Page 1 of 86
HESI RN MENTAL HEALTH 2025 EXAM WITH VERIFIED
SOLUTIONS/A+ GRADE ASSURED
A male client with bipolar disorder who began taking lithium
carbonate five days ago is complaining of excessive thirst, and
the RN finds him attempting to drink water from the bathroom
sink faucet. Which intervention should the RN implement?
A. Report the client's serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to relieve the
symptoms.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed.
.....ANSWER.....A. Report the client's serum lithium level to the
HCP.
,Page 2 of 86
A mental health worker is caring for a client with escalating
aggressive behavior. Which action by the MHW warrant
immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
.....ANSWER.....A. Is attempting to physically restrain the patient.
A client is admitted to the mental health unit and reports taking
extra antianxiety medication because, "I'm so stressed out. I just
want to go to sleep." The RN should plan one-on-one observation
of the client based on which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
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D. "I don't want to walk. Nothing matters anymore."
.....ANSWER.....D. "I don't want to walk. Nothing matters
anymore."
The RN is performing intake interviews at a psychiatric clinic. A
female client with a known history of drug abuse reports that she
had a heart attack four years ago. Useof which substance places
the client at highest risk for myocardial infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana .....ANSWER.....C. Methamphetamine
A male client comes to the emergency center because he has an
erection that will not resolve. The client reports that he is taking
trazodone (Desyrel) for insomnia. Which information is most
important for the nurse ask the client?
, Page 4 of 86
A. When was the last time you drank alcoholic beverage?
B. Have you taken any medications for erectile dysfunction?
C. Are you having any other sexual dysfunctions or problems?
D. Do you have a history of angina or high blood pressure?
.....ANSWER.....B. Have you taken any medications for erectile
dysfunction?
A female client admitted to the mental health unit starts to shout
and scream at the RN. What is the best approach for the RN to
take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
C. Distract her by offering her finger foods.
D. Ignore the client's acting out behavior. .....ANSWER.....A. Stay
quietly with the patient
HESI RN MENTAL HEALTH 2025 EXAM WITH VERIFIED
SOLUTIONS/A+ GRADE ASSURED
A male client with bipolar disorder who began taking lithium
carbonate five days ago is complaining of excessive thirst, and
the RN finds him attempting to drink water from the bathroom
sink faucet. Which intervention should the RN implement?
A. Report the client's serum lithium level to the HCP.
B. Encourage the client to suck on hard candy to relieve the
symptoms.
C. No action is needed since polydipsia is a common side effect.
D. Tell the client that drinking from the faucet is not allowed.
.....ANSWER.....A. Report the client's serum lithium level to the
HCP.
,Page 2 of 86
A mental health worker is caring for a client with escalating
aggressive behavior. Which action by the MHW warrant
immediate intervention by the RN?
A. Is attempting to physically restrain the patient.
B. Tells the client to go to the quiet area of the unit.
C. Is using a loud voice to talk to the client.
D. Remains at a distance of 4 feet from the client.
.....ANSWER.....A. Is attempting to physically restrain the patient.
A client is admitted to the mental health unit and reports taking
extra antianxiety medication because, "I'm so stressed out. I just
want to go to sleep." The RN should plan one-on-one observation
of the client based on which statement?
A. "What should I do? Nothing seems to help."
B. "I have been so tired lately and needed to sleep."
C. "I really think that I don't need to be here."
,Page 3 of 86
D. "I don't want to walk. Nothing matters anymore."
.....ANSWER.....D. "I don't want to walk. Nothing matters
anymore."
The RN is performing intake interviews at a psychiatric clinic. A
female client with a known history of drug abuse reports that she
had a heart attack four years ago. Useof which substance places
the client at highest risk for myocardial infarction?
A. Benzodiazepine
B. Alcohol
C. Methamphetamine
D. Marijuana .....ANSWER.....C. Methamphetamine
A male client comes to the emergency center because he has an
erection that will not resolve. The client reports that he is taking
trazodone (Desyrel) for insomnia. Which information is most
important for the nurse ask the client?
, Page 4 of 86
A. When was the last time you drank alcoholic beverage?
B. Have you taken any medications for erectile dysfunction?
C. Are you having any other sexual dysfunctions or problems?
D. Do you have a history of angina or high blood pressure?
.....ANSWER.....B. Have you taken any medications for erectile
dysfunction?
A female client admitted to the mental health unit starts to shout
and scream at the RN. What is the best approach for the RN to
take?
A. Stay quietly with the patient
B. Tell her that she is out of control.
C. Distract her by offering her finger foods.
D. Ignore the client's acting out behavior. .....ANSWER.....A. Stay
quietly with the patient
