MENTAL HEALTH RN HESI EXIT EXAM 2024/HESI
RN MENTAL HEALTH EXIT EXAM ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A male client with schizophrenia is demonstrating
echolalia, which is becoming annoying to other clients
on the unit. What intervention is best for the RN to
implement?
A. Isolate the client from the other clients.
B. AdministerPRNsedative.
C. Avoidrecognizingthebehavior.
D. Escort the client to his room. - ....ANSWER...D
A client is admitted for bipolar disorder and alcohol
withdrawal, depressive phase. Based on which
assessment finding will the RN withhold the clonidine
(Catapres) prescription?
A. Blood pressure readings of 90/62 mmHg to 92/58
mmHg.
,B. Pulse rate of 68-78 BPM.
C. Temperature of 99.5-99.7 F.
D. Respiration rate of 24 breaths per minute. -
....ANSWER...A
The RN on the evening shift receives report that a
client is scheduled for electroconvulsive treatment
(ECT) in the morning. Which intervention should the
Rn implement the evening before the scheduled ECT?
A. Hold all bedtime medications.
B. Keep the client NPO after mid-night.
C. Implementelopementprecautions.
D. Give the client an enema at bedtime. -
....ANSWER...B
A client with Bulimia and depression who is taking
phenelzine (Nardil) 90 mg daily is admitted to an acute
care hospital for uncontrolled hypertension. What
dietary choices should the RN instruct the client to
avoid?
A. Pan-seared catfish.
,B. Peperoni pizza.
C. Deepfriedshrimp.
D. Beef trips with gravy. - ....ANSWER...B
A mental health worker is caring for a client with
escalating aggressive behavior. Which action by the
mental health worker warrants immediate intervention
by the RN?
A. Is attempting the physically restrain the patient.
B. Remains at a distance of 4 feet from the client.
C. Tells the client to go to the quiet area of the unit.
D. Is using a load voice to talk to the client. -
....ANSWER...A
A client who recently experienced the death of a
significant other arrives at the mental health center.
The client reports loss of interest in usual activities,
expresses a wish to be with the decreased significant
other, has been eating very little, and has not slept in
several days. Which client statement is most important
for the RN to explore at this time?
, A. Not sleeping for several days.
B. Wishing to be with spouse.
C. Lack of interest in usual activities.
D. Eating very little. - ....ANSWER...A
A middle aged adult with major depressive disorder
suffers from psychomotor retardation, hypersomnia,
and motivation. Which intervention is likely to be most
effective in returning this client to a normal level of
functioning?
A. Provide education on methods to enhance sleep.
B. Teach the client to develop a plan for daily
structured activities.
C. Suggest that the client develop a list of pleasurable
activities.
D. Encourage the client to exercise. - ....ANSWER...B
When developing a plan of care for a client admitted to
the psychiatric unit following aspiration of a caustic
material related to a suicide attempt, which nursing
problem has the highest priority?
RN MENTAL HEALTH EXIT EXAM ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A male client with schizophrenia is demonstrating
echolalia, which is becoming annoying to other clients
on the unit. What intervention is best for the RN to
implement?
A. Isolate the client from the other clients.
B. AdministerPRNsedative.
C. Avoidrecognizingthebehavior.
D. Escort the client to his room. - ....ANSWER...D
A client is admitted for bipolar disorder and alcohol
withdrawal, depressive phase. Based on which
assessment finding will the RN withhold the clonidine
(Catapres) prescription?
A. Blood pressure readings of 90/62 mmHg to 92/58
mmHg.
,B. Pulse rate of 68-78 BPM.
C. Temperature of 99.5-99.7 F.
D. Respiration rate of 24 breaths per minute. -
....ANSWER...A
The RN on the evening shift receives report that a
client is scheduled for electroconvulsive treatment
(ECT) in the morning. Which intervention should the
Rn implement the evening before the scheduled ECT?
A. Hold all bedtime medications.
B. Keep the client NPO after mid-night.
C. Implementelopementprecautions.
D. Give the client an enema at bedtime. -
....ANSWER...B
A client with Bulimia and depression who is taking
phenelzine (Nardil) 90 mg daily is admitted to an acute
care hospital for uncontrolled hypertension. What
dietary choices should the RN instruct the client to
avoid?
A. Pan-seared catfish.
,B. Peperoni pizza.
C. Deepfriedshrimp.
D. Beef trips with gravy. - ....ANSWER...B
A mental health worker is caring for a client with
escalating aggressive behavior. Which action by the
mental health worker warrants immediate intervention
by the RN?
A. Is attempting the physically restrain the patient.
B. Remains at a distance of 4 feet from the client.
C. Tells the client to go to the quiet area of the unit.
D. Is using a load voice to talk to the client. -
....ANSWER...A
A client who recently experienced the death of a
significant other arrives at the mental health center.
The client reports loss of interest in usual activities,
expresses a wish to be with the decreased significant
other, has been eating very little, and has not slept in
several days. Which client statement is most important
for the RN to explore at this time?
, A. Not sleeping for several days.
B. Wishing to be with spouse.
C. Lack of interest in usual activities.
D. Eating very little. - ....ANSWER...A
A middle aged adult with major depressive disorder
suffers from psychomotor retardation, hypersomnia,
and motivation. Which intervention is likely to be most
effective in returning this client to a normal level of
functioning?
A. Provide education on methods to enhance sleep.
B. Teach the client to develop a plan for daily
structured activities.
C. Suggest that the client develop a list of pleasurable
activities.
D. Encourage the client to exercise. - ....ANSWER...B
When developing a plan of care for a client admitted to
the psychiatric unit following aspiration of a caustic
material related to a suicide attempt, which nursing
problem has the highest priority?
