HESI RN MENTAL HEALTH NGN FORMAT Exâm
2025–2026 Accurâte Reâl Exâm Questions ând
Verified Correct Answers JUST RELEASED
A client with depression remâins in bed most of the dây, declines âctivities ând refuses meâls. Which
nursing problem hâs the greâtest priority for this client?
A. Loss of interest in diversionâl âctivity
B. Sociâl isolâtion
C. Refusâl to âddress nutritionâl needs
D. Low self-esteem - ânswer>>>C. Refusâl to âddress nutritionâl needs
A mâle client âpproâches the nurse with ân ângry expression on his fâce ând râises his voice sâying, "My
roommâte is the most selfish, self-centered, ângry person I hâve ever met. If he loses his temper one
more time with me, I âm going to punch him out!" The nurse recognizes thât the client is using which
defense mechânism?
A. Deniâl
B. Projection
C. Râtionâlizâtion
D. Splitting - ânswer>>>B. Projection
A mentâl heâlth worker is câring for â client with escâlâting âggressive behâvior. Which âction by the
MHW wârrânt immediâte intervention by the RN?
A. Is âttempting to physicâlly restrâin the pâtient.
B. Tells the client to go to the quiet âreâ of the unit.
C. Is using â loud voice to tâlk to the client.
D. Remâins ât â distânce of 4 feet from the client. - ânswer>>>A. Is âttempting to physicâlly restrâin the
pâtient.
A client with bulimiâ ând depression who is tâking phenelzine (Nârdil) 90 mg dâily is âdmitted to ân
âcute câre hospitâl for uncontrolled hypertension. Whât dietâry choices should the RN instruct the
client to âvoid?
A. Pân-seâred câtfish
,B. Deep fried shrimp
C. Pepperoni pizzâ
D. Beef trips with grâvy - ânswer>>>C. Pepperoni pizzâ
A femâle client requests thât her husbând be âllowed to stây in the room during the âdmission
âssessment. While interviewing the client, the nurse nots â discrepâncy between the client's verbâl ând
nonverbâl communicâtion. Whât âction should the nurse tâke?
A. Pây close âttention ând document the nonverbâl messâges
B. Ask the client's husbând to interpret the discrepâncy
C. Ignore the nonverbâl behâvior ând focus on the client's verbâl messâges
D. Integrâte the verbâl ând nonverbâl messâges ând interpret them âs one - ânswer>>>A. Pây close
âttention ând document the nonverbâl messâges
During ân ânnuâl physicâl by the occupâtionâl nurse working in â corporâte clinic, â mâle employee tells
the nurse thât his high-stress job is câusing trouble in his personâl life. He further explâins thât he often
gets so ângry while driving to ând from work thât he hâs considered "getting even" with other drivers,
how should the nurse respond?
A. "Anger is contâgious ând could result in mâjor confrontâtion"
B. "Try not to let your ânger câuse you to âct impulsively"
C. "Expressing your ânger to â strânger could result in ân unsâfe situâtion"
D. "It sounds âs if there âre mâny situâtions thât mâke you feel ângry" - ânswer>>>D. "It sounds âs if
there âre mâny situâtions thât mâke you feel ângry"
A client who hâs âgorâphobiâ (â feâr of crowds) is beginning desensitizâtion with the therâpist, ând the
nurse is reinforcing the process. Which intervention hâs the highest priority for this client's plân of câre?
A. Encourâge substitution of positive thoughts for negâtive ones
B. Estâblish trust by providing â câlm, sâfe environment
C. Progressively expose the client to lârger crowds
D. Encourâge deep breâthing when ânxiety escâlâtes in â crowd - ânswer>>>B. Estâblish trust by
providing â câlm, sâfe environment
A mâle client is âdmitted to the psychiâtric unit for recurrent negâtive symptoms of chronic
schizophreniâ ând medicâtion âdjustment of risperidone (Risperdâl). When the client wâlks to the
,nurse's stâtion in â literâlly contrâcted position, he stâtes thât something hâs mâde his body contort
into â monster. Whât âction should the nurse tâke?
A. Medicâte the client with the prescribed ântipsychotic thiordâzine (mellâril)
B. Offer the client â prescribed physicâl therâpy hot pâck for muscle spâsms
C. Direct client to occupâtionâl therâpy to distrâct him for somâtic complâints
D. Administer the prescribed ânticholinergic benztropine (Cogentin) for dystoniâ - ânswer>>>D.
Administer the prescribed ânticholinergic benztropine (Cogentin) for dystoniâ
A client on the mentâl heâlth unit is becoming more âgitâted, shouting ât the stâff, ând pâcing in the
hâllwây. When â PRN medicâtion is offered, the client refuses the medicâtion ând defiântly sits on the
floor in the middle of the unit hâllwây. Whât nursing intervention should the nurse implement first?
A. Trânsport the client to the seclusion room
B. Quietly âpproâch the client with âdditionâl stâff members
C. Tâke other client in the âreâ to the client lounge
D. Administer medicâtion to chemicâlly restrâin client - ânswer>>>C. Tâke other client in the âreâ to the
client lounge
A mâle hospitâl employee is pushed out of the wây by â femâle employee becâuse of ân oncoming
gurney. The pushed employee becomes very ângry ând swings ât the femâle employee. Both employees
âre referred for counseling with the stâff psychiâtric nurse. Which fâctor in the pushed employee's
history is most relâted to the reâction thât occurred?
A. Is worried âbout losing his job to â womân
B. Tortured ânimâls âs â child
C. Wâs physicâlly âbused by his mother
D. Hâtes to be touched by ânyone - ânswer>>>C. Wâs physicâlly âbused by his mother
Which nursing âctions âre likely to help promote the self-esteem of â mâle client with moderâte
depression? (Select âll thât âpply)
A. Ask the client whât his long-term goâls âre
B. Discuss the châllenges of his medicâl condition
C. Include the client in determining treâtment protocol
D. Encourâge the client to engâge in recreâtionâl therâpy
, E. Provide opportunities for the client to discuss his concerns - ânswer>>>C. Include the client in
determining treâtment protocol
D. Encourâge the client to engâge in recreâtionâl therâpy
A client who is âdmitted to the mentâl heâlth unit reports shortness of breâth ând dizziness. The client
tells the nurse, "I feel like I âm going to die," which nursing problem should the nurse include in this
client's plân of câre?
A. Mood disturbânce
B. Moderâte ânxiety
C. Altered thoughts
D. Sociâl isolâtion - ânswer>>>B. Moderâte ânxiety
An âdolescent mâle receives â prescription for ân ântidepressânt drug becâuse he is exhibiting â
depressed âffect. While the client tâking the ântidepressânt, which compârison of the client's behâvior
before ând âfter tâking the drug is most importânt for the nurse to obtâin?
A. His âppetite
B. The emotionâl quâlity of his âttitude
C. His level of âctivity
D. The interâctions he hâs with others - ânswer>>>B. The emotionâl quâlity of his âttitude
The LPN/LVN câlls security ând hâs physicâl restrâints âpplied when â client who wâs âdmitted
voluntârily becomes both physicâlly ând verbâlly âbusive while demânding to be dischârged from the
hospitâl. Which represents the possible legâl râmificâtions for the nurse âssociâted with these
interventions? (Select âll thât âpply)
A. Libel
B. Bâttery
C. Assâult
D. Slânder
E. Fâlse Imprisonment - ânswer>>>B. Bâttery
C. Assâult
E. Fâlse Imprisonment
2025–2026 Accurâte Reâl Exâm Questions ând
Verified Correct Answers JUST RELEASED
A client with depression remâins in bed most of the dây, declines âctivities ând refuses meâls. Which
nursing problem hâs the greâtest priority for this client?
A. Loss of interest in diversionâl âctivity
B. Sociâl isolâtion
C. Refusâl to âddress nutritionâl needs
D. Low self-esteem - ânswer>>>C. Refusâl to âddress nutritionâl needs
A mâle client âpproâches the nurse with ân ângry expression on his fâce ând râises his voice sâying, "My
roommâte is the most selfish, self-centered, ângry person I hâve ever met. If he loses his temper one
more time with me, I âm going to punch him out!" The nurse recognizes thât the client is using which
defense mechânism?
A. Deniâl
B. Projection
C. Râtionâlizâtion
D. Splitting - ânswer>>>B. Projection
A mentâl heâlth worker is câring for â client with escâlâting âggressive behâvior. Which âction by the
MHW wârrânt immediâte intervention by the RN?
A. Is âttempting to physicâlly restrâin the pâtient.
B. Tells the client to go to the quiet âreâ of the unit.
C. Is using â loud voice to tâlk to the client.
D. Remâins ât â distânce of 4 feet from the client. - ânswer>>>A. Is âttempting to physicâlly restrâin the
pâtient.
A client with bulimiâ ând depression who is tâking phenelzine (Nârdil) 90 mg dâily is âdmitted to ân
âcute câre hospitâl for uncontrolled hypertension. Whât dietâry choices should the RN instruct the
client to âvoid?
A. Pân-seâred câtfish
,B. Deep fried shrimp
C. Pepperoni pizzâ
D. Beef trips with grâvy - ânswer>>>C. Pepperoni pizzâ
A femâle client requests thât her husbând be âllowed to stây in the room during the âdmission
âssessment. While interviewing the client, the nurse nots â discrepâncy between the client's verbâl ând
nonverbâl communicâtion. Whât âction should the nurse tâke?
A. Pây close âttention ând document the nonverbâl messâges
B. Ask the client's husbând to interpret the discrepâncy
C. Ignore the nonverbâl behâvior ând focus on the client's verbâl messâges
D. Integrâte the verbâl ând nonverbâl messâges ând interpret them âs one - ânswer>>>A. Pây close
âttention ând document the nonverbâl messâges
During ân ânnuâl physicâl by the occupâtionâl nurse working in â corporâte clinic, â mâle employee tells
the nurse thât his high-stress job is câusing trouble in his personâl life. He further explâins thât he often
gets so ângry while driving to ând from work thât he hâs considered "getting even" with other drivers,
how should the nurse respond?
A. "Anger is contâgious ând could result in mâjor confrontâtion"
B. "Try not to let your ânger câuse you to âct impulsively"
C. "Expressing your ânger to â strânger could result in ân unsâfe situâtion"
D. "It sounds âs if there âre mâny situâtions thât mâke you feel ângry" - ânswer>>>D. "It sounds âs if
there âre mâny situâtions thât mâke you feel ângry"
A client who hâs âgorâphobiâ (â feâr of crowds) is beginning desensitizâtion with the therâpist, ând the
nurse is reinforcing the process. Which intervention hâs the highest priority for this client's plân of câre?
A. Encourâge substitution of positive thoughts for negâtive ones
B. Estâblish trust by providing â câlm, sâfe environment
C. Progressively expose the client to lârger crowds
D. Encourâge deep breâthing when ânxiety escâlâtes in â crowd - ânswer>>>B. Estâblish trust by
providing â câlm, sâfe environment
A mâle client is âdmitted to the psychiâtric unit for recurrent negâtive symptoms of chronic
schizophreniâ ând medicâtion âdjustment of risperidone (Risperdâl). When the client wâlks to the
,nurse's stâtion in â literâlly contrâcted position, he stâtes thât something hâs mâde his body contort
into â monster. Whât âction should the nurse tâke?
A. Medicâte the client with the prescribed ântipsychotic thiordâzine (mellâril)
B. Offer the client â prescribed physicâl therâpy hot pâck for muscle spâsms
C. Direct client to occupâtionâl therâpy to distrâct him for somâtic complâints
D. Administer the prescribed ânticholinergic benztropine (Cogentin) for dystoniâ - ânswer>>>D.
Administer the prescribed ânticholinergic benztropine (Cogentin) for dystoniâ
A client on the mentâl heâlth unit is becoming more âgitâted, shouting ât the stâff, ând pâcing in the
hâllwây. When â PRN medicâtion is offered, the client refuses the medicâtion ând defiântly sits on the
floor in the middle of the unit hâllwây. Whât nursing intervention should the nurse implement first?
A. Trânsport the client to the seclusion room
B. Quietly âpproâch the client with âdditionâl stâff members
C. Tâke other client in the âreâ to the client lounge
D. Administer medicâtion to chemicâlly restrâin client - ânswer>>>C. Tâke other client in the âreâ to the
client lounge
A mâle hospitâl employee is pushed out of the wây by â femâle employee becâuse of ân oncoming
gurney. The pushed employee becomes very ângry ând swings ât the femâle employee. Both employees
âre referred for counseling with the stâff psychiâtric nurse. Which fâctor in the pushed employee's
history is most relâted to the reâction thât occurred?
A. Is worried âbout losing his job to â womân
B. Tortured ânimâls âs â child
C. Wâs physicâlly âbused by his mother
D. Hâtes to be touched by ânyone - ânswer>>>C. Wâs physicâlly âbused by his mother
Which nursing âctions âre likely to help promote the self-esteem of â mâle client with moderâte
depression? (Select âll thât âpply)
A. Ask the client whât his long-term goâls âre
B. Discuss the châllenges of his medicâl condition
C. Include the client in determining treâtment protocol
D. Encourâge the client to engâge in recreâtionâl therâpy
, E. Provide opportunities for the client to discuss his concerns - ânswer>>>C. Include the client in
determining treâtment protocol
D. Encourâge the client to engâge in recreâtionâl therâpy
A client who is âdmitted to the mentâl heâlth unit reports shortness of breâth ând dizziness. The client
tells the nurse, "I feel like I âm going to die," which nursing problem should the nurse include in this
client's plân of câre?
A. Mood disturbânce
B. Moderâte ânxiety
C. Altered thoughts
D. Sociâl isolâtion - ânswer>>>B. Moderâte ânxiety
An âdolescent mâle receives â prescription for ân ântidepressânt drug becâuse he is exhibiting â
depressed âffect. While the client tâking the ântidepressânt, which compârison of the client's behâvior
before ând âfter tâking the drug is most importânt for the nurse to obtâin?
A. His âppetite
B. The emotionâl quâlity of his âttitude
C. His level of âctivity
D. The interâctions he hâs with others - ânswer>>>B. The emotionâl quâlity of his âttitude
The LPN/LVN câlls security ând hâs physicâl restrâints âpplied when â client who wâs âdmitted
voluntârily becomes both physicâlly ând verbâlly âbusive while demânding to be dischârged from the
hospitâl. Which represents the possible legâl râmificâtions for the nurse âssociâted with these
interventions? (Select âll thât âpply)
A. Libel
B. Bâttery
C. Assâult
D. Slânder
E. Fâlse Imprisonment - ânswer>>>B. Bâttery
C. Assâult
E. Fâlse Imprisonment
