HESI PSYCH EXAM FINAL SCRIPT 2026
COMPLETE SOLUTION SET
◉ During admission to the psychiatric unit, a female client is
extremely anxious and states that she is worried about the sun
coming up the next day. What intervention is most important for the
RN to implement during the admission process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety. Answer: A
◉ A female client is brought to the emergency department after
police officers found her disoriented, disorganized, and confused.
The RN also determines that the client is homeless and is exhibiting
suspiciousness. The client's plan of care should include what
priority problem?
A. Acute confusion.
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit. Answer: A
,◉ The occupational health nurse is working with a female employee
who was just notified that her child was involved in a MVA and taken
to the hospital. The employee states, "I can't believe this. What
should I do?" Which response is best for the RN to provide in this
crisis?
A. Tell me what you think should happen.
B. How serious was the collision?
C. Whatdoyouthinkyoushoulddo?
D. Call for transportation to the hospital. Answer: D
◉ A client tells the RN that he has an IQ of 400+ and is a genius and
an inventor. He also reports that he is married to a female movie star
and thinks that his brother wants a sexual relationship with her.
What is the priority nursing problem for admission to the
psychiatric unit?
A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
D. Compromised family coping. Answer: A
◉ The RN is providing care for a client diagnosed with borderline
personality disorder who has self-inflicted lacerations on the
abdomen. Which approach should the RN use when changing this
client's dressing?
A. Provide detailed thorough explanations when cleansing wound.
,B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own
abdomen.
D. Request another staff member assist with the dressing change.
Answer: B
◉ While sitting in the day room of the mental health unit, a male
adolescent avoids eye contact, looks at the floor, and talks softly
when interacting verbally with the RN. The two trade places, and the
RN demonstrates the client's behaviors. What is the main goal of this
therapeutic technique?
A. Initiate a non-threatening conversation with the client.
B. Dialog about the ineffectiveness of his interactions.
C. Allow the client to identify the way he interacts.
D. Discuss the client's feelings when he responds. Answer: C
◉ An antidepressant medication is prescribed for a client who
reports sleeping only 4 hours in the past 2 days and weight loss of 9
lbs within the last month. Which client goal is most important to
achieve within the first three days of treatment?
A. Meet scheduled appointment with dietitian.
B. Sleep at least 6 hours a night.
C. Understands the purpose of the medication regimen.
D. Describes the reasons for hospitalization. Answer: B
, ◉ When preparing to administer to domestic violence screening tool
to a female client, which statement should the RN provide?
A. If your partner is abusing you, I need to ask these questions.
B. State law mandates that I ask if you are a victim of domestic
violence.
C. The HCP provider needs to know if you are experiencing any
domestic abuse.
D. All clients are screened for domestic abuse because it is common
in our society. Answer: D
◉ A young adult female visits the mental health clinic complaining
of diarrhea, headache, and muscle aches. She is afebrile, denies
chills, and all laboratory findings are within normal limits. During
the physical assessment, the client tells the RN that her sister thinks
she is neurotic and calls her a hypochondriac. Which response is
best for the RN to provide?
A. Unless your sister has a medical education, ignore her comments.
B. I can hear that your sister comments are over-whelming you.
C. Do you think it's possible that you might be a hypochondriac?
D. Besides your sister's comments, what in your life is troubling you?
Answer: D
COMPLETE SOLUTION SET
◉ During admission to the psychiatric unit, a female client is
extremely anxious and states that she is worried about the sun
coming up the next day. What intervention is most important for the
RN to implement during the admission process?
A. Assist the client in developing alternative coping skills.
B. Remain calm and use a matter of fact approach.
C. Ask the client why she is so anxious
D. Administer a PRN sedative to help relieve her anxiety. Answer: A
◉ A female client is brought to the emergency department after
police officers found her disoriented, disorganized, and confused.
The RN also determines that the client is homeless and is exhibiting
suspiciousness. The client's plan of care should include what
priority problem?
A. Acute confusion.
B. Ineffective community coping
C. Disturbed sensory perception.
D. Self-care deficit. Answer: A
,◉ The occupational health nurse is working with a female employee
who was just notified that her child was involved in a MVA and taken
to the hospital. The employee states, "I can't believe this. What
should I do?" Which response is best for the RN to provide in this
crisis?
A. Tell me what you think should happen.
B. How serious was the collision?
C. Whatdoyouthinkyoushoulddo?
D. Call for transportation to the hospital. Answer: D
◉ A client tells the RN that he has an IQ of 400+ and is a genius and
an inventor. He also reports that he is married to a female movie star
and thinks that his brother wants a sexual relationship with her.
What is the priority nursing problem for admission to the
psychiatric unit?
A. Ineffective sexual patterns.
B. Impaired environmental interpretation.
C. Disturbed sensory perception.
D. Compromised family coping. Answer: A
◉ The RN is providing care for a client diagnosed with borderline
personality disorder who has self-inflicted lacerations on the
abdomen. Which approach should the RN use when changing this
client's dressing?
A. Provide detailed thorough explanations when cleansing wound.
,B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own
abdomen.
D. Request another staff member assist with the dressing change.
Answer: B
◉ While sitting in the day room of the mental health unit, a male
adolescent avoids eye contact, looks at the floor, and talks softly
when interacting verbally with the RN. The two trade places, and the
RN demonstrates the client's behaviors. What is the main goal of this
therapeutic technique?
A. Initiate a non-threatening conversation with the client.
B. Dialog about the ineffectiveness of his interactions.
C. Allow the client to identify the way he interacts.
D. Discuss the client's feelings when he responds. Answer: C
◉ An antidepressant medication is prescribed for a client who
reports sleeping only 4 hours in the past 2 days and weight loss of 9
lbs within the last month. Which client goal is most important to
achieve within the first three days of treatment?
A. Meet scheduled appointment with dietitian.
B. Sleep at least 6 hours a night.
C. Understands the purpose of the medication regimen.
D. Describes the reasons for hospitalization. Answer: B
, ◉ When preparing to administer to domestic violence screening tool
to a female client, which statement should the RN provide?
A. If your partner is abusing you, I need to ask these questions.
B. State law mandates that I ask if you are a victim of domestic
violence.
C. The HCP provider needs to know if you are experiencing any
domestic abuse.
D. All clients are screened for domestic abuse because it is common
in our society. Answer: D
◉ A young adult female visits the mental health clinic complaining
of diarrhea, headache, and muscle aches. She is afebrile, denies
chills, and all laboratory findings are within normal limits. During
the physical assessment, the client tells the RN that her sister thinks
she is neurotic and calls her a hypochondriac. Which response is
best for the RN to provide?
A. Unless your sister has a medical education, ignore her comments.
B. I can hear that your sister comments are over-whelming you.
C. Do you think it's possible that you might be a hypochondriac?
D. Besides your sister's comments, what in your life is troubling you?
Answer: D
