HESI TEST BANK ON MENTAL HEALTH EXIT
EXAM 2024-2025 QUESTIONS AND
ANSWERS WITH RATIONALES ALREADY
GRADED A+\STUDY TO PASS!!!
-A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder.
The nurse should tell the client which of the following adverse effects?
d. Sedation
RATIONALE
a. Tinnitus is not an adverse effect of benzodiazepines.
b. Tachycardia, rather than bradycardia, is a potential adverse effect of benzodiazepines.
c. Halitosis is not an adverse effect of benzodiazepines.
d. The nurse should tell the client to expect sedation as an adverse effect of benzodiazepines because of
the CNS depression effects. - ANSWERS a. Tinitus
b. Bradycardia
c. Halitosis
d. Sedation
a. Request a prescription for an antianxiety medication.
RATIONALE
a. The nurse should request a prescription for an antianxiety medication for a client who develops
delirium. Administration of a PRN antianxiety medication can decrease her anxiety and agitation.
b. The nurse should maintain a low-stimulation environment for the client to decrease disorientation
due to overstimulation.
,c. The nurse should keep the client's room well-lit. Adequate lighting can help her to remain oriented to
place upon waking at night and will provide for safety if she becomes ambulatory.
d. The nurse should provide the client with a consistent routine and limit her need to make decisions.
These actions will decrease disorientation and anxiety. - ANSWERS -A nurse on an acute care unit is
providing postoperative care to an older adult client who develops delirium. Which of the following
actions should the nurse take?
a. Request a prescription for an antianxiety medication.
b. Provide the client with a stimulating activity prior to bedtime.
c. Keep the lights in the client's room dim at night.
d. Encourage the client to make decisions about her daily routine.
b. Cardiac arrhythmia
RATIONALE
a. A client can receive ECT for treatment of severe depression.
b. A client who has cardiac arrhythmias needs further evaluation. The nurse should identify that the
greatest risk for death due to ECT is related to cardiac complications.
c. A client can receive ECT for treatment of bipolar disorder.
d. A client can receive ECT for treatment of Parkinson's disease. - ANSWERS -A nurse is obtaining a
clients med history prior to scheduling the client for electroconvulsive therapy (ECT). Which of the
following findings should the nurse identify as a potential complication of the procedure?
a. Severe depression
b. Cardiac arrhythmia
c. Bipolar disorder
d. Parkinson's disease
c. Permitting the client to spend some quiet time alone after each meal
RATIONALE
a. The nurse should inform the client that he might require tube feedings to provide adequate
nutritional intake if oral intake is inadequate. This intervention is not intended to be punitive but to
ensure the client's safety.
, b. The nurse should weigh the client each day prior to any oral intake to obtain accurate data and to
monitor his progress toward weight gain goals.
c. The nurse should directly observe the client for a minimum of 1 hr following meals. This intervention
prevents the client from purging or discarding hidden food. Therefore, permitting the client to have
alone time following meals is contraindicated for his plan of care.
d. The nurse should encourage conversation during meals to promote a pleasurable eating environment;
however, the nurse should avoid the topics of eating and food, which can increase the client's l -
ANSWERS -A nurse is developing a plan of care for a client who has anorexia nervosa. The nurse should
identify that which of the following actions is contraindicated for this client?
a. Explaining that tube feedings are necessary if the client refuses oral intake
b. Weighing the client each day prior to any oral intake
c. Permitting the client to spend some quiet time alone after each meal
d. Refraining from commenting about the client's eating during meal times
b. Disulfiram
RATIONALE
a. The nurse should expect to administer methadone to the client who has opioid withdrawal.
b. The nurse should expect to administer disulfiram as a deterrent to prevent future use of alcohol. The
nurse must ensure that the client has not had any alcohol intake for at least 12 hr prior to
administration.
c. The nurse should expect to administer chlordiazepoxide during alcohol withdrawal. Chloridiazepoxide
is not a medication used to help with maintenance.
d. The nurse should expect to administer naloxone to the client who is experiencing a narcotic overdose.
- ANSWERS -A nurse is caring for a client who has alcohol use disorder. Following alcohol withdrawal,
which of the following meds should the nurse expect to admin to client during maintenance?
a. Methadone
b. Disulfiram
c. Chlordiazepoxide
d. Naloxone
b. Insomnia
EXAM 2024-2025 QUESTIONS AND
ANSWERS WITH RATIONALES ALREADY
GRADED A+\STUDY TO PASS!!!
-A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder.
The nurse should tell the client which of the following adverse effects?
d. Sedation
RATIONALE
a. Tinnitus is not an adverse effect of benzodiazepines.
b. Tachycardia, rather than bradycardia, is a potential adverse effect of benzodiazepines.
c. Halitosis is not an adverse effect of benzodiazepines.
d. The nurse should tell the client to expect sedation as an adverse effect of benzodiazepines because of
the CNS depression effects. - ANSWERS a. Tinitus
b. Bradycardia
c. Halitosis
d. Sedation
a. Request a prescription for an antianxiety medication.
RATIONALE
a. The nurse should request a prescription for an antianxiety medication for a client who develops
delirium. Administration of a PRN antianxiety medication can decrease her anxiety and agitation.
b. The nurse should maintain a low-stimulation environment for the client to decrease disorientation
due to overstimulation.
,c. The nurse should keep the client's room well-lit. Adequate lighting can help her to remain oriented to
place upon waking at night and will provide for safety if she becomes ambulatory.
d. The nurse should provide the client with a consistent routine and limit her need to make decisions.
These actions will decrease disorientation and anxiety. - ANSWERS -A nurse on an acute care unit is
providing postoperative care to an older adult client who develops delirium. Which of the following
actions should the nurse take?
a. Request a prescription for an antianxiety medication.
b. Provide the client with a stimulating activity prior to bedtime.
c. Keep the lights in the client's room dim at night.
d. Encourage the client to make decisions about her daily routine.
b. Cardiac arrhythmia
RATIONALE
a. A client can receive ECT for treatment of severe depression.
b. A client who has cardiac arrhythmias needs further evaluation. The nurse should identify that the
greatest risk for death due to ECT is related to cardiac complications.
c. A client can receive ECT for treatment of bipolar disorder.
d. A client can receive ECT for treatment of Parkinson's disease. - ANSWERS -A nurse is obtaining a
clients med history prior to scheduling the client for electroconvulsive therapy (ECT). Which of the
following findings should the nurse identify as a potential complication of the procedure?
a. Severe depression
b. Cardiac arrhythmia
c. Bipolar disorder
d. Parkinson's disease
c. Permitting the client to spend some quiet time alone after each meal
RATIONALE
a. The nurse should inform the client that he might require tube feedings to provide adequate
nutritional intake if oral intake is inadequate. This intervention is not intended to be punitive but to
ensure the client's safety.
, b. The nurse should weigh the client each day prior to any oral intake to obtain accurate data and to
monitor his progress toward weight gain goals.
c. The nurse should directly observe the client for a minimum of 1 hr following meals. This intervention
prevents the client from purging or discarding hidden food. Therefore, permitting the client to have
alone time following meals is contraindicated for his plan of care.
d. The nurse should encourage conversation during meals to promote a pleasurable eating environment;
however, the nurse should avoid the topics of eating and food, which can increase the client's l -
ANSWERS -A nurse is developing a plan of care for a client who has anorexia nervosa. The nurse should
identify that which of the following actions is contraindicated for this client?
a. Explaining that tube feedings are necessary if the client refuses oral intake
b. Weighing the client each day prior to any oral intake
c. Permitting the client to spend some quiet time alone after each meal
d. Refraining from commenting about the client's eating during meal times
b. Disulfiram
RATIONALE
a. The nurse should expect to administer methadone to the client who has opioid withdrawal.
b. The nurse should expect to administer disulfiram as a deterrent to prevent future use of alcohol. The
nurse must ensure that the client has not had any alcohol intake for at least 12 hr prior to
administration.
c. The nurse should expect to administer chlordiazepoxide during alcohol withdrawal. Chloridiazepoxide
is not a medication used to help with maintenance.
d. The nurse should expect to administer naloxone to the client who is experiencing a narcotic overdose.
- ANSWERS -A nurse is caring for a client who has alcohol use disorder. Following alcohol withdrawal,
which of the following meds should the nurse expect to admin to client during maintenance?
a. Methadone
b. Disulfiram
c. Chlordiazepoxide
d. Naloxone
b. Insomnia
