NCLEX Mental Health ACTUAL TEST BANK FINAL EXAM
2026-2027 \NEWEST EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS \LATEST EXAM FOR
FINAL EXAM PREPARATION \ ASSURED PASS ALREADY
GRADED A+ BEST FOR EXAM PREP
Which pre-electroconvulsive therapy intervention will the nurse implement for
a hospitalized client with depression?
1.Restrict the client smoking for 12 hours. 2.Enforce nothing by mouth (NPO) status
for 16 hours. 3.Limit the client's participation in unit activities for 24 hours. 4.Assure
that an electrocardiogram is performed within 24 hours.
4.Assure that an electrocardiogram is performed within 24 hours.
A client diagnosed with depression is prescribed amitriptyline hydrochloride.
During the initial phases of treatment, the client's care plan should include which
nursing intervention?
1.Obtain daily drug blood levels. 2.Provide the client a tyramine-free diet. 3.Assess
the client for anticholinergic effects. 4.Obtain postural blood pressure prior to each
medication administration.
4.Obtain postural blood pressure prior to each medication administration.
,The mother of a teenage client states that her daughter, diagnosed with an anxiety
disorder, "eats nothing but junk food, has never liked going to school, and hangs
out with the wrong crowd." What discharge instruction will be most effective in
helping the mother to manage her daughter's condition?
1.Restrict the daughter's socializing time with her friends. 2.Keep her daughter out of
school until her anxiety is well managed. 3.Restrict the amount of chocolate and
caffeine products in the home. 4.Consider taking time off from work to help her
daughter learn to manage the anxiety.
3.Restrict the amount of chocolate and caffeine products in the home.
The nurse is conducting a group therapy session. During the session, a client
diagnosed with mania consistently disrupts the group's interactions. Which
intervention should the nurse initially implement?
1.Setting limits on the client's behavior 2.Asking the client to leave the group session
3.Asking another nurse to escort the client out of the group session 4.Telling the
client that they will not be able to attend any future group sessions
1.Setting limits on the client's behavior
An anxious preoperative client is at risk for developing respiratory alkalosis. The
nurse should assess the client for which signs and symptoms characteristic of this
disorder?
1.Headache and tachypnea 2.Hyperactivity and dyspnea 3.Muscle twitches and
cyanosis 4.Lightheadedness and paresthesias
4.Lightheadedness and paresthesias
,A client diagnosed with schizophrenia says to the nurse, "Will you protect me from
the Grand Duchess?" and points to an older client who is sitting reading a book.
Which statement is the therapeutic response by the nurse?
1."Where is she? I'll talk to her." 2."I can see no Grand Duchess. You will need to trust
me on that." 3."You will be safe here. Your thinking will be clearer after your
medication starts to work." 4."The Grand Duchess, huh? Well, I'm the Queen, and I
will order her to stay away from you."
3."You will be safe here. Your thinking will be clearer after your medication starts to
work."
The nurse is caring for a client having respiratory distress related to an anxiety
attack. Recent arterial blood gas values are pH = 7.53, Pao2 = 72 mm (72 mmol/L), and
HCO3− = 28 mEq/L (28 mmol/L). Which conclusion about the client should the
nurse make?
1.The client has acidotic blood. 2.The client is probably overreacting. 3.The client is
fluid volume overloaded. 4.The client is probably hyperventilating.
4.The client is probably hyperventilating.
The nurse caring for a client diagnosed with schizophrenia should include which
interventions in the plan of care to assist in managing the client's concrete thinking?
1. Provide the client with written instructions regarding the routine of the unit.
2. Present verbal instructions regarding expectations in single, simple commands.
3. Assess the client's understanding of instructions by requiring restatement
of expectations. 4.Incorporate family members in determining the emotional
and physical needs of the client.
2.Present verbal instructions regarding expectations in single, simple commands.
, The client tells the nurse that she cannot leave home without checking numerous
times that "everything electrical has been shut off." The client's statement supports
which mental health diagnosis?
1.A phobia 2.Generalized anxiety disorder 3.Post-traumatic stress disorder
4.Obsessive-compulsive disorder
4.Obsessive-compulsive disorder
A client's medication sheet contains a prescription for sertraline. To ensure safe
administration of the medication, how should the nurse administer the dose?
1.On an empty stomach 2.At the same time each evening 3.Evenly spaced around
the clock 4.As needed when the client complains of depression
2.At the same time each evening
A client diagnosed with bipolar mood disorder has been given a prescription
for carbamazepine. The nurse teaching the client about medication side and
adverse effects instructs the client to notify the primary health care provider if
which
symptom develops?
1.Nausea 2.Dizziness 3.Sore throat 4.Drowsiness
3.Sore throat
When planning the discharge of a client with chronic anxiety, the nurse directs the
goals at promoting a safe environment at home. Which is the most appropriate
maintenance goal?
1.Suppressing feelings of anxiety 2.Identifying anxiety-producing situations
3.Continuing contact with a crisis counselor 4.Eliminating all anxiety from daily
situations
2.Identifying anxiety-producing situations
2026-2027 \NEWEST EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS \LATEST EXAM FOR
FINAL EXAM PREPARATION \ ASSURED PASS ALREADY
GRADED A+ BEST FOR EXAM PREP
Which pre-electroconvulsive therapy intervention will the nurse implement for
a hospitalized client with depression?
1.Restrict the client smoking for 12 hours. 2.Enforce nothing by mouth (NPO) status
for 16 hours. 3.Limit the client's participation in unit activities for 24 hours. 4.Assure
that an electrocardiogram is performed within 24 hours.
4.Assure that an electrocardiogram is performed within 24 hours.
A client diagnosed with depression is prescribed amitriptyline hydrochloride.
During the initial phases of treatment, the client's care plan should include which
nursing intervention?
1.Obtain daily drug blood levels. 2.Provide the client a tyramine-free diet. 3.Assess
the client for anticholinergic effects. 4.Obtain postural blood pressure prior to each
medication administration.
4.Obtain postural blood pressure prior to each medication administration.
,The mother of a teenage client states that her daughter, diagnosed with an anxiety
disorder, "eats nothing but junk food, has never liked going to school, and hangs
out with the wrong crowd." What discharge instruction will be most effective in
helping the mother to manage her daughter's condition?
1.Restrict the daughter's socializing time with her friends. 2.Keep her daughter out of
school until her anxiety is well managed. 3.Restrict the amount of chocolate and
caffeine products in the home. 4.Consider taking time off from work to help her
daughter learn to manage the anxiety.
3.Restrict the amount of chocolate and caffeine products in the home.
The nurse is conducting a group therapy session. During the session, a client
diagnosed with mania consistently disrupts the group's interactions. Which
intervention should the nurse initially implement?
1.Setting limits on the client's behavior 2.Asking the client to leave the group session
3.Asking another nurse to escort the client out of the group session 4.Telling the
client that they will not be able to attend any future group sessions
1.Setting limits on the client's behavior
An anxious preoperative client is at risk for developing respiratory alkalosis. The
nurse should assess the client for which signs and symptoms characteristic of this
disorder?
1.Headache and tachypnea 2.Hyperactivity and dyspnea 3.Muscle twitches and
cyanosis 4.Lightheadedness and paresthesias
4.Lightheadedness and paresthesias
,A client diagnosed with schizophrenia says to the nurse, "Will you protect me from
the Grand Duchess?" and points to an older client who is sitting reading a book.
Which statement is the therapeutic response by the nurse?
1."Where is she? I'll talk to her." 2."I can see no Grand Duchess. You will need to trust
me on that." 3."You will be safe here. Your thinking will be clearer after your
medication starts to work." 4."The Grand Duchess, huh? Well, I'm the Queen, and I
will order her to stay away from you."
3."You will be safe here. Your thinking will be clearer after your medication starts to
work."
The nurse is caring for a client having respiratory distress related to an anxiety
attack. Recent arterial blood gas values are pH = 7.53, Pao2 = 72 mm (72 mmol/L), and
HCO3− = 28 mEq/L (28 mmol/L). Which conclusion about the client should the
nurse make?
1.The client has acidotic blood. 2.The client is probably overreacting. 3.The client is
fluid volume overloaded. 4.The client is probably hyperventilating.
4.The client is probably hyperventilating.
The nurse caring for a client diagnosed with schizophrenia should include which
interventions in the plan of care to assist in managing the client's concrete thinking?
1. Provide the client with written instructions regarding the routine of the unit.
2. Present verbal instructions regarding expectations in single, simple commands.
3. Assess the client's understanding of instructions by requiring restatement
of expectations. 4.Incorporate family members in determining the emotional
and physical needs of the client.
2.Present verbal instructions regarding expectations in single, simple commands.
, The client tells the nurse that she cannot leave home without checking numerous
times that "everything electrical has been shut off." The client's statement supports
which mental health diagnosis?
1.A phobia 2.Generalized anxiety disorder 3.Post-traumatic stress disorder
4.Obsessive-compulsive disorder
4.Obsessive-compulsive disorder
A client's medication sheet contains a prescription for sertraline. To ensure safe
administration of the medication, how should the nurse administer the dose?
1.On an empty stomach 2.At the same time each evening 3.Evenly spaced around
the clock 4.As needed when the client complains of depression
2.At the same time each evening
A client diagnosed with bipolar mood disorder has been given a prescription
for carbamazepine. The nurse teaching the client about medication side and
adverse effects instructs the client to notify the primary health care provider if
which
symptom develops?
1.Nausea 2.Dizziness 3.Sore throat 4.Drowsiness
3.Sore throat
When planning the discharge of a client with chronic anxiety, the nurse directs the
goals at promoting a safe environment at home. Which is the most appropriate
maintenance goal?
1.Suppressing feelings of anxiety 2.Identifying anxiety-producing situations
3.Continuing contact with a crisis counselor 4.Eliminating all anxiety from daily
situations
2.Identifying anxiety-producing situations
