Welcome to your ultimate NCLEX practice questions and nursing test bank for mental health and psychiatric nursing. For this nursing test bank, test your knowledge on the concepts of mental health and psychiatric disorders. This quiz aims to help students and registered nurses grasp and master the concepts of mental health and psychiatric nursing.
Mental Health and Psychiatric Nursing Test Banks
In this section, you’ll find the NCLEX practice questions and quizzes for mental health and psychiatric nursing. This nursing test bank set includes 700+ practice questions divided into comprehensive quizzes for mental health and psychiatric nursing and a special set of questions for common psychiatric disorders. Use these nursing test banks to augment or as an alternative to ATI and Quizlet.
Quizzes included in this guide are:
- Comprehensive Mental Health & Psychiatric Nursing NCLEX Practice Quiz #1 | 75 Questions NEW!
- Comprehensive Mental Health & Psychiatric Nursing NCLEX Practice Quiz #2 | 75 Questions NEW!
- Comprehensive Mental Health & Psychiatric Nursing NCLEX Practice Quiz #3 | 75 Questions NEW!
- Psychiatric Assessment and Fundamentals of Mental Health & Psychiatric Nursing NCLEX Quiz | 50 Questions NEW!
- Psychiatric Medications NCLEX Practice Quiz | 75 Questions NEW!
- Alzheimer’s, Delirium, and Dementia NCLEX Practice Quiz | 65 Questions NEW!
- Anxiety Disorders NCLEX Practice Quiz | 75 Questions NEW!
- Schizophrenia NCLEX Practice Quiz | 65 Questions NEW!
- Substance Abuse and Abuse NCLEX Practice Quiz | 55 Questions NEW!
- Personality and Mood Disorders NCLEX Practice Quiz | 110 Questions NEW!
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Comprehensive Mental Health and Psychiatric Nursing NCLEX Practice Quiz #1: 75 Questions
Welcome to the first comprehensive mental health and psychiatric nursing practice quiz covering different mental health disorders. There are 75 practice questions in this set, and please be sure to read the rationales!
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Question 1 of 75
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?CorrectIncorrect
Question 2 of 75
Nurse Tamara is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is to:CorrectIncorrect
Question 3 of 75
A female client who’s at high risk for suicide needs close supervision. To best ensure the client’s safety, Nurse Mary should:CorrectIncorrect
Question 4 of 75
Which of the following drugs should Nurse Mary prepare to administer to a client with a toxic acetaminophen (Tylenol) level?CorrectIncorrect
Question 5 of 75
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?CorrectIncorrect
Question 6 of 75
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?CorrectIncorrect
Question 7 of 75
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?CorrectIncorrect
Question 8 of 75
For a female client with anorexia nervosa, Nurse Jimmy is aware that which goal takes the highest priority?CorrectIncorrect
Question 9 of 75
When interviewing the parents of an injured child, which of the following is the strongest indicator that child abuse may be a problem?CorrectIncorrect
Question 10 of 75
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?CorrectIncorrect
Question 11 of 75
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?CorrectIncorrect
Question 12 of 75
Nurse Mary is caring for a client with bulimia. Strict management of dietary intake is necessary. Which intervention is also important?CorrectIncorrect
Question 13 of 75
Nurse Mary is assigned to care for a suicidal client. Initially, which is the nurse’s highest care priority?CorrectIncorrect
Question 14 of 75
A 24-year old client with anorexia nervosa tells the nurse, “When I look in the mirror, I hate what I see. I look so fat and ugly.” Which strategy should the nurse use to deal with the client’s distorted perceptions and feelings?CorrectIncorrect
Question 15 of 75
Nurse Alice is caring for a client being treated for alcoholism. Before initiating therapy with disulfiram (Antabuse), the nurse teaches the client that he must read labels carefully on which of the following products?CorrectIncorrect
Question 16 of 75
Nurse Harry is developing a plan of care for a client with anorexia nervosa. Which action should the nurse include in the plan?CorrectIncorrect
Question 17 of 75
Nurse Taylor is aware that the victims of domestic violence should be assessed for what important information?CorrectIncorrect
Question 18 of 75
A male client is hospitalized with fractures of the right femur and right humerus sustained in a motorcycle accident. Police suspect the client was intoxicated at the time of the accident. Laboratory tests reveal a blood alcohol level of 0.2% (200 mg/dl). The client later admits to drinking heavily for years. During hospitalization, the client periodically complains of tingling and numbness in the hands and feet. Nurse Gian realizes that these symptoms probably result from:CorrectIncorrect
Question 19 of 75
A parent brings a preschooler to the emergency department for treatment of a dislocated shoulder, which allegedly happened when the child fell down the stairs. Which action should make the nurse suspect that the child was abused?CorrectIncorrect
Question 20 of 75
When planning care for a client who has ingested phencyclidine (PCP), nurse Wayne is aware that the following is the highest priority?CorrectIncorrect
Question 21 of 75
The nurse is aware that the outcome criteria would be appropriate for a child diagnosed with oppositional defiant disorder?CorrectIncorrect
Question 22 of 75
A male client is found sitting on the floor of the bathroom in the day treatment clinic with moderate lacerations on both wrists. Surrounded by broken glass, he sits staring blankly at his bleeding wrists while staff members call for an ambulance. How should Nurse Anuktakanuk approach her initially?CorrectIncorrect
Question 23 of 75
A female client with anorexia nervosa describes herself as “a whale.” However, the nurse’s assessment reveals that the client is 5′ 8″ (1.7 m) tall and weighs only 90 lb (40.8 kg). Considering the client’s unrealistic body image, which intervention should nurse Angel be included in the plan of care?CorrectIncorrect
Question 24 of 75
Eighteen hours after undergoing an emergency appendectomy, a client with a reported history of social drinking displays these vital signs: temperature, 101.6° F (38.7° C); heart rate, 126 beats/minute; respiratory rate, 24 breaths/minute; and blood pressure, 140/96 mm Hg. The client exhibits gross hand tremors and is screaming for someone to kill the bugs in the bed. Nurse Melinda should suspect:CorrectIncorrect
Question 25 of 75
Clonidine (Catapres) can be used to treat conditions other than hypertension. Nurse Sally is aware that the following conditions might the drug be administered?CorrectIncorrect
Question 26 of 75
A male client with a history of cocaine addiction is admitted to the coronary care unit for evaluation of substernal chest pain. The electrocardiogram (ECG) shows a 1-mm ST-segment elevation of the anteroseptal leads and T-wave inversion in leads V3 to V5. Considering the client’s history of drug abuse, nurse Greg expects the physician to prescribe:CorrectIncorrect
Question 27 of 75
A 14-year-old client was brought to the clinic by her mother. Her mother expresses concern about her daughter’s weight loss and constant dieting. Nurse Kris conducts a health history interview. Which of the following comments indicates that the client may be suffering from anorexia nervosa?CorrectIncorrect
Question 28 of 75
Nurse Fey is aware that the drug of choice for treating Tourette syndrome?CorrectIncorrect
Question 29 of 75
A male client tells the nurse he was involved in a car accident while he was intoxicated. What would be the most therapeutic response from nurse Julia?CorrectIncorrect
Question 30 of 75
A male adult client voluntarily admits himself to the substance abuse unit. He confesses that he drinks one (1) qt or more of vodka each day and uses cocaine occasionally. Later that afternoon, he begins to show signs of alcohol withdrawal. What are some early signs of this condition?CorrectIncorrect
Question 31 of 75
When monitoring a female client recently admitted for treatment of cocaine addiction, nurse Aaron notes sudden increases in the arterial blood pressure and heart rate. To correct these problems, the nurse expects the physician to prescribe:CorrectIncorrect
Question 32 of 75
A 25 –year old client experiencing alcohol withdrawal is upset about going through detoxification. Which of the following goals is a priority?CorrectIncorrect
Question 33 of 75
A male client is admitted to a psychiatric facility by court order for evaluation for antisocial personality disorder. This client has a long history of initiating fights and abusing animals and recently was arrested for setting a neighbor’s dog on fire. When evaluating this client for the potential for violence, nurse Perry should assess for which behavioral clues?CorrectIncorrect
Question 34 of 75
A male client is brought to the psychiatric clinic by family members, who tell the admitting nurse that the client repeatedly drives while intoxicated despite their pleas to stop. During an interview with the nurse Linda, which statement by the client most strongly supports a diagnosis of psychoactive substance abuse?CorrectIncorrect
Question 35 of 75
A female client with borderline personality disorder is admitted to the psychiatric unit. Initial nursing assessment reveals that the client’s wrists are scratched from a recent suicide attempt. Based on this finding, the nurse Lenny should formulate a nursing diagnosis of:CorrectIncorrect
Question 36 of 75
A male client recently admitted to the hospital with sharp, substernal chest pain suddenly complains of palpitations. Nurse Ryan notes a rise in the client’s arterial blood pressure and a heart rate of 144 beats/minute. On further questioning, the client admits to having used cocaine recently after previously denying use of the drug. The nurse concludes that the client is at high risk for which complication of cocaine use?CorrectIncorrect
Question 37 of 75
A male client is being admitted to the substance abuse unit for alcohol detoxification. As part of the intake interview, the nurse asks him when he had his last alcoholic drink. He says that he had his last drink six (6) hours before admission. Based on this response, nurse Lorena should expect early withdrawal symptoms to:CorrectIncorrect
Question 38 of 75
Nurse Helen is assigned to care for a client with anorexia nervosa. Initially, which nursing intervention is most appropriate for this client?CorrectIncorrect
Question 39 of 75
A female client begins to experience alcoholic hallucinosis. Nurse Joy is aware that the best nursing intervention at this time?CorrectIncorrect
Question 40 of 75
Nurse Bella is aware that assessment finding is most consistent with early alcohol withdrawal?CorrectIncorrect
Question 41 of 75
Nurse Amy is aware that the client is at highest risk for suicide?CorrectIncorrect
Question 42 of 75
Nurse Penny is aware that the following medical conditions are commonly found in clients with bulimia nervosa?CorrectIncorrect
Question 43 of 75
Kellan, a high school student is referred to the school nurse for suspected substance abuse. Following the nurse’s assessment and interventions, what would be the most desirable outcome?CorrectIncorrect
Question 44 of 75
A male client who reportedly consumes one (1) qt of vodka daily is admitted for alcohol detoxification. To try to prevent alcohol withdrawal symptoms, Dr. Smith is most likely to prescribe which drug?CorrectIncorrect
Question 45 of 75
A male client is being treated for alcoholism. After a family meeting, the client’s spouse asks the nurse about ways to help the family deal with the effects of alcoholism. Nurse Lily should suggest that the family join which organization?CorrectIncorrect
Question 46 of 75
A female client is admitted to the psychiatric clinic for treatment of anorexia nervosa. To promote the client’s physical health, nurse Tair should plan to:CorrectIncorrect
Question 47 of 75
Kevin is remanded by the courts for psychiatric treatment. His police record, which dates to his early teenage years, includes delinquency, running away, auto theft, and vandalism. He dropped out of school at age 16 and has been living on his own since then. His history suggests maladaptive coping, which is associated with:CorrectIncorrect
Question 48 of 75
Macoy and Helen seek emergency crisis intervention because he slapped her repeatedly the night before. The husband indicates that his childhood was marred by an abusive relationship with his father. When intervening with this couple, nurse Gerry knows they are at risk for repeated violence because the husband:CorrectIncorrect
Question 49 of 75
A client whose husband just left her has a recurrence of anorexia nervosa. Nurse Vic caring for her realizes that this exacerbation of anorexia nervosa results from the client’s effort to:CorrectIncorrect
Question 50 of 75
A male client has approached the nurse asking for advice on how to deal with his alcohol addiction. Nurse Sally should tell the client that the only effective treatment for alcoholism is:CorrectIncorrect
Question 51 of 75
Which nursing intervention would be most appropriate if a male client develops orthostatic hypotension while taking amitriptyline (Elavil)?CorrectIncorrect
Question 52 of 75
Mr. Cruz visits the physician’s office to seek treatment for depression, feelings of hopelessness, poor appetite, insomnia, fatigue, low self-esteem, poor concentration, and difficulty making decisions. The client states that these symptoms began at least 2 years ago. Based on this report, the nurse Tiffany suspects:CorrectIncorrect
Question 53 of 75
After taking an overdose of phenobarbital (Barbita), Mario is admitted to the emergency department. Dr. Trinidad prescribes activated charcoal (Charcocaps) to be administered by mouth immediately. Before administering the dose, the nurse verifies the dosage ordered. What is the usual minimum dose of activated charcoal?CorrectIncorrect
Question 54 of 75
What herbal medication for depression, widely used in Europe, is now being prescribed in the United States?CorrectIncorrect
Question 55 of 75
Cely with manic episodes is taking lithium. Which electrolyte level should the nurse check before administering this medication?CorrectIncorrect
Question 56 of 75
Nurse Josefina is caring for a client who has been diagnosed with delirium. Which statement about delirium is true?CorrectIncorrect
Question 57 of 75
Edward, a 66-year-old client with slight memory impairment and poor concentration, is diagnosed with primary degenerative dementia of the Alzheimer’s type. Early signs of this dementia include subtle personality changes and withdrawal from social interactions. To assess for progression to the middle stage of Alzheimer’s disease, the nurse should observe the client for:CorrectIncorrect
Question 58 of 75
Isabel with a diagnosis of depression is started on imipramine (Tofranil), 75 mg by mouth at bedtime. The nurse should tell the client that:CorrectIncorrect
Question 59 of 75
Kathleen is admitted to the psychiatric clinic for treatment of anorexia nervosa. To promote the client’s physical health, the nurse should plan to:CorrectIncorrect
Question 60 of 75
Celia with a history of polysubstance abuse is admitted to the facility. She complains of nausea and vomiting 24 hours after admission. The nurse assesses the client and notes piloerection, pupillary dilation, and lacrimation. The nurse suspects that the client is going through which of the following withdrawals?CorrectIncorrect
Question 61 of 75
Mr. Garcia, an attorney who throws books and furniture around the office after losing a case, is referred to the psychiatric nurse in the law firm’s employee assistance program. Nurse Beatriz knows that the client’s behavior most likely represents the use of which defense mechanism?CorrectIncorrect
Question 62 of 75
Nurse Anne is caring for a client who has been treated long term with antipsychotic medication. During the assessment, Nurse Anne checks the client for tardive dyskinesia. If tardive dyskinesia is present, Nurse Anne would most likely observe:CorrectIncorrect
Question 63 of 75
Dennis has a lithium level of 2.4 mEq/L. The nurse immediately would assess the client for which of the following signs or symptoms?CorrectIncorrect
Question 64 of 75
Nurse Jannah is monitoring a male client who has been placed in restraints because of violent behavior. Nurse determines that it will be safe to remove the restraints when:CorrectIncorrect
Question 65 of 75
Nurse Irish is aware that Ritalin is the drug of choice for a child with ADHD. The side effects of the following may be noted by the nurse:CorrectIncorrect
Question 66 of 75
Kitty, a 9-year-old child has a very limited vocabulary and interaction skills. She has an I.Q. of 45. She is diagnosed to have Mental retardation of this classification:CorrectIncorrect
Question 67 of 75
The therapeutic approach in the care of Armand an autistic child includes the following EXCEPT:CorrectIncorrect
Question 68 of 75
Jeremy is brought to the emergency room by friends who state that he took something an hour ago. He is actively hallucinating, agitated, with irritated nasal septum.CorrectIncorrect
Question 69 of 75
Nurse Pauline is aware that Dementia unlike delirium is characterized by:CorrectIncorrect
Question 70 of 75
A 35-year-old female has intense fear of riding an elevator. She claims “ As if I will die inside.” The client is suffering from:CorrectIncorrect
Question 71 of 75
Nurse Myrna develops a counter-transference reaction. This is evidenced by:CorrectIncorrect
Question 72 of 75
Tristan is on Lithium and has suffered from diarrhea and vomiting. What should the nurse in-charge do first:CorrectIncorrect
Question 73 of 75
Nurse Sarah ensures a therapeutic environment for all the clients. Which of the following best describes a therapeutic milieu?CorrectIncorrect
Question 74 of 75
Anthony is very hostile toward one of the staff for no apparent reason. He is manifesting:CorrectIncorrect
Question 75 of 75
Marielle, 17 years old was sexually attacked while on her way home from school. She is brought to the hospital by her mother. Rape is an example of which type of crisis:CorrectIncorrect
If you need more information or practice quizzes, please do visit the following links:
- Nursing Test Bank: Free Practice Questions UPDATED!
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- NCLEX Questions Nursing Test Bank and Review UPDATED!
For this nursing test bank, we have included more than 1,000+ NCLEX practice questions covering different nursing topics! We’ve made a significant effort to provide you with the most challenging questions along with insightful rationales for each question to reinforce learning.