HESI MENTAL HEALTH ENTRY
EXAM 2025/ ACTUAL EXAM TEST
BANK WITH QUESTIONS AND
CORRECTLY DETAILED ANSWERS
(VERIFIED ANSWERS) LATEST
UPDATE 2025-2026 ALREADY
GRADED A+
A male patient 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 patient's serum lithium level to the HCP.
B. Encourage the patient to suck on hard candy to relieve the
symptoms.C. No action is needed since polydipsia is a common side
effect.
D. Tell the patient that drinking from the faucet is not allowed.
CORRECT ANSWER >>>>A
The RN is teaching a patient about the initiation of the prescribed
abstinencetherapy using disulfiram (Antabuse). What information should
the patient acknowledge understanding?
A. Completely abstain from heroin or cocaine use.
,B. Remain alcohol free for 12 hours prior to the first
dose.C. Attend monthly meetings of alcoholics
anonymous.
D. Admit to others that he is a substance user. CORRECT ANSWER >>>>B
A male patient with schizophrenia is admitted to the mental health unit
after abruptly stopping his prescription for ziprasidone (Geodon) one month
ago.Which question is most important for the RN to ask the patient?
A. Have you lost interest in the things that you used to enjoy?
B. Is your ability to think or concentrate decreased?
C. How many continuous hours do you sleep at night?
D. Do you hear sounds or voices that others do not hear? CORRECT
ANSWER >>>>D
During an annual physical by the occupational RN working in a corporate
clinic, a male employee tells the RN that is high-stress job is causing
trouble in his personal life. He further explains that he often gets so angry
while driving to and from work that he has considered "getting even" with
other drivers. How should the RN respond?
A. "Anger is contagious and could result in major confrontation."
B. "Try not to let your anger cause you to act impulsively."
C. "Expressing your anger to a stranger could result in an unsafe situation."
,D. "It sounds as if there are many situations that make you feel
angry." CORRECT ANSWER >>>>D
A patient who has agoraphobia (a fear of crowds) is beginning
desensitization with the therapist, and the RN is reinforcing the process.
Which intervention has the highest priority for this patient's plan of care?
A. Encourage substitution of positive thoughts and negative ones.
B. Establish trust by providing a calm, safe
environment.
C. Progressively expose the patient to larger crowds.
D. Encourage deep breathing when anxiety escalates in a crowd.
CORRECT ANSWER >>>>B
Which nursing actions are likely to help promote the self-esteem of a male
patient with modern depression?
A. Ask the patient what his long term goals are.
B. Discuss the challenges of his medical condition.
C. Include the patient in determining treatment
protocol.
D. Encourage the patient to engage in recreational therapy.
E. Provide opportunities for the patient to discuss his concerns.
CORRECT ANSWER >>>>A D E
, A male patient is admitted to the psychiatric unit for recurrent negative
symptoms of chronic schizophrenia and medication adjustment of
Risperidone (Risperdal). When the patient walks to the caregiver's
station in alaterally contracted position, he states that something has
made his bodycontort into a monster. What action should the RN take?
A. Medicate the patient with the prescribed antipsychotic
thioridazine(Mellaril).
B. Offer the patient a prescribed physical therapy hot pack for
musclespasms.
C. Direct patient to occupational therapy to distract him from
somaticcomplaints.
D. Administer the prescribed anticholinergic benztropine (Cogentin) for
dystonia. CORRECT ANSWER >>>>D
A mental health worker is caring for a patient with escalating aggressive
behavior. Which action by the MHW warrant immediate intervention by the
RN?
A. Is attempting to physically restrain the patient.
B. Tells the patient to go to the quiet area of the
unit.C. Is using a loid voice to talk to the patient.
D. Remains at a distance of 4 feet from the patient. CORRECT ANSWER
EXAM 2025/ ACTUAL EXAM TEST
BANK WITH QUESTIONS AND
CORRECTLY DETAILED ANSWERS
(VERIFIED ANSWERS) LATEST
UPDATE 2025-2026 ALREADY
GRADED A+
A male patient 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 patient's serum lithium level to the HCP.
B. Encourage the patient to suck on hard candy to relieve the
symptoms.C. No action is needed since polydipsia is a common side
effect.
D. Tell the patient that drinking from the faucet is not allowed.
CORRECT ANSWER >>>>A
The RN is teaching a patient about the initiation of the prescribed
abstinencetherapy using disulfiram (Antabuse). What information should
the patient acknowledge understanding?
A. Completely abstain from heroin or cocaine use.
,B. Remain alcohol free for 12 hours prior to the first
dose.C. Attend monthly meetings of alcoholics
anonymous.
D. Admit to others that he is a substance user. CORRECT ANSWER >>>>B
A male patient with schizophrenia is admitted to the mental health unit
after abruptly stopping his prescription for ziprasidone (Geodon) one month
ago.Which question is most important for the RN to ask the patient?
A. Have you lost interest in the things that you used to enjoy?
B. Is your ability to think or concentrate decreased?
C. How many continuous hours do you sleep at night?
D. Do you hear sounds or voices that others do not hear? CORRECT
ANSWER >>>>D
During an annual physical by the occupational RN working in a corporate
clinic, a male employee tells the RN that is high-stress job is causing
trouble in his personal life. He further explains that he often gets so angry
while driving to and from work that he has considered "getting even" with
other drivers. How should the RN respond?
A. "Anger is contagious and could result in major confrontation."
B. "Try not to let your anger cause you to act impulsively."
C. "Expressing your anger to a stranger could result in an unsafe situation."
,D. "It sounds as if there are many situations that make you feel
angry." CORRECT ANSWER >>>>D
A patient who has agoraphobia (a fear of crowds) is beginning
desensitization with the therapist, and the RN is reinforcing the process.
Which intervention has the highest priority for this patient's plan of care?
A. Encourage substitution of positive thoughts and negative ones.
B. Establish trust by providing a calm, safe
environment.
C. Progressively expose the patient to larger crowds.
D. Encourage deep breathing when anxiety escalates in a crowd.
CORRECT ANSWER >>>>B
Which nursing actions are likely to help promote the self-esteem of a male
patient with modern depression?
A. Ask the patient what his long term goals are.
B. Discuss the challenges of his medical condition.
C. Include the patient in determining treatment
protocol.
D. Encourage the patient to engage in recreational therapy.
E. Provide opportunities for the patient to discuss his concerns.
CORRECT ANSWER >>>>A D E
, A male patient is admitted to the psychiatric unit for recurrent negative
symptoms of chronic schizophrenia and medication adjustment of
Risperidone (Risperdal). When the patient walks to the caregiver's
station in alaterally contracted position, he states that something has
made his bodycontort into a monster. What action should the RN take?
A. Medicate the patient with the prescribed antipsychotic
thioridazine(Mellaril).
B. Offer the patient a prescribed physical therapy hot pack for
musclespasms.
C. Direct patient to occupational therapy to distract him from
somaticcomplaints.
D. Administer the prescribed anticholinergic benztropine (Cogentin) for
dystonia. CORRECT ANSWER >>>>D
A mental health worker is caring for a patient with escalating aggressive
behavior. Which action by the MHW warrant immediate intervention by the
RN?
A. Is attempting to physically restrain the patient.
B. Tells the patient to go to the quiet area of the
unit.C. Is using a loid voice to talk to the patient.
D. Remains at a distance of 4 feet from the patient. CORRECT ANSWER
