Hesi Mental Health Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client reports hearing voices that say, “You are useless, you should die.” What is the nurse’s
priority action?
A. Tell the client to ignore the voices.
✔✔B. Assess the content of the hallucination and ensure safety.
C. Distract the client with an activity.
D. Reassure the client that voices are harmless.
A client with schizophrenia believes the nurse is working for the government. What is this
symptom called?
A. Hallucination
✔✔B. Delusion of persecution
C. Obsession
D. Illusion
A client with bipolar disorder is pacing and talking loudly. What is the nurse’s priority
intervention?
1
,A. Encourage group therapy.
✔✔B. Provide a calm, low-stimulation environment.
C. Ask the client to explain feelings in detail.
D. Offer a competitive activity.
A client on lithium reports diarrhea and coarse hand tremors. What should the nurse do first?
A. Reassure the client these are mild side effects.
✔✔B. Notify the healthcare provider of possible toxicity.
C. Encourage extra fluids.
D. Give the next dose as scheduled.
A client with PTSD reports nightmares and flashbacks. What is the nurse’s best intervention?
A. Encourage alcohol before sleep.
✔✔B. Teach relaxation and grounding techniques.
C. Discourage talking about trauma.
D. Increase daytime naps.
A client with anorexia nervosa has a heart rate of 40 bpm. What is the priority nursing action?
2
,A. Offer high-calorie snacks.
✔✔B. Notify the healthcare provider immediately.
C. Encourage light exercise.
D. Reassure the client this is normal.
A client taking clozapine develops fever and sore throat. What is the nurse’s priority?
A. Administer antipyretics.
✔✔B. Obtain white blood cell count.
C. Encourage oral fluids.
D. Provide bed rest.
A client with depression is refusing meals. What should the nurse do?
A. Leave food at the bedside.
✔✔B. Offer small, frequent meals and monitor intake.
C. Tell the client to eat or face consequences.
D. Remove food and return later.
A client in alcohol withdrawal is trembling and diaphoretic. What is the nurse’s best action?
3
, A. Provide coffee to stimulate alertness.
✔✔B. Administer prescribed benzodiazepines.
C. Restrict fluids.
D. Leave the client to rest.
A nurse notices a client speaking rapidly and changing topics frequently. How should this be
documented?
A. Clang association
✔✔B. Flight of ideas
C. Tangential speech
D. Echolalia
A client says, “The rope on the floor is a snake.” What is this symptom called?
A. Hallucination
✔✔B. Illusion
C. Delusion
D. Obsession
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client reports hearing voices that say, “You are useless, you should die.” What is the nurse’s
priority action?
A. Tell the client to ignore the voices.
✔✔B. Assess the content of the hallucination and ensure safety.
C. Distract the client with an activity.
D. Reassure the client that voices are harmless.
A client with schizophrenia believes the nurse is working for the government. What is this
symptom called?
A. Hallucination
✔✔B. Delusion of persecution
C. Obsession
D. Illusion
A client with bipolar disorder is pacing and talking loudly. What is the nurse’s priority
intervention?
1
,A. Encourage group therapy.
✔✔B. Provide a calm, low-stimulation environment.
C. Ask the client to explain feelings in detail.
D. Offer a competitive activity.
A client on lithium reports diarrhea and coarse hand tremors. What should the nurse do first?
A. Reassure the client these are mild side effects.
✔✔B. Notify the healthcare provider of possible toxicity.
C. Encourage extra fluids.
D. Give the next dose as scheduled.
A client with PTSD reports nightmares and flashbacks. What is the nurse’s best intervention?
A. Encourage alcohol before sleep.
✔✔B. Teach relaxation and grounding techniques.
C. Discourage talking about trauma.
D. Increase daytime naps.
A client with anorexia nervosa has a heart rate of 40 bpm. What is the priority nursing action?
2
,A. Offer high-calorie snacks.
✔✔B. Notify the healthcare provider immediately.
C. Encourage light exercise.
D. Reassure the client this is normal.
A client taking clozapine develops fever and sore throat. What is the nurse’s priority?
A. Administer antipyretics.
✔✔B. Obtain white blood cell count.
C. Encourage oral fluids.
D. Provide bed rest.
A client with depression is refusing meals. What should the nurse do?
A. Leave food at the bedside.
✔✔B. Offer small, frequent meals and monitor intake.
C. Tell the client to eat or face consequences.
D. Remove food and return later.
A client in alcohol withdrawal is trembling and diaphoretic. What is the nurse’s best action?
3
, A. Provide coffee to stimulate alertness.
✔✔B. Administer prescribed benzodiazepines.
C. Restrict fluids.
D. Leave the client to rest.
A nurse notices a client speaking rapidly and changing topics frequently. How should this be
documented?
A. Clang association
✔✔B. Flight of ideas
C. Tangential speech
D. Echolalia
A client says, “The rope on the floor is a snake.” What is this symptom called?
A. Hallucination
✔✔B. Illusion
C. Delusion
D. Obsession
4
