“HESI RN Mental Health Exit Exam 2025/2026 – 3 Latest Versions | Verified Practice Questions & Rationales”

HESImRNmMENTALmHEALTHmEXITmEXAMmACTUALmEXA
MmTESTmBANKm3mNEWESTmVERSIONSmINmONEmDOCU
MENTmEXAMm2025-
2026mLATESTmQUESTIONSmANDmCORRECTmANSWER
ThemRNmismadmittingmammalemclientmwhomtakesmlithiummcarbonatem(Eskalith)mtwicem
amday.mWhichminformationmshouldmthemRNmreportmtomthemHCPmimmediately?

A. Shortmtermmmemorymloss.

B. Fivempoundmweightmgain

C. Decreasedmaffect.

D. Nauseamandmvomiting.m-manswer>>>D.mNauseamandmvomiting.



ThemRNmismperformingmintakeminterviewsmatmampsychiatricmclinic.mAmfemalemclientmw
ithmamknownmhistorymofmdrugmabusemreportsmthatmshemhadmamheartmattackmfourmye
arsmago.mUseofmwhichmsubstancemplacesmthemclientmatmhighestmriskmformmyocardialm
infarction?

A. Benzodiazepine

B. Alcohol

C. Methamphetamine

D. Marijuanam-manswer>>>C.mMethamphetamine



Ammalemclientmwithmbipolarmdisordermwhombeganmtakingmlithiummcarbonatemfivemda
ysmagomismcomplainingmofmexcessivemthirst,mandmthemRNmfindsmhimmattemptingmtomd
rinkmwatermfrommthembathroommsinkmfaucet.mWhichminterventionmshouldmthemRNmi
mplement?

A. Reportmthemclient'smserummlithiummlevelmtomthemHCP.

B. Encouragemthemclientmtomsuckmonmhardmcandymtomrelievemthemsymptoms.

C. Nomactionmismneededmsincempolydipsiamismamcommonmsidemeffect.

D. Tellmthemclientmthatmdrinkingmfrommthemfaucetmismnotmallowed.m-
manswer>>>A.mReportmthemclient'smserummlithiummlevelmtomthemHCP.

,Ammentalmhealthmworkermismcaringmformamclientmwithmescalatingmaggressivembehavior
.mWhichmactionmbymthemMHWmwarrantmimmediateminterventionmbymthemRN?

A. Ismattemptingmtomphysicallymrestrainmthempatient.

B. Tellsmthemclientmtomgomtomthemquietmareamofmthemunit.

C. Ismusingmamloudmvoicemtomtalkmtomthemclient.

D. Remainsmatmamdistancemofm4mfeetmfrommthemclient.m-
manswer>>>A.mIsmattemptingmtomphysicallymrestrainmthempatient.




Amclientmismadmittedmtomthemmentalmhealthmunitmandmreportsmtakingmextramantianxi
etymmedicationmbecause,m"I'mmsomstressedmout.mImjustmwantmtomgomtomsleep."mThem
RNmshouldmplanmone-on-
onemobservationmofmthemclientmbasedmonmwhichmstatement?

A. "WhatmshouldmImdo?mNothingmseemsmtomhelp."

B. "Imhavembeenmsomtiredmlatelymandmneededmtomsleep."

C. "ImreallymthinkmthatmImdon'tmneedmtombemhere."

D. "Imdon'tmwantmtomwalk.mNothingmmattersmanymore."m-
manswer>>>D.m"Imdon'tmwantmtomwalk.mNothingmmattersmanymore."




Ammalemclientmcomesmtomthememergencymcentermbecausemhemhasmanmerectionmthatm
willmnotmresolve.mThemclientmreportsmthatmhemismtakingmtrazodonem(Desyrel)mformins
omnia.mWhichminformationmismmostmimportantmformthemnursemaskmthemclient?

A. Whenmwasmthemlastmtimemyoumdrankmalcoholicmbeverage?

B. Havemyoumtakenmanymmedicationsmformerectilemdysfunction?

C. Aremyoumhavingmanymothermsexualmdysfunctionsmormproblems?

D. Domyoumhavemamhistorymofmanginamormhighmbloodmpressure?m-
manswer>>>B.mHavemyoumtakenmanymmedicationsmformerectilemdysfunction?




Amfemalemclientmadmittedmtomthemmentalmhealthmunitmstartsmtomshoutmandmscreamm
atmthemRN.mWhatmismthembestmapproachmformthemRNmtomtake?

A. Staymquietlymwithmthempatient

,B. Tellmhermthatmshemismoutmofmcontrol.

C. Distractmhermbymofferingmhermfingermfoods.

D. Ignoremthemclient'smactingmoutmbehavior.m-
manswer>>>A.mStaymquietlymwithmthempatient




Whenmdevelopingmamplanmofmcaremformamclientmadmittedmtomthempsychiatricmunitmfo
llowingmaspirationmofmamcausticmmaterialmrelatedmtomamsuicidemattempt,mwhichmnursi
ngmproblemmhasmthemhighestmpriority?

A. Impairedmcomfort.

B. Riskmforminjury.

C. Ineffectivembreathingmpattern.

D. Ineffectivemcoping.m-manswer>>>C.mIneffectivembreathingmpattern.



Amfemalemclientmonmampsychiatricmunitmismsweatingmprofuselymwhilemshemvigorously
mdoesmpush-
upsmandmthenmrunsmthemlengthmofmthemcorridormseveralmtimesmbeforemcrashingmint
omfurnitureminmthemsittingmroom.mPickingmherselfmup,mshembeginsmtomtossmchairsmas
ide,mlookingmformamredmonemtomsitmin.mWhenmanothermclientmobjectsmtomthemdisturb
ance,mthemclientmshouts,m"Imammthembossmhere.mImdomwhatmImwant."mWhichmnursin
gmproblemmbestmsupportsmthesemobservations?

A. Deficientmdiversionalmactivitymrelatedmtomexcessmenergymlevel.

B. Riskmformothermrelatedmviolencemrelatedmtomdisruptivembehavior.

C. Riskmformactivitymintolerancemrelatedmtomhyperactivity.

D. Disturbedmpersonalmidentitymrelatedmtomgrandiosity.m-
manswer>>>B.mRiskmformothermrelatedmviolencemrelatedmtomdisruptivembehavio
r.



AmRNmismpreparingmthemphysicalmenvironmentmtominterviewmamnewmclientmformadmis
sionmtomthemmentalmhealthmunit.mWhichmenvironmentalmsettingmfacilitatesmthembestm
outcomemofmtheminterview?

A. Dimmthemlightsminmthemroommtomhelpmthempatientmfeelmcalm.

B. Sitmwithinmtwomfeetmofmthemclientmtomenhancemlevelmofmsafetymandmsecurity.

C. Reducemthemnoisemlevelminmthemroommbymturningmoffmthemtelevisionmandmradio.

, D. PositionmtablembetweenmthemclientmandmthemRNmformextrampersonalmspace.m-
manswer>>>C.mReducemthemnoisemlevelminmthemroommbymturningmoffmthemtelevision
mandmradio.




ThemRNmismprovidingmeducationmaboutmstrategiesmformamsafetymplanmformamfemalem
clientmwhomismamvictimmofmintimatempartnermviolence.mWhichmstrategiesmshouldmbe
mincludedminmthemsafetymplan?m(Selectmallmthatmapply)


A. Purchasemamgunmtomusemformprotection.

B. Establishmamcodemwithmfamilymandmfriendsmtomsignifymviolence.

C. Takemamself-defensemcoursemthatmretaliatesmthemabusermwithminjury.

D. Havemambagmreadymthatmhasmextramclothesmformselfmandmchildren.

E. Planmanmescapemroutemtomusemifmthemabusermblocksmthemmainmexit.m-
manswer>>>B.mEstablishmamcodemwithmfamilymandmfriendsmtomsignifymviolence.


D.mHavemambagmreadymthatmhasmextramclothesmformselfmandmchildren.

E.mPlanmanmescapemroutemtomusemifmthemabusermblocksmthemmainmexit.



Amhomelessmclientmwhomreportsmfeelingmsadmandmdepressedmtellsmthemmentalmhealt
hmnursemthatminmthempastm2mdaysmshemhasmonlymhadm4mhoursmofmsleep.mWhichmacti
onmismmostmimportantmformthemRNmtomimplementmwithinmthemfirstm24mhoursmafterm
treatmentmisminitiated?

A.mAllowmthemclientmtomrestmandmsleep.

B.mEnsuremclientmattendmgroupsmaddressingmcopingmskillsmformdealingmwithmdepression.

C.mBeginmplanningmformthemclientsmdischarge.

D.mEncouragemverbalizationmofmfeelings.m-
manswer>>>A.mAllowmthemclientmtomrestmandmsleep.




AmRNmismteachingmamclientmaboutminitiationmofmamprescribedmabstinencemtherapymusi
ngmDisulfiramm(Antabuse).mWhatminformationmshouldmthemclientmacknowledgemunder
standing?

A.mAdmitmtomothersmthatmhemismamsubstancemabuser.

B.mRemainmalcoholmfreemform12mhoursmpriormtomfirstmdose.

C.mAttendmmonthlymmeetingsmofmalcoholicsmanonymous.