NCLEX Mental Health & Infection Control Quiz 10 free NCLEX-style questions on psychosocial integrity, therapeutic communication and infection prevention, with rationales.
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NCLEX mental health questions: What You Need to Know
Looking for help with NCLEX mental health questions ? You are in the right place. This guide gives nursing candidates across the USA and Canada clear, practical steps to prepare for the NCLEX with confidence.
Practice only: These are original practice questions written by Dr. Blake NCLEX Review to build clinical judgment. They are not actual NCLEX exam items and are not affiliated with NCSBN.
NCLEX Mental Health & Infection Control Quiz: 10 Questions with Rationales
Answer every question, then select Check My Answers to see your score and the rationale for each item.
Question 1 Choose one answer
A client with severe anxiety is pacing and speaking rapidly. The best initial nursing action is to:
A. Leave the client alone to calm downB. Remain calm, stay with the client and use short, clear statementsC. Confront the client about the behaviorD. Restrain the client immediatelyCorrect answer: B A calm presence and simple communication help reduce escalating anxiety and keep the client safe.
Question 2 Select all that apply
Which are examples of therapeutic communication? Select all that apply.
A. Offering false reassuranceB. Using silence appropriatelyC. Reflecting the client’s feelingsD. Asking “why” questions repeatedlyE. Using open-ended questionsCorrect answer: B, C, E Silence, reflection and open-ended questions are therapeutic. False reassurance and repeated “why” questions block communication.
Question 3 Choose one answer
A client states, “I feel like no one cares whether I live or die.” The best response is:
A. “Of course people care about you.”B. “Are you thinking about hurting yourself?”C. “Let’s talk about something more positive.”D. “You shouldn’t feel that way.”Correct answer: B Directly and calmly assessing for suicidal thoughts is the priority for safety; it does not increase risk and opens the conversation.
Question 4 Choose one answer
Which precautions are required for a client with active pulmonary tuberculosis?
A. Standard precautions onlyB. Contact precautionsC. Droplet precautionsD. Airborne precautions with an N95 respiratorCorrect answer: D TB requires airborne precautions: a negative-pressure room and an N95 respirator for staff.
Question 5 Select all that apply
Which conditions require airborne precautions? Select all that apply.
A. MeaslesB. TuberculosisC. Varicella (chickenpox)D. InfluenzaE. Streptococcal pharyngitisCorrect answer: A, B, C Measles, TB and varicella require airborne precautions. Influenza is droplet; strep throat is droplet/standard.
Question 6 Choose one answer
The single most effective way to prevent the spread of infection is:
A. Wearing gloves at all timesB. Hand hygieneC. Administering antibioticsD. Isolating every clientCorrect answer: B Hand hygiene is the most effective, evidence-based measure to prevent healthcare-associated infections.
Question 7 Choose one answer
A client with C. difficile requires which precautions and hand hygiene method?
A. Droplet precautions; alcohol-based rubB. Contact precautions; soap and water hand washingC. Airborne precautions; alcohol-based rubD. Standard precautions onlyCorrect answer: B C. difficile spores are not killed by alcohol; contact precautions with soap-and-water washing are required.
Question 8 Select all that apply
A client experiencing a panic attack would most likely show which findings? Select all that apply.
A. PalpitationsB. A sense of impending doomC. Slow, deep, relaxed breathingD. Shortness of breathE. TremblingCorrect answer: A, B, D, E Panic attacks cause palpitations, a sense of doom, shortness of breath and trembling. Breathing is typically rapid, not slow and relaxed.
Question 9 Choose one answer
When removing personal protective equipment (PPE), which item is generally removed first?
A. GownB. GlovesC. Mask/respiratorD. Eye protectionCorrect answer: B Gloves are the most contaminated and are removed first, followed by goggles, gown, then respirator (per CDC sequence).
Question 10 Choose one answer
A client on lithium should be taught to:
A. Restrict all fluidsB. Maintain consistent sodium and fluid intakeC. Take extra doses when feeling unwellD. Avoid all blood testsCorrect answer: B Lithium levels are affected by sodium and fluid balance. Consistent intake and regular level monitoring prevent toxicity.
Check My Answers Retry
Study Tips for This Topic
Choose responses that explore feelings and ensure safety.
Always assess suicidal ideation directly and calmly.
Memorize airborne, droplet and contact precautions.
Hand hygiene and correct PPE sequence are high-yield.
Keep Practicing Try another topic quiz from the free NCLEX practice question bank.
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FAQ
How is mental health tested on the NCLEX? Under Psychosocial Integrity (6–12%), including therapeutic communication, coping and crisis care.
Are these real NCLEX questions? No, they are original practice questions with rationales.