HESI MENTAL HEALTH LATEST 2026-2027
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
A male client who is admitted with delirium tremens is dehydrated and
experiencing auditory hallucinations. He has a bruised, swollen tongue
and is confused. In developing a plan of care, which action should the
RN include to ensure the client is physiologically stable?
A. Encourage oral fluids.
B. Monitor vital signs.
C. Keeptheroomdark.
D. Apply ice to his tongue. - Correct AnswerB
A RN is teaching a client about initiation of a prescribed abstinence
therapy using Disulfiram (Antabuse). What information should the client
acknowledge understanding?
A. Admit to others that he is a substance abuser.
B. Remain alcohol free for 12 hours prior to first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Completely sustain from heroin or cocaine use. - Correct AnswerB
Page 1 of 82
,The RN is working with a male client at a community mental health
center when the client reports hearing voices that tell him to get a knife
from the kitchen and hurt himself. What intervention is most important
for the RN to implement?
A. Don't allow the client to go into the kitchen until the hallucination
has subsided.
B. Report the behavior to the client's case workers so that the family
can be notified.
C. Assign the UAP to remain with the client at all times.
D. Document the behavior in the client's record and notify the HCP. -
Correct AnswerC
A homeless client who reports feeling sad and depressed tells the
mental health nurse that in the past 2 days she has only had 4 hours of
sleep. Which action is most important for the RN to implement within
the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep.
B. Ensure client attend groups addressing coping skills for dealing with
depression.
C. Begin planning for the clients discharge.
D. Encourage verbalization of feelings. - Correct AnswerA
Page 2 of 82
,Which client statement suggests the RN that the client is using a
defense mechanism of projection to deal with anxiety related to
admission to a psychiatric unit?
A. At least I hit the wall instead of hitting the psychiatric aide.
B. I am here because the police thought I was doing something wrong.
C. I want to be here because I know it is the best psychiatric facility.
D. Don't believe everything my family tells you, I am not crazy. - Correct
AnswerB
A male client is admitted to the psychiatric inpatient unit with a
bandaged flesh wound after attempting to shoot himself. He was
divorced one year ago. Lost his job four months ago, and suffered a
breakup of is current relationship last week. What is most likely source
of this client's current feelings of depression?
A. Feelings of frustration.
B. A sense of loss
C. Poorself-esteem.
D. A lack of intimate relationships. - Correct AnswerB
The RN documents the mental status of a female client who has been
hospitalized for several days by court order. The client states"I don't
need to be here," and tells the RN that she believes that the t.v talks to
her. The RN should document these assessment statements in which
section of the mental status exam?
A. Insight and judgement.
Page 3 of 82
, B. Moodandaffect.
C. Remotememory.
D. Level of concentration. - Correct AnswerA
An older ale client with schizophrenia is found smearing feces n the
bathroom walls of the chronic mental health unit where he resides.
What action should the RN implement?
A. Explain that the feces belong in the toilet.
B. Show the client how to clean the walls.
C. Escort the client out of the bathroom.
D. Assist the client to clean the walls. - Correct AnswerC
A male client tells the RN that he does not want to take the atypical
antipsychotic drug, olanzapine (Zypexa), because of the side effects he
experienced when he took the drug for a year. Which experience is
most likely related to taking olanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequentdayswithdiarrhea.
D. Alerted liver function test. - Correct AnswerA
A college student who is a victim of a car-jacking presents to the
community health center and report increased anxiety. During the
interview, what nursing intervention should take the highest priority?
Page 4 of 82
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
A male client who is admitted with delirium tremens is dehydrated and
experiencing auditory hallucinations. He has a bruised, swollen tongue
and is confused. In developing a plan of care, which action should the
RN include to ensure the client is physiologically stable?
A. Encourage oral fluids.
B. Monitor vital signs.
C. Keeptheroomdark.
D. Apply ice to his tongue. - Correct AnswerB
A RN is teaching a client about initiation of a prescribed abstinence
therapy using Disulfiram (Antabuse). What information should the client
acknowledge understanding?
A. Admit to others that he is a substance abuser.
B. Remain alcohol free for 12 hours prior to first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Completely sustain from heroin or cocaine use. - Correct AnswerB
Page 1 of 82
,The RN is working with a male client at a community mental health
center when the client reports hearing voices that tell him to get a knife
from the kitchen and hurt himself. What intervention is most important
for the RN to implement?
A. Don't allow the client to go into the kitchen until the hallucination
has subsided.
B. Report the behavior to the client's case workers so that the family
can be notified.
C. Assign the UAP to remain with the client at all times.
D. Document the behavior in the client's record and notify the HCP. -
Correct AnswerC
A homeless client who reports feeling sad and depressed tells the
mental health nurse that in the past 2 days she has only had 4 hours of
sleep. Which action is most important for the RN to implement within
the first 24 hours after treatment is initiated?
A. Allow the client to rest and sleep.
B. Ensure client attend groups addressing coping skills for dealing with
depression.
C. Begin planning for the clients discharge.
D. Encourage verbalization of feelings. - Correct AnswerA
Page 2 of 82
,Which client statement suggests the RN that the client is using a
defense mechanism of projection to deal with anxiety related to
admission to a psychiatric unit?
A. At least I hit the wall instead of hitting the psychiatric aide.
B. I am here because the police thought I was doing something wrong.
C. I want to be here because I know it is the best psychiatric facility.
D. Don't believe everything my family tells you, I am not crazy. - Correct
AnswerB
A male client is admitted to the psychiatric inpatient unit with a
bandaged flesh wound after attempting to shoot himself. He was
divorced one year ago. Lost his job four months ago, and suffered a
breakup of is current relationship last week. What is most likely source
of this client's current feelings of depression?
A. Feelings of frustration.
B. A sense of loss
C. Poorself-esteem.
D. A lack of intimate relationships. - Correct AnswerB
The RN documents the mental status of a female client who has been
hospitalized for several days by court order. The client states"I don't
need to be here," and tells the RN that she believes that the t.v talks to
her. The RN should document these assessment statements in which
section of the mental status exam?
A. Insight and judgement.
Page 3 of 82
, B. Moodandaffect.
C. Remotememory.
D. Level of concentration. - Correct AnswerA
An older ale client with schizophrenia is found smearing feces n the
bathroom walls of the chronic mental health unit where he resides.
What action should the RN implement?
A. Explain that the feces belong in the toilet.
B. Show the client how to clean the walls.
C. Escort the client out of the bathroom.
D. Assist the client to clean the walls. - Correct AnswerC
A male client tells the RN that he does not want to take the atypical
antipsychotic drug, olanzapine (Zypexa), because of the side effects he
experienced when he took the drug for a year. Which experience is
most likely related to taking olanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequentdayswithdiarrhea.
D. Alerted liver function test. - Correct AnswerA
A college student who is a victim of a car-jacking presents to the
community health center and report increased anxiety. During the
interview, what nursing intervention should take the highest priority?
Page 4 of 82
