2024 ADULT HEALTH HESI TEST BANK V1-V5 /HESI ADULT HEALTH
2024 TEST BANK ACTUAL EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS
A male client is admitted to the psychiatric inpatient unit with a bandaged flesh wound
after attempting to shoot himself. He was divorced one year ago. Lost his job four
months ago, and suffered a breakup of is current relationship last week. What is most
likely source of this client's current feelings of depression?
A. Feelings of frustration.
B. A sense of loss
C. Poor self-esteem.
D. A lack of intimate relationships. - Answer B. A sense of loss
The RN documents the mental status of a female client who has been hospitalized for
several days by court order. The client states"I don't need to be here," and tells the RN
that she believes that the t.v talks to her. The RN should document these assessment
statements in which section of the mental status exam?
A. Insight and judgement.
B. Mood and affect.
C. Remote memory.
D. Level of concentration. - Answer A. Insight and judgement.
An older ale client with schizophrenia is found smearing feces n the bathroom walls of
the chronic mental health unit where he resides. What action should the RN implement?
A. Explain that the feces belong in the toilet.
B. Show the client how to clean the walls.
C. Escort the client out of the bathroom.
D. Assist the client to clean the walls. - Answer C. Escort the client out of the
bathroom
A male client tells the RN that he does not want to take the atypical antipsychotic
drug,olanzapine (Zypexa), because of the side effects he experienced when he took the
drug for a year. Which experience is most likely related to taking olanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequent days with diarrhea.
D. Alerted liver function test - Answer A. Weight gain of 75 lbs.
A college student who is a victim of a car-jacking presents to the community health
center and report increased anxiety. During the interview, what nursing intervention
should take the highest priority?
,A. Identify support systems in the community that may be helpful.
B. Help the client feel safe to decrease anxiety.
C. Ask the client to describe coping strategies that were helpful in the past.
D. Encourage the client to verbalize anxiety related to event. - Answer B. Help the
client feel safe to decrease anxiety.
The RN completes an assessment of a client who is experiencing intimate partner
violence (IPV). Which finding of the injuries should the RN include in the
documentation?
A. A summary of the client's feelings.
B. Photographs.
C. A general description.
D. A client's significant other's statement - Answer B. Photographs.
Following involvement in a MVC, a middle aged adult client is admitted to the hospital
with multiple facial fractures. The client's blood alcohol level is high on admission.
Which PRN prescription should be administered if the client begins to exhibit signs and
symptoms ofdelirium tremens (DTs)?
A. Prochlorperazine (Compazine) 5 mg IM.
B. Hydromorphone (Dialuadid) 2 mg IM.
C. Chlorpromazine (Thorazine) 50 mg IM.
D. Lorazepam (Ativan) 2 mg IM. - Answer D. Lorazepam (Ativan) 2 mg IM.
A client who is known to abuse drugs is admitted to the psychiatric unit. Which
medication should the nurse anticipate administering to a client who is exhibiting
benzodiazepine withdrawal symptoms?
a. Perphenazine (Trilafon).
b. Diphenylhydramine (Benadryl).
c. Chlordiazepoxide (Librium).
d. Isocarboxazid (Marplan). - Answer c. Chlordiazepoxide (Librium).
A woman brings her 48-year-old husband to the outpatient psychiatric unit and
describes his behavior to the admitting nurse. She states that he has been
sleepwalking, cannot remember who he is, and exhibits multiple personalities. The
nurse knows that these behaviors are often associated with which condition?
a. Dissociative disorder.
b. Obsessive-compulsive disorder.
c. Panic disorder.
d. Post-traumatic stress syndrome. - Answer a. Dissociative disorder.
, A male client in the mental health unit is guarded and vaguely answers the nurse's
questions. He isolates in his room and sometimes opens the door to peek into the hall.
Which problem can the RN anticipate?
A. Visual hallucinations.
B. Auditory hallucinations.
C. Excessive motor activity.
D. Delusions of persecution. - Answer D. Delusions of persecution.
A female client with obsessive compulsive personality disorder is admitted to the
hospital for a cardiac catheterization. The afternoon before the procedure, the client
begins to keep detailed notes of the nursing care she is receiving, and reports her
findings to the RN at bedtime. What action should the nurse implement?
A. Explain to the client that her behavior invades the rights of the nursing staff.
B. Ask the client to explain why she is keeping a detailed record of her nursing care.
C. Teach the client strategies to control her obsessive compulsive behavior.
D. Encourage the client to express her feelings regarding the upcoming procedure. -
Answer D. Encourage the client to express her feelings regarding the upcoming
procedure.
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. Assist the client
in developing alternative coping skills.
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. Acute confusion.
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.
2024 TEST BANK ACTUAL EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS
A male client is admitted to the psychiatric inpatient unit with a bandaged flesh wound
after attempting to shoot himself. He was divorced one year ago. Lost his job four
months ago, and suffered a breakup of is current relationship last week. What is most
likely source of this client's current feelings of depression?
A. Feelings of frustration.
B. A sense of loss
C. Poor self-esteem.
D. A lack of intimate relationships. - Answer B. A sense of loss
The RN documents the mental status of a female client who has been hospitalized for
several days by court order. The client states"I don't need to be here," and tells the RN
that she believes that the t.v talks to her. The RN should document these assessment
statements in which section of the mental status exam?
A. Insight and judgement.
B. Mood and affect.
C. Remote memory.
D. Level of concentration. - Answer A. Insight and judgement.
An older ale client with schizophrenia is found smearing feces n the bathroom walls of
the chronic mental health unit where he resides. What action should the RN implement?
A. Explain that the feces belong in the toilet.
B. Show the client how to clean the walls.
C. Escort the client out of the bathroom.
D. Assist the client to clean the walls. - Answer C. Escort the client out of the
bathroom
A male client tells the RN that he does not want to take the atypical antipsychotic
drug,olanzapine (Zypexa), because of the side effects he experienced when he took the
drug for a year. Which experience is most likely related to taking olanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequent days with diarrhea.
D. Alerted liver function test - Answer A. Weight gain of 75 lbs.
A college student who is a victim of a car-jacking presents to the community health
center and report increased anxiety. During the interview, what nursing intervention
should take the highest priority?
,A. Identify support systems in the community that may be helpful.
B. Help the client feel safe to decrease anxiety.
C. Ask the client to describe coping strategies that were helpful in the past.
D. Encourage the client to verbalize anxiety related to event. - Answer B. Help the
client feel safe to decrease anxiety.
The RN completes an assessment of a client who is experiencing intimate partner
violence (IPV). Which finding of the injuries should the RN include in the
documentation?
A. A summary of the client's feelings.
B. Photographs.
C. A general description.
D. A client's significant other's statement - Answer B. Photographs.
Following involvement in a MVC, a middle aged adult client is admitted to the hospital
with multiple facial fractures. The client's blood alcohol level is high on admission.
Which PRN prescription should be administered if the client begins to exhibit signs and
symptoms ofdelirium tremens (DTs)?
A. Prochlorperazine (Compazine) 5 mg IM.
B. Hydromorphone (Dialuadid) 2 mg IM.
C. Chlorpromazine (Thorazine) 50 mg IM.
D. Lorazepam (Ativan) 2 mg IM. - Answer D. Lorazepam (Ativan) 2 mg IM.
A client who is known to abuse drugs is admitted to the psychiatric unit. Which
medication should the nurse anticipate administering to a client who is exhibiting
benzodiazepine withdrawal symptoms?
a. Perphenazine (Trilafon).
b. Diphenylhydramine (Benadryl).
c. Chlordiazepoxide (Librium).
d. Isocarboxazid (Marplan). - Answer c. Chlordiazepoxide (Librium).
A woman brings her 48-year-old husband to the outpatient psychiatric unit and
describes his behavior to the admitting nurse. She states that he has been
sleepwalking, cannot remember who he is, and exhibits multiple personalities. The
nurse knows that these behaviors are often associated with which condition?
a. Dissociative disorder.
b. Obsessive-compulsive disorder.
c. Panic disorder.
d. Post-traumatic stress syndrome. - Answer a. Dissociative disorder.
, A male client in the mental health unit is guarded and vaguely answers the nurse's
questions. He isolates in his room and sometimes opens the door to peek into the hall.
Which problem can the RN anticipate?
A. Visual hallucinations.
B. Auditory hallucinations.
C. Excessive motor activity.
D. Delusions of persecution. - Answer D. Delusions of persecution.
A female client with obsessive compulsive personality disorder is admitted to the
hospital for a cardiac catheterization. The afternoon before the procedure, the client
begins to keep detailed notes of the nursing care she is receiving, and reports her
findings to the RN at bedtime. What action should the nurse implement?
A. Explain to the client that her behavior invades the rights of the nursing staff.
B. Ask the client to explain why she is keeping a detailed record of her nursing care.
C. Teach the client strategies to control her obsessive compulsive behavior.
D. Encourage the client to express her feelings regarding the upcoming procedure. -
Answer D. Encourage the client to express her feelings regarding the upcoming
procedure.
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. Assist the client
in developing alternative coping skills.
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. Acute confusion.
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.
