HESI RN MENTAL HEALTH NGN
FORMAT NEWEST 2025 ACTUAL EXAM
ALL 120 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A. Is attempting to physically restrain the patient. - A mental health worker is
caring for a client 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 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.
D. "I don't want to walk. Nothing matters anymore." - 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."
C. Methamphetamine - 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
B. Alcohol
C. Methamphetamine
D. Marijuana
B. Have you taken any medications for erectile dysfunction? - 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?
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?
A. Stay quietly with the patient - 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.
C. Ineffective breathing pattern. - 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.
D. Ineffective coping.
B. Risk for other related violence related to disruptive behavior. - A female
client on a psychiatric unit is sweating profusely while she vigorously does
push-ups and then runs the length of the corridor several times before
crashing into furniture in the sitting room. Picking herself up, she begins to
toss chairs aside, looking for a red one to sit in. When another client objects to
the disturbance, the client shouts, "I am the boss here. I do what I want."
Which nursing problem best supports these observations?
A. Deficient diversional activity related to excess energy level.
B. Risk for other related violence related to disruptive behavior.
C. Risk for activity intolerance related to hyperactivity.
D. Disturbed personal identity related to grandiosity.
C. Reduce the noise level in the room by turning off the television and radio. -
A RN is preparing the physical environment to interview a new client for
admission to the mental health unit. Which environmental setting facilitates the
best outcome of the interview?
A. Dim the lights in the room to help the patient feel calm.
, B. Sit within two feet of the client to enhance level of safety and security.
C. Reduce the noise level in the room by turning off the television and radio.
D. Position table between the client and the RN for extra personal space.
B. Establish a code with family and friends to signify violence.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit. - The RN is
providing education about strategies for a safety plan for a female client who
is a victim of intimate partner violence. Which strategies should be included in
the safety plan? (Select all that apply)
A. Purchase a gun to use for protection.
B. Establish a code with family and friends to signify violence.
C. Take a self-defense course that retaliates the abuser with injury.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
D. Nausea and vomiting. - The RN is admitting a male client who takes lithium
carbonate (Eskalith) twice a day. Which information should the RN report to
the HCP immediately?
A. Short term memory loss.
B. Five pound weight gain
C. Decreased affect.
D. Nausea and vomiting.
A. Allow the client to rest and sleep. - A homeless client who reports feeling
sad and depressed tells the mental health nurse that in the past 2 days she
has only had 4 hours of sleep. Which action is most important for the RN to
implement within the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep.
B. Ensure client attend groups addressing coping skills for dealing with
depression.
C. Begin planning for the clients discharge.
D. Encourage verbalization of feelings.
B. Remain alcohol free for 12 hours prior to first dose. - A RN is teaching a
client about initiation of a prescribed abstinence therapy using Disulfiram
(Antabuse). What information should the client acknowledge understanding?
A. Admit to others that he is a substance abuser.
B. Remain alcohol free for 12 hours prior to first dose.
C. Attend monthly meetings of alcoholics anonymous.
FORMAT NEWEST 2025 ACTUAL EXAM
ALL 120 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A. Is attempting to physically restrain the patient. - A mental health worker is
caring for a client 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 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.
D. "I don't want to walk. Nothing matters anymore." - 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."
C. Methamphetamine - 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
B. Alcohol
C. Methamphetamine
D. Marijuana
B. Have you taken any medications for erectile dysfunction? - 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?
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?
A. Stay quietly with the patient - 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.
C. Ineffective breathing pattern. - 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.
D. Ineffective coping.
B. Risk for other related violence related to disruptive behavior. - A female
client on a psychiatric unit is sweating profusely while she vigorously does
push-ups and then runs the length of the corridor several times before
crashing into furniture in the sitting room. Picking herself up, she begins to
toss chairs aside, looking for a red one to sit in. When another client objects to
the disturbance, the client shouts, "I am the boss here. I do what I want."
Which nursing problem best supports these observations?
A. Deficient diversional activity related to excess energy level.
B. Risk for other related violence related to disruptive behavior.
C. Risk for activity intolerance related to hyperactivity.
D. Disturbed personal identity related to grandiosity.
C. Reduce the noise level in the room by turning off the television and radio. -
A RN is preparing the physical environment to interview a new client for
admission to the mental health unit. Which environmental setting facilitates the
best outcome of the interview?
A. Dim the lights in the room to help the patient feel calm.
, B. Sit within two feet of the client to enhance level of safety and security.
C. Reduce the noise level in the room by turning off the television and radio.
D. Position table between the client and the RN for extra personal space.
B. Establish a code with family and friends to signify violence.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit. - The RN is
providing education about strategies for a safety plan for a female client who
is a victim of intimate partner violence. Which strategies should be included in
the safety plan? (Select all that apply)
A. Purchase a gun to use for protection.
B. Establish a code with family and friends to signify violence.
C. Take a self-defense course that retaliates the abuser with injury.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
D. Nausea and vomiting. - The RN is admitting a male client who takes lithium
carbonate (Eskalith) twice a day. Which information should the RN report to
the HCP immediately?
A. Short term memory loss.
B. Five pound weight gain
C. Decreased affect.
D. Nausea and vomiting.
A. Allow the client to rest and sleep. - A homeless client who reports feeling
sad and depressed tells the mental health nurse that in the past 2 days she
has only had 4 hours of sleep. Which action is most important for the RN to
implement within the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep.
B. Ensure client attend groups addressing coping skills for dealing with
depression.
C. Begin planning for the clients discharge.
D. Encourage verbalization of feelings.
B. Remain alcohol free for 12 hours prior to first dose. - A RN is teaching a
client about initiation of a prescribed abstinence therapy using Disulfiram
(Antabuse). What information should the client acknowledge understanding?
A. Admit to others that he is a substance abuser.
B. Remain alcohol free for 12 hours prior to first dose.
C. Attend monthly meetings of alcoholics anonymous.
