Hesi RN Mental Health Exit Exam
HESI RN MENTAL HEALTH EXIT EXAM NEWEST 2025/2026
COMPLETE 350 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |BRAND NEW VERSION!!
. A nurse working in the emergency room of a children's hospital admits a child
whose injuries could have resulted from abuse. Which statement most accurately
describes the nurse's responsibility in cases of suspected child abuse?
A The nurse should obtain objective data such as x-rays before reporting
suspicions to the authorities.
B The nurse should confirm any suspicions of child abuse with the healthcare
provider before reporting to the authorities.
C The nurse should report any case of suspected child abuse to the nurse in
charge.
D The nurse should note in the client's record any suspicions of child abuse so that
a history of such suspicions can be tracked. - Correct Answer-C
. A client who is being treated with lithium carbonate for bipolar disorder
develops diarrhea, vomiting, and drowsiness. What action should the nurse take?
A Notify the healthcare provider immediately and prepare for administration of an
antidote.
B Notify the healthcare provider of the symptoms prior to the next administration
of the drug.
C Record the symptoms as normal side effects and continue administration of the
prescribed dosage.
D Hold the medication and refuse to administer additional amounts of the drug. -
Correct Answer-B
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, Hesi RN Mental Health Exit Exam
A client on the psychiatric unit appears to imitate a certain nurse on the unit. The
client seeks out this particular nurse and imitates the nurse's mannerisms. The
nurse knows that the client is using which defense mechanism?
A Sublimation.
B Identification.
C Introjection.
D Repression. - Correct Answer-B
A client, who is on a 30-day commitment to a drug rehabilitation unit, asks the
nurse if he can go for a walk on the grounds of the treatment center. When he is
told that his privileges do not include walking on the grounds, the client becomes
verbally abusive. Which approach will the nurse take?
A Call a staff member to escort the client to his room.
B Tell the client to talk to his healthcare provider about his privileges.
C Remind the client of the unit rules.
Ignore the client's inappropriate behavior. - Correct Answer-D
The nurse is planning the care for a 32-year-old male client with acute depression.
Which nursing intervention would be best in helping this client deal with his
depression?
A Ensure that the client's day is filled with group activities.
B Assist the client in exploring feelings of shame, anger, and guilt.
C Allow the client to initiate and determine activities of daily living.
D Encourage the client to explore the rationale for his depression. - Correct
Answer-B
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, Hesi RN Mental Health Exit Exam
. An anxious client expressing a fear of people and open places is admitted to the
psychiatric unit. What is the most effective way for the nurse to assist this client?
A Plan an outing within the first week of admission.
B Distract her whenever she expresses her discomfort about being with others.
C Confront her fears and discuss the possible causes of these fears.
D. Accompany her outside for an increasing amount of time each day - Correct
Answer-D
. A client with bipolar disorder on the mental health unit becomes loud, and
shouts at one of the nurses, "You fat tub of lard! Get something done around
here!" What is the best initial action for the nurse to take?
A Have the orderly escort the client to his room.
B Tell the client his healthcare provider will be notified if he continues to be
verbally abusive.
C Redirect the client's energy by asking him to tidy the recreation room.
D Call the healthcare provider to obtain a prescription for a sedative. - Correct
Answer-C
. A 35-year-old male client who has been hospitalized for two weeks for chronic
paranoia continues to state that someone is trying to steal his clothing. The most
appropriate action for the nurse to take is to
A encourage the client to actively participate in assigned activities on the unit.
B place a lock on the client's closet.
C ignore the client's paranoid ideation to extinguish these behaviors.
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, Hesi RN Mental Health Exit Exam
D explain to the client that his suspicions are false. - Correct Answer-A
On admission, a highly anxious client is described as delusional. The nurse
understands that delusions are most likely to occur with which class of disorder?
A Neurotic.
B Personality.
C Anxiety.
D. Psychotic - Correct Answer-D
A client is admitted with a diagnosis of depression. The nurse knows that which
characteristic is most indicative of depression?
A Grandiose ideation.
B Self-destructive thoughts.
C Suspiciousness of others.
D. A negative view of self and the future - Correct Answer-D.
A 45-year-old female client is admitted to the psychiatric unit for evaluation. Her
husband states that she has been reluctant to leave home for the last six months.
The client has not gone to work for a month and has been terminated from her
job. She has not left the house since that time. This client is displaying symptoms
of what condition?
A Claustrophobia.
B Acrophobia.
C Agoraphobia.
D Post-traumatic stress disorder. - Correct Answer-C.
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HESI RN MENTAL HEALTH EXIT EXAM NEWEST 2025/2026
COMPLETE 350 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |BRAND NEW VERSION!!
. A nurse working in the emergency room of a children's hospital admits a child
whose injuries could have resulted from abuse. Which statement most accurately
describes the nurse's responsibility in cases of suspected child abuse?
A The nurse should obtain objective data such as x-rays before reporting
suspicions to the authorities.
B The nurse should confirm any suspicions of child abuse with the healthcare
provider before reporting to the authorities.
C The nurse should report any case of suspected child abuse to the nurse in
charge.
D The nurse should note in the client's record any suspicions of child abuse so that
a history of such suspicions can be tracked. - Correct Answer-C
. A client who is being treated with lithium carbonate for bipolar disorder
develops diarrhea, vomiting, and drowsiness. What action should the nurse take?
A Notify the healthcare provider immediately and prepare for administration of an
antidote.
B Notify the healthcare provider of the symptoms prior to the next administration
of the drug.
C Record the symptoms as normal side effects and continue administration of the
prescribed dosage.
D Hold the medication and refuse to administer additional amounts of the drug. -
Correct Answer-B
1|Page
, Hesi RN Mental Health Exit Exam
A client on the psychiatric unit appears to imitate a certain nurse on the unit. The
client seeks out this particular nurse and imitates the nurse's mannerisms. The
nurse knows that the client is using which defense mechanism?
A Sublimation.
B Identification.
C Introjection.
D Repression. - Correct Answer-B
A client, who is on a 30-day commitment to a drug rehabilitation unit, asks the
nurse if he can go for a walk on the grounds of the treatment center. When he is
told that his privileges do not include walking on the grounds, the client becomes
verbally abusive. Which approach will the nurse take?
A Call a staff member to escort the client to his room.
B Tell the client to talk to his healthcare provider about his privileges.
C Remind the client of the unit rules.
Ignore the client's inappropriate behavior. - Correct Answer-D
The nurse is planning the care for a 32-year-old male client with acute depression.
Which nursing intervention would be best in helping this client deal with his
depression?
A Ensure that the client's day is filled with group activities.
B Assist the client in exploring feelings of shame, anger, and guilt.
C Allow the client to initiate and determine activities of daily living.
D Encourage the client to explore the rationale for his depression. - Correct
Answer-B
2|Page
, Hesi RN Mental Health Exit Exam
. An anxious client expressing a fear of people and open places is admitted to the
psychiatric unit. What is the most effective way for the nurse to assist this client?
A Plan an outing within the first week of admission.
B Distract her whenever she expresses her discomfort about being with others.
C Confront her fears and discuss the possible causes of these fears.
D. Accompany her outside for an increasing amount of time each day - Correct
Answer-D
. A client with bipolar disorder on the mental health unit becomes loud, and
shouts at one of the nurses, "You fat tub of lard! Get something done around
here!" What is the best initial action for the nurse to take?
A Have the orderly escort the client to his room.
B Tell the client his healthcare provider will be notified if he continues to be
verbally abusive.
C Redirect the client's energy by asking him to tidy the recreation room.
D Call the healthcare provider to obtain a prescription for a sedative. - Correct
Answer-C
. A 35-year-old male client who has been hospitalized for two weeks for chronic
paranoia continues to state that someone is trying to steal his clothing. The most
appropriate action for the nurse to take is to
A encourage the client to actively participate in assigned activities on the unit.
B place a lock on the client's closet.
C ignore the client's paranoid ideation to extinguish these behaviors.
3|Page
, Hesi RN Mental Health Exit Exam
D explain to the client that his suspicions are false. - Correct Answer-A
On admission, a highly anxious client is described as delusional. The nurse
understands that delusions are most likely to occur with which class of disorder?
A Neurotic.
B Personality.
C Anxiety.
D. Psychotic - Correct Answer-D
A client is admitted with a diagnosis of depression. The nurse knows that which
characteristic is most indicative of depression?
A Grandiose ideation.
B Self-destructive thoughts.
C Suspiciousness of others.
D. A negative view of self and the future - Correct Answer-D.
A 45-year-old female client is admitted to the psychiatric unit for evaluation. Her
husband states that she has been reluctant to leave home for the last six months.
The client has not gone to work for a month and has been terminated from her
job. She has not left the house since that time. This client is displaying symptoms
of what condition?
A Claustrophobia.
B Acrophobia.
C Agoraphobia.
D Post-traumatic stress disorder. - Correct Answer-C.
4|Page
