HESI RN MENTAL HEALTH EXIT EXAM
2025/2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
A male adult comes to the mental health clinic and walks back and forth in front of the office
door, but does not enter the office. He then walks around a chair that is in the hallway several
times before sitting down in the chair. What action should the nurse take
first observe
the client in the chair?
2. A female client engages in repeated checks of door and window locks. Behavior that prevents
her from arriving on time and interferes with her ability to function eFectively.
What action should the nurse take
plan a list of activities to be carried out daily.
3. A male client with schizophrenia is admitted to the mental health unit after abruptly stopping
his prescription for ziprasidone (Geodon) one month ago. Which question is most
important for the nurse to ask the client
Do you hear voices.
4. A female client with a history of drinking who was admitted 8 hours ago after receiving
treatment for minor abrasions occurred from a fall at home. The nurse determines the client's
blood alcohol level (BAL) was not analyzed on administration action should the nurse take
Ask client about alcohol quantity, frequency, and time of last drink
5. Which client statement suggests to the nurse that the client is using the defense mechanism
of projection to deal with anxiety related to admission to a psychiatric unit
I am here because the police thought I was doing something wrong
1|Page
,6. A female client on a psychiatric unit is sweating profusely while she vigorously does pushups
and then runs the length of the corridor several times before crashing into the furniturein the
sitting room. Picking herself up, she begins to toss chairs aside, looking for a red one to sit in.
When another client objects to the disturbances, the client shouts," I am the boss here. I do
what I want." Which nursing problem best supports these observations?
Risk for other related violence related to disruptive
7 What is the most important goal for a client diagnosed with major depression who has been
receiving an antidepressant medication for two weeks
not attempt to commit suicide
8. Alcohol-Pancreatitis health assessment of history of alcohol dependency WHAT ELSE WOULD
BE A CONCERN
pancreatitis
9. Anorexia Nervosa-syncope Syncope is a clinical feature
Abuse-BAL-
10Admission A female client with a history of drinking who was admitted 8 hours ago after
receiving treatment for minor abrasions occurred from a fall at home. The nurse determines the
client's blood alcohol level (BAL) was not analyzed on administration action should the nurse
take Blood alcohol level
ask the client about alcohol quantity, frequency, and time of the last drink.
11. IPV- difficulty leaving victim of intimate partner violence what 3 things should you do
1. establish a code with family and friends to signify violence
2. plan an escape route to use if the abuser blocks main exit
3.have a bag ready that has extra clothes for self and children
12 Anger Management Give the client
permission to be angry
13. Antisocial- interrupting A female client with bipolar disorder, manic phase, is planning
weekend activities with the other clients on the unit. The client interrupts the group, insists that
they change their plans to a disco party, and begins to curse loudly when the group
refuses to change the plans. Which intervention should the nurse implement?
Escort the client to a quieter place.
2|Page
,14. borderline personality disorder self-inflicted lacerations on abdomen
perform the dressing change in a non-judgemental manner
Rationale: Self-critical demanding, whiney, manipulative, argumentative and can be
verbally abusive suicidal gestures. borderline personality disorder self-inflicted
lacerations on abdomen perform the dressing change in a non -judge mental manner.
15. The nurse is assessing a client who is believed to have a borderline personality disorder.
Which question is most important to include in this assessment?
Do you frequently have temper tantrums?
16. Conversion disorder patient complains of blindness
Conversion Disorder characterized by transferring a mental conflict into a physical
symptom for which there is no organic cause. Ex: blindness, paralysis, seizures,
deafness, and pseudocysts (false pregnancy).
17. Countertransference occurs when a mental health care professional
redirects his or her feelings toward a client or becomes emotionally entangled with a
client counter transference.
18. After returning to work after a weekend off the nurse gets report that a depressed client has
been in bed all weekend. What should the nurse to first?
Assist the client out of bed and involve in activity.
19. A client with dementia uses the defense mechanism of confabulation. What is the
reasoning?
To decrease anxiety.
20. A husband states to the nurse that his wife is not sleeping, buying impulsively, taking last
minute trips, and has lost 22 pounds one month. What is an appropriate nursing dx?
Disturbed thought process.
21 A nurse is explaining a fire drill routine to a group of clients. A client becomes disruptive and
continually interrupts the group. What is the nurse's best response?
When you interrupt, I cannot explain what to do to the group.
22. When performing a MSE on a client which assessment intervention would best assist the
nurse?
Ask the client to interpret the proverb a stitch in time saves nine.
3|Page
, 24. A woman is just told of her husband's dx of terminal cancer. What would the nurse offer for
the spouse (wife)?
How would you like to be involved with your husband's care?
25. A nurse is to remove staples from an abdominal incision, the client is very anxious. What is
the most important intervention?
Attempt to distract the client with general conversation.
26. A man who was stranded on the roof of his house for two days after a natural disaster,
months later ...
Implement anxiety control strategies
27. A man dx with bipolar disorder states, "I don't understand, I believe in God and have not
done anything to deserve this". What is the nurse's best response?
You didn't do anything wrong. You have a chemical imbalance in your brain.
28. A client becomes upset when the nurse he requests is not assigned to him, what is the
nurse's best response?
Advise the client that nursing assignments are not based on client requests.
29. A client needs to wash her hands for two hours before able to go on with her morning. She
doesn't want to sit on the chairs in the dayroom for fear of getting dirty. What is this
mechanism?
Compulsion.
30. A client in group is talking about her prostitution, the nurse asks her if she was abused by
her parents. She states "my mother ran my father out when I was young". What defense
mechanism was used?
• Repression.
31. A woman calls the crisis hotline and says she has a loaded gun and is going to kill herself. To
maintain patient confidentiality what would the nurse do?
Contact the person the client chooses to go to the home and remove the weapon.
32. A client with anger management issues uses belt making and bangs the leather heavily.
What defense mechanisms is being used?
Sublimation.
4|Page
2025/2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
A male adult comes to the mental health clinic and walks back and forth in front of the office
door, but does not enter the office. He then walks around a chair that is in the hallway several
times before sitting down in the chair. What action should the nurse take
first observe
the client in the chair?
2. A female client engages in repeated checks of door and window locks. Behavior that prevents
her from arriving on time and interferes with her ability to function eFectively.
What action should the nurse take
plan a list of activities to be carried out daily.
3. A male client with schizophrenia is admitted to the mental health unit after abruptly stopping
his prescription for ziprasidone (Geodon) one month ago. Which question is most
important for the nurse to ask the client
Do you hear voices.
4. A female client with a history of drinking who was admitted 8 hours ago after receiving
treatment for minor abrasions occurred from a fall at home. The nurse determines the client's
blood alcohol level (BAL) was not analyzed on administration action should the nurse take
Ask client about alcohol quantity, frequency, and time of last drink
5. Which client statement suggests to the nurse that the client is using the defense mechanism
of projection to deal with anxiety related to admission to a psychiatric unit
I am here because the police thought I was doing something wrong
1|Page
,6. A female client on a psychiatric unit is sweating profusely while she vigorously does pushups
and then runs the length of the corridor several times before crashing into the furniturein the
sitting room. Picking herself up, she begins to toss chairs aside, looking for a red one to sit in.
When another client objects to the disturbances, the client shouts," I am the boss here. I do
what I want." Which nursing problem best supports these observations?
Risk for other related violence related to disruptive
7 What is the most important goal for a client diagnosed with major depression who has been
receiving an antidepressant medication for two weeks
not attempt to commit suicide
8. Alcohol-Pancreatitis health assessment of history of alcohol dependency WHAT ELSE WOULD
BE A CONCERN
pancreatitis
9. Anorexia Nervosa-syncope Syncope is a clinical feature
Abuse-BAL-
10Admission A female client with a history of drinking who was admitted 8 hours ago after
receiving treatment for minor abrasions occurred from a fall at home. The nurse determines the
client's blood alcohol level (BAL) was not analyzed on administration action should the nurse
take Blood alcohol level
ask the client about alcohol quantity, frequency, and time of the last drink.
11. IPV- difficulty leaving victim of intimate partner violence what 3 things should you do
1. establish a code with family and friends to signify violence
2. plan an escape route to use if the abuser blocks main exit
3.have a bag ready that has extra clothes for self and children
12 Anger Management Give the client
permission to be angry
13. Antisocial- interrupting A female client with bipolar disorder, manic phase, is planning
weekend activities with the other clients on the unit. The client interrupts the group, insists that
they change their plans to a disco party, and begins to curse loudly when the group
refuses to change the plans. Which intervention should the nurse implement?
Escort the client to a quieter place.
2|Page
,14. borderline personality disorder self-inflicted lacerations on abdomen
perform the dressing change in a non-judgemental manner
Rationale: Self-critical demanding, whiney, manipulative, argumentative and can be
verbally abusive suicidal gestures. borderline personality disorder self-inflicted
lacerations on abdomen perform the dressing change in a non -judge mental manner.
15. The nurse is assessing a client who is believed to have a borderline personality disorder.
Which question is most important to include in this assessment?
Do you frequently have temper tantrums?
16. Conversion disorder patient complains of blindness
Conversion Disorder characterized by transferring a mental conflict into a physical
symptom for which there is no organic cause. Ex: blindness, paralysis, seizures,
deafness, and pseudocysts (false pregnancy).
17. Countertransference occurs when a mental health care professional
redirects his or her feelings toward a client or becomes emotionally entangled with a
client counter transference.
18. After returning to work after a weekend off the nurse gets report that a depressed client has
been in bed all weekend. What should the nurse to first?
Assist the client out of bed and involve in activity.
19. A client with dementia uses the defense mechanism of confabulation. What is the
reasoning?
To decrease anxiety.
20. A husband states to the nurse that his wife is not sleeping, buying impulsively, taking last
minute trips, and has lost 22 pounds one month. What is an appropriate nursing dx?
Disturbed thought process.
21 A nurse is explaining a fire drill routine to a group of clients. A client becomes disruptive and
continually interrupts the group. What is the nurse's best response?
When you interrupt, I cannot explain what to do to the group.
22. When performing a MSE on a client which assessment intervention would best assist the
nurse?
Ask the client to interpret the proverb a stitch in time saves nine.
3|Page
, 24. A woman is just told of her husband's dx of terminal cancer. What would the nurse offer for
the spouse (wife)?
How would you like to be involved with your husband's care?
25. A nurse is to remove staples from an abdominal incision, the client is very anxious. What is
the most important intervention?
Attempt to distract the client with general conversation.
26. A man who was stranded on the roof of his house for two days after a natural disaster,
months later ...
Implement anxiety control strategies
27. A man dx with bipolar disorder states, "I don't understand, I believe in God and have not
done anything to deserve this". What is the nurse's best response?
You didn't do anything wrong. You have a chemical imbalance in your brain.
28. A client becomes upset when the nurse he requests is not assigned to him, what is the
nurse's best response?
Advise the client that nursing assignments are not based on client requests.
29. A client needs to wash her hands for two hours before able to go on with her morning. She
doesn't want to sit on the chairs in the dayroom for fear of getting dirty. What is this
mechanism?
Compulsion.
30. A client in group is talking about her prostitution, the nurse asks her if she was abused by
her parents. She states "my mother ran my father out when I was young". What defense
mechanism was used?
• Repression.
31. A woman calls the crisis hotline and says she has a loaded gun and is going to kill herself. To
maintain patient confidentiality what would the nurse do?
Contact the person the client chooses to go to the home and remove the weapon.
32. A client with anger management issues uses belt making and bangs the leather heavily.
What defense mechanisms is being used?
Sublimation.
4|Page
