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RN HESI MENTAL HEALTH EXAM V1, V2 & V3
NEWEST 2026 ACTUAL EXAM TEST BANK| MENTAL
HEALTH RN HESI EXIT EXAM PREP WITH
COMPLETE REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (MOST RECENT!!)
RN HESI MENTAL HEALTH EXIT EXAM V1.
A nurse is planning to teach a client about self-care. What level of
anxiety will best enhance the client's learning abilities?
1. Mild
2. Panic
3. Severe
4. Moderate - Correct Answer - 1. Mild
Mild anxiety motivates one to action, such as learning or making
changes. Higher levels of anxiety tend to blur the individual's
perceptions and interfere with functioning. Attention is severely reduced
by panic. The perceptual field is greatly reduced with severe anxiety and
narrowed with moderate anxiety.
A nurse is aware that after the administration of alprazolam (Xanax) is
started, it is important to observe the client for side effects. What is the
nurse's initial action?
1. Measuring the client's urine output
2. Examining the client's pupils daily
3. Checking the client's blood pressure
pg. 1
,2|Page
4. Monitoring the abdomen for distention - Correct Answer - 3.
Checking the client's blood pressure
Orthostatic hypotension is a common side effect of alprazolam (Xanax)
that occurs early in therapy. Central nervous system depression is not an
early side effect, but it may occur after prolonged use. An alteration in
urine output is not a common side effect, but it may occur after
prolonged use. Distention is not a common side effect, but distention
from constipation may occur after prolonged use.
Which drugs are considered neuroleptics? Select all that apply.
1. Asenapine
2. Lurasidone
3. Aripiprazole
4. Thioridazine
5. Chlorpromazine - Correct Answer - 4. Thioridazine
5. Chlorpromazine
First-generation antipsychotic drugs are also known as neuroleptics.
Thioridazine and chlorpromazine are neuroleptics. Asenapine,
lurasidone, and aripiprazole are second-generation drugs, which are
considered as atypical antipsychotic drugs.
An executive, busy at work, receives a phone call from a friend relating
bad news. The woman makes a conscious effort to put this information
out of her mind and continues to work at the task at hand. The next day
she remembers that her friend telephoned her but is unable to recall the
message. Which defense mechanism does this behavior represent?
1. Regression
2. Suppression
pg. 2
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3. Passive aggression
4. Reaction formation - Correct Answer - 2. Suppression
Suppression is the voluntary exclusion from awareness of anxiety-
producing feelings, ideas, and situations. In regression, a person returns
to an earlier and more comfortable developmental level. Passive
aggression is the use of behaviors such as passivity, procrastination, and
inefficiency that negatively affect others. Reaction formation is a
conscious behavior that is the opposite of an unconscious feeling.
Which addictive drug may cause the dependent user to think that he or
she has the ability to fly?
1. Cocaine
2. Hallucinogens
3. Amphetamines
4. Opioid analgesics - Correct Answer - 2. Hallucinogens
Hallucinogens affect various parts of the brain, altering perception and
thinking; a chronic user of these drugs may think he or she has the
ability to fly. Use of the other drugs has other results. Chronic overdose
of cocaine may lead to cardiorespiratory distress and seizures.
Amphetamines strongly stimulate the central nervous system and may
induce hallucinations and paranoia. Acute opioid overdose may cause
severe respiratory depression, pinpoint pupils, and stupor or coma.
A nurse is counseling a client who abuses cocaine. The nurse recognizes
that this drug is representative of which drug category?
1. An opioid
2. A stimulant
3. A barbiturate
pg. 3
, 4|Page
4. A hallucinogen - Correct Answer - 2. A stimulant
Cocaine is classified as a stimulant. It is inhaled in its powdered form or
smoked as crack; its use creates experiences similar to but more intense
than those experienced with the amphetamines, and its withdrawal
results in a deeper crash. Opioids and barbiturates are central nervous
system depressants. Hallucinogens produce cerebral excitation that can
yield a state similar to psychosis.
What drug should a nurse anticipate that the health care provider will
prescribe for a client demonstrating clinical manifestations associated
with an opioid overdose?
1. Naloxone
2. Methadone
3. Epinephrine
4. Amphetamine - Correct Answer - 1. Naloxone
Naloxone is a narcotic antagonist that displaces opioids from receptors
in the brain, thereby reversing respiratory depression. Methadone is a
synthetic opioid that causes central nervous system depression; it will
add to the problem of overdose. Epinephrine and amphetamine will have
no effect on respiratory depression related to opioid overdose.
An older adult client is talking to the nurse about his Vietnam
experiences and shares that he still has flashbacks. While assessing him
the nurse notes that he is jumpy and exhibits startle reactions and poor
concentration. With which mental health disorder does the nurse
associate these symptoms?
1. Delusions
2. Hallucinations
3. Posttraumatic stress disorder (PTSD)
pg. 4
RN HESI MENTAL HEALTH EXAM V1, V2 & V3
NEWEST 2026 ACTUAL EXAM TEST BANK| MENTAL
HEALTH RN HESI EXIT EXAM PREP WITH
COMPLETE REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (MOST RECENT!!)
RN HESI MENTAL HEALTH EXIT EXAM V1.
A nurse is planning to teach a client about self-care. What level of
anxiety will best enhance the client's learning abilities?
1. Mild
2. Panic
3. Severe
4. Moderate - Correct Answer - 1. Mild
Mild anxiety motivates one to action, such as learning or making
changes. Higher levels of anxiety tend to blur the individual's
perceptions and interfere with functioning. Attention is severely reduced
by panic. The perceptual field is greatly reduced with severe anxiety and
narrowed with moderate anxiety.
A nurse is aware that after the administration of alprazolam (Xanax) is
started, it is important to observe the client for side effects. What is the
nurse's initial action?
1. Measuring the client's urine output
2. Examining the client's pupils daily
3. Checking the client's blood pressure
pg. 1
,2|Page
4. Monitoring the abdomen for distention - Correct Answer - 3.
Checking the client's blood pressure
Orthostatic hypotension is a common side effect of alprazolam (Xanax)
that occurs early in therapy. Central nervous system depression is not an
early side effect, but it may occur after prolonged use. An alteration in
urine output is not a common side effect, but it may occur after
prolonged use. Distention is not a common side effect, but distention
from constipation may occur after prolonged use.
Which drugs are considered neuroleptics? Select all that apply.
1. Asenapine
2. Lurasidone
3. Aripiprazole
4. Thioridazine
5. Chlorpromazine - Correct Answer - 4. Thioridazine
5. Chlorpromazine
First-generation antipsychotic drugs are also known as neuroleptics.
Thioridazine and chlorpromazine are neuroleptics. Asenapine,
lurasidone, and aripiprazole are second-generation drugs, which are
considered as atypical antipsychotic drugs.
An executive, busy at work, receives a phone call from a friend relating
bad news. The woman makes a conscious effort to put this information
out of her mind and continues to work at the task at hand. The next day
she remembers that her friend telephoned her but is unable to recall the
message. Which defense mechanism does this behavior represent?
1. Regression
2. Suppression
pg. 2
,3|Page
3. Passive aggression
4. Reaction formation - Correct Answer - 2. Suppression
Suppression is the voluntary exclusion from awareness of anxiety-
producing feelings, ideas, and situations. In regression, a person returns
to an earlier and more comfortable developmental level. Passive
aggression is the use of behaviors such as passivity, procrastination, and
inefficiency that negatively affect others. Reaction formation is a
conscious behavior that is the opposite of an unconscious feeling.
Which addictive drug may cause the dependent user to think that he or
she has the ability to fly?
1. Cocaine
2. Hallucinogens
3. Amphetamines
4. Opioid analgesics - Correct Answer - 2. Hallucinogens
Hallucinogens affect various parts of the brain, altering perception and
thinking; a chronic user of these drugs may think he or she has the
ability to fly. Use of the other drugs has other results. Chronic overdose
of cocaine may lead to cardiorespiratory distress and seizures.
Amphetamines strongly stimulate the central nervous system and may
induce hallucinations and paranoia. Acute opioid overdose may cause
severe respiratory depression, pinpoint pupils, and stupor or coma.
A nurse is counseling a client who abuses cocaine. The nurse recognizes
that this drug is representative of which drug category?
1. An opioid
2. A stimulant
3. A barbiturate
pg. 3
, 4|Page
4. A hallucinogen - Correct Answer - 2. A stimulant
Cocaine is classified as a stimulant. It is inhaled in its powdered form or
smoked as crack; its use creates experiences similar to but more intense
than those experienced with the amphetamines, and its withdrawal
results in a deeper crash. Opioids and barbiturates are central nervous
system depressants. Hallucinogens produce cerebral excitation that can
yield a state similar to psychosis.
What drug should a nurse anticipate that the health care provider will
prescribe for a client demonstrating clinical manifestations associated
with an opioid overdose?
1. Naloxone
2. Methadone
3. Epinephrine
4. Amphetamine - Correct Answer - 1. Naloxone
Naloxone is a narcotic antagonist that displaces opioids from receptors
in the brain, thereby reversing respiratory depression. Methadone is a
synthetic opioid that causes central nervous system depression; it will
add to the problem of overdose. Epinephrine and amphetamine will have
no effect on respiratory depression related to opioid overdose.
An older adult client is talking to the nurse about his Vietnam
experiences and shares that he still has flashbacks. While assessing him
the nurse notes that he is jumpy and exhibits startle reactions and poor
concentration. With which mental health disorder does the nurse
associate these symptoms?
1. Delusions
2. Hallucinations
3. Posttraumatic stress disorder (PTSD)
pg. 4
