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HESI RN Mental Health V2 (2026/2027) —
Newest Updated Exam Solved with Verified A+
Results | Mental Health Nursing
Comprehensive Predictor
The HESI RN Mental Health Exam 2026/2027 – Newest Updated Edition is a high-yield, exam-
focused study resource designed to help nursing students successfully pass the HESI RN Mental
Health Comprehensive Predictor on the first attempt. This guide reflects the latest HESI
blueprint, NCLEX-aligned content, and real exam difficulty level used across accredited nursing
programs.
This comprehensive predictor exam resource covers core psychiatric-mental health nursing
concepts, clinical judgment scenarios, safety priorities, therapeutic communication, and
psychopharmacology principles commonly tested on the HESI RN Mental Health exam. All
questions are fully solved and paired with 100% verified correct answers, clearly highlighted for
fast review and high retention.
Each question is written in HESI-style format, emphasizing critical thinking, patient safety,
prioritization, and nursing best practice, making this guide ideal for final exam preparation,
remediation, and score improvement. Optimized for Docsity, Stuvia, CourseHero, and nursing
exam bundles, this resource supports confident exam performance and A+ results.
Exam Coverage
✔ HESI RN Mental Health Comprehensive Predictor Blueprint
✔ Therapeutic Communication & Nurse–Patient Relationship
✔ Mental Health Assessment & Mental Status Examination (MSE)
✔ Anxiety, Mood, and Depressive Disorders
✔ Psychotic Disorders (Schizophrenia Spectrum)
✔ Substance Use & Addictive Disorders
✔ Crisis Intervention & Suicide Risk Assessment
✔ Psychopharmacology for Mental Health Nursing
✔ Antidepressants, Antipsychotics, Mood Stabilizers, Anxiolytics
✔ Legal & Ethical Issues in Psychiatric Nursing
✔ Patient Rights, Confidentiality, and Involuntary Commitment
✔ Trauma-Informed Care & Safety Management
✔ Cultural Considerations in Mental Health Care
✔ HESI-Style Clinical Judgment & Prioritization Questions
Answer Format
,All questions include verified correct answers highlighted
HESI RN–style multiple-choice format
NCLEX-aligned rationales focused on safety and priority care
A mental health worker is caring for a client with escalating aggressive behavior. Which action
by the MHW warrant immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
A. Is attempting to physically restrain the patient.
A client is admitted to the mental health unit and reports taking extra antianxiety medication
because, "I'm so stressed out. I just want to go to sleep." The RN should plan one-on-one
observation of the client based on which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore."
D. "I don't want to walk. Nothing matters anymore."
The RN is performing intake interviews at a psychiatric clinic. A female client with a known
history of drug abuse reports that she had a heart attack four years ago. Useof which substance
places the client at highest risk for myocardial infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana
C. Methamphetamine
A male client comes to the emergency center because he has an erection that will not resolve.
The client reports that he is taking trazodone (Desyrel) for insomnia. Which information is most
important for the nurse ask the client?
A. When was the last time you drank alcoholic beverage?
B. Have you taken any medications for erectile dysfunction?
C. Are you having any other sexual dysfunctions or problems?
D. Do you have a history of angina or high blood pressure?
B. Have you taken any medications for erectile dysfunction?
A female client admitted to the mental health unit starts to shout and scream at the RN. What is
the best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
C. Distract her by offering her finger foods.
D. Ignore the client's acting out behavior.
A. Stay quietly with the patient
, When developing a plan of care for a client admitted to the psychiatric unit following aspiration
of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
A. Impaired comfort.
B. Risk for injury.
C. Ineffective breathing pattern.
D. Ineffective coping.
C. Ineffective breathing pattern.
A female client on a psychiatric unit is sweating profusely while she vigorously does push-ups
and then runs the length of the corridor several times before crashing into furniture in the sitting
room. Picking herself up, she begins to toss chairs aside, looking for a red one to sit in. When
another client objects to the disturbance, the client shouts, "I am the boss here. I do what I want."
Which nursing problem best supports these observations?
A. Deficient diversional activity related to excess energy level.
B. Risk for other related violence related to disruptive behavior.
C. Risk for activity intolerance related to hyperactivity.
D. Disturbed personal identity related to grandiosity.
B. Risk for other related violence related to disruptive behavior.
A RN is preparing the physical environment to interview a new client for admission to the
mental health unit. Which environmental setting facilitates the best outcome of the interview?
A. Dim the lights in the room to help the patient feel calm.
B. Sit within two feet of the client to enhance level of safety and security.
C. Reduce the noise level in the room by turning off the television and radio.
D. Position table between the client and the RN for extra personal space.
C. Reduce the noise level in the room by turning off the television and radio.
The RN is providing education about strategies for a safety plan for a female client who is a
victim of intimate partner violence. Which strategies should be included in the safety plan?
(Select all that apply)
A. Purchase a gun to use for protection.
B. Establish a code with family and friends to signify violence.
C. Take a self-defense course that retaliates the abuser with injury.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
B. Establish a code with family and friends to signify violence.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
The RN is admitting a male client who takes lithium carbonate (Eskalith) twice a day. Which
information should the RN report to the HCP immediately?
A. Short term memory loss.
B. Five pound weight gain
C. Decreased affect.
D. Nausea and vomiting.
D. Nausea and vomiting.
HESI RN Mental Health V2 (2026/2027) —
Newest Updated Exam Solved with Verified A+
Results | Mental Health Nursing
Comprehensive Predictor
The HESI RN Mental Health Exam 2026/2027 – Newest Updated Edition is a high-yield, exam-
focused study resource designed to help nursing students successfully pass the HESI RN Mental
Health Comprehensive Predictor on the first attempt. This guide reflects the latest HESI
blueprint, NCLEX-aligned content, and real exam difficulty level used across accredited nursing
programs.
This comprehensive predictor exam resource covers core psychiatric-mental health nursing
concepts, clinical judgment scenarios, safety priorities, therapeutic communication, and
psychopharmacology principles commonly tested on the HESI RN Mental Health exam. All
questions are fully solved and paired with 100% verified correct answers, clearly highlighted for
fast review and high retention.
Each question is written in HESI-style format, emphasizing critical thinking, patient safety,
prioritization, and nursing best practice, making this guide ideal for final exam preparation,
remediation, and score improvement. Optimized for Docsity, Stuvia, CourseHero, and nursing
exam bundles, this resource supports confident exam performance and A+ results.
Exam Coverage
✔ HESI RN Mental Health Comprehensive Predictor Blueprint
✔ Therapeutic Communication & Nurse–Patient Relationship
✔ Mental Health Assessment & Mental Status Examination (MSE)
✔ Anxiety, Mood, and Depressive Disorders
✔ Psychotic Disorders (Schizophrenia Spectrum)
✔ Substance Use & Addictive Disorders
✔ Crisis Intervention & Suicide Risk Assessment
✔ Psychopharmacology for Mental Health Nursing
✔ Antidepressants, Antipsychotics, Mood Stabilizers, Anxiolytics
✔ Legal & Ethical Issues in Psychiatric Nursing
✔ Patient Rights, Confidentiality, and Involuntary Commitment
✔ Trauma-Informed Care & Safety Management
✔ Cultural Considerations in Mental Health Care
✔ HESI-Style Clinical Judgment & Prioritization Questions
Answer Format
,All questions include verified correct answers highlighted
HESI RN–style multiple-choice format
NCLEX-aligned rationales focused on safety and priority care
A mental health worker is caring for a client with escalating aggressive behavior. Which action
by the MHW warrant immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
A. Is attempting to physically restrain the patient.
A client is admitted to the mental health unit and reports taking extra antianxiety medication
because, "I'm so stressed out. I just want to go to sleep." The RN should plan one-on-one
observation of the client based on which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore."
D. "I don't want to walk. Nothing matters anymore."
The RN is performing intake interviews at a psychiatric clinic. A female client with a known
history of drug abuse reports that she had a heart attack four years ago. Useof which substance
places the client at highest risk for myocardial infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana
C. Methamphetamine
A male client comes to the emergency center because he has an erection that will not resolve.
The client reports that he is taking trazodone (Desyrel) for insomnia. Which information is most
important for the nurse ask the client?
A. When was the last time you drank alcoholic beverage?
B. Have you taken any medications for erectile dysfunction?
C. Are you having any other sexual dysfunctions or problems?
D. Do you have a history of angina or high blood pressure?
B. Have you taken any medications for erectile dysfunction?
A female client admitted to the mental health unit starts to shout and scream at the RN. What is
the best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
C. Distract her by offering her finger foods.
D. Ignore the client's acting out behavior.
A. Stay quietly with the patient
, When developing a plan of care for a client admitted to the psychiatric unit following aspiration
of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
A. Impaired comfort.
B. Risk for injury.
C. Ineffective breathing pattern.
D. Ineffective coping.
C. Ineffective breathing pattern.
A female client on a psychiatric unit is sweating profusely while she vigorously does push-ups
and then runs the length of the corridor several times before crashing into furniture in the sitting
room. Picking herself up, she begins to toss chairs aside, looking for a red one to sit in. When
another client objects to the disturbance, the client shouts, "I am the boss here. I do what I want."
Which nursing problem best supports these observations?
A. Deficient diversional activity related to excess energy level.
B. Risk for other related violence related to disruptive behavior.
C. Risk for activity intolerance related to hyperactivity.
D. Disturbed personal identity related to grandiosity.
B. Risk for other related violence related to disruptive behavior.
A RN is preparing the physical environment to interview a new client for admission to the
mental health unit. Which environmental setting facilitates the best outcome of the interview?
A. Dim the lights in the room to help the patient feel calm.
B. Sit within two feet of the client to enhance level of safety and security.
C. Reduce the noise level in the room by turning off the television and radio.
D. Position table between the client and the RN for extra personal space.
C. Reduce the noise level in the room by turning off the television and radio.
The RN is providing education about strategies for a safety plan for a female client who is a
victim of intimate partner violence. Which strategies should be included in the safety plan?
(Select all that apply)
A. Purchase a gun to use for protection.
B. Establish a code with family and friends to signify violence.
C. Take a self-defense course that retaliates the abuser with injury.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
B. Establish a code with family and friends to signify violence.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
The RN is admitting a male client who takes lithium carbonate (Eskalith) twice a day. Which
information should the RN report to the HCP immediately?
A. Short term memory loss.
B. Five pound weight gain
C. Decreased affect.
D. Nausea and vomiting.
D. Nausea and vomiting.
