2024 ADULT HEALTH HESI TEST BANK V1-V5 /HESI ADULT HEALTH 2024 TEST
BANK ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED ANSWERS
/ALREADY GRADED A+
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.
A female client admitted to the mental health unit starts to shout and
scream at the RN. What is the best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
C. Distract her by offering her finger foods.
D. Ignore the client's acting out behavior. - ANSWER-A. Stay quietly
with the patient
A woman is brought to the psychiatric clinic by her husband. He
reports that his wife is reluctant to leave home because of what she
,describes as a fear of open places and crowds. Which nursing
problem applies to this client's behavior?
A. Ineffective protection to guard self from internal or external threats.
B. Risk for injury related to inability to communicate.
C. Risk prone health behavior related to self-esteem assault.
D. Anxiety related to real or perceived threat to physical integrity. -
ANSWER-D. Anxiety related to real or perceived threat to physical
integrity.
A client is receiving benztropine mesylate (Cogentin) for druginduced
extrapyramidal syndrome(EPS). Which finding indicates that the RN
should further evaluate the client?
A. Decreased bowel movements.
B. Presence of a dry mouth.
C. Decreasing hand tremors.
D. Increased mouth movements. - ANSWER-B. Presence of a dry
mouth.
A RN is teaching a client about initiation of a prescribed abstinence
therapy using Disulfiram(Antabuse). What information should the
client acknowledge understanding?
A. Admit to others that he is a substance abuser.
B. Remain alcohol free for 12 hours prior to first dose.
C. Attend monthly meetings of alcoholics anonymous.
,D. Completely sustain from heroin or cocaine use - ANSWER-B.
Remain alcohol free for 12 hours prior to first dose.
The RN is working with a male client at a community mental health
center when the client reports hearing voices that tell him to get a
knife from the kitchen and hurt himself. What intervention is most
important for the RN to implement?
A. Don't allow the client to go into the kitchen until the hallucination
has subsided.
B. Report the behavior to the client's case workers so that the family
can be notified.
C. Assign the UAP to remain with the client at all times.
D. Document the behavior in the client's record and notify the HCP. -
ANSWER-C. Assign the UAP to remain with the client at all times.
A homeless client who reports feeling sad and depressed tells the
mental health nurse that in the past 2 days she has only had 4 hours
of sleep. Which action is most important for the RN to implement
within the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep.
B. Ensure client attend groups addressing coping skills for dealing
with depression.
C. Begin planning for the clients discharge.
D. Encourage verbalization of feelings. - ANSWER-A. Allow the client
to rest and sleep.
, 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.
BANK ACTUAL EXAM 150 QUESTIONS AND CORRECT DETAILED ANSWERS
/ALREADY GRADED A+
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.
A female client admitted to the mental health unit starts to shout and
scream at the RN. What is the best approach for the RN to take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
C. Distract her by offering her finger foods.
D. Ignore the client's acting out behavior. - ANSWER-A. Stay quietly
with the patient
A woman is brought to the psychiatric clinic by her husband. He
reports that his wife is reluctant to leave home because of what she
,describes as a fear of open places and crowds. Which nursing
problem applies to this client's behavior?
A. Ineffective protection to guard self from internal or external threats.
B. Risk for injury related to inability to communicate.
C. Risk prone health behavior related to self-esteem assault.
D. Anxiety related to real or perceived threat to physical integrity. -
ANSWER-D. Anxiety related to real or perceived threat to physical
integrity.
A client is receiving benztropine mesylate (Cogentin) for druginduced
extrapyramidal syndrome(EPS). Which finding indicates that the RN
should further evaluate the client?
A. Decreased bowel movements.
B. Presence of a dry mouth.
C. Decreasing hand tremors.
D. Increased mouth movements. - ANSWER-B. Presence of a dry
mouth.
A RN is teaching a client about initiation of a prescribed abstinence
therapy using Disulfiram(Antabuse). What information should the
client acknowledge understanding?
A. Admit to others that he is a substance abuser.
B. Remain alcohol free for 12 hours prior to first dose.
C. Attend monthly meetings of alcoholics anonymous.
,D. Completely sustain from heroin or cocaine use - ANSWER-B.
Remain alcohol free for 12 hours prior to first dose.
The RN is working with a male client at a community mental health
center when the client reports hearing voices that tell him to get a
knife from the kitchen and hurt himself. What intervention is most
important for the RN to implement?
A. Don't allow the client to go into the kitchen until the hallucination
has subsided.
B. Report the behavior to the client's case workers so that the family
can be notified.
C. Assign the UAP to remain with the client at all times.
D. Document the behavior in the client's record and notify the HCP. -
ANSWER-C. Assign the UAP to remain with the client at all times.
A homeless client who reports feeling sad and depressed tells the
mental health nurse that in the past 2 days she has only had 4 hours
of sleep. Which action is most important for the RN to implement
within the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep.
B. Ensure client attend groups addressing coping skills for dealing
with depression.
C. Begin planning for the clients discharge.
D. Encourage verbalization of feelings. - ANSWER-A. Allow the client
to rest and sleep.
, 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.
