HESI RN MENTAL HEALTH HESI REVIEW - EXAM QUESTIONS
AND ANSWERS |FALL 2026/2027 UPDATE | 100% CORRECT
LATEST
Question 1
The RN is providing care for a client diagnosed with borderline personality disorder who has self-inflicted lacerations on
the abdomen. Which approach should the RN use when changing this client's dressing?
A. Provide detailed thorough explanations when cleansing wound.
B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own abdomen.
D. Request another staff member assist with the dressing change.
Correct Answer
B
Page 1 of 61
,Question 2
The nurse should include which information in the nursing plan of care for a client with obsessive-compulsive disorder
(OCD)? Select all that apply.
A) The medical diagnosis of the client
B) Individualized goals and objectives
C) Attendance at group therapy sessions
D) Self-care measures to improve hygiene
E) Interruption of all compulsive behaviors
Correct Answer
B, C, and E
Question 3
An outpatient clinic who has been receiving haloperidol (Haldol) for 2 days develops muscular rigidity, altered
consciousness, a temperature of 103, and trouble breathing on day 3. The nurse interest these findings as indicating which
of the following.
A) Neuroleptic Malignant Syndrome
B) Tardive dyskinesia
C) Extrapyramidal adverse effects
D) Drug-induced parksonism
Correct Answer
A
Page 2 of 61
,Question 4
A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication
adjustment of risperidone (Risperdal). When the client walks to the nurse's station in a literally contracted position, he
states that something has made his body contort into a monster. What action should the nurse take?
A. Medicate the client with the prescribed antipsychotic thiordazine (mellaril)
B. Offer the client a prescribed physical therapy hot pack for muscle spasms
C. Direct client to occupational therapy to distract him for somatic complaints
D. Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia
Correct Answer
D
Question 5
A client with borderline personality disorder tells the nurse, "You are the best nurse on the unit! The other nurses don't care
about me the way you do." Which response is best for the nurse to provide this client?
a.) "I am not the best nurse. All the nurses are good."
b.) "The other nurses and I are here to help you get better"
c.) "You don't think the other nurses care about you?"
d.) "I do care about you as a person but nothing more."
Correct Answer
B
Page 3 of 61
, Question 6
On admission assessment, the nurse is obtaining subjective data about a client's sexual and reproductive status. The client
states, "I don't want to discuss this; it's private and personal." Which response by the nurse is the most therapeutic?
A) "I'd hate being asked these sorts of questions too, but it's a necessary part of providing you with the best care."
B) "This is difficult for you to speak about, but I need this information from you in order to perform a complete
assessment."
C) "I am a professional registered nurse, and, as such, I'll have you know that all your information is certainly kept
confidential."
D) "I know that some of these questions are difficult for you, but, as a professional nurse, I am obligated to respect your
confidentiality."
Correct Answer
D
Question 7
A male hospital employee is pushed out of the way by a female employee because of an oncoming gurney. The pushed
employee becomes very angry and swings at the female employee. Both employees are referred for counseling with the
staff psychiatric nurse. Which factor in the pushed employee's history is most related to the reaction that occurred?
A. Is worried about losing his job to a woman
B. Tortured animals as a child
C. Was physically abused by his mother
D. Hates to be touched by anyone
Correct Answer
C
Page 4 of 61
AND ANSWERS |FALL 2026/2027 UPDATE | 100% CORRECT
LATEST
Question 1
The RN is providing care for a client diagnosed with borderline personality disorder who has self-inflicted lacerations on
the abdomen. Which approach should the RN use when changing this client's dressing?
A. Provide detailed thorough explanations when cleansing wound.
B. Perform the dressing change in a non-judgmental manner.
C. Ask in a non-threatening manner why the client cut own abdomen.
D. Request another staff member assist with the dressing change.
Correct Answer
B
Page 1 of 61
,Question 2
The nurse should include which information in the nursing plan of care for a client with obsessive-compulsive disorder
(OCD)? Select all that apply.
A) The medical diagnosis of the client
B) Individualized goals and objectives
C) Attendance at group therapy sessions
D) Self-care measures to improve hygiene
E) Interruption of all compulsive behaviors
Correct Answer
B, C, and E
Question 3
An outpatient clinic who has been receiving haloperidol (Haldol) for 2 days develops muscular rigidity, altered
consciousness, a temperature of 103, and trouble breathing on day 3. The nurse interest these findings as indicating which
of the following.
A) Neuroleptic Malignant Syndrome
B) Tardive dyskinesia
C) Extrapyramidal adverse effects
D) Drug-induced parksonism
Correct Answer
A
Page 2 of 61
,Question 4
A male client is admitted to the psychiatric unit for recurrent negative symptoms of chronic schizophrenia and medication
adjustment of risperidone (Risperdal). When the client walks to the nurse's station in a literally contracted position, he
states that something has made his body contort into a monster. What action should the nurse take?
A. Medicate the client with the prescribed antipsychotic thiordazine (mellaril)
B. Offer the client a prescribed physical therapy hot pack for muscle spasms
C. Direct client to occupational therapy to distract him for somatic complaints
D. Administer the prescribed anticholinergic benztropine (Cogentin) for dystonia
Correct Answer
D
Question 5
A client with borderline personality disorder tells the nurse, "You are the best nurse on the unit! The other nurses don't care
about me the way you do." Which response is best for the nurse to provide this client?
a.) "I am not the best nurse. All the nurses are good."
b.) "The other nurses and I are here to help you get better"
c.) "You don't think the other nurses care about you?"
d.) "I do care about you as a person but nothing more."
Correct Answer
B
Page 3 of 61
, Question 6
On admission assessment, the nurse is obtaining subjective data about a client's sexual and reproductive status. The client
states, "I don't want to discuss this; it's private and personal." Which response by the nurse is the most therapeutic?
A) "I'd hate being asked these sorts of questions too, but it's a necessary part of providing you with the best care."
B) "This is difficult for you to speak about, but I need this information from you in order to perform a complete
assessment."
C) "I am a professional registered nurse, and, as such, I'll have you know that all your information is certainly kept
confidential."
D) "I know that some of these questions are difficult for you, but, as a professional nurse, I am obligated to respect your
confidentiality."
Correct Answer
D
Question 7
A male hospital employee is pushed out of the way by a female employee because of an oncoming gurney. The pushed
employee becomes very angry and swings at the female employee. Both employees are referred for counseling with the
staff psychiatric nurse. Which factor in the pushed employee's history is most related to the reaction that occurred?
A. Is worried about losing his job to a woman
B. Tortured animals as a child
C. Was physically abused by his mother
D. Hates to be touched by anyone
Correct Answer
C
Page 4 of 61
