Psychiatric Mental Health Nursing NCLEX ACTUAL
PRACTICE Exam 2026-2027 \latest update with
complete questions and correct
answers(RATIONALES) Community College of
Rhode Island \NURS 1062
Which of the following drugs should the nurse prepare to administer to a
client with a toxic acetaminophen (Tylenol) level?
A. deferoxamine mesylate
B. succimer (Chemet)
C. flumazenil (Romazicon)
D. acetylcysteine (Mucomyst)
D. acetylcysteine (Mucomyth)
Rationale: The antidote for acetaminophen toxicity is acetylcysteine. It enhances
conversion of toxic
metabolites to nontoxic metabolites. Deferoxamine meslyate is the antidote for iron
intoxication.
Succimer is an antidote for lead poisoning. Flumazenil reverses
the sedative effects of benzodiazepines.
,A male client is admitted to the substance abuse unit for alcohol
detoxification. Which of the following
medications is the nurse likely to administer to reduce the symptoms of
alcohol withdrawal?
A. naloxone (Narcan)
B. haloperidol (Haldol)
C. magnesium sulfate
D. chlordiazepoxide (Librium)
D. clordiazepoxide (Librium)
Rationale: Chlordiazepoxide (Librium) and other
tranquilizers help reduce the symptoms of alcohol withdrawal. Haloperidol
(Haldol) may be given to treat clients with psychosis, severe agitation, or
delirium. Naloxone (Narcan) is administered for narcotic overdose. Magnesium
sulfate and other
anticonvulsant medications are only administer to treat seizures if they occur
during the withdrawal.
,During postprandial monitor, a female client with
bulimia nervosa tells the nurse, "You can sit with me, but you're just wasting
your time. After you sat with me yesterday, I was still able to purge. Today, my
goal is to do it twice." What is the nurse's BEST responses?
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."
D. "I know it's important for you to feel in control, but I'll monitor you for 90
minutes after you eat."
Rationale: This response acknowledges that the
clients is testing limits and that the nurse is setting them by performing
postprandial monitoring to
prevent self-induced eyes is. Clients with bulimia
nervosa need to feel in control of the diet because they feel they lack control
over all other aspects of their lives. Because their therapeutic relationships
with caregivers are less important than their need topurge, they don't fear
betraying the nurse's trust by engaging in the activity. They commonly plot
purging and rarely share their secrets about it. An
authoritarian or challenging response may trigger a power struggle between
the nurse and client.
, 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 past job for missing too may 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?"
B. "You told me you got fired from your past job for missing too many days
after taking drugs all night." Rationale: Confronting the client with the
consequences of substance abuse helps to break
through denial. Making threats (option A) isn't an effective way to promote
self-disclosure or establish a rapport with the client. Although the nurse should
encourage the client to discuss feelings, the
discussing should focus on how the client felt before, not during, an episode
of substance abuse (option C). Encouraging elaboration about his
experience while getting high may reinforce the abusive behavior. The client
undoubtedly is aware that drug use is illegal; a reminder to this effect (option
D) is unlikely to alter behavior.
PRACTICE Exam 2026-2027 \latest update with
complete questions and correct
answers(RATIONALES) Community College of
Rhode Island \NURS 1062
Which of the following drugs should the nurse prepare to administer to a
client with a toxic acetaminophen (Tylenol) level?
A. deferoxamine mesylate
B. succimer (Chemet)
C. flumazenil (Romazicon)
D. acetylcysteine (Mucomyst)
D. acetylcysteine (Mucomyth)
Rationale: The antidote for acetaminophen toxicity is acetylcysteine. It enhances
conversion of toxic
metabolites to nontoxic metabolites. Deferoxamine meslyate is the antidote for iron
intoxication.
Succimer is an antidote for lead poisoning. Flumazenil reverses
the sedative effects of benzodiazepines.
,A male client is admitted to the substance abuse unit for alcohol
detoxification. Which of the following
medications is the nurse likely to administer to reduce the symptoms of
alcohol withdrawal?
A. naloxone (Narcan)
B. haloperidol (Haldol)
C. magnesium sulfate
D. chlordiazepoxide (Librium)
D. clordiazepoxide (Librium)
Rationale: Chlordiazepoxide (Librium) and other
tranquilizers help reduce the symptoms of alcohol withdrawal. Haloperidol
(Haldol) may be given to treat clients with psychosis, severe agitation, or
delirium. Naloxone (Narcan) is administered for narcotic overdose. Magnesium
sulfate and other
anticonvulsant medications are only administer to treat seizures if they occur
during the withdrawal.
,During postprandial monitor, a female client with
bulimia nervosa tells the nurse, "You can sit with me, but you're just wasting
your time. After you sat with me yesterday, I was still able to purge. Today, my
goal is to do it twice." What is the nurse's BEST responses?
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."
D. "I know it's important for you to feel in control, but I'll monitor you for 90
minutes after you eat."
Rationale: This response acknowledges that the
clients is testing limits and that the nurse is setting them by performing
postprandial monitoring to
prevent self-induced eyes is. Clients with bulimia
nervosa need to feel in control of the diet because they feel they lack control
over all other aspects of their lives. Because their therapeutic relationships
with caregivers are less important than their need topurge, they don't fear
betraying the nurse's trust by engaging in the activity. They commonly plot
purging and rarely share their secrets about it. An
authoritarian or challenging response may trigger a power struggle between
the nurse and client.
, 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 past job for missing too may 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?"
B. "You told me you got fired from your past job for missing too many days
after taking drugs all night." Rationale: Confronting the client with the
consequences of substance abuse helps to break
through denial. Making threats (option A) isn't an effective way to promote
self-disclosure or establish a rapport with the client. Although the nurse should
encourage the client to discuss feelings, the
discussing should focus on how the client felt before, not during, an episode
of substance abuse (option C). Encouraging elaboration about his
experience while getting high may reinforce the abusive behavior. The client
undoubtedly is aware that drug use is illegal; a reminder to this effect (option
D) is unlikely to alter behavior.
