HESI RN MENTAL HEALTH EXAM 2026 WITH 180
REAL EXAM QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+ || REAL RN MENTAL HEALTH
EXAM 2026-2027 EXAM QUESTIONS AND
ANSWERS|| BRAND NEW!!
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.
A homeless client who reports feeling sad and depressed tells the
mental health nurse that in the past 2 days she has only had 4 hours of
sleep. Which action is most important for the RN to implement within
the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep.
B. Ensure client attend groups addressing coping skills for dealing with
depression.
C. Begin planning for the clients discharge.
D. Encourage verbalization of feelings.
A. Allow the client to rest and sleep.
, A RN is teaching a client about initiation of a prescribed abstinence
therapy using Disulfiram (Antabuse). What information should the client
acknowledge understanding?
A. Admit to others that he is a substance abuser.
B. Remain alcohol free for 12 hours prior to first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Completely sustain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to first dose.
Which client statement suggests the RN that the client is using a
defense mechanism of projection to deal with anxiety related to
admission to a psychiatricunit?
A. At least I hit the wall instead of hitting the psychiatric aide.
B. I am here because the police thought I was doing something wrong.
C. I want to be here because I know it is the best psychiatric facility.
D. Don't believe everything my family tells you, I am not crazy.
B. I am here because the police thought I was doing something wrong.
The RN documents the mental status of a female client who has been
hospitalized for several days by court order. The client states" I don't
need to be here," and tells the RN that she believes that the T.V. talks to
her. The RN should document these assessment statements in which
section of the mental status exam?
A. Insight and judgement.
B. Mood and affect.
C. Remote memory.
D. Level of concentration.
A. Insight and judgement.
REAL EXAM QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+ || REAL RN MENTAL HEALTH
EXAM 2026-2027 EXAM QUESTIONS AND
ANSWERS|| BRAND NEW!!
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.
A homeless client who reports feeling sad and depressed tells the
mental health nurse that in the past 2 days she has only had 4 hours of
sleep. Which action is most important for the RN to implement within
the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep.
B. Ensure client attend groups addressing coping skills for dealing with
depression.
C. Begin planning for the clients discharge.
D. Encourage verbalization of feelings.
A. Allow the client to rest and sleep.
, A RN is teaching a client about initiation of a prescribed abstinence
therapy using Disulfiram (Antabuse). What information should the client
acknowledge understanding?
A. Admit to others that he is a substance abuser.
B. Remain alcohol free for 12 hours prior to first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Completely sustain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to first dose.
Which client statement suggests the RN that the client is using a
defense mechanism of projection to deal with anxiety related to
admission to a psychiatricunit?
A. At least I hit the wall instead of hitting the psychiatric aide.
B. I am here because the police thought I was doing something wrong.
C. I want to be here because I know it is the best psychiatric facility.
D. Don't believe everything my family tells you, I am not crazy.
B. I am here because the police thought I was doing something wrong.
The RN documents the mental status of a female client who has been
hospitalized for several days by court order. The client states" I don't
need to be here," and tells the RN that she believes that the T.V. talks to
her. The RN should document these assessment statements in which
section of the mental status exam?
A. Insight and judgement.
B. Mood and affect.
C. Remote memory.
D. Level of concentration.
A. Insight and judgement.
