Psych Practice Hesi Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with depression states, “I feel like a burden to everyone.” What is the nurse’s most
therapeutic response?
A. “You just need to think more positively.”
✔✔B. “It sounds like you are feeling hopeless.”
C. “Don’t say that, your family loves you.”
D. “Why do you think you are a burden?”
A nurse observes a client with schizophrenia laughing to themselves while sitting alone. What
should the nurse document?
A. Flat affect
✔✔B. Responding to internal stimuli
C. Euphoria
D. Flight of ideas
A client in alcohol withdrawal suddenly develops tremors, agitation, and sweating. What is the
priority nursing intervention?
1
,A. Provide reassurance and rest
✔✔B. Administer prescribed benzodiazepine
C. Encourage the client to eat a meal
D. Begin teaching about relapse prevention
A client on haloperidol develops severe muscle rigidity, fever, and confusion. What should the
nurse suspect?
A. Tardive dyskinesia
✔✔B. Neuroleptic malignant syndrome
C. Serotonin syndrome
D. Catatonia
A client with bipolar disorder is found pacing the hall, talking rapidly, and unable to focus.
Which nursing intervention is best?
A. Allow the client to lead a group activity
✔✔B. Provide a low-stimulation environment
C. Engage the client in complex tasks
D. Encourage detailed conversations
2
,A client reports “seeing shadows moving on the walls” when none are present. What type of
symptom is this?
A. Delusion
✔✔B. Hallucination
C. Obsession
D. Illusion
A client prescribed lithium reports nausea, vomiting, and unsteady gait. What should the nurse
do first?
A. Encourage fluids
✔✔B. Hold the dose and notify the provider
C. Reassure that these are normal side effects
D. Continue the medication as ordered
A client with PTSD avoids crowded areas and becomes startled by loud noises. What is the
nurse’s priority intervention?
A. Encourage confrontation with fears immediately
✔✔B. Provide a safe environment and teach grounding techniques
3
, C. Discourage discussing past trauma
D. Limit interactions with others
A client with anorexia nervosa is admitted with a pulse of 42 bpm. What is the nurse’s priority
action?
A. Encourage oral nutrition
✔✔B. Notify the healthcare provider immediately
C. Offer high-calorie snacks
D. Allow the client to rest undisturbed
A nurse observes a client speaking rapidly and jumping from one subject to another. What is this
called?
A. Tangential speech
✔✔B. Flight of ideas
C. Clang associations
D. Perseveration
A client prescribed clozapine reports sore throat and fever. What is the nurse’s priority action?
A. Offer warm fluids
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A client with depression states, “I feel like a burden to everyone.” What is the nurse’s most
therapeutic response?
A. “You just need to think more positively.”
✔✔B. “It sounds like you are feeling hopeless.”
C. “Don’t say that, your family loves you.”
D. “Why do you think you are a burden?”
A nurse observes a client with schizophrenia laughing to themselves while sitting alone. What
should the nurse document?
A. Flat affect
✔✔B. Responding to internal stimuli
C. Euphoria
D. Flight of ideas
A client in alcohol withdrawal suddenly develops tremors, agitation, and sweating. What is the
priority nursing intervention?
1
,A. Provide reassurance and rest
✔✔B. Administer prescribed benzodiazepine
C. Encourage the client to eat a meal
D. Begin teaching about relapse prevention
A client on haloperidol develops severe muscle rigidity, fever, and confusion. What should the
nurse suspect?
A. Tardive dyskinesia
✔✔B. Neuroleptic malignant syndrome
C. Serotonin syndrome
D. Catatonia
A client with bipolar disorder is found pacing the hall, talking rapidly, and unable to focus.
Which nursing intervention is best?
A. Allow the client to lead a group activity
✔✔B. Provide a low-stimulation environment
C. Engage the client in complex tasks
D. Encourage detailed conversations
2
,A client reports “seeing shadows moving on the walls” when none are present. What type of
symptom is this?
A. Delusion
✔✔B. Hallucination
C. Obsession
D. Illusion
A client prescribed lithium reports nausea, vomiting, and unsteady gait. What should the nurse
do first?
A. Encourage fluids
✔✔B. Hold the dose and notify the provider
C. Reassure that these are normal side effects
D. Continue the medication as ordered
A client with PTSD avoids crowded areas and becomes startled by loud noises. What is the
nurse’s priority intervention?
A. Encourage confrontation with fears immediately
✔✔B. Provide a safe environment and teach grounding techniques
3
, C. Discourage discussing past trauma
D. Limit interactions with others
A client with anorexia nervosa is admitted with a pulse of 42 bpm. What is the nurse’s priority
action?
A. Encourage oral nutrition
✔✔B. Notify the healthcare provider immediately
C. Offer high-calorie snacks
D. Allow the client to rest undisturbed
A nurse observes a client speaking rapidly and jumping from one subject to another. What is this
called?
A. Tangential speech
✔✔B. Flight of ideas
C. Clang associations
D. Perseveration
A client prescribed clozapine reports sore throat and fever. What is the nurse’s priority action?
A. Offer warm fluids
4
