MENTAL HEALTH RN HESI EXIT EXAM 2024/HESI
RN MENTAL HEALTH EXIT EXAM ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A male client with schizophrenia is demonstrating
yi yi yi yi yi yi
echolalia, which is becoming annoying to other clients
yi yi yi yi yi yi yi
on the unit. What intervention is best for the RN to
yi yi yi yi yi yi yi yi yi yi
implement?
A. Isolate the client from the other clients.
yi yi yi yi yi yi yi
B. AdministerPRNsedative.
yi
C. Avoidrecognizingthebehavior.
yi
D. Escort the client to his room. - ....ANSWER...D
yi yi yi yi yi yi yi yi
A client is admitted for bipolar disorder and alcohol
yi yi yi yi yi yi yi yi
withdrawal, depressive phase. Based on which yi yi yi yi yi
assessment finding will the RN withhold the clonidine yi yi yi yi yi yi yi
(Catapres) prescription? yi
A. Blood pressure readings of 90/62 mmHg to 92/58
yi yi yi yi yi yi yi yi
mmHg.
,B. Pulse rate of 68-78 BPM.
yi yi yi yi yi
C. Temperature of 99.5-99.7 F.
yi yi yi yi
D. Respiration rate of 24 breaths per minute. -
yi yi yi yi yi yi yi yi
....ANSWER...A
The RN on the evening shift receives report that a
yi yi yi yi yi yi yi yi yi
client is scheduled for electroconvulsive treatment
yi yi yi yi yi
(ECT) in the morning. Which intervention should the
yi yi yi yi yi yi yi
Rn implement the evening before the scheduled ECT?
yi yi yi yi yi yi yi
A. Hold all bedtime medications.
yi yi yi yi
B. Keep the client NPO after mid-night.
yi yi yi yi yi yi
C. Implementelopementprecautions.
yi
D. Give the client an enema at bedtime. -
yi yi yi yi yi yi yi yi
....ANSWER...B
A client with Bulimia and depression who is taking
yi yi yi yi yi yi yi yi
phenelzine (Nardil) 90 mg daily is admitted to an acute yi yi yi yi yi yi yi yi yi
care hospital for uncontrolled hypertension. What
yi yi yi yi yi
dietary choices should the RN instruct the client to
yi yi yi yi yi yi yi yi
avoid?
A. Pan-seared catfish.
yi yi
,B. Peperoni pizza.
yi yi
C. Deepfriedshrimp.
yi
D. Beef trips with gravy. - ....ANSWER...B
yi yi yi yi yi yi
A mental health worker is caring for a client with
yi yi yi yi yi yi yi yi yi
escalating aggressive behavior. Which action by the yi yi yi yi yi yi
mental health worker warrants immediate intervention
yi yi yi yi yi
by the RN? yi yi
A. Is attempting the physically restrain the patient.
yi yi yi yi yi yi yi
B. Remains at a distance of 4 feet from the client.
yi yi yi yi yi yi yi yi yi yi
C. Tells the client to go to the quiet area of the unit.
yi yi yi yi yi yi yi yi yi yi yi yi
D. Is using a load voice to talk to the client. -
yi yi yi yi yi yi yi yi yi yi yi
....ANSWER...A
A client who recently experienced the death of a
yi yi yi yi yi yi yi yi
significant other arrives at the mental health center. yi yi yi yi yi yi yi
The client reports loss of interest in usual activities,
yi yi yi yi yi yi yi yi
expresses a wish to be with the decreased significant yi yi yi yi yi yi yi yi
other, has been eating very little, and has not slept in
yi yi yi yi yi yi yi yi yi yi
several days. Which client statement is most important
yi yi yi yi yi yi yi
for the RN to explore at this time?
yi yi yi yi yi yi yi
, A. Not sleeping for several days.
yi yi yi yi yi
B. Wishing to be with spouse.
yi yi yi yi yi
C. Lack of interest in usual activities.
yi yi yi yi yi yi
D. Eating very little. - ....ANSWER...A
yi yi yi yi yi
A middle aged adult with major depressive disorder
yi yi yi yi yi yi yi
yi suffers from psychomotor retardation, hypersomnia,
yi yi yi yi
yi and motivation. Which intervention is likely to be
yi yi yi yi yi yi yi
yi mosteffective in returning this client to a normal level of
yi yi yi yi yi yi yi yi yi yi
yi functioning?
A. Provide education on methods to enhance sleep. yi yi yi yi yi yi
B. Teach the client to develop a plan for yi yi yi yi yi yi yi
dailystructured activities.
yi yi yi
C. Suggest that the client develop a list of yi yi yi yi yi yi yi
yi pleasurableactivities. yi
D. Encourage the client to exercise. - ....ANSWER...B yi yi yi yi yi yi
When developing a plan of care for a client admitted to
yi yi yi yi yi yi yi yi yi yi
the psychiatric unit following aspiration of a caustic
yi yi yi yi yi yi yi
material related to a suicide attempt, which nursing
yi yi yi yi yi yi yi
problem has the highest priority? yi yi yi yi
RN MENTAL HEALTH EXIT EXAM ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A male client with schizophrenia is demonstrating
yi yi yi yi yi yi
echolalia, which is becoming annoying to other clients
yi yi yi yi yi yi yi
on the unit. What intervention is best for the RN to
yi yi yi yi yi yi yi yi yi yi
implement?
A. Isolate the client from the other clients.
yi yi yi yi yi yi yi
B. AdministerPRNsedative.
yi
C. Avoidrecognizingthebehavior.
yi
D. Escort the client to his room. - ....ANSWER...D
yi yi yi yi yi yi yi yi
A client is admitted for bipolar disorder and alcohol
yi yi yi yi yi yi yi yi
withdrawal, depressive phase. Based on which yi yi yi yi yi
assessment finding will the RN withhold the clonidine yi yi yi yi yi yi yi
(Catapres) prescription? yi
A. Blood pressure readings of 90/62 mmHg to 92/58
yi yi yi yi yi yi yi yi
mmHg.
,B. Pulse rate of 68-78 BPM.
yi yi yi yi yi
C. Temperature of 99.5-99.7 F.
yi yi yi yi
D. Respiration rate of 24 breaths per minute. -
yi yi yi yi yi yi yi yi
....ANSWER...A
The RN on the evening shift receives report that a
yi yi yi yi yi yi yi yi yi
client is scheduled for electroconvulsive treatment
yi yi yi yi yi
(ECT) in the morning. Which intervention should the
yi yi yi yi yi yi yi
Rn implement the evening before the scheduled ECT?
yi yi yi yi yi yi yi
A. Hold all bedtime medications.
yi yi yi yi
B. Keep the client NPO after mid-night.
yi yi yi yi yi yi
C. Implementelopementprecautions.
yi
D. Give the client an enema at bedtime. -
yi yi yi yi yi yi yi yi
....ANSWER...B
A client with Bulimia and depression who is taking
yi yi yi yi yi yi yi yi
phenelzine (Nardil) 90 mg daily is admitted to an acute yi yi yi yi yi yi yi yi yi
care hospital for uncontrolled hypertension. What
yi yi yi yi yi
dietary choices should the RN instruct the client to
yi yi yi yi yi yi yi yi
avoid?
A. Pan-seared catfish.
yi yi
,B. Peperoni pizza.
yi yi
C. Deepfriedshrimp.
yi
D. Beef trips with gravy. - ....ANSWER...B
yi yi yi yi yi yi
A mental health worker is caring for a client with
yi yi yi yi yi yi yi yi yi
escalating aggressive behavior. Which action by the yi yi yi yi yi yi
mental health worker warrants immediate intervention
yi yi yi yi yi
by the RN? yi yi
A. Is attempting the physically restrain the patient.
yi yi yi yi yi yi yi
B. Remains at a distance of 4 feet from the client.
yi yi yi yi yi yi yi yi yi yi
C. Tells the client to go to the quiet area of the unit.
yi yi yi yi yi yi yi yi yi yi yi yi
D. Is using a load voice to talk to the client. -
yi yi yi yi yi yi yi yi yi yi yi
....ANSWER...A
A client who recently experienced the death of a
yi yi yi yi yi yi yi yi
significant other arrives at the mental health center. yi yi yi yi yi yi yi
The client reports loss of interest in usual activities,
yi yi yi yi yi yi yi yi
expresses a wish to be with the decreased significant yi yi yi yi yi yi yi yi
other, has been eating very little, and has not slept in
yi yi yi yi yi yi yi yi yi yi
several days. Which client statement is most important
yi yi yi yi yi yi yi
for the RN to explore at this time?
yi yi yi yi yi yi yi
, A. Not sleeping for several days.
yi yi yi yi yi
B. Wishing to be with spouse.
yi yi yi yi yi
C. Lack of interest in usual activities.
yi yi yi yi yi yi
D. Eating very little. - ....ANSWER...A
yi yi yi yi yi
A middle aged adult with major depressive disorder
yi yi yi yi yi yi yi
yi suffers from psychomotor retardation, hypersomnia,
yi yi yi yi
yi and motivation. Which intervention is likely to be
yi yi yi yi yi yi yi
yi mosteffective in returning this client to a normal level of
yi yi yi yi yi yi yi yi yi yi
yi functioning?
A. Provide education on methods to enhance sleep. yi yi yi yi yi yi
B. Teach the client to develop a plan for yi yi yi yi yi yi yi
dailystructured activities.
yi yi yi
C. Suggest that the client develop a list of yi yi yi yi yi yi yi
yi pleasurableactivities. yi
D. Encourage the client to exercise. - ....ANSWER...B yi yi yi yi yi yi
When developing a plan of care for a client admitted to
yi yi yi yi yi yi yi yi yi yi
the psychiatric unit following aspiration of a caustic
yi yi yi yi yi yi yi
material related to a suicide attempt, which nursing
yi yi yi yi yi yi yi
problem has the highest priority? yi yi yi yi
