1 | Page
Psych HESI Questions and Answers
Latest 2026
The emergency department nurse is providing care for a
rape victim. Which action represents an essential element
of care for this client?
Providing nonjudgmental care.
Conveying outrage that this occurred.
Sympathizing with the client's sense of shame.
Encouraging the client to divulge all the details Ans:
Providing nonjudgmental care.
The nurse is reviewing labs for a client who is taking
clozapine, 25mg QD for treatment of disorganized
schizophrenia. The labs are documented as follows: RBC
4.5 million/mcL, WBC 1000/mcL, TSH 1.2 mc-IU. Based on
these results, which order should the nurse anticipate the
health care provider to write?
Discontinue clozapine.
Administer levothyroxine sodium 25 mcg QD.
Administer ferrous sulfate 100mg QD.
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Decrease clozapine to 12.5 mg QD, start levothyroxine
sodium 50 mcg QD. Ans: Discontinue clozapine.
Rationale
Agranulocytosis is an adverse side effect of clozapine
that can cause lethal infections. Based on the client's
results, clozapine should be discontinued; the thyroid
and RBC results are normal and do not need to be
treated.
The visiting nurse is assessing a client with early-stage
dementia who has recently been prescribed donepezil
(Aricept). Which information obtained from the client's
family member demonstrates that the medication is
effective?
The client is showering and getting dressed with minimal
assistance.
The client uses confabulation to cover up memory loss.
The client did not attend the family reunion last
weekend.
The client arranges to have groceries delivered. Ans: The
client is showering and getting dressed with minimal
assistance.
A client with stage 2 Alzheimer's disease is being cared
for at home by the spouse. The client's spouse tells the
© 2025 All rights reserved
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nurse about the emotional difficulties involved in
providing fulltime care at home. Which self-care activity
is most important for the nurse to recommend to the
spouse?
Periodic times of respite from caregiving.
Regular attendance at church services.
Participation in reminiscence therapy.
Establishment of a predictable daily schedule. Ans:
Periodic times of respite from caregiving.
Rationale
Caregiver role strain may be attributed to many different
factors. The nurse must become familiar with this
diagnosis in order to accurately assess the caregiver and
offer effective interventions. One important
recommendation is to have the caregiver incorporate
periodic breaks as part of the daily routine to relieve
stress. The nurse should contact the client's manager and
provide the client's caregiver a list of agencies offering
"Respite Care".
A client with delirium keeps attempting to get out of bed
and has fallen twice, despite being under close-
observation. The charge nurse calls the health care
© 2025 All rights reserved
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provider to obtain an order for mechanical restraints.
Which statement is correct regarding the mechanical
restraint policy?
The client will need to remain on close-observation with a
documentation note every 15 minutes.
The client no longer require close-observation, but must
be checked at regular intervals.
The client may be sedated and left alone as long as the
restraints remain in place.
Restraints may be applied based on verbal orders
received over the phone. Ans: The client will need to
remain on close-observation with a documentation note
every 15 minutes.
A client with long-term alcohol addiction is admitted to
the emergency department. Which medications should
the nurse anticipate the healthcare provider will
prescribe for this client?
Diazepam.
Methadone.
Multivitamins.
© 2025 All rights reserved
Psych HESI Questions and Answers
Latest 2026
The emergency department nurse is providing care for a
rape victim. Which action represents an essential element
of care for this client?
Providing nonjudgmental care.
Conveying outrage that this occurred.
Sympathizing with the client's sense of shame.
Encouraging the client to divulge all the details Ans:
Providing nonjudgmental care.
The nurse is reviewing labs for a client who is taking
clozapine, 25mg QD for treatment of disorganized
schizophrenia. The labs are documented as follows: RBC
4.5 million/mcL, WBC 1000/mcL, TSH 1.2 mc-IU. Based on
these results, which order should the nurse anticipate the
health care provider to write?
Discontinue clozapine.
Administer levothyroxine sodium 25 mcg QD.
Administer ferrous sulfate 100mg QD.
© 2025 All rights reserved
, 2 | Page
Decrease clozapine to 12.5 mg QD, start levothyroxine
sodium 50 mcg QD. Ans: Discontinue clozapine.
Rationale
Agranulocytosis is an adverse side effect of clozapine
that can cause lethal infections. Based on the client's
results, clozapine should be discontinued; the thyroid
and RBC results are normal and do not need to be
treated.
The visiting nurse is assessing a client with early-stage
dementia who has recently been prescribed donepezil
(Aricept). Which information obtained from the client's
family member demonstrates that the medication is
effective?
The client is showering and getting dressed with minimal
assistance.
The client uses confabulation to cover up memory loss.
The client did not attend the family reunion last
weekend.
The client arranges to have groceries delivered. Ans: The
client is showering and getting dressed with minimal
assistance.
A client with stage 2 Alzheimer's disease is being cared
for at home by the spouse. The client's spouse tells the
© 2025 All rights reserved
, 3 | Page
nurse about the emotional difficulties involved in
providing fulltime care at home. Which self-care activity
is most important for the nurse to recommend to the
spouse?
Periodic times of respite from caregiving.
Regular attendance at church services.
Participation in reminiscence therapy.
Establishment of a predictable daily schedule. Ans:
Periodic times of respite from caregiving.
Rationale
Caregiver role strain may be attributed to many different
factors. The nurse must become familiar with this
diagnosis in order to accurately assess the caregiver and
offer effective interventions. One important
recommendation is to have the caregiver incorporate
periodic breaks as part of the daily routine to relieve
stress. The nurse should contact the client's manager and
provide the client's caregiver a list of agencies offering
"Respite Care".
A client with delirium keeps attempting to get out of bed
and has fallen twice, despite being under close-
observation. The charge nurse calls the health care
© 2025 All rights reserved
, 4 | Page
provider to obtain an order for mechanical restraints.
Which statement is correct regarding the mechanical
restraint policy?
The client will need to remain on close-observation with a
documentation note every 15 minutes.
The client no longer require close-observation, but must
be checked at regular intervals.
The client may be sedated and left alone as long as the
restraints remain in place.
Restraints may be applied based on verbal orders
received over the phone. Ans: The client will need to
remain on close-observation with a documentation note
every 15 minutes.
A client with long-term alcohol addiction is admitted to
the emergency department. Which medications should
the nurse anticipate the healthcare provider will
prescribe for this client?
Diazepam.
Methadone.
Multivitamins.
© 2025 All rights reserved
