Psychiatric-Mental
Health Practice Exam
HESI(558 questions
solved & updated)
1.
A male client with schizophrenia who is taking
fluphenazine decanoate (Prolixin decanoate) is
being discharged in the morning. A repeat dose of
medication is scheduled for 20 days after
discharge. The client tells the nurse that he is
going on vacation in the Bahamas and will return
in 18 days. Which statement by the client indicates
a need for health teaching?
A) When I return from my tropical island vacation, I
will go to the clinic to get my Prolixin injection.
B) While I am on vacation and when I return, I will
not eat or drink anything that contains alcohol.
C) I will notify the healthcare provider if I have a
sore throat or flu-like symptoms.
D) I will continue to take my benztropine mesylate
(Cogentin) every day. - answer Photosensitivity is a
side effect of Prolixin and a vacation in the
Bahamas (with its tropical island climate) increases
,the client's chance of experiencing this side effect.
He should be instructed to avoid direct sun (A) and
wear sunscreen. (B, C, and D) indicate accurate
knowledge. Alcohol acts synergistically with
Prolixin (B). (C) lists signs of agranulocytosis,
which is also a side effect of Prolixin. In order to
avoid extrapyramidal symptoms (EPS),
anticholinergic drugs, such as Cogentin, are often
prescribed prophylactically with Prolixin.
Correct Answer(s): A
2.
A male client is admitted to the mental health unit
because he was feeling depressed about the loss
of his wife and job. The client has a history of
alcohol dependency and admits that he was
drinking alcohol 12 hours ago. Vital signs are:
temperature, 100° F, pulse 100, and BP 142/100.
The nurse plans to give the client lorazepam
(Ativan) based on which priority nursing diagnosis?
A) Risk for injury related to suicidal ideation.
B) Risk for injury related to alcohol detoxification.
C) Knowledge deficit related to ineffective coping.
D) Health seeking behaviors related to personal
crisis. - answer The most important nursing
diagnosis is related to alcohol detoxification (B)
because the client has elevated vital signs, a sign
,of alcohol detoxification. Maintaining client safety
related to (A) should be addressed after giving the
client Ativan for elevated vital signs secondary to
alcohol withdrawal. (C and D) can be addressed
when immediate needs for safety are met.
Correct Answer(s): B
3.
The charge nurse is collaborating with the nursing
staff about the plan of care for a client who is very
depressed. What is the most important
intervention to implement during the first 48 hours
after the client's admission to the unit?
A) Monitor appetite and observe intake at meals.
B) Maintain safety in the client's milieu.
C) Provide ongoing, supportive contact.
D) Encourage participation in activities. - answer
The most important reason for closely observing a
depressed client immediately after admission is to
maintain safety (B), since suicide is a risk with
depression. (A, C, and D) are all important
interventions, but safety is the priority.
Correct Answer(s): B
4.
, A 38-year-old female client is admitted with a
diagnosis of paranoid schizophrenia. When her tray
is brought to her, she refuses to eat and tells the
nurse, "I know you are trying to poison me with
that food." Which response is most appropriate for
the nurse to make?
A) I'll leave your tray here. I am available if you
need anything else.
B) You're not being poisoned. Why do you think
someone is trying to poison you?
C) No one on this unit has ever died from
poisoning. You're safe here.
D) I will talk to your healthcare provider about the
possibility of changing your diet. - answer (A) is
the best choice cited. The nurse does not argue
with the client nor demand that she eat, but offers
support by agreeing to "be there if needed", e.g.,
to warm the food. (B and C) are arguing with the
client's delusions, and (B) asks "why" which is
usually not a good question for a psychotic client.
(D) has nothing to do with the actual problem; i.e.,
the problem is not the diet (she thinks any food
given to her is poisoned.)
Correct Answer(s): A
5.
Health Practice Exam
HESI(558 questions
solved & updated)
1.
A male client with schizophrenia who is taking
fluphenazine decanoate (Prolixin decanoate) is
being discharged in the morning. A repeat dose of
medication is scheduled for 20 days after
discharge. The client tells the nurse that he is
going on vacation in the Bahamas and will return
in 18 days. Which statement by the client indicates
a need for health teaching?
A) When I return from my tropical island vacation, I
will go to the clinic to get my Prolixin injection.
B) While I am on vacation and when I return, I will
not eat or drink anything that contains alcohol.
C) I will notify the healthcare provider if I have a
sore throat or flu-like symptoms.
D) I will continue to take my benztropine mesylate
(Cogentin) every day. - answer Photosensitivity is a
side effect of Prolixin and a vacation in the
Bahamas (with its tropical island climate) increases
,the client's chance of experiencing this side effect.
He should be instructed to avoid direct sun (A) and
wear sunscreen. (B, C, and D) indicate accurate
knowledge. Alcohol acts synergistically with
Prolixin (B). (C) lists signs of agranulocytosis,
which is also a side effect of Prolixin. In order to
avoid extrapyramidal symptoms (EPS),
anticholinergic drugs, such as Cogentin, are often
prescribed prophylactically with Prolixin.
Correct Answer(s): A
2.
A male client is admitted to the mental health unit
because he was feeling depressed about the loss
of his wife and job. The client has a history of
alcohol dependency and admits that he was
drinking alcohol 12 hours ago. Vital signs are:
temperature, 100° F, pulse 100, and BP 142/100.
The nurse plans to give the client lorazepam
(Ativan) based on which priority nursing diagnosis?
A) Risk for injury related to suicidal ideation.
B) Risk for injury related to alcohol detoxification.
C) Knowledge deficit related to ineffective coping.
D) Health seeking behaviors related to personal
crisis. - answer The most important nursing
diagnosis is related to alcohol detoxification (B)
because the client has elevated vital signs, a sign
,of alcohol detoxification. Maintaining client safety
related to (A) should be addressed after giving the
client Ativan for elevated vital signs secondary to
alcohol withdrawal. (C and D) can be addressed
when immediate needs for safety are met.
Correct Answer(s): B
3.
The charge nurse is collaborating with the nursing
staff about the plan of care for a client who is very
depressed. What is the most important
intervention to implement during the first 48 hours
after the client's admission to the unit?
A) Monitor appetite and observe intake at meals.
B) Maintain safety in the client's milieu.
C) Provide ongoing, supportive contact.
D) Encourage participation in activities. - answer
The most important reason for closely observing a
depressed client immediately after admission is to
maintain safety (B), since suicide is a risk with
depression. (A, C, and D) are all important
interventions, but safety is the priority.
Correct Answer(s): B
4.
, A 38-year-old female client is admitted with a
diagnosis of paranoid schizophrenia. When her tray
is brought to her, she refuses to eat and tells the
nurse, "I know you are trying to poison me with
that food." Which response is most appropriate for
the nurse to make?
A) I'll leave your tray here. I am available if you
need anything else.
B) You're not being poisoned. Why do you think
someone is trying to poison you?
C) No one on this unit has ever died from
poisoning. You're safe here.
D) I will talk to your healthcare provider about the
possibility of changing your diet. - answer (A) is
the best choice cited. The nurse does not argue
with the client nor demand that she eat, but offers
support by agreeing to "be there if needed", e.g.,
to warm the food. (B and C) are arguing with the
client's delusions, and (B) asks "why" which is
usually not a good question for a psychotic client.
(D) has nothing to do with the actual problem; i.e.,
the problem is not the diet (she thinks any food
given to her is poisoned.)
Correct Answer(s): A
5.
