HESI MENTAL HEALTH LATEST
2024-2025 ACTUAL EXAM COMPLETE
300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
1. ... - ANSWER-A woman customer engages in repeated exams of door and window
locks. Behavior that prevents her from arriving on time and interferes with her capacity to
feature e2ectively. What movement have to the nurse take plan a listing of activities to
be carried out daily.
2. ... - ANSWER-A girl customer on a psychiatric unit is sweating profusely even as she
vigorously does push- u.S.And then runs the period of the corridor numerous times
earlier than crashing into the furniture in the sitting room. Picking herself up, she starts to
toss chairs apart, looking for a purple one to take a seat in. When another customer
items to the disturbances, the purchaser shouts," I am the boss here. I do what I need."
Which nursing problem high-quality helps those observations Risk for different
associated violence associated with disruptive
3. ... - ANSWER-A female customer with a history of consuming who become admitted 8
hours ago after receiving treatment for minor abrasions occurred from a fall at home.
The nurse determines the customer's blood alcohol level (BAL) changed into no longer
analyzed on administration movement need to the nurse take Ask purchaser
approximately alcohol quantity, frequency, and time of ultimate drink
4. ... - ANSWER-A male grownup comes to the mental fitness health facility and walks
backward and forward in front of the workplace door, however does not enter the office.
He then walks round a chair this is in the hallway several instances earlier than sitting
down in the chair. What action must the nurse take first examine the client inside the
chair
5. ... - ANSWER-A male purchaser with schizophrenia is admitted to the mental health unit
after abruptly stopping his prescription for ziprasidone (Geodon) one month ago. Which
query is maximum crucial for the nurse to ask the customer Do you hear voices.
6. ... - ANSWER-What is the most crucial purpose for a consumer identified with most
important melancholy who has been receiving an antidepressant remedy for 2 weeks
now not try to dedicate suicide
7. 2 days after admission from alcohol withdrawal what ought to the nurse do? -
ANSWER-Monitor HR and BP
,8. A 26-year-antique lady patron has been specifically restless and the nurse reveals her
seeking to go away the psychiatric unit. She tells her the nurse," please allow me leave
because the name of the game police are after me." Which reaction is nice for the nurse
- ANSWER-include me for your room and I will take a seat with you
9. A 35-yr-vintage male patron at the psychiatric ward of a standard clinic believes that
someone is making an attempt to poison him. The nurse is familiar with that a
consumer's delusions are most possibly related to his
A) early early life experiences related to authority troubles.
B) anger approximately being hospitalized.
C) low vanity.
D) phobic worry of food. - ANSWER-C
10.A 35-12 months-old male consumer who has been hospitalized for two weeks for
persistent paranoia keeps to state that a person is making an attempt to thieve his
apparel. Which motion must the nurse put into effect?
A) Encourage the consumer to actively take part in assigned sports at the unit.
B) Place a lock on the customer's closet.
C) Ignore the patron's paranoid ideation to extinguish these behaviors.
D) Explain to the consumer that his suspicions are false. - ANSWER-A
11.A 65-12 months-old woman patron complains to the nurse that these days she has been
listening to voices. What question need to the nurse ask this patron first?
A) Do you've got issues with hallucinations?
B) Are you ever alone whilst you hear the voices?
C) Has everyone for your family had hearing troubles?
D) Do you notice things that others can not see? - ANSWER-B
12.A bipolar patron comes into the health center and tells the nurse that the subsequent
time she sees her
sister I'm going to kill her. What should the nurse do? - ANSWER-Inform the sister.
13.A bipolar patient has stopped taking an antipsychotic. What different medicinal drug
have to the nurse anticipate to be D/C - ANSWER-benzotropine (Congentin)
14.A business man is stressed approximately his budget, has tension and sleeplessness. -
ANSWER-Limit intake of sugar and caffeine.
15.A infant is delivered to the emergency room with a broken arm. Because of different
injuries, the nurse suspects the child can be a victim of abuse. When the nurse tries to
offer the child an injection, the child's mom becomes very loud and shouts, "I might not
depart my son! Don't you contact him! You'll harm my child!" What is the first-class
interpretation of the mother's statements? The mom is
A) regressing to an in advance behavior sample. B) sublimating her anger.
C) projecting her feelings onto the nurse. D) suppressing her worry. - ANSWER-C
16.A child states "My dad used to drink a beer an afternoon, now he beverages at least a
six-% an afternoon." What can the nurse determine from this announcement? -
ANSWER-The determine is exhibiting tolerance to alcohol
17.A continual depressed older man refuses to depart his room. His family moved away to a
similarly region so they're now not able to visit him as a great deal. What approach must
the nurse take with this guy? - ANSWER-May I lay with you for a little?
,18.A purchaser admitted with a closed head harm after a fall has a blood alcohol level of
0.28 (28%) and is difficult to arouse. Which intervention throughout the primary 6 hours
following admission should the RN become aware of as the concern?
A. Give lorazepam (Ativan) PRN for signs of withdrawal.
B. Administer disulfiram (Antabuse) immediately.
C. Place in a facet lying role with head of mattress accelerated.
D. Provide thiamine and folate dietary supplements as prescribed. - ANSWER-C
19.A customer will become agitated whilst the nurse is talking to his wife. He has no longer
eaten in 3 days. What need to the nurse do? - ANSWER-Take to quiet room and
supply PB crackers.
20.A patron becomes upset whilst the nurse he requests is not assigned to him, what's the
nurse's nice response? - ANSWER-Advise the patron that nursing assignments
aren't primarily based on patron requests.
21.A patron is available in after being in a vehicle accident and is experiencing alcohol
withdrawal, magnesium level of one.1, cardiac dysthrythmias. What could you supply
first? - ANSWER-Magnesium
22.A client comes in and is five'5, 75lbs.. What need to the nurse do - ANSWER-Start an IV
for IV resuscitation
23.A consumer comes into the ED with DTs. What must the nurse do first? -
ANSWER-Administer Ativan.
24.A purchaser involves the nurses' station and instructed the nurse that her roommate had
cut her wrists inside the rest room. After assessing and dressing the injuries, what need
to the nurse do next? - ANSWER-Move the purchaser to a personal room by the
nurse's station.
25.A purchaser identified with schizophrenia has been refusing prescribed oral medicine for
several days. The customer has damaged chair and is coming after every other
purchaser with the broken chair leg, threatening to do bodily damage. What should the
nurse do first? - ANSWER-Remove the alternative purchaser from the room.
26.A customer in institution is speaking approximately her prostitution, the nurse asks her if
she became abused by using her dad and mom. She states "my mom ran my father out
when I changed into young". What defense mechanism turned into used? -
ANSWER-Repression.
27.A client inside the dayroom had tipped over a desk and is escalating and has picked up
a chair which he is threatening to throw at every other purchaser. What need to the
nurse do first? - ANSWER-Go and get more body of workers assistance.
28.A client is admitted for bipolar sickness and alcohol withdrawal, depressive section.
Based on which assessment locating will the RN withhold the clonidine (Catapres)
prescription?
A. Blood strain readings of ninety/sixty two mmHg to ninety two/fifty eight mmHg.
B. Pulse price of 68-78 BPM.
C. Temperature of ninety nine.5-99.7 F.
D. Respiration charge of 24 breaths according to minute. - ANSWER-A
, 29.A purchaser is admitted to the intellectual fitness unit and reviews taking more
antianxiety remedy because, "I'm so pressured out. I just want to fall asleep." The RN
should plan one-on-one statement of the purchaser based on which assertion?
A. "What must I do? Nothing seems to help."
B. "I have been so tired these days and needed to sleep."
C. "I without a doubt assume that I don't want to be right here."
D. "I don't want to walk. Nothing subjects anymore." - ANSWER-D
30.A patron is admitted to the intellectual fitness unit reviews shortness of breath and
dizziness. The client tells the RN, "I sense like I'm going to die". Which nursing hassle
ought to the RN include on this patron's plan of care?
A. Mood disturbance.
B. Moderate tension.
C. Alteredthoughts.
D. Social isolation. - ANSWER-B
31.A purchaser is admitted with a prognosis of melancholy. The nurse knows that which
characteristic is maximum indicative of despair?
A) Grandiose ideation.
B) Self-destructive thoughts.
C) Suspiciousness of others.
D) A negative view of self and the future. - ANSWER-D
32.A consumer is stressed in an acute care clinic placing. What might assist the dx of
delirium rather than dementia?
. - ANSWER-Delirium: Started in health facility
33.A purchaser is receiving benztropine mesylate (Cogentin) for drug-induced
extrapyramidal syndrome (EPS). Which finding suggests that the RN have to in addition
compare the consumer?
A. Decreased bowel moves.
B. Presence of a dry mouth.
C. Decreasinghandtremors.
D. Increased mouth movements. - ANSWER-B
34.A consumer is receiving substitution therapy in the course of withdrawal from
benzodiazepines. Which predicted final results statement has the best priority while
planning nursing care?
A. Client will now not demonstrate cross addiction.
B. Co-established behaviors will be decreased.
C. CNS stimulation can be reduced.
D. Client's stage of focus will increase. - ANSWER-C
35.A customer is instructed to are available in by using buddies, customers proceedings
include dropping his task, simply were given a divorce, unmarried dad with youngsters,
what will be the quality question for nurse to ask? - ANSWER-What is troubling you the
maximum?
36.A customer wishes to clean her arms for 2 hours before able to cross on along with her
morning. She doesn't want to sit down on the chairs within the dayroom for fear of
getting dirty. What is this mechanism? - ANSWER-Compulsion.
2024-2025 ACTUAL EXAM COMPLETE
300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
1. ... - ANSWER-A woman customer engages in repeated exams of door and window
locks. Behavior that prevents her from arriving on time and interferes with her capacity to
feature e2ectively. What movement have to the nurse take plan a listing of activities to
be carried out daily.
2. ... - ANSWER-A girl customer on a psychiatric unit is sweating profusely even as she
vigorously does push- u.S.And then runs the period of the corridor numerous times
earlier than crashing into the furniture in the sitting room. Picking herself up, she starts to
toss chairs apart, looking for a purple one to take a seat in. When another customer
items to the disturbances, the purchaser shouts," I am the boss here. I do what I need."
Which nursing problem high-quality helps those observations Risk for different
associated violence associated with disruptive
3. ... - ANSWER-A female customer with a history of consuming who become admitted 8
hours ago after receiving treatment for minor abrasions occurred from a fall at home.
The nurse determines the customer's blood alcohol level (BAL) changed into no longer
analyzed on administration movement need to the nurse take Ask purchaser
approximately alcohol quantity, frequency, and time of ultimate drink
4. ... - ANSWER-A male grownup comes to the mental fitness health facility and walks
backward and forward in front of the workplace door, however does not enter the office.
He then walks round a chair this is in the hallway several instances earlier than sitting
down in the chair. What action must the nurse take first examine the client inside the
chair
5. ... - ANSWER-A male purchaser with schizophrenia is admitted to the mental health unit
after abruptly stopping his prescription for ziprasidone (Geodon) one month ago. Which
query is maximum crucial for the nurse to ask the customer Do you hear voices.
6. ... - ANSWER-What is the most crucial purpose for a consumer identified with most
important melancholy who has been receiving an antidepressant remedy for 2 weeks
now not try to dedicate suicide
7. 2 days after admission from alcohol withdrawal what ought to the nurse do? -
ANSWER-Monitor HR and BP
,8. A 26-year-antique lady patron has been specifically restless and the nurse reveals her
seeking to go away the psychiatric unit. She tells her the nurse," please allow me leave
because the name of the game police are after me." Which reaction is nice for the nurse
- ANSWER-include me for your room and I will take a seat with you
9. A 35-yr-vintage male patron at the psychiatric ward of a standard clinic believes that
someone is making an attempt to poison him. The nurse is familiar with that a
consumer's delusions are most possibly related to his
A) early early life experiences related to authority troubles.
B) anger approximately being hospitalized.
C) low vanity.
D) phobic worry of food. - ANSWER-C
10.A 35-12 months-old male consumer who has been hospitalized for two weeks for
persistent paranoia keeps to state that a person is making an attempt to thieve his
apparel. Which motion must the nurse put into effect?
A) Encourage the consumer to actively take part in assigned sports at the unit.
B) Place a lock on the customer's closet.
C) Ignore the patron's paranoid ideation to extinguish these behaviors.
D) Explain to the consumer that his suspicions are false. - ANSWER-A
11.A 65-12 months-old woman patron complains to the nurse that these days she has been
listening to voices. What question need to the nurse ask this patron first?
A) Do you've got issues with hallucinations?
B) Are you ever alone whilst you hear the voices?
C) Has everyone for your family had hearing troubles?
D) Do you notice things that others can not see? - ANSWER-B
12.A bipolar patron comes into the health center and tells the nurse that the subsequent
time she sees her
sister I'm going to kill her. What should the nurse do? - ANSWER-Inform the sister.
13.A bipolar patient has stopped taking an antipsychotic. What different medicinal drug
have to the nurse anticipate to be D/C - ANSWER-benzotropine (Congentin)
14.A business man is stressed approximately his budget, has tension and sleeplessness. -
ANSWER-Limit intake of sugar and caffeine.
15.A infant is delivered to the emergency room with a broken arm. Because of different
injuries, the nurse suspects the child can be a victim of abuse. When the nurse tries to
offer the child an injection, the child's mom becomes very loud and shouts, "I might not
depart my son! Don't you contact him! You'll harm my child!" What is the first-class
interpretation of the mother's statements? The mom is
A) regressing to an in advance behavior sample. B) sublimating her anger.
C) projecting her feelings onto the nurse. D) suppressing her worry. - ANSWER-C
16.A child states "My dad used to drink a beer an afternoon, now he beverages at least a
six-% an afternoon." What can the nurse determine from this announcement? -
ANSWER-The determine is exhibiting tolerance to alcohol
17.A continual depressed older man refuses to depart his room. His family moved away to a
similarly region so they're now not able to visit him as a great deal. What approach must
the nurse take with this guy? - ANSWER-May I lay with you for a little?
,18.A purchaser admitted with a closed head harm after a fall has a blood alcohol level of
0.28 (28%) and is difficult to arouse. Which intervention throughout the primary 6 hours
following admission should the RN become aware of as the concern?
A. Give lorazepam (Ativan) PRN for signs of withdrawal.
B. Administer disulfiram (Antabuse) immediately.
C. Place in a facet lying role with head of mattress accelerated.
D. Provide thiamine and folate dietary supplements as prescribed. - ANSWER-C
19.A customer will become agitated whilst the nurse is talking to his wife. He has no longer
eaten in 3 days. What need to the nurse do? - ANSWER-Take to quiet room and
supply PB crackers.
20.A patron becomes upset whilst the nurse he requests is not assigned to him, what's the
nurse's nice response? - ANSWER-Advise the patron that nursing assignments
aren't primarily based on patron requests.
21.A patron is available in after being in a vehicle accident and is experiencing alcohol
withdrawal, magnesium level of one.1, cardiac dysthrythmias. What could you supply
first? - ANSWER-Magnesium
22.A client comes in and is five'5, 75lbs.. What need to the nurse do - ANSWER-Start an IV
for IV resuscitation
23.A consumer comes into the ED with DTs. What must the nurse do first? -
ANSWER-Administer Ativan.
24.A purchaser involves the nurses' station and instructed the nurse that her roommate had
cut her wrists inside the rest room. After assessing and dressing the injuries, what need
to the nurse do next? - ANSWER-Move the purchaser to a personal room by the
nurse's station.
25.A purchaser identified with schizophrenia has been refusing prescribed oral medicine for
several days. The customer has damaged chair and is coming after every other
purchaser with the broken chair leg, threatening to do bodily damage. What should the
nurse do first? - ANSWER-Remove the alternative purchaser from the room.
26.A customer in institution is speaking approximately her prostitution, the nurse asks her if
she became abused by using her dad and mom. She states "my mom ran my father out
when I changed into young". What defense mechanism turned into used? -
ANSWER-Repression.
27.A client inside the dayroom had tipped over a desk and is escalating and has picked up
a chair which he is threatening to throw at every other purchaser. What need to the
nurse do first? - ANSWER-Go and get more body of workers assistance.
28.A client is admitted for bipolar sickness and alcohol withdrawal, depressive section.
Based on which assessment locating will the RN withhold the clonidine (Catapres)
prescription?
A. Blood strain readings of ninety/sixty two mmHg to ninety two/fifty eight mmHg.
B. Pulse price of 68-78 BPM.
C. Temperature of ninety nine.5-99.7 F.
D. Respiration charge of 24 breaths according to minute. - ANSWER-A
, 29.A purchaser is admitted to the intellectual fitness unit and reviews taking more
antianxiety remedy because, "I'm so pressured out. I just want to fall asleep." The RN
should plan one-on-one statement of the purchaser based on which assertion?
A. "What must I do? Nothing seems to help."
B. "I have been so tired these days and needed to sleep."
C. "I without a doubt assume that I don't want to be right here."
D. "I don't want to walk. Nothing subjects anymore." - ANSWER-D
30.A patron is admitted to the intellectual fitness unit reviews shortness of breath and
dizziness. The client tells the RN, "I sense like I'm going to die". Which nursing hassle
ought to the RN include on this patron's plan of care?
A. Mood disturbance.
B. Moderate tension.
C. Alteredthoughts.
D. Social isolation. - ANSWER-B
31.A purchaser is admitted with a prognosis of melancholy. The nurse knows that which
characteristic is maximum indicative of despair?
A) Grandiose ideation.
B) Self-destructive thoughts.
C) Suspiciousness of others.
D) A negative view of self and the future. - ANSWER-D
32.A consumer is stressed in an acute care clinic placing. What might assist the dx of
delirium rather than dementia?
. - ANSWER-Delirium: Started in health facility
33.A purchaser is receiving benztropine mesylate (Cogentin) for drug-induced
extrapyramidal syndrome (EPS). Which finding suggests that the RN have to in addition
compare the consumer?
A. Decreased bowel moves.
B. Presence of a dry mouth.
C. Decreasinghandtremors.
D. Increased mouth movements. - ANSWER-B
34.A consumer is receiving substitution therapy in the course of withdrawal from
benzodiazepines. Which predicted final results statement has the best priority while
planning nursing care?
A. Client will now not demonstrate cross addiction.
B. Co-established behaviors will be decreased.
C. CNS stimulation can be reduced.
D. Client's stage of focus will increase. - ANSWER-C
35.A customer is instructed to are available in by using buddies, customers proceedings
include dropping his task, simply were given a divorce, unmarried dad with youngsters,
what will be the quality question for nurse to ask? - ANSWER-What is troubling you the
maximum?
36.A customer wishes to clean her arms for 2 hours before able to cross on along with her
morning. She doesn't want to sit down on the chairs within the dayroom for fear of
getting dirty. What is this mechanism? - ANSWER-Compulsion.
