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HESI RN Mental Health Test bank (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 male client with schizophrenia who is taking fluphenazine decanoate (Prolixin) is being
discharged in the morning. A repeat dose of medication is scheduled for 20 days after discharge.
The client tells the nurse that he is going on vacation in the Bahamas and will return in 18 days.
Which statement by the client indicates a need for health teaching?
a. When I return from my tropical island vacation, I will go to the clinic to get my Prolixin
injection.
b. While I am on vacation and when I return, I will not eat or drink anything that contains
alcohol.
c. I will notify the healthcare provider if I have a sore throat or flu-like symptoms.
d. I will continue to take my benztropine mesylate (Cogentin) every day.
a. when I return from my tropical island vacation, I will go to the clinic to get my prolixin
injection.
A child is brought to the emergency room with a broken arm. Because of other injuries, the nurse
suspects the child may be a victim of abuse. When the nurse tries to give the child an injection,
the child's mother becomes very loud and shouts, "I won't leave my son! Don't you touch him!
You'll hurt my child!" What is the best behavioral interpretation of the mother's statements?
a. Regressing to an earlier behavior pattern.
b. Sublimating anger.
c. Projecting feelings onto the nurse.
d. Suppressing fear.
c. project feelings onto the nurse.
Based on noncompliance with the medication regimen, an adult client with a diagnosis of
substance abuse and schizophrenia recently had a change in prescriptions from oral fluphenazine
HCl (Prolixin) to fluphenazine decanoate (Prolixin IM). What is most important to teach the
client and family about this change in medication regimen?
a. Signs and symptoms of extrapyramidal effects (EPS).
b. Information about substance abuse and schizophrenia.
c. The effects of alcohol and drug interaction.
d. The availability of support groups for those with dual diagnoses.
,c. The effects of alcohol and drug interaction.
A male client with mental illness and substance dependency tells the mental health nurse that he
has started using illegal drugs again and wants to seek treatment. Since he has a dual diagnosis,
which person is best for the nurse to refer this client to first?
a. The emergency room nurse.
b. His case manager.
c. The clinic healthcare provider.
d. His support group sponsor.
b. His case manager.
The nurse is planning care for a 32-year-old male client diagnosed with HIV infection who has a
history of chronic depression. Recently, the client's viral load has begun to increase rather than
decrease despite his adherence to the HIV drug regimen. What should the nurse do first while
taking the client's history on admission to the hospital?
a. Determine if the client attends a support group weekly.
b. Hold all antidepressant medications until further notice.
c. Ask the client if he takes St. John's Wort routinely.
d. Have the client describe any recent changes in mood.
c. Ask the client if he takes St. John's Wort routinely.
The nurse is assessing the parents of a nuclear family who are attending a support group for
parents of adolescents. According to Erikson, these parents who are adapting to middle
adulthood should exhibit which characteristic?
a. Loss of independence.
b. Increased self-understanding.
c. Isolation from society.
d. Development of intimate relationships.
b. Increased self understanding
, On admission, a client who is highly anxious describes a delusion. The nurse understands that
delusions are most likely to occur with which class of disorder?
a. Neurotic.
b. Personality.
c. Anxiety.
d. Psychotic.
d. Psychotic
The wife of a male client recently diagnosed with schizophrenia asks the nurse, "What exactly is
schizophrenia? Is my husband all right?" Which response is best for the nurse to provide to this
family member?
a. It sounds like you're worried about your husband. Let's sit down and talk.
b. It is a chemical imbalance in the brain that causes disorganized thinking.
c. Your husband will be just fine if he takes his medications regularly.
d. I think you should talk to your husband's psychologist about this question.
b. It is a chemical imbalance in the brain that causes disorganized thinking.
A male client is admitted to the psychiatric unit with a medical diagnosis of paranoid
schizophrenia. During the admission procedure, the client looks up and states, "No, it's not MY
fault. You can't blame me. I didn't kill him, you did." What action is best for the nurse to take?
a. Reassure the client by telling him that his fear of the admission procedure is to be expected.
b. Tell the client that no one is accusing him of murder and remind him that the hospital is a safe
place.
c. Assess the content of the hallucinations by asking the client what he is hearing.
d. Ignore the behavior and make no response at all to his delusional statements.
c. Assess the content of the hallucinations by asking the client what he is hearing.
The nurse is conducting discharge teaching for a client with schizophrenia who plans to live in a
group home. Which statement is most indicative of the need for careful follow-up after
discharge?
a. Crickets are a good source of protein.
b. I have not heard any voices for a week.
HESI RN Mental Health Test bank (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 male client with schizophrenia who is taking fluphenazine decanoate (Prolixin) is being
discharged in the morning. A repeat dose of medication is scheduled for 20 days after discharge.
The client tells the nurse that he is going on vacation in the Bahamas and will return in 18 days.
Which statement by the client indicates a need for health teaching?
a. When I return from my tropical island vacation, I will go to the clinic to get my Prolixin
injection.
b. While I am on vacation and when I return, I will not eat or drink anything that contains
alcohol.
c. I will notify the healthcare provider if I have a sore throat or flu-like symptoms.
d. I will continue to take my benztropine mesylate (Cogentin) every day.
a. when I return from my tropical island vacation, I will go to the clinic to get my prolixin
injection.
A child is brought to the emergency room with a broken arm. Because of other injuries, the nurse
suspects the child may be a victim of abuse. When the nurse tries to give the child an injection,
the child's mother becomes very loud and shouts, "I won't leave my son! Don't you touch him!
You'll hurt my child!" What is the best behavioral interpretation of the mother's statements?
a. Regressing to an earlier behavior pattern.
b. Sublimating anger.
c. Projecting feelings onto the nurse.
d. Suppressing fear.
c. project feelings onto the nurse.
Based on noncompliance with the medication regimen, an adult client with a diagnosis of
substance abuse and schizophrenia recently had a change in prescriptions from oral fluphenazine
HCl (Prolixin) to fluphenazine decanoate (Prolixin IM). What is most important to teach the
client and family about this change in medication regimen?
a. Signs and symptoms of extrapyramidal effects (EPS).
b. Information about substance abuse and schizophrenia.
c. The effects of alcohol and drug interaction.
d. The availability of support groups for those with dual diagnoses.
,c. The effects of alcohol and drug interaction.
A male client with mental illness and substance dependency tells the mental health nurse that he
has started using illegal drugs again and wants to seek treatment. Since he has a dual diagnosis,
which person is best for the nurse to refer this client to first?
a. The emergency room nurse.
b. His case manager.
c. The clinic healthcare provider.
d. His support group sponsor.
b. His case manager.
The nurse is planning care for a 32-year-old male client diagnosed with HIV infection who has a
history of chronic depression. Recently, the client's viral load has begun to increase rather than
decrease despite his adherence to the HIV drug regimen. What should the nurse do first while
taking the client's history on admission to the hospital?
a. Determine if the client attends a support group weekly.
b. Hold all antidepressant medications until further notice.
c. Ask the client if he takes St. John's Wort routinely.
d. Have the client describe any recent changes in mood.
c. Ask the client if he takes St. John's Wort routinely.
The nurse is assessing the parents of a nuclear family who are attending a support group for
parents of adolescents. According to Erikson, these parents who are adapting to middle
adulthood should exhibit which characteristic?
a. Loss of independence.
b. Increased self-understanding.
c. Isolation from society.
d. Development of intimate relationships.
b. Increased self understanding
, On admission, a client who is highly anxious describes a delusion. The nurse understands that
delusions are most likely to occur with which class of disorder?
a. Neurotic.
b. Personality.
c. Anxiety.
d. Psychotic.
d. Psychotic
The wife of a male client recently diagnosed with schizophrenia asks the nurse, "What exactly is
schizophrenia? Is my husband all right?" Which response is best for the nurse to provide to this
family member?
a. It sounds like you're worried about your husband. Let's sit down and talk.
b. It is a chemical imbalance in the brain that causes disorganized thinking.
c. Your husband will be just fine if he takes his medications regularly.
d. I think you should talk to your husband's psychologist about this question.
b. It is a chemical imbalance in the brain that causes disorganized thinking.
A male client is admitted to the psychiatric unit with a medical diagnosis of paranoid
schizophrenia. During the admission procedure, the client looks up and states, "No, it's not MY
fault. You can't blame me. I didn't kill him, you did." What action is best for the nurse to take?
a. Reassure the client by telling him that his fear of the admission procedure is to be expected.
b. Tell the client that no one is accusing him of murder and remind him that the hospital is a safe
place.
c. Assess the content of the hallucinations by asking the client what he is hearing.
d. Ignore the behavior and make no response at all to his delusional statements.
c. Assess the content of the hallucinations by asking the client what he is hearing.
The nurse is conducting discharge teaching for a client with schizophrenia who plans to live in a
group home. Which statement is most indicative of the need for careful follow-up after
discharge?
a. Crickets are a good source of protein.
b. I have not heard any voices for a week.
