HESI RN MENTAL HEALTH EXAM 2026 WITH REAL
EXAM QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+ || REAL RN MENTAL HEALTH
EXAM 2026-2027 EXAM QUESTIONS AND
ANSWERS|| BRAND NEW!!
At night an older client with dementia sleeps very little and becomes
more disoriented. How can the nurse best limit this confusion resulting
from sleep deprivation?
1. Shutting the client's door during the night
2. Applying a vest restraint when the client is in bed
3. Leaving a dim light on in the client's room at night
4. Administering the client's prescribed as-needed sedative medication
3. Leaving a dim light on in the client's room at night
A small light in the room may prevent misinterpretation of shadows,
which can heighten fear and alter the client's perception of the
environment. A disoriented and confused client should be closely
observed, not isolated. Restraints are a last resort; less restrictive
interventions should be used first. Sedatives should be used sparingly
in older adults, because they may cause further confusion and
agitation.
,An older client with the diagnosis of dementia of the Alzheimer type is
admitted to a long-term care facility. What should the nurse keep in
mind regarding confusion when planning care for this client?
1. Confusion occurs with a transfer to new surroundings.
2. Confusion will be unchanged despite reality orientation.
3. Confusion is a common finding and is expected with aging.
4. Confusion results from brain changes that make interventions futile.
1. Confusion occurs with a transfer to new surroundings.
A change in environment and introduction of unfamiliar stimuli
precipitate confusion in clients with dementia-type disorders; with
appropriate intervention, including frequent reorientation, confusion
can be reduced. Reality orientation can reduce confusion when these
clients are confronted with unfamiliar surroundings. The assertions that
reality orientation is ineffective, that confusion is an expected finding in
aging, and that brain changes in dementia make interventions futile are
all untrue.
,A nurse is caring for a client who is angry and agitated. What is the best
approach for the nurse to use with this client?
1. Confronting the client about the behavior
2. Turning on the television to distract the client
3. Maintaining a calm, consistent approach with the client
4. Explaining to the client why the behavior is unacceptable
3. Maintaining a calm, consistent approach with the client
Consistency ensures an approach that is known and less frightening
than the unknown. A calming approach can decrease agitation.
Confronting the client about the behavior may escalate the client's
anger and agitation. Environmental stimulants should be decreased, not
increased. An agitated client is not capable of comprehending logical
explanations; the nurse must avoid criticisms and arguments with the
client.
A depressed client has been receiving venlafaxine (Effexor) 25 mg
three times a day by mouth. The health care provider increases the
dose to 37.5 mg three times a day by mouth. The pharmacy supplies
scored 25-mg tablets of Effexor. How many tablets should the nurse
administer? Record your answer using one decimal place. _________
tablets
Solve the problem by using ratio and proportion. Desire 37.5 mg x
tablets ------------------- = --------- Have 25 mg 1 tablet 25x = 37.5 x =
37.5 ÷ 25 x = 1.5 tablets.
, What is the nurse's specific responsibility when the rights of a client on
a mental health unit are restricted by the use of seclusion?
1. Informing the client's family
2. Monitoring pharmacological interventions
3. Completing a denial-of-rights form and forwarding it to the
administrative officer
4. Documenting both the client's behavior and the reason that specific
rights were denied
4. Documenting both the client's behavior and the reason that specific
rights were denied
Seclusion and restraints are special procedures for dealing with
aggressive acting-out behavior for the protection of the client and
others; clear documentation is essential when the client's rights are
restricted. Informing the client's family is not necessary because the use
of seclusion or restraints is included in the general consent form that is
signed on admission. Pharmacological intervention should be
monitored for all clients. There is not a typical form; however,
documentation is required to justify the need for seclusion or the use of
restraints.
EXAM QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+ || REAL RN MENTAL HEALTH
EXAM 2026-2027 EXAM QUESTIONS AND
ANSWERS|| BRAND NEW!!
At night an older client with dementia sleeps very little and becomes
more disoriented. How can the nurse best limit this confusion resulting
from sleep deprivation?
1. Shutting the client's door during the night
2. Applying a vest restraint when the client is in bed
3. Leaving a dim light on in the client's room at night
4. Administering the client's prescribed as-needed sedative medication
3. Leaving a dim light on in the client's room at night
A small light in the room may prevent misinterpretation of shadows,
which can heighten fear and alter the client's perception of the
environment. A disoriented and confused client should be closely
observed, not isolated. Restraints are a last resort; less restrictive
interventions should be used first. Sedatives should be used sparingly
in older adults, because they may cause further confusion and
agitation.
,An older client with the diagnosis of dementia of the Alzheimer type is
admitted to a long-term care facility. What should the nurse keep in
mind regarding confusion when planning care for this client?
1. Confusion occurs with a transfer to new surroundings.
2. Confusion will be unchanged despite reality orientation.
3. Confusion is a common finding and is expected with aging.
4. Confusion results from brain changes that make interventions futile.
1. Confusion occurs with a transfer to new surroundings.
A change in environment and introduction of unfamiliar stimuli
precipitate confusion in clients with dementia-type disorders; with
appropriate intervention, including frequent reorientation, confusion
can be reduced. Reality orientation can reduce confusion when these
clients are confronted with unfamiliar surroundings. The assertions that
reality orientation is ineffective, that confusion is an expected finding in
aging, and that brain changes in dementia make interventions futile are
all untrue.
,A nurse is caring for a client who is angry and agitated. What is the best
approach for the nurse to use with this client?
1. Confronting the client about the behavior
2. Turning on the television to distract the client
3. Maintaining a calm, consistent approach with the client
4. Explaining to the client why the behavior is unacceptable
3. Maintaining a calm, consistent approach with the client
Consistency ensures an approach that is known and less frightening
than the unknown. A calming approach can decrease agitation.
Confronting the client about the behavior may escalate the client's
anger and agitation. Environmental stimulants should be decreased, not
increased. An agitated client is not capable of comprehending logical
explanations; the nurse must avoid criticisms and arguments with the
client.
A depressed client has been receiving venlafaxine (Effexor) 25 mg
three times a day by mouth. The health care provider increases the
dose to 37.5 mg three times a day by mouth. The pharmacy supplies
scored 25-mg tablets of Effexor. How many tablets should the nurse
administer? Record your answer using one decimal place. _________
tablets
Solve the problem by using ratio and proportion. Desire 37.5 mg x
tablets ------------------- = --------- Have 25 mg 1 tablet 25x = 37.5 x =
37.5 ÷ 25 x = 1.5 tablets.
, What is the nurse's specific responsibility when the rights of a client on
a mental health unit are restricted by the use of seclusion?
1. Informing the client's family
2. Monitoring pharmacological interventions
3. Completing a denial-of-rights form and forwarding it to the
administrative officer
4. Documenting both the client's behavior and the reason that specific
rights were denied
4. Documenting both the client's behavior and the reason that specific
rights were denied
Seclusion and restraints are special procedures for dealing with
aggressive acting-out behavior for the protection of the client and
others; clear documentation is essential when the client's rights are
restricted. Informing the client's family is not necessary because the use
of seclusion or restraints is included in the general consent form that is
signed on admission. Pharmacological intervention should be
monitored for all clients. There is not a typical form; however,
documentation is required to justify the need for seclusion or the use of
restraints.
