HESI RN MENTAL HEALTH HESI REVIEW - MULTIPLE
CHOICE NEWEST 2026/2027 QUESTIONS and
CORRECT DETAILED ANSWERS ALREADY GRADED
A+
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase.
Based on which assessment finding will the RN withhold the clonidine (Catapres)
prescription?
A. Pulse rate 68-78 bpm
B. BP readings of 90/62 mmHg to 92/58
C. Temperature of 99.5-99.7 F
D. Respiration rate of 24 bpm - CORRECT ANSWER-B. BP readings of 90/62
mmHg to 92/58
The RN on the evening shift receives report that a client is scheduled for
Electroconvulsive Therapy in the morning. Which intervention should the RN
implement the evening before the scheduled ECT?
A. Keep client NPO after midnight
B. Hold all bedtime meds
C. Implement elopement precautions
,D. Give the client an enema at bedtime - CORRECT ANSWER-A. Keep client
NPO after midnight
The LPN/LVN calls security and has physical restraints applied when a client who
was admitted voluntarily becomes both physically and verbally abusive while
demanding to be discharged from the hospital. Which represents the possible
legal ramifications for the nurse associated with these interventions? (Select all
that apply)
A. Libel
B. Battery
C. Assault
D. Slander
E. False Imprisonment - CORRECT ANSWER-B. Battery
C. Assault
E. False Imprisonment
A nurse is working with a client who has sought counseling after trying to rescue a
neighbor involved in a house fire. Despite the client's efforts, the neighbor died.
Which action does the nurse engage in with the client during the working phase
of the nurse-client relationship?
A. Exploring the client's ability to function
,B. Exploring the client's potential for self-harm
C. Inquiring about the client's perception of appraisal of the neighbor's death
D. Inquiring about and examine the client's feelings that may block adaptive
coping - CORRECT ANSWER-D. Inquiring about and examine the client's
feelings that may block adaptive coping
A client who has just been sexually assaulted is calm and quiet. The nurse
analyzes this behavior as indicating which defense mechanism?
A. Denial
B. Projection
C. Rationalization
D. Intellectualization - CORRECT ANSWER-A. Denial
Male who was found sitting in the middle of a busy street is brought to the
emergency department. Confused and has difficulty answering questions. After
ruling out a physiological etiology for the client's behavior. When admitting the
client to the unit, which action is most important for the nurse to take?
A. Ask the client about his recent substance use
B. Perform a mental status exam
C. Determine the number of previous
hospitalizations
, D. Assess the client from head-to-toe - CORRECT ANSWER-B. Perform a mental
status exam
An adolescent male client is hospitalized after he threatened a teacher at school.
He admits feeling angry because his mother tricked him and brought him to the
hospital. The client states that when his mother visits, he plans to get his
belongings from her, but he is not going to talk to her. Which activity is most
important for the nurse to complete before the mother arrives?
A. Assess the client's self-esteem needs.
B. Determine the client's expectations fortreatment.
C. Discuss methods for clearly communicating.
D. Identify ways to develop support systems. - CORRECT ANSWER-C. Discuss
methods for clearly communicating.
A client with borderline personality disorder tells the nurse, "You are the best
nurse on the unit! The other nurses don't care about me the way you do." Which
response is best for the nurse to provide this client?
a.) "I am not the best nurse. All the nurses are good."
b.) "The other nurses and I are here to help you get better"
c.) "You don't think the other nurses care about you?"
CHOICE NEWEST 2026/2027 QUESTIONS and
CORRECT DETAILED ANSWERS ALREADY GRADED
A+
A client is admitted for bipolar disorder and alcohol withdrawal, depressive phase.
Based on which assessment finding will the RN withhold the clonidine (Catapres)
prescription?
A. Pulse rate 68-78 bpm
B. BP readings of 90/62 mmHg to 92/58
C. Temperature of 99.5-99.7 F
D. Respiration rate of 24 bpm - CORRECT ANSWER-B. BP readings of 90/62
mmHg to 92/58
The RN on the evening shift receives report that a client is scheduled for
Electroconvulsive Therapy in the morning. Which intervention should the RN
implement the evening before the scheduled ECT?
A. Keep client NPO after midnight
B. Hold all bedtime meds
C. Implement elopement precautions
,D. Give the client an enema at bedtime - CORRECT ANSWER-A. Keep client
NPO after midnight
The LPN/LVN calls security and has physical restraints applied when a client who
was admitted voluntarily becomes both physically and verbally abusive while
demanding to be discharged from the hospital. Which represents the possible
legal ramifications for the nurse associated with these interventions? (Select all
that apply)
A. Libel
B. Battery
C. Assault
D. Slander
E. False Imprisonment - CORRECT ANSWER-B. Battery
C. Assault
E. False Imprisonment
A nurse is working with a client who has sought counseling after trying to rescue a
neighbor involved in a house fire. Despite the client's efforts, the neighbor died.
Which action does the nurse engage in with the client during the working phase
of the nurse-client relationship?
A. Exploring the client's ability to function
,B. Exploring the client's potential for self-harm
C. Inquiring about the client's perception of appraisal of the neighbor's death
D. Inquiring about and examine the client's feelings that may block adaptive
coping - CORRECT ANSWER-D. Inquiring about and examine the client's
feelings that may block adaptive coping
A client who has just been sexually assaulted is calm and quiet. The nurse
analyzes this behavior as indicating which defense mechanism?
A. Denial
B. Projection
C. Rationalization
D. Intellectualization - CORRECT ANSWER-A. Denial
Male who was found sitting in the middle of a busy street is brought to the
emergency department. Confused and has difficulty answering questions. After
ruling out a physiological etiology for the client's behavior. When admitting the
client to the unit, which action is most important for the nurse to take?
A. Ask the client about his recent substance use
B. Perform a mental status exam
C. Determine the number of previous
hospitalizations
, D. Assess the client from head-to-toe - CORRECT ANSWER-B. Perform a mental
status exam
An adolescent male client is hospitalized after he threatened a teacher at school.
He admits feeling angry because his mother tricked him and brought him to the
hospital. The client states that when his mother visits, he plans to get his
belongings from her, but he is not going to talk to her. Which activity is most
important for the nurse to complete before the mother arrives?
A. Assess the client's self-esteem needs.
B. Determine the client's expectations fortreatment.
C. Discuss methods for clearly communicating.
D. Identify ways to develop support systems. - CORRECT ANSWER-C. Discuss
methods for clearly communicating.
A client with borderline personality disorder tells the nurse, "You are the best
nurse on the unit! The other nurses don't care about me the way you do." Which
response is best for the nurse to provide this client?
a.) "I am not the best nurse. All the nurses are good."
b.) "The other nurses and I are here to help you get better"
c.) "You don't think the other nurses care about you?"
