HESI Mental Health NGN Exams 2024: Updated Version
A & B with Verified Answers and Rationale (Grade A+!)
A client experiencing withdrawal from Xanax is having severe agitation and tremors. What should the PN
do? answerInitiate seizure precaution.
A daughter gained weight because she is under so much stress deciding whether to send dad to nursing
home or her home. What should the PN do? answerOffer to assist her in examining the pros and cons of
the choices for him
A CLIENT IS DIAGNOSED WITH TERMINAL CANCER, THE DOCTOR TOLD ME I HAVE CANCER.I DO NOT
HAVE LONG TO LIVE.WHICH RESPONSE SHOULD THE PN OFFER? answerYES, YOUR CONDITION IS
SERIOUS.
WHILE CONDUCTING A MENTAL STATUS EXAMINATION OF A NEWLY ADMITTED MALE CLIENT HEAD
LOWERED AND STARES AT HIS HANDS BASED ON THIS OBSERVATION WHAT SHOULD THE PN RESPOND?
answerHOW ARE YOU FEELING TODAY
ALCOHOLIC ADMITTED TO THE HOSPITAL WITH EARLY STAGE OF CIRRHOSIS OF THE LIVER, HE TELLS THE
PN THAT HE KNOWS HE CAN NOT STOP DRINKING WHAT RESPONSES IS BEST TO PROVIDE answerTELL
ME WHAT YOU THINK WILL HAPPEN TO YOU IF YOU DO CONTINUE TO DRINK
A 4 YEAR OLD IS BROUGHT TO THE CLINIC WITH A FRACTURED ARM.WHICH INFORMATION SHOULD BE
A BASIS FOR THE PRACTICAL NURSE TO SUSPECT CHILD ABUSE answerTHE CHILD HAS HAD 4 PREVIOUS
VISITS TO 3 NUMBER OF EMERGENCY DEPARTMENT
NURSING MEASURE FOR VICODIN answerOBSERVE THE CLIENT FOR FURTHER NARCOTIC EFFECTS
OLDER CLIENT BECOME DISORIENTED AND CONFUSED. SIGNS OF LEFT EXTREMITY WEAKNESS BUT NO
NEURO CHANGES. answerCALL AN AMBULANCE TO TAKE THE CLIENT TO THE HOSPITAL
HALDOL INCREASE TEMP: 104 F AND MUSCULAR RIGIDITY answerCALL AN AMBULANCE
, ALZHEIMER'S PATIENT ADMITTED TO AN EXTENDED CARE FACILITY. WHAT SHOULD YOU DO?
answerPLAN TO HAVE THE SAME NURSING STAFF PROVIDE CARE FOR THE CLIENT WHENEVER POSSIBLE
ar changes that require constant monitoring and medical management to safely move the client to an
alcohol-free physiology. The other responses are ineffective and may contribute to the client's
defensiveness.
Depression-1st priority answerMaslow's hierarchy or needs begins with ensuring physiologic needs and
safety as primary needs. The priority investigation is to provide a safe stable, and predictable routine
that will meet the client's basic needs. The other actions are indicated, but first an environment that is
predictable should be ensured to facilitate the client's participation in self care.
Abuse-spousal answerThe PN should ask a direct question that is supportive and nonjudgmental, and
the best approach is the question, is someone hurting you? The other questions are probing and
judgmental and are not the best approach to sensitive information.
Stress-decision conflict answerThe daughter is reporting stress-induced behavior from a decisional
conflict. It is most helpful for the PN to implement actions directed toward resolution of the conflict, and
offer to assist in examining the pros and cons of the choices. The other actions are less helpful in
resolving the daughter's conflict about her father's placement.
Child abuse-historic signs answerTrauma in child, such as arm fracture, should be assessed for other
common trends in parenting that may be the result of child abuse, which can be life-threatening and
require reporting to the proper authorities. Repeated visits to one or more emergency departments
A PN attempts to assist an 18 year old female with mild mental disability to ambulate first day post op
after appendectomy. She refuses. What should you tell her? answerI'll be back in 30 minutes to get you
out of bed and walk around the room today.
with injuries to a child is a sign of possible physical abuse. The other findings describe normal behavior
for an injured child and family dynamics that are not necessarily a sign of potential child abuse.
if a female client is sitting alone in the group room of psychiatric unit, nodding head and talking to
herself, hearing voices and they are telling her to turn herself in to FBI, what should the PN do?
answerDistract her by turning on tv
An OCD patient repeatedly washing a table top. What intervention should the PN do? answerAllow time
for behavior and then redirect to other activities
A & B with Verified Answers and Rationale (Grade A+!)
A client experiencing withdrawal from Xanax is having severe agitation and tremors. What should the PN
do? answerInitiate seizure precaution.
A daughter gained weight because she is under so much stress deciding whether to send dad to nursing
home or her home. What should the PN do? answerOffer to assist her in examining the pros and cons of
the choices for him
A CLIENT IS DIAGNOSED WITH TERMINAL CANCER, THE DOCTOR TOLD ME I HAVE CANCER.I DO NOT
HAVE LONG TO LIVE.WHICH RESPONSE SHOULD THE PN OFFER? answerYES, YOUR CONDITION IS
SERIOUS.
WHILE CONDUCTING A MENTAL STATUS EXAMINATION OF A NEWLY ADMITTED MALE CLIENT HEAD
LOWERED AND STARES AT HIS HANDS BASED ON THIS OBSERVATION WHAT SHOULD THE PN RESPOND?
answerHOW ARE YOU FEELING TODAY
ALCOHOLIC ADMITTED TO THE HOSPITAL WITH EARLY STAGE OF CIRRHOSIS OF THE LIVER, HE TELLS THE
PN THAT HE KNOWS HE CAN NOT STOP DRINKING WHAT RESPONSES IS BEST TO PROVIDE answerTELL
ME WHAT YOU THINK WILL HAPPEN TO YOU IF YOU DO CONTINUE TO DRINK
A 4 YEAR OLD IS BROUGHT TO THE CLINIC WITH A FRACTURED ARM.WHICH INFORMATION SHOULD BE
A BASIS FOR THE PRACTICAL NURSE TO SUSPECT CHILD ABUSE answerTHE CHILD HAS HAD 4 PREVIOUS
VISITS TO 3 NUMBER OF EMERGENCY DEPARTMENT
NURSING MEASURE FOR VICODIN answerOBSERVE THE CLIENT FOR FURTHER NARCOTIC EFFECTS
OLDER CLIENT BECOME DISORIENTED AND CONFUSED. SIGNS OF LEFT EXTREMITY WEAKNESS BUT NO
NEURO CHANGES. answerCALL AN AMBULANCE TO TAKE THE CLIENT TO THE HOSPITAL
HALDOL INCREASE TEMP: 104 F AND MUSCULAR RIGIDITY answerCALL AN AMBULANCE
, ALZHEIMER'S PATIENT ADMITTED TO AN EXTENDED CARE FACILITY. WHAT SHOULD YOU DO?
answerPLAN TO HAVE THE SAME NURSING STAFF PROVIDE CARE FOR THE CLIENT WHENEVER POSSIBLE
ar changes that require constant monitoring and medical management to safely move the client to an
alcohol-free physiology. The other responses are ineffective and may contribute to the client's
defensiveness.
Depression-1st priority answerMaslow's hierarchy or needs begins with ensuring physiologic needs and
safety as primary needs. The priority investigation is to provide a safe stable, and predictable routine
that will meet the client's basic needs. The other actions are indicated, but first an environment that is
predictable should be ensured to facilitate the client's participation in self care.
Abuse-spousal answerThe PN should ask a direct question that is supportive and nonjudgmental, and
the best approach is the question, is someone hurting you? The other questions are probing and
judgmental and are not the best approach to sensitive information.
Stress-decision conflict answerThe daughter is reporting stress-induced behavior from a decisional
conflict. It is most helpful for the PN to implement actions directed toward resolution of the conflict, and
offer to assist in examining the pros and cons of the choices. The other actions are less helpful in
resolving the daughter's conflict about her father's placement.
Child abuse-historic signs answerTrauma in child, such as arm fracture, should be assessed for other
common trends in parenting that may be the result of child abuse, which can be life-threatening and
require reporting to the proper authorities. Repeated visits to one or more emergency departments
A PN attempts to assist an 18 year old female with mild mental disability to ambulate first day post op
after appendectomy. She refuses. What should you tell her? answerI'll be back in 30 minutes to get you
out of bed and walk around the room today.
with injuries to a child is a sign of possible physical abuse. The other findings describe normal behavior
for an injured child and family dynamics that are not necessarily a sign of potential child abuse.
if a female client is sitting alone in the group room of psychiatric unit, nodding head and talking to
herself, hearing voices and they are telling her to turn herself in to FBI, what should the PN do?
answerDistract her by turning on tv
An OCD patient repeatedly washing a table top. What intervention should the PN do? answerAllow time
for behavior and then redirect to other activities
