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HESI RN MENTAL HEALTH HESI REVIEW EXAM QUESTIONS AND
ANSWERS GRADED A+ 2025
1. A male client with bipolar disorder who began taking lithium carbonate five
days ago is complaining of excessive thirst, and the RN finds him attempting
to drink water from the bathroom sink faucet. Which intervention should the
RN implement?
A. Report the client's serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to relieve the symptoms.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed. ANS >> A.
Report the client's serum lithium level to the HCP.
2. A mental health worker is caring for a client with escalating aggressive
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behavior. Which action by the MHW warrant immediate intervention by the
RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client. ANS >> A. Is attempting to
physically restrain the patient.
3. A client is admitted to the mental health unit and reports taking extra
antianxiety medication because, "I'm so stressed out. I just want to go to
sleep." The RN should plan one-on-one observation of the client based on
which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore." ANS >> D. "I don't want to
walk. Nothing matters anymore."
4. The RN is performing intake interviews at a psychiatric clinic. A female
client with a known history of drug abuse reports that she had a heart attack
four years ago. Useof which substance places the client at highest risk for
myocardial infarction?
A. Benzodiazepine
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B. Alcohol
C. Methamphetamine
D. Marijuana ANS >> C. Methamphetamine
5. A male client comes to the emergency center because he has an erection
that will not resolve. The client reports that he is taking trazodone (Desyrel) for
insomnia. Which information is most important for the nurse ask the client?
A. When was the last time you drank alcoholic beverage?
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B. Have you taken any medications for erectile dysfunction?
C. Are you having any other sexual dysfunctions or problems?
D. Do you have a history of angina or high blood pressure? ANS >> B. Have you
taken any medications for erectile dysfunction?
6. A female client admitted to the mental health unit starts to shout and scream
at the RN. What is the best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
C. Distract her by offering her finger foods.
D. Ignore the client's acting out behavior. ANS >> A. Stay quietly with the patient
7. When developing a plan of care for a client admitted to the psychiatric unit
following aspiration of a caustic material related to a suicide attempt, which
nursing problem has the highest priority?
A. Impaired comfort.
B. Risk for injury.
C. Ineffective breathing pattern.
mailto:https://www.stuvia.com/en-us/user/techgrades
HESI RN MENTAL HEALTH HESI REVIEW EXAM QUESTIONS AND
ANSWERS GRADED A+ 2025
1. A male client with bipolar disorder who began taking lithium carbonate five
days ago is complaining of excessive thirst, and the RN finds him attempting
to drink water from the bathroom sink faucet. Which intervention should the
RN implement?
A. Report the client's serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to relieve the symptoms.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed. ANS >> A.
Report the client's serum lithium level to the HCP.
2. A mental health worker is caring for a client with escalating aggressive
mailto:https://www.stuvia.com/en-us/user/techgrades
,mailto:https://www.stuvia.com/user/techgrades
behavior. Which action by the MHW warrant immediate intervention by the
RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client. ANS >> A. Is attempting to
physically restrain the patient.
3. A client is admitted to the mental health unit and reports taking extra
antianxiety medication because, "I'm so stressed out. I just want to go to
sleep." The RN should plan one-on-one observation of the client based on
which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore." ANS >> D. "I don't want to
walk. Nothing matters anymore."
4. The RN is performing intake interviews at a psychiatric clinic. A female
client with a known history of drug abuse reports that she had a heart attack
four years ago. Useof which substance places the client at highest risk for
myocardial infarction?
A. Benzodiazepine
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,mailto:https://www.stuvia.com/user/techgrades
B. Alcohol
C. Methamphetamine
D. Marijuana ANS >> C. Methamphetamine
5. A male client comes to the emergency center because he has an erection
that will not resolve. The client reports that he is taking trazodone (Desyrel) for
insomnia. Which information is most important for the nurse ask the client?
A. When was the last time you drank alcoholic beverage?
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,mailto:https://www.stuvia.com/user/techgrades
B. Have you taken any medications for erectile dysfunction?
C. Are you having any other sexual dysfunctions or problems?
D. Do you have a history of angina or high blood pressure? ANS >> B. Have you
taken any medications for erectile dysfunction?
6. A female client admitted to the mental health unit starts to shout and scream
at the RN. What is the best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
C. Distract her by offering her finger foods.
D. Ignore the client's acting out behavior. ANS >> A. Stay quietly with the patient
7. When developing a plan of care for a client admitted to the psychiatric unit
following aspiration of a caustic material related to a suicide attempt, which
nursing problem has the highest priority?
A. Impaired comfort.
B. Risk for injury.
C. Ineffective breathing pattern.
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