PSYCHIATRIC-MENTAL HEALTH PRACTICE EXAM HESI (2026/2027) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

PSYCHIATRIC-MENTAL HEALTH
PRACTICE EXAM HESI (2026/2027)
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
1.

Ammalemclientmwithmschizophreniamwhomismtakingmfluphenazinemdecanoatem(Prolixinmdecanoate)mi
smbeingmdischargedminmthemmorning.mAmrepeatmdosemofmmedicationmismscheduledmform20mdaysmaft
ermdischarge.mThemclientmtellsmthemnursemthatmhemismgoingmonmvacationminmthemBahamasmandmwillm
returnminm18mdays.mWhichmstatementmbymthemclientmindicatesmamneedmformhealthmteaching?

A)mWhenmImreturnmfrommmymtropicalmislandmvacation,mImwillmgomtomthemclinicmtomgetmmymProlixinmin
jection.m

B)mWhilemImammonmvacationmandmwhenmImreturn,mImwillmnotmeatmormdrinkmanythingmthatmcontainsma
lcohol.m

C)mImwillmnotifymthemhealthcaremprovidermifmImhavemamsoremthroatmormflu-likemsymptoms.m

D)mImwillmcontinuemtomtakemmymbenztropinemmesylatem(Cogentin)meverymday.m-
mCORRECTmANSWERmPhotosensitivitymismamsidemeffectmofmProlixinmandmamvacationminmthemBahama


sm(withmitsmtropicalmislandmclimate)mincreasesmthemclient'smchancemofmexperiencingmthismsidemeffec
t.mHemshouldmbeminstructedmtomavoidmdirectmsunm(A)mandmwearmsunscreen.m(B,mC,mandmD)mindicate
maccuratemknowledge.mAlcoholmactsmsynergisticallymwithmProlixinm(B).m(C)mlistsmsignsmofmagranulocy


tosis,mwhichmismalsomamsidemeffectmofmProlixin.mInmordermtomavoidmextrapyramidalmsymptomsm(EPS),
manticholinergicmdrugs,msuchmasmCogentin,maremoftenmprescribedmprophylacticallymwithmProlixin.




CORRECTmANSWER(s):mA



2.

Ammalemclientmismadmittedmtomthemmentalmhealthmunitmbecausemhemwasmfeelingmdepressedmaboutm
themlossmofmhismwifemandmjob.mThemclientmhasmamhistorymofmalcoholmdependencymandmadmitsmthatm

,hemwasmdrinkingmalcoholm12mhoursmago.mVitalmsignsmare:mtemperature,m100°mF,mpulsem100,mandmBP
m142/100.mThemnursemplansmtomgivemthemclientmlorazepamm(Ativan)mbasedmonmwhichmprioritymnursi


ngmdiagnosis?

A)mRiskmforminjurymrelatedmtomsuicidalmideation.m

B)mRiskmforminjurymrelatedmtomalcoholmdetoxification.m

C)mKnowledgemdeficitmrelatedmtomineffectivemcoping.m

D)mHealthmseekingmbehaviorsmrelatedmtompersonalmcrisis.m-
mCORRECTmANSWERmThemmostmimportantmnursingmdiagnosismismrelatedmtomalcoholmdetoxification


m(B)mbecausemthemclientmhasmelevatedmvitalmsigns,mamsignmofmalcoholmdetoxification.mMaintainingmc


lientmsafetymrelatedmtom(A)mshouldmbemaddressedmaftermgivingmthemclientmAtivanmformelevatedmvital
msignsmsecondarymtomalcoholmwithdrawal.m(CmandmD)mcanmbemaddressedmwhenmimmediatemneedsm


formsafetymaremmet.
m



CORRECTmANSWER(s):mB



3.

Themchargemnursemismcollaboratingmwithmthemnursingmstaffmaboutmthemplanmofmcaremformamclientmw
homismverymdepressed.mWhatmismthemmostmimportantminterventionmtomimplementmduringmthemfirst
m48mhoursmaftermthemclient'smadmissionmtomthemunit?



A)mMonitormappetitemandmobservemintakematmmeals.m

B)mMaintainmsafetyminmthemclient'smmilieu.m

C)mProvidemongoing,msupportivemcontact.m

D)mEncouragemparticipationminmactivities.m-
mCORRECTmANSWERmThemmostmimportantmreasonmformcloselymobservingmamdepressedmclientmimm


ediatelymaftermadmissionmismtommaintainmsafetym(B),msincemsuicidemismamriskmwithmdepression.m(A,m
C,mandmD)maremallmimportantminterventions,mbutmsafetymismthempriority.
m



CORRECTmANSWER(s):mB



4.

,Am38-year-
oldmfemalemclientmismadmittedmwithmamdiagnosismofmparanoidmschizophrenia.mWhenmhermtraymismbr
oughtmtomher,mshemrefusesmtomeatmandmtellsmthemnurse,m"Imknowmyoumaremtryingmtompoisonmmemwit
hmthatmfood."mWhichmresponsemismmostmappropriatemformthemnursemtommake?

A)mI'llmleavemyourmtraymhere.mImammavailablemifmyoumneedmanythingmelse.m

B)mYou'remnotmbeingmpoisoned.mWhymdomyoumthinkmsomeonemismtryingmtompoisonmyou?m

C)mNomonemonmthismunitmhasmevermdiedmfrommpoisoning.mYou'remsafemhere.m

D)mImwillmtalkmtomyourmhealthcaremprovidermaboutmthempossibilitymofmchangingmyourmdiet.m-
mCORRECTmANSWERm(A)mismthembestmchoicemcited.mThemnursemdoesmnotmarguemwithmthemclientmno


rmdemandmthatmshemeat,mbutmoffersmsupportmbymagreeingmtom"bemtheremifmneeded",me.g.,mtomwarm
mthemfood.m(BmandmC)maremarguingmwithmthemclient'smdelusions,mandm(B)masksm"why"mwhichmismusua


llymnotmamgoodmquestionmformampsychoticmclient.m(D)mhasmnothingmtomdomwithmthemactualmproblem;
mi.e.,mthemproblemmismnotmthemdietm(shemthinksmanymfoodmgivenmtomhermismpoisoned.)




CORRECTmANSWER(s):mA



5.

Amclientmwhomismbeingmtreatedmwithmlithiummcarbonatemformbipolarmdisordermdevelopsmdiarrhea,m
vomiting,mandmdrowsiness.mWhatmactionmshouldmthemnursemtake?

A)mNotifymthemhealthcaremprovidermimmediatelymandmpreparemformadministrationmofmanmantidote.
m



B)mNotifymthemhealthcaremprovidermofmthemsymptomsmpriormtomthemnextmadministrationmofmthemdr
ug.m

C)mRecordmthemsymptomsmasmnormalmsidemeffectsmandmcontinuemadministrationmofmthemprescribe
dmdosage.m

D)mHoldmthemmedicationmandmrefusemtomadministermadditionalmamountsmofmthemdrug.m-
mCORRECTmANSWERmEarlymsidemeffectsmofmlithiummcarbonatem(occurringmwithmserummlithiummlev


elsmbelowm2.0mmEqmpermliter)mgenerallymfollowmamprogressivempatternmbeginningmwithmdiarrhea,mv
omiting,mdrowsiness,mandmmuscularmweakness.mAtmhighermlevels,mataxia,mtinnitus,mblurredmvision,
mandmlargemdilutemurinemoutputmmaymoccur.m(B)mismthembestmchoice.mAlthoughmthesemaremexpected


msymptoms,mthemhealthcaremprovidermshouldmbemnotifiedmpriormtomthemnextmadministrationmofmth


emdrug.m(A,mC,mandmD)mwouldmnotmreflectmgoodmnursingmjudgment.

, CORRECTmANSWER(s):mB



6.

Themparentsmofmam14-year-
oldmboymbringmtheirmsonmtomthemhospital.mHemismlethargic,mbutmresponsive.mThemmothermstates,m"Im
thinkmhemtookmsomemofmmympainmpills."mDuringminitialmassessmentmofmthemteenager,mwhatminform
ationmismmostmimportantmformthemnursemtomobtainmfrommthemparents?

A)mIfmhemhasmseemedmdepressedmrecently.m

B)mIfmamdrugmoverdosemhasmevermoccurredmbefore.m

C)mIfmhemmightmhavemtakenmanymothermdrugs.m

D)mIfmhemhasmamdesiremtomquitmtakingmdrugs.m-
mCORRECTmANSWERmKnowledgemofmallmsubstancesmtakenm(C)mwillmguidemfurthermtreatment,msuch


masmadministrationmofmantagonists,msomobtainingmthisminformationmhasmthemhighestmpriority.m(Aman


dmB)maremalsomvaluableminmplanningmtreatment.m(D)mismnotmappropriatemduringmthemacutemmanage
mentmofmamdrugmoverdose.
m



CORRECTmANSWER(s):mC



7.

Themwifemofmammalemclientmrecentlymdiagnosedmwithmschizophreniamasksmthemnurse,m"Whatmexactl
ymismschizophrenia?mIsmmymhusbandmallmright?"mWhichmresponsemismbestmformthemnursemtomprovide
mtomthismfamilymmember?



A)mItmsoundsmlikemyou'remworriedmaboutmyourmhusband.mLet'smsitmdownmandmtalk.m

B)mItmismamchemicalmimbalanceminmthembrainmthatmcausesmdisorganizedmthinking.m

C)mYourmhusbandmwillmbemjustmfinemifmhemtakesmhismmedicationsmregularly.m

D)mImthinkmyoumshouldmtalkmtomyourmhusband'smpsychologistmaboutmthismquestion.m-
mCORRECTmANSWERmThemnursemshouldmanswermthemclient'smquestionmwithmfactualminformationma


ndmexplainmthatmschizophreniamismamchemicalmimbalanceminmthembrainm(B).m(A)mismamtherapeuticmre
sponsembutmdoesmnotmanswermthemquestion,mandmmaymbemanmappropriatemresponsemaftermthemnu