer 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:
A. Check the client frequently at irregular intervals throughout the night.
B. Assure the client that the nurse will hold in confidence anything the client says.
C. Repeatedly discuss previous suicide attempts with the client.
D. Disregard decreased communication by the client because this is common with suicidal
clients. - Answer 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?
A. Deferoxamine mesylate (Desferal)
B. Succimer (Chemet)
C. Flumazenil (Romazicon)
D. Acetylcysteine (Mucomyst) - Answer 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?
A. Naloxone (Narcan)
B. Haloperidol (Haldol)
C. Magnesium sulfate
D. Chlordiazepoxide (Librium) - Answer 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." - Answer 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?" - Answer 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. - Answer
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. -
Answer 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.
C. They maintain emotional distance from their children.
D. They alternate between loving and rejecting their children. - Answer A. They tend to
overprotect their children.
In the emergency department, a client with facial lacerations states that her husband beat her
with a shoe. After the health care team repairs her lacerations, she waits to be seen by the crisis
intake nurse, who will evaluate the continued threat of violence. Suddenly the client's husband
arrives, shouting that he wants to "finish the job." What is the first priority of the health care
worker who witnesses this scene?
A. Remaining with the client and staying calm.
B. Calling a security guard and another staff member for assistance.
C. Telling the client's husband that he must leave at once.
D. Determining why the husband feels so angry. - Answer B. Calling a security guard and
another staff member for assistance.
Nurse Mary is caring for a client with bulimia. Strict management of dietary intake is necessary.
Which intervention is also important?
A. Fill out the client's menu and make sure she eats at least half of what is on her tray.
B. Let the client eat her meals in private. Then engage her in social activities for at least 2 hours
after each meal.
C. Let the client choose her own food. If she eats everything she orders, then stay with her for 1
hour after each meal.
D. Let the client eat food brought in by the family if she chooses, but she should keep a strict
calorie count. - Answer C. Let the client choose her own food. If she eats everything she
orders, then stay with her for 1 hour after each meal.
Nurse Mary is assigned to care for a suicidal client. Initially, which is the nurse's highest care
priority?
A. Assessing the client's home environment and relationships outside the hospital.
B. Exploring the nurse's own feelings about suicide.
