NUR 1234 PRACTICE EXAM QUESTIONS AND
ANSWERS FOR NCLEX RN: 6 NEW UPDATE
QUESTIONS AND ANSWERS (2025/2026) UPDATE
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
ANSWERS FOR NCLEX RN: 6 NEW UPDATE
QUESTIONS AND ANSWERS (2025/2026) UPDATE
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
