HESI MENTAL HEALTH LATEST 2024-2025 ACTUAL EXAM
COMPLETE 300 QUESTIONS WITH ACCURATE ANSWERS
... correct answer A female client engages in repeated checks of door and window
locks. Behavior that prevents her from arriving on time and interferes with her
ability to function e2ectively. What action should the nurse take plan a list of
activities to be carried out daily.
... correct answer 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 the 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 disturbances, the client shouts," I am the boss here. I do what I
want." Which nursing problem best supports these observations Risk for other
related violence related to disruptive
... correct answer A female client with a history of drinking who was admitted 8
hours ago after receiving treatment for minor abrasions occurred from a fall at
home. The nurse determines the client's blood alcohol level (BAL) was not
analyzed on administration action should the nurse take Ask client about alcohol
quantity, frequency, and time of last drink
... correct answer A male adult comes to the mental health clinic and walks back
and forth in front of the office door, but does not enter the office. He then walks
around a chair that is in the hallway several times before sitting down in the chair.
What action should the nurse take first observe the client in the chair
... correct answer A male client with schizophrenia is admitted to the mental
health unit after abruptly stopping his prescription for ziprasidone (Geodon) one
month ago. Which question is most important for the nurse to ask the client Do
you hear voices.
,... correct answer What is the most important goal for a client diagnosed with
major depression who has been receiving an antidepressant medication for two
weeks not attempt to commit suicide
2 days after admission from alcohol withdrawal what should the nurse do?
correct answer Monitor HR and BP
A 26-year-old female client has been particularly restless and the nurse finds her
trying to leave the psychiatric unit. She tells her the nurse," please let me leave
because the secret police are after me." Which response is best for the nurse
correct answer come with me to your room and I will sit with you
A 35-year-old male client on the psychiatric ward of a general hospital believes
that someone is trying to poison him. The nurse understands that a client's
delusions are most likely related to his
A) early childhood experiences involving authority issues.
B) anger about being hospitalized.
C) low self-esteem.
D) phobic fear of food. correct answer C
A 35-year-old male client who has been hospitalized for two weeks for chronic
paranoia continues to state that someone is trying to steal his clothing. Which
action should the nurse implement?
A) Encourage the client to actively participate in assigned activities on the unit.
B) Place a lock on the client's closet.
C) Ignore the client's paranoid ideation to extinguish these behaviors.
,D) Explain to the client that his suspicions are false. correct answer A
A 65-year-old female client complains to the nurse that recently she has been
hearing voices. What question should the nurse ask this client first?
A) Do you have problems with hallucinations?
B) Are you ever alone when you hear the voices?
C) Has anyone in your family had hearing problems?
D) Do you see things that others cannot see? correct answer B
A bipolar client comes into the clinic and tells the nurse that the next time she
sees her
sister I'm going to kill her. What should the nurse do? correct answer Inform the
sister.
a bipolar patient has stopped taking an antipsychotic. What other medication
should the nurse expect to be D/C correct answer benzotropine (Congentin)
A business man is stressed about his finances, has anxiety and sleeplessness.
correct answer Limit intake of sugar and caffeine.
A child is brought to the emergency room with a broken arm. Because of other
injuries, the nurse suspects the child may be a victim of abuse. When the nurse
tries to give the child an injection, the child's mother becomes very loud and
shouts, "I won't leave my son! Don't you touch him! You'll hurt my child!" What is
the best interpretation of the mother's statements? The mother is
A) regressing to an earlier behavior pattern. B) sublimating her anger.
, C) projecting her feelings onto the nurse. D) suppressing her fear. correct answer
C
A child states "My dad used to drink a beer a day, now he drinks at least a six-pack
a day." What can the nurse determine from this statement? correct answer The
parent is exhibiting tolerance to alcohol
A chronic depressed older man refuses to leave his room. His family moved away
to a further location so they're not able to visit him as much. What approach
should the nurse take with this man? correct answer May I lay with you for a
little?
A client admitted with a closed head injury after a fall has a blood alcohol level of
0.28 (28%) and is difficult to arouse. Which intervention during the first 6 hours
following admission should the RN identify as the priority?
A. Give lorazepam (Ativan) PRN for signs of withdrawal.
B. Administer disulfiram (Antabuse) immediately.
C. Place in a side lying position with head of bed elevated.
D. Provide thiamine and folate supplements as prescribed. correct answer C
A client becomes agitated when the nurse is talking to his wife. He has not eaten
in 3 days. What should the nurse do? correct answer Take to quiet room and give
PB crackers.
A client becomes upset when the nurse he requests is not assigned to him, what
is the nurse's best response? correct answer Advise the client that nursing
assignments are not based on client requests.
COMPLETE 300 QUESTIONS WITH ACCURATE ANSWERS
... correct answer A female client engages in repeated checks of door and window
locks. Behavior that prevents her from arriving on time and interferes with her
ability to function e2ectively. What action should the nurse take plan a list of
activities to be carried out daily.
... correct answer 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 the 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 disturbances, the client shouts," I am the boss here. I do what I
want." Which nursing problem best supports these observations Risk for other
related violence related to disruptive
... correct answer A female client with a history of drinking who was admitted 8
hours ago after receiving treatment for minor abrasions occurred from a fall at
home. The nurse determines the client's blood alcohol level (BAL) was not
analyzed on administration action should the nurse take Ask client about alcohol
quantity, frequency, and time of last drink
... correct answer A male adult comes to the mental health clinic and walks back
and forth in front of the office door, but does not enter the office. He then walks
around a chair that is in the hallway several times before sitting down in the chair.
What action should the nurse take first observe the client in the chair
... correct answer A male client with schizophrenia is admitted to the mental
health unit after abruptly stopping his prescription for ziprasidone (Geodon) one
month ago. Which question is most important for the nurse to ask the client Do
you hear voices.
,... correct answer What is the most important goal for a client diagnosed with
major depression who has been receiving an antidepressant medication for two
weeks not attempt to commit suicide
2 days after admission from alcohol withdrawal what should the nurse do?
correct answer Monitor HR and BP
A 26-year-old female client has been particularly restless and the nurse finds her
trying to leave the psychiatric unit. She tells her the nurse," please let me leave
because the secret police are after me." Which response is best for the nurse
correct answer come with me to your room and I will sit with you
A 35-year-old male client on the psychiatric ward of a general hospital believes
that someone is trying to poison him. The nurse understands that a client's
delusions are most likely related to his
A) early childhood experiences involving authority issues.
B) anger about being hospitalized.
C) low self-esteem.
D) phobic fear of food. correct answer C
A 35-year-old male client who has been hospitalized for two weeks for chronic
paranoia continues to state that someone is trying to steal his clothing. Which
action should the nurse implement?
A) Encourage the client to actively participate in assigned activities on the unit.
B) Place a lock on the client's closet.
C) Ignore the client's paranoid ideation to extinguish these behaviors.
,D) Explain to the client that his suspicions are false. correct answer A
A 65-year-old female client complains to the nurse that recently she has been
hearing voices. What question should the nurse ask this client first?
A) Do you have problems with hallucinations?
B) Are you ever alone when you hear the voices?
C) Has anyone in your family had hearing problems?
D) Do you see things that others cannot see? correct answer B
A bipolar client comes into the clinic and tells the nurse that the next time she
sees her
sister I'm going to kill her. What should the nurse do? correct answer Inform the
sister.
a bipolar patient has stopped taking an antipsychotic. What other medication
should the nurse expect to be D/C correct answer benzotropine (Congentin)
A business man is stressed about his finances, has anxiety and sleeplessness.
correct answer Limit intake of sugar and caffeine.
A child is brought to the emergency room with a broken arm. Because of other
injuries, the nurse suspects the child may be a victim of abuse. When the nurse
tries to give the child an injection, the child's mother becomes very loud and
shouts, "I won't leave my son! Don't you touch him! You'll hurt my child!" What is
the best interpretation of the mother's statements? The mother is
A) regressing to an earlier behavior pattern. B) sublimating her anger.
, C) projecting her feelings onto the nurse. D) suppressing her fear. correct answer
C
A child states "My dad used to drink a beer a day, now he drinks at least a six-pack
a day." What can the nurse determine from this statement? correct answer The
parent is exhibiting tolerance to alcohol
A chronic depressed older man refuses to leave his room. His family moved away
to a further location so they're not able to visit him as much. What approach
should the nurse take with this man? correct answer May I lay with you for a
little?
A client admitted with a closed head injury after a fall has a blood alcohol level of
0.28 (28%) and is difficult to arouse. Which intervention during the first 6 hours
following admission should the RN identify as the priority?
A. Give lorazepam (Ativan) PRN for signs of withdrawal.
B. Administer disulfiram (Antabuse) immediately.
C. Place in a side lying position with head of bed elevated.
D. Provide thiamine and folate supplements as prescribed. correct answer C
A client becomes agitated when the nurse is talking to his wife. He has not eaten
in 3 days. What should the nurse do? correct answer Take to quiet room and give
PB crackers.
A client becomes upset when the nurse he requests is not assigned to him, what
is the nurse's best response? correct answer Advise the client that nursing
assignments are not based on client requests.
