NGN MENTAL HEALTH HESI EXAMS 2025/2026 (VERSION A & B) WITH
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
GRADED A+ / HESI MENTAL HEALTH NGN REAL LATEST EXAMS NEWEST
D - A client is admitted to the mental health unit and reports taking extra antianxiety
medication because, "I'm so stressed out. I just want to go to sleep." The RN should
plan one-on-one observation of the client based on which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore."
C - A male hospital employee is pushed out the way by a female employee because of
an oncoming gurney. The pushed employee becomes very angry and swings at the
female employee. Both employees are referred for counseling with the staff psychiatric
RN. Which factor in the pushed employee's history is most related to the reaction that
occurred?
A. Is worried about losing his job to a woman.
B. Tortured animals as a child.
C. Was physically abused by his mother.
D. Hates to be touched by anyone.
B - 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 the television talks to her. The RN should document these
assessment findings in which section of the mental status exam/
A. Level of concentration.
B. Insightandjudgement.
C. Remotememory. D. Mood and affect.
B - A client is admitted to the mental health unit reports shortness of breath and
dizziness. The client tells the RN, "I feel like I'm going to die". Which nursing problem
should the RN include in this client's plan of care?
A. Mood disturbance.
B. Moderate anxiety.
C. Alteredthoughts.
D. Social isolation.
A - A female client who is wearing dirty clothes and has foul body odor, comes to the
clinic reporting feeling scared because she is being stalked. What action is most
important for the RN to take?
A. Offer the client a safe place to relax before interviewing her.
B. Ask the client to describe why she is being stalked.
,C. Recommend that the client talk with a social worker.
D. Assure the client that the HCP will see her today.
D - The RN leading a group session of adolescent clients gives the members a handout
about anger management. One of the male clients is fidgety, interrupts peers when they
try and talk, and talks about his pets at home. What nursing action is best for the RN to
take?
A. Explore the client's feelings about his pets and home life.
B. Encourage his peers to help involve him in the activity.
C. Give the client permission to leave and return in 10 minutes.
D. Redirect him by encouraging him to read from the handout.
B - A male adolescent was admitted to the unit two days ago for depression. When the
mental health RN tries to interview the client to establish rapport, he becomes very
irritated and sarcastic. Which action is best for the RN to take?
A. Report the behavior to the next shift.
B. Offer to play a game of cards with the client.
C. Document the behavior in the chart.
D. Plan to talk with the client the next day.
A - A male adult is admitted because of an acetaminophen (Tylenol) overdose. After
transfer to the mental health unit, the client is told he has liver damage. Which
information is most important for the nurse to include in the client's discharge plan?
A. Do not take any over the counter meds.
B. Eat a high carb, low fat, low protein diet.
C. Call the crisis hotline if feeling lonely.
D. Avoid exposure to large crowds.
B - After receiving treatment for anorexia, a student asks the school RN for permission
to work in the school cafeteria as part of the school's work study program. What action
should the RN take?
A. Refer the student to a psychiatrist for further discussion.
B. Recommend assignment to the receptionist's office.
C. Suggest that student work in the athletic department.
D. Determine the parent's opinion of the work assignment.
D - The Rn accepts a transfer to the metal health unit and understands that the client is
distractible and is exhibiting a decreased ability to concentrate. The RN only has 15
minutes to talk to the client. To develop treatment plan for this client, which assessment
is most important for the RN to obtain?
A. Motivation of treatment.
B. History of substance use.
C. Medicationcompliance.
D. Mental status examination.
,B - A male client who recently 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. Risk for suicide.
B. Sleepdeprivation.
C. Situational low self-esteem.
D. Social isolation.
D - A male client with long 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?
A. Haloperidol (Haldol).
B. Thiamine (Vitamin B1).
C. Diphenhydramine(Benadryl).
D. Lorazepam (Ativan).
A - A client who refuses 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. Wanders into the clients rooms.
B. Refuses antipsychotic medications.
C. Talks with nonsensical words.
D. Disrupts group activities.
B - A client with schizophrenia 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's go ask another RN is this is true."
B. "My name tag shows that I am a RN here."
C. "I can't possibly be one if your children."
D. "I know that you don't have 20 children."
B - A high school girl reveals to 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?
A. National percentile of weight and height.
B. Frequency of bingeing and purging behaviors.
C. Perceptions of family and social relationships.
D. School grades and extracurricular activities.
C - Narcan was administered to 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?
A. Encourage the client to increase fluid intake.
, B. Obtain the client's serum Vicodin level.
C. Observe the client for further narcotic effects.
D. Determine the client's reason for attempting suicide.
B - Following surgery, a male client with 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?
A. Reassure the client that his request will be met whenever possible.
B. Advise the client that assignments are not based on the client's request.
C. Ask the client to explain why he constantly requests the RN.
D. Encourage the client to verbalize his feelings about the RN.
A - While interviewing a client, the nurse takes notes to assist with accurate
documentation later. Which statement is most accurate regarding note-taking during an
interview?
A. The nurse' ability to directly observe the client's nonverbal communication is limited
with note taking.
B. Taking notes during an interview is a legal obligation of the examining nurse.
C. The client's comfort level is increased when the nurse breaks eye contact to take
note to take note.
D. The interview process is enhanced with note taking and allows the client speak at
normal pace.
B - An adolescent male receives a prescription for an antidepressant drug because he
is exhibiting a depressed affect. While the client is taking the antidepressant, which
comparison of the client's behavior before and after taking the drug is most important for
the nurse to obtain?
A. His appetite.
B. The emotional quality of his attitude
C. His level of activity.
D. The interactions he has with others.
B C D - A nurse is providing education about strategies for a safety plan for a female
client who is a victim of intimate partner violence. Which strategies should be included
in the safety plan? Select all that apply.
A. Purchase a gun to use for protection
B. Establish a code with family and friends to signify violence.
C. Plan an escape route to use if the abuser blocks the main exit.
D. Have a bag ready that has extra clothes for self and children
B - While sitting in the dayroom of the mental health unit, a male adolescent avoids eye
contact, looks at the floor, and talks softly when interacting verbally with the nurse. The
two trade places, and the nurse demonstrate the client's behavior. What is the main
goal of this therapeutic techniques?
A. Discuss the client's feeling when he responds.
B. Allow the client to identify the way he interacts.
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
GRADED A+ / HESI MENTAL HEALTH NGN REAL LATEST EXAMS NEWEST
D - A client is admitted to the mental health unit and reports taking extra antianxiety
medication because, "I'm so stressed out. I just want to go to sleep." The RN should
plan one-on-one observation of the client based on which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
D. "I don't want to walk. Nothing matters anymore."
C - A male hospital employee is pushed out the way by a female employee because of
an oncoming gurney. The pushed employee becomes very angry and swings at the
female employee. Both employees are referred for counseling with the staff psychiatric
RN. Which factor in the pushed employee's history is most related to the reaction that
occurred?
A. Is worried about losing his job to a woman.
B. Tortured animals as a child.
C. Was physically abused by his mother.
D. Hates to be touched by anyone.
B - 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 the television talks to her. The RN should document these
assessment findings in which section of the mental status exam/
A. Level of concentration.
B. Insightandjudgement.
C. Remotememory. D. Mood and affect.
B - A client is admitted to the mental health unit reports shortness of breath and
dizziness. The client tells the RN, "I feel like I'm going to die". Which nursing problem
should the RN include in this client's plan of care?
A. Mood disturbance.
B. Moderate anxiety.
C. Alteredthoughts.
D. Social isolation.
A - A female client who is wearing dirty clothes and has foul body odor, comes to the
clinic reporting feeling scared because she is being stalked. What action is most
important for the RN to take?
A. Offer the client a safe place to relax before interviewing her.
B. Ask the client to describe why she is being stalked.
,C. Recommend that the client talk with a social worker.
D. Assure the client that the HCP will see her today.
D - The RN leading a group session of adolescent clients gives the members a handout
about anger management. One of the male clients is fidgety, interrupts peers when they
try and talk, and talks about his pets at home. What nursing action is best for the RN to
take?
A. Explore the client's feelings about his pets and home life.
B. Encourage his peers to help involve him in the activity.
C. Give the client permission to leave and return in 10 minutes.
D. Redirect him by encouraging him to read from the handout.
B - A male adolescent was admitted to the unit two days ago for depression. When the
mental health RN tries to interview the client to establish rapport, he becomes very
irritated and sarcastic. Which action is best for the RN to take?
A. Report the behavior to the next shift.
B. Offer to play a game of cards with the client.
C. Document the behavior in the chart.
D. Plan to talk with the client the next day.
A - A male adult is admitted because of an acetaminophen (Tylenol) overdose. After
transfer to the mental health unit, the client is told he has liver damage. Which
information is most important for the nurse to include in the client's discharge plan?
A. Do not take any over the counter meds.
B. Eat a high carb, low fat, low protein diet.
C. Call the crisis hotline if feeling lonely.
D. Avoid exposure to large crowds.
B - After receiving treatment for anorexia, a student asks the school RN for permission
to work in the school cafeteria as part of the school's work study program. What action
should the RN take?
A. Refer the student to a psychiatrist for further discussion.
B. Recommend assignment to the receptionist's office.
C. Suggest that student work in the athletic department.
D. Determine the parent's opinion of the work assignment.
D - The Rn accepts a transfer to the metal health unit and understands that the client is
distractible and is exhibiting a decreased ability to concentrate. The RN only has 15
minutes to talk to the client. To develop treatment plan for this client, which assessment
is most important for the RN to obtain?
A. Motivation of treatment.
B. History of substance use.
C. Medicationcompliance.
D. Mental status examination.
,B - A male client who recently 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. Risk for suicide.
B. Sleepdeprivation.
C. Situational low self-esteem.
D. Social isolation.
D - A male client with long 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?
A. Haloperidol (Haldol).
B. Thiamine (Vitamin B1).
C. Diphenhydramine(Benadryl).
D. Lorazepam (Ativan).
A - A client who refuses 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. Wanders into the clients rooms.
B. Refuses antipsychotic medications.
C. Talks with nonsensical words.
D. Disrupts group activities.
B - A client with schizophrenia 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's go ask another RN is this is true."
B. "My name tag shows that I am a RN here."
C. "I can't possibly be one if your children."
D. "I know that you don't have 20 children."
B - A high school girl reveals to 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?
A. National percentile of weight and height.
B. Frequency of bingeing and purging behaviors.
C. Perceptions of family and social relationships.
D. School grades and extracurricular activities.
C - Narcan was administered to 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?
A. Encourage the client to increase fluid intake.
, B. Obtain the client's serum Vicodin level.
C. Observe the client for further narcotic effects.
D. Determine the client's reason for attempting suicide.
B - Following surgery, a male client with 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?
A. Reassure the client that his request will be met whenever possible.
B. Advise the client that assignments are not based on the client's request.
C. Ask the client to explain why he constantly requests the RN.
D. Encourage the client to verbalize his feelings about the RN.
A - While interviewing a client, the nurse takes notes to assist with accurate
documentation later. Which statement is most accurate regarding note-taking during an
interview?
A. The nurse' ability to directly observe the client's nonverbal communication is limited
with note taking.
B. Taking notes during an interview is a legal obligation of the examining nurse.
C. The client's comfort level is increased when the nurse breaks eye contact to take
note to take note.
D. The interview process is enhanced with note taking and allows the client speak at
normal pace.
B - An adolescent male receives a prescription for an antidepressant drug because he
is exhibiting a depressed affect. While the client is taking the antidepressant, which
comparison of the client's behavior before and after taking the drug is most important for
the nurse to obtain?
A. His appetite.
B. The emotional quality of his attitude
C. His level of activity.
D. The interactions he has with others.
B C D - A nurse is providing education about strategies for a safety plan for a female
client who is a victim of intimate partner violence. Which strategies should be included
in the safety plan? Select all that apply.
A. Purchase a gun to use for protection
B. Establish a code with family and friends to signify violence.
C. Plan an escape route to use if the abuser blocks the main exit.
D. Have a bag ready that has extra clothes for self and children
B - While sitting in the dayroom of the mental health unit, a male adolescent avoids eye
contact, looks at the floor, and talks softly when interacting verbally with the nurse. The
two trade places, and the nurse demonstrate the client's behavior. What is the main
goal of this therapeutic techniques?
A. Discuss the client's feeling when he responds.
B. Allow the client to identify the way he interacts.
