6/2/25, 2:02 PM …
HESI MENTAL HEALTH RN ACTUAL EXAM LATEST VERSION
2025 -2026 ACTUAL EXAM 190 QUESTIONS AND
CORRECT ANSWERS WITH RATIOANLES (VERIFIED
ANSWERS)
A male client who recently Sleep deprivation.
lost a loved one arrives at
the mental health center and
tells the RN he is no longer
interested is his
usual activities and has not
slept for several days.
Which priority nursing
problem
should the RN include in the
client's plan of
care?
A male client with long Lorazepam (Ativan)
history of alcohol
dependency arrives in
the emergency
department describing the
feelings of bugs crawling on
his body. His blood pressure
is 170/102, his pulse rate is
110 bpm, and is
blood alcohol level is 0mg/dL.
Which
prescription should the RN
administer?
… 1/58
,6/2/25, 2:02 PM …
A client who refuses Wanders into the clients rooms.
antipsychotic
medications disrupts group
activities, talks with
nonsensical words and
wanders into client's
rooms. The RN decides
that the
client needs constant
observation based
on which of these assessment
findings?
A client with schizophrenia "My name tag shows that I am a RN here."
explains that she has 20
children and then very
seriously points to the RN
and explains that she is
one of them. What is the
most therapeutic response
for the RN to provide/
A."Let'sgo ask another RN
is this istrue."
A high school girl reveals to Frequency of bingeing and purging behaviors.
the high
school RN that she has
been engaging in self-
induced vomiting as
weight-control measure.
Which initial assessment
should the RN focus on
with this adolescent?
… 2/58
,6/2/25, 2:02 PM …
Narcan was administered to Observe the client for further narcotic effects
an adult client following a
suicide attempt with an
overdose of hydrocodone
bitartrate (Vicodin). Within
15 minutes, the client is alert
and oriented. In planning
nursing care, which
intervention has the highest
priority at this time?
Following surgery, a male Advise the client that assignments are not based on the client's
client with request
antisocial personality
disorder frequently
requests that a specific RN
be assigned to is care and is
belligerent when another RN
is assigned. What action
should the charge RN
implement?
When preparing to Withhold the medication until the dosage can be confirmed.
administer a prescribed
medication to a homeless
male at a community clinic,
the client tells the RN that he
usually takes a different
dosage. What action
should the RN take?
A client with depression Refusal to address nutritional needs.
remains in bed most of the
day, and declines activities.
Which nursing problem has
the greatest priority for
this client?
… 3/58
, 6/2/25, 2:02 PM …
The RN is preparing Benztropine (Cogentin).
medications for a
client with bipolar disorder
and notices that the client
discontinued antipsychotic
medication for several days.
Which
medication should also be
discontinued?
A female client requests that Pay close attention and document the nonverbal messages.
her husband be allowed to
stay in the room during the
admission assessment.
When interviewing the
client, the RN notes a
discrepancy between the
client's verbal and nonverbal
communication. What action
does the RN take?
A male client approaches Projection
the RN with an angry
expression on his face and
raises his voice, saying
"My roommate is the most
selfish, self-centered, angry
person I have ever met. If he
loses his temper one more
time with me, I am going to
punch him out!" The RN
recognizes that the client is
using which defense
mechanism?
A male client with bipolar Report the client's serum lithium level to the HCP.
disorder who began taking
lithium carbonate five days
ago is complaining of
excessive thirst, and the RN
finds him attempting to drink
water from the bathroom
… 4/58
HESI MENTAL HEALTH RN ACTUAL EXAM LATEST VERSION
2025 -2026 ACTUAL EXAM 190 QUESTIONS AND
CORRECT ANSWERS WITH RATIOANLES (VERIFIED
ANSWERS)
A male client who recently Sleep deprivation.
lost a loved one arrives at
the mental health center and
tells the RN he is no longer
interested is his
usual activities and has not
slept for several days.
Which priority nursing
problem
should the RN include in the
client's plan of
care?
A male client with long Lorazepam (Ativan)
history of alcohol
dependency arrives in
the emergency
department describing the
feelings of bugs crawling on
his body. His blood pressure
is 170/102, his pulse rate is
110 bpm, and is
blood alcohol level is 0mg/dL.
Which
prescription should the RN
administer?
… 1/58
,6/2/25, 2:02 PM …
A client who refuses Wanders into the clients rooms.
antipsychotic
medications disrupts group
activities, talks with
nonsensical words and
wanders into client's
rooms. The RN decides
that the
client needs constant
observation based
on which of these assessment
findings?
A client with schizophrenia "My name tag shows that I am a RN here."
explains that she has 20
children and then very
seriously points to the RN
and explains that she is
one of them. What is the
most therapeutic response
for the RN to provide/
A."Let'sgo ask another RN
is this istrue."
A high school girl reveals to Frequency of bingeing and purging behaviors.
the high
school RN that she has
been engaging in self-
induced vomiting as
weight-control measure.
Which initial assessment
should the RN focus on
with this adolescent?
… 2/58
,6/2/25, 2:02 PM …
Narcan was administered to Observe the client for further narcotic effects
an adult client following a
suicide attempt with an
overdose of hydrocodone
bitartrate (Vicodin). Within
15 minutes, the client is alert
and oriented. In planning
nursing care, which
intervention has the highest
priority at this time?
Following surgery, a male Advise the client that assignments are not based on the client's
client with request
antisocial personality
disorder frequently
requests that a specific RN
be assigned to is care and is
belligerent when another RN
is assigned. What action
should the charge RN
implement?
When preparing to Withhold the medication until the dosage can be confirmed.
administer a prescribed
medication to a homeless
male at a community clinic,
the client tells the RN that he
usually takes a different
dosage. What action
should the RN take?
A client with depression Refusal to address nutritional needs.
remains in bed most of the
day, and declines activities.
Which nursing problem has
the greatest priority for
this client?
… 3/58
, 6/2/25, 2:02 PM …
The RN is preparing Benztropine (Cogentin).
medications for a
client with bipolar disorder
and notices that the client
discontinued antipsychotic
medication for several days.
Which
medication should also be
discontinued?
A female client requests that Pay close attention and document the nonverbal messages.
her husband be allowed to
stay in the room during the
admission assessment.
When interviewing the
client, the RN notes a
discrepancy between the
client's verbal and nonverbal
communication. What action
does the RN take?
A male client approaches Projection
the RN with an angry
expression on his face and
raises his voice, saying
"My roommate is the most
selfish, self-centered, angry
person I have ever met. If he
loses his temper one more
time with me, I am going to
punch him out!" The RN
recognizes that the client is
using which defense
mechanism?
A male client with bipolar Report the client's serum lithium level to the HCP.
disorder who began taking
lithium carbonate five days
ago is complaining of
excessive thirst, and the RN
finds him attempting to drink
water from the bathroom
… 4/58
