NCLEX RN PRACTICE EXAM QUESTIONS AND
ANSWERS FOR
: 6 NEW UPDATE QUESTIONS
A night shift psychiatric RN on the unit is going out of a pt's room & notices a pt w/ bipolar
experiencing an episode of mania @ RN's station. Which intervention would promote
therapeutic interaction w/ the pt?
1.) Approaching pt & assertively ask him to abide by acceptable behavior
2.) Redirect the pt to room & minimize triggers of behavior
3.) Reminding pt of limits & isolating pt to his room
4.) Going over unit rules & pt's rights, then encourage pt to go to room & sleep b/c its late -
CORRECT ANSWER 2 => Effective strategies include redirecting pt & reducing environmental
triggers
-redirect pt to room
Explanations:
1 = pt does NOT have active listening
3 = does NOT work; should NOT isolate pt if not harming self or others 4
= trigger in environment; won't listen
If a pt has the following what psychiatric disorder are they experiencing?
1.) Poor concentration
2.) Hyperactivity
3.) Impulsivity
4.) Distractability - CORRECT ANSWER Mania
=> apart of bipolar disorder
-manic-depressive illness
This is manifested by mood swings involving euphoria (intense excitement & happiness),
grandiosity, & an inflated sense of self-worth
,=> May or may not include sudden swings to depression - CORRECT ANSWER Bipolar
Disorder (Mania-Depressive disorder)
(Bipolar Disorder) Name the 11 Depressive symptoms - CORRECT ANSWER 1.) Feelings of
hopelessness, worthlessness, guilt, shame
2.) Despair
=> lack of hope
3.) Flat affect
4.) Indecisiveness
5.) Lack of motivation & DECREASED concentration
6.) Changes in physical appearance
=> slumped postures, unkempt
=> sit unkempt. shoulders unkept
7.) Suicidal thoughts
8.) Possible delusions of hallucinations
9.) Sleep & appetite disturbances
10.) Loss of interest in sexual activities
11.) Constipation
,(Bipolar Disorder) Nursing plan for Depressive phase (8 things) - CORRECT ANSWER 1.)
Directly ask the pt about feelings & plan to harm self
2.) Monitor sleep, nutrition, & elimination patterns
3.) Initiate interaction w/pt, but sit in silence of pt is non-talkative
4.) Insist for participation in activities
=> do NOT give options; say time to go somewhere
-tell pt's what to do when they are in depressive phase
5.) Observe for sudden elevation in mood
=> indicates INCREASED risk for suicide
6.) Encourage discussion of feelings
=> ask open-ended questions
7.) Admin anti-depressants
8.) Spend time w/ pt & return to room when promised
=> if NOT, pt will feel unwanted & will go down deeper in their depression
*"are you having suicidal thought?"
"Do you plan to harm yourself?"
What type of drugs are Amitriptyline, Desopramine, Imipramine, Nortiptyline, Protriptyline, &
Maprotiline? - CORRECT ANSWER Antidepressant drugs
=> Tricyclics
The following side effects of these antidepressant drugs are apart of what drug class & the
drugs included?
, 1.) Anticholinergic effects
=> dry mouth, burred vision, constipation, & urinary retention
2.) Poor concentration
3.) Cardiovascular effects
4.) N/V - CORRECT ANSWER Tricyclics:
=> Amitriptyline,
=> Desopramine,
=> Imipramine,
=> Nortiptyline,
=> Protriptyline, &
=> Maprotiline
(Antidepressant drugs: Tricyclics: Amitriptyline, Desopramine, Imipramine, Nortiptyline,
Protriptyline, & Maprotiline) What is the pt. teaching for these drugs? (5 things) - CORRECT
ANSWER 1.) Give @ hs to minimize sedation effect
2.) Take 2-6 wks for therapeutic effects
3.) AVOID alcohol
4.) Evaluate suicide risk
5.) Lethal in overdose
(Antidepressant drugs) What type of meds & drug class have the following side effects?
1.) Tachycardia, constipation, impotence
2.) Dizziness, insomnia, muscle twitching
3.) Drowsiness, dry mouth, fluid retention
4.) HTN crisis
=> Severe HTN, severe HA, chest pain, fever, sweating, N/V, confusion - CORRECT ANSWER
MAO-inhibitors
=> Isocarboxazid
ANSWERS FOR
: 6 NEW UPDATE QUESTIONS
A night shift psychiatric RN on the unit is going out of a pt's room & notices a pt w/ bipolar
experiencing an episode of mania @ RN's station. Which intervention would promote
therapeutic interaction w/ the pt?
1.) Approaching pt & assertively ask him to abide by acceptable behavior
2.) Redirect the pt to room & minimize triggers of behavior
3.) Reminding pt of limits & isolating pt to his room
4.) Going over unit rules & pt's rights, then encourage pt to go to room & sleep b/c its late -
CORRECT ANSWER 2 => Effective strategies include redirecting pt & reducing environmental
triggers
-redirect pt to room
Explanations:
1 = pt does NOT have active listening
3 = does NOT work; should NOT isolate pt if not harming self or others 4
= trigger in environment; won't listen
If a pt has the following what psychiatric disorder are they experiencing?
1.) Poor concentration
2.) Hyperactivity
3.) Impulsivity
4.) Distractability - CORRECT ANSWER Mania
=> apart of bipolar disorder
-manic-depressive illness
This is manifested by mood swings involving euphoria (intense excitement & happiness),
grandiosity, & an inflated sense of self-worth
,=> May or may not include sudden swings to depression - CORRECT ANSWER Bipolar
Disorder (Mania-Depressive disorder)
(Bipolar Disorder) Name the 11 Depressive symptoms - CORRECT ANSWER 1.) Feelings of
hopelessness, worthlessness, guilt, shame
2.) Despair
=> lack of hope
3.) Flat affect
4.) Indecisiveness
5.) Lack of motivation & DECREASED concentration
6.) Changes in physical appearance
=> slumped postures, unkempt
=> sit unkempt. shoulders unkept
7.) Suicidal thoughts
8.) Possible delusions of hallucinations
9.) Sleep & appetite disturbances
10.) Loss of interest in sexual activities
11.) Constipation
,(Bipolar Disorder) Nursing plan for Depressive phase (8 things) - CORRECT ANSWER 1.)
Directly ask the pt about feelings & plan to harm self
2.) Monitor sleep, nutrition, & elimination patterns
3.) Initiate interaction w/pt, but sit in silence of pt is non-talkative
4.) Insist for participation in activities
=> do NOT give options; say time to go somewhere
-tell pt's what to do when they are in depressive phase
5.) Observe for sudden elevation in mood
=> indicates INCREASED risk for suicide
6.) Encourage discussion of feelings
=> ask open-ended questions
7.) Admin anti-depressants
8.) Spend time w/ pt & return to room when promised
=> if NOT, pt will feel unwanted & will go down deeper in their depression
*"are you having suicidal thought?"
"Do you plan to harm yourself?"
What type of drugs are Amitriptyline, Desopramine, Imipramine, Nortiptyline, Protriptyline, &
Maprotiline? - CORRECT ANSWER Antidepressant drugs
=> Tricyclics
The following side effects of these antidepressant drugs are apart of what drug class & the
drugs included?
, 1.) Anticholinergic effects
=> dry mouth, burred vision, constipation, & urinary retention
2.) Poor concentration
3.) Cardiovascular effects
4.) N/V - CORRECT ANSWER Tricyclics:
=> Amitriptyline,
=> Desopramine,
=> Imipramine,
=> Nortiptyline,
=> Protriptyline, &
=> Maprotiline
(Antidepressant drugs: Tricyclics: Amitriptyline, Desopramine, Imipramine, Nortiptyline,
Protriptyline, & Maprotiline) What is the pt. teaching for these drugs? (5 things) - CORRECT
ANSWER 1.) Give @ hs to minimize sedation effect
2.) Take 2-6 wks for therapeutic effects
3.) AVOID alcohol
4.) Evaluate suicide risk
5.) Lethal in overdose
(Antidepressant drugs) What type of meds & drug class have the following side effects?
1.) Tachycardia, constipation, impotence
2.) Dizziness, insomnia, muscle twitching
3.) Drowsiness, dry mouth, fluid retention
4.) HTN crisis
=> Severe HTN, severe HA, chest pain, fever, sweating, N/V, confusion - CORRECT ANSWER
MAO-inhibitors
=> Isocarboxazid
