HESI Module 4 Actual Exam|
Reviewed and Updated 2026/2027|
Real Questions with Detailed Answers|
Guaranteed Pass| Already Graded A+
(NEW!!)
1. A client who has expressed suicidal ideation in the past says to the nurse,
while shuffling several documents in an effort to organize them, "Well, I'm
feeling so much better now since I got organized. My lawyer wrote my will
and durable power of attorney." Which response by the nurse is most
appropriate?
"Good grief! You don't look organized to me."
"Okay, what are you up to today? Your behavior is not appropriate."
"You talk about getting organized. Are you thinking of killing yourself?"
"If you keep behaving like this, you know that I'll have to tell the health care
provider, and we'll have to seclude you." - ANSWER✔️-"You talk about
getting organized. Are you thinking of killing yourself?"
2. An adolescent client says, "I'm just a burden to my folks. They wish I'd
never been born. My dad told me he had to marry Mom because she got
pregnant." Which response by the nurse would be therapeutic?
"You're feeling that your folks didn't want you, but they chose to marry and
have you."
"You feel that you were a burden and not wanted? Let's talk with your
parents to see whether you're right."
"Let's speak with your parents about what you've just told me. Let's ask
whether you were truly unwanted."
"Sounds like your father was very inappropriate, but I'm certain that he
didn't mean that you were a burden to him." - ANSWER✔️-"You're feeling
that your folks didn't want you, but they chose to marry and have you."
3. A client says to the nurse, "I've ruined my life. I left college with only a few
credits to go. I keep telling myself that I'm going to make it as a writer, but
, I'll be a loser and a nothing for the rest of my life." Which response by the
nurse is therapeutic?
"What are you saying? Sounds like you need to pull yourself together and go
back to school."
"Having faith in yourself is one thing, but looking at your alternatives
realistically is another."
"You seem to be saying that your choices are final and that you've lost any
other opportunities."
"Sounds like you feel that things should come easy for you, unlike the rest of
us, who work for what we get." - ANSWER✔️-"You seem to be saying that
your choices are final and that you've lost any other opportunities."
4. A client who has twice attempted suicide says, "If people would just leave
me alone and let me do what I want with my life, I could get on with what I
want to do." Which response should the nurse give to the client?
"Of course you can't be left alone to get on with what you want to do."
"Okay, go ahead and do whatever you want to do. Human beings have free
will."
"You've tried to end your life twice, yet you feel that everyone should let you
do what you want to do?"
"Sounds like you're angry with people for caring enough about you to try to
keep you from hurting yourself." - ANSWER✔️-"You've tried to end your
life twice, yet you feel that everyone should let you do what you want to
do?"
5. A client experiencing homelessness, with an antisocial disorder, is brought to
the emergency department by the police after disturbing customers in a
department store. The client says to the nurse, "I need to be hospitalized. It's
getting cold out, and I need a warm bed. If you don't get me into a hospital,
I'll jump off a bridge." Which nursing intervention would be therapeutic?
Sending the client to the psychiatric hospital intake center immediately for
evaluation
Asking the police to pick the client up and arrest him for vagrancy, as they
should have done immediately
Discharging the client with a follow-up appointment for the next day and
guaranteeing him a hospital bed if he shows up
, Sending the client to a shelter that will provide temporary housing if he signs
a contract agreeing not to attempt suicide - ANSWER✔️-Sending the client
to a shelter that will provide temporary housing if he signs a contract
agreeing not to attempt suicide
6. A client is admitted to the medical-surgical unit of a hospital, and suicide
precautions are taken until the client can be admitted to the psychiatric unit.
Which nursing intervention should the nurse implement?
Placing the client in a private room and locking the client's closets and
bathroom
Placing the client in a private room and removing all knives and glass from
the client's meal tray
Allowing the client to go out on pass as long as the client is accompanied by
a responsible adult
Placing the client in a semiprivate room, providing plastic utensils for eating,
and keeping an arm's distance from the client at all times - ANSWER✔️-
Placing the client in a semiprivate room, providing plastic utensils for eating,
and keeping an arm's distance from the client at all times
7. A client is admitted to the psychiatric inpatient unit and suicide precautions
are instituted. Which intervention should the nurse implement?
Restricting visitors
Placing the client in a private room and locking the bathroom door
Removing perfume, shampoo, and other toiletries from the client's room
Placing flowers brought to the client in a small glass vase and putting them
in the client's room - ANSWER✔️-Removing perfume, shampoo, and other
toiletries from the client's room
8. A client with schizophrenia says, "I'm away for the day ... but don't think we
should play or do we have feet of clay?" Which alteration in the client's
speech does the nurse document?
Neologism
Word salad
Clang association
Associative looseness - ANSWER✔️-Clang association
9. A client with schizophrenia and his parents are meeting with the nurse. One
of the young man's parents says to the nurse, "We were stunned when we
learned that our son had schizophrenia. He was no different than from his
Reviewed and Updated 2026/2027|
Real Questions with Detailed Answers|
Guaranteed Pass| Already Graded A+
(NEW!!)
1. A client who has expressed suicidal ideation in the past says to the nurse,
while shuffling several documents in an effort to organize them, "Well, I'm
feeling so much better now since I got organized. My lawyer wrote my will
and durable power of attorney." Which response by the nurse is most
appropriate?
"Good grief! You don't look organized to me."
"Okay, what are you up to today? Your behavior is not appropriate."
"You talk about getting organized. Are you thinking of killing yourself?"
"If you keep behaving like this, you know that I'll have to tell the health care
provider, and we'll have to seclude you." - ANSWER✔️-"You talk about
getting organized. Are you thinking of killing yourself?"
2. An adolescent client says, "I'm just a burden to my folks. They wish I'd
never been born. My dad told me he had to marry Mom because she got
pregnant." Which response by the nurse would be therapeutic?
"You're feeling that your folks didn't want you, but they chose to marry and
have you."
"You feel that you were a burden and not wanted? Let's talk with your
parents to see whether you're right."
"Let's speak with your parents about what you've just told me. Let's ask
whether you were truly unwanted."
"Sounds like your father was very inappropriate, but I'm certain that he
didn't mean that you were a burden to him." - ANSWER✔️-"You're feeling
that your folks didn't want you, but they chose to marry and have you."
3. A client says to the nurse, "I've ruined my life. I left college with only a few
credits to go. I keep telling myself that I'm going to make it as a writer, but
, I'll be a loser and a nothing for the rest of my life." Which response by the
nurse is therapeutic?
"What are you saying? Sounds like you need to pull yourself together and go
back to school."
"Having faith in yourself is one thing, but looking at your alternatives
realistically is another."
"You seem to be saying that your choices are final and that you've lost any
other opportunities."
"Sounds like you feel that things should come easy for you, unlike the rest of
us, who work for what we get." - ANSWER✔️-"You seem to be saying that
your choices are final and that you've lost any other opportunities."
4. A client who has twice attempted suicide says, "If people would just leave
me alone and let me do what I want with my life, I could get on with what I
want to do." Which response should the nurse give to the client?
"Of course you can't be left alone to get on with what you want to do."
"Okay, go ahead and do whatever you want to do. Human beings have free
will."
"You've tried to end your life twice, yet you feel that everyone should let you
do what you want to do?"
"Sounds like you're angry with people for caring enough about you to try to
keep you from hurting yourself." - ANSWER✔️-"You've tried to end your
life twice, yet you feel that everyone should let you do what you want to
do?"
5. A client experiencing homelessness, with an antisocial disorder, is brought to
the emergency department by the police after disturbing customers in a
department store. The client says to the nurse, "I need to be hospitalized. It's
getting cold out, and I need a warm bed. If you don't get me into a hospital,
I'll jump off a bridge." Which nursing intervention would be therapeutic?
Sending the client to the psychiatric hospital intake center immediately for
evaluation
Asking the police to pick the client up and arrest him for vagrancy, as they
should have done immediately
Discharging the client with a follow-up appointment for the next day and
guaranteeing him a hospital bed if he shows up
, Sending the client to a shelter that will provide temporary housing if he signs
a contract agreeing not to attempt suicide - ANSWER✔️-Sending the client
to a shelter that will provide temporary housing if he signs a contract
agreeing not to attempt suicide
6. A client is admitted to the medical-surgical unit of a hospital, and suicide
precautions are taken until the client can be admitted to the psychiatric unit.
Which nursing intervention should the nurse implement?
Placing the client in a private room and locking the client's closets and
bathroom
Placing the client in a private room and removing all knives and glass from
the client's meal tray
Allowing the client to go out on pass as long as the client is accompanied by
a responsible adult
Placing the client in a semiprivate room, providing plastic utensils for eating,
and keeping an arm's distance from the client at all times - ANSWER✔️-
Placing the client in a semiprivate room, providing plastic utensils for eating,
and keeping an arm's distance from the client at all times
7. A client is admitted to the psychiatric inpatient unit and suicide precautions
are instituted. Which intervention should the nurse implement?
Restricting visitors
Placing the client in a private room and locking the bathroom door
Removing perfume, shampoo, and other toiletries from the client's room
Placing flowers brought to the client in a small glass vase and putting them
in the client's room - ANSWER✔️-Removing perfume, shampoo, and other
toiletries from the client's room
8. A client with schizophrenia says, "I'm away for the day ... but don't think we
should play or do we have feet of clay?" Which alteration in the client's
speech does the nurse document?
Neologism
Word salad
Clang association
Associative looseness - ANSWER✔️-Clang association
9. A client with schizophrenia and his parents are meeting with the nurse. One
of the young man's parents says to the nurse, "We were stunned when we
learned that our son had schizophrenia. He was no different than from his
