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HESI PN Mental Health Exam Prep Questions &
Knowledge Exam ||Verified Exam!!|| Most Recent
Exam 2026 | Actual Complete Real Exam Questions
And Correct Answers (Verified Answers) Already
Graded A+||Newest Exam!!!
1.
A male client with schizophrenia who is taking
fluphenazine decanoate (Prolixin decanoate) is being
discharged in the morning. A repeat dose of medication is
scheduled for 20 days after discharge. The client tells the
nurse that he is going on vacation in the Bahamas and will
return in 18 days. Which statement by the client indicates
a need for health teaching?
A) When I return from my tropical island vacation, I will go
to the clinic to get my Prolixin injection.
B) While I am on vacation and when I return, I will not eat
or drink anything that contains alcohol.
C) I will notify the healthcare provider if I have a sore
throat or flu-like symptoms.
D) I will continue to take my benztropine mesylate
(Cogentin) every day. - Answers-Photosensitivity is a side
effect of Prolixin and a vacation in the Bahamas (with its
tropical island climate) increases the client's chance of
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experiencing this side effect. He should be instructed to
avoid direct sun (A) and wear sunscreen. (B, C, and D)
indicate accurate knowledge. Alcohol acts synergistically
with Prolixin (B). (C) lists signs of agranulocytosis, which is
also a side effect of Prolixin. In order to avoid
extrapyramidal symptoms (EPS), anticholinergic drugs,
such as Cogentin, are often prescribed prophylactically
with Prolixin.
Correct Answer(s): A
2.
A male client is admitted to the mental health unit because
he was feeling depressed about the loss of his wife and
job. The client has a history of alcohol dependency and
admits that he was drinking alcohol 12 hours ago. Vital
signs are: temperature, 100° F, pulse 100, and BP
142/100. The nurse plans to give the client lorazepam
(Ativan) based on which priority nursing diagnosis?
A) Risk for injury related to suicidal ideation.
B) Risk for injury related to alcohol detoxification.
C) Knowledge deficit related to ineffective coping.
D) Health seeking behaviors related to personal crisis. -
Answers-The most important nursing diagnosis is related
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to alcohol detoxification (B) because the client has
elevated vital signs, a sign of alcohol detoxification.
Maintaining client safety related to (A) should be
addressed after giving the client Ativan for elevated vital
signs secondary to alcohol withdrawal. (C and D) can be
addressed when immediate needs for safety are met.
Correct Answer(s): B
3.
The charge nurse is collaborating with the nursing staff
about the plan of care for a client who is very depressed.
What is the most important intervention to implement
during the first 48 hours after the client's admission to the
unit?
A) Monitor appetite and observe intake at meals.
B) Maintain safety in the client's milieu.
C) Provide ongoing, supportive contact.
D) Encourage participation in activities. - Answers-The
most important reason for closely observing a depressed
client immediately after admission is to maintain safety
(B), since suicide is a risk with depression. (A, C, and D)
are all important interventions, but safety is the priority.
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Correct Answer(s): B
4.
A 38-year-old female client is admitted with a diagnosis of
paranoid schizophrenia. When her tray is brought to her,
she refuses to eat and tells the nurse, "I know you are
trying to poison me with that food." Which response is
most appropriate for the nurse to make?
A) I'll leave your tray here. I am available if you need
anything else.
B) You're not being poisoned. Why do you think someone
is trying to poison you?
C) No one on this unit has ever died from poisoning.
You're safe here.
D) I will talk to your healthcare provider about the
possibility of changing your diet. - Answers-(A) is the best
choice cited. The nurse does not argue with the client nor
demand that she eat, but offers support by agreeing to "be
there if needed", e.g., to warm the food. (B and C) are
arguing with the client's delusions, and (B) asks "why"
which is usually not a good question for a psychotic client.
(D) has nothing to do with the actual problem; i.e., the
HESI PN Mental Health Exam Prep Questions &
Knowledge Exam ||Verified Exam!!|| Most Recent
Exam 2026 | Actual Complete Real Exam Questions
And Correct Answers (Verified Answers) Already
Graded A+||Newest Exam!!!
1.
A male client with schizophrenia who is taking
fluphenazine decanoate (Prolixin decanoate) is being
discharged in the morning. A repeat dose of medication is
scheduled for 20 days after discharge. The client tells the
nurse that he is going on vacation in the Bahamas and will
return in 18 days. Which statement by the client indicates
a need for health teaching?
A) When I return from my tropical island vacation, I will go
to the clinic to get my Prolixin injection.
B) While I am on vacation and when I return, I will not eat
or drink anything that contains alcohol.
C) I will notify the healthcare provider if I have a sore
throat or flu-like symptoms.
D) I will continue to take my benztropine mesylate
(Cogentin) every day. - Answers-Photosensitivity is a side
effect of Prolixin and a vacation in the Bahamas (with its
tropical island climate) increases the client's chance of
,2|Page
experiencing this side effect. He should be instructed to
avoid direct sun (A) and wear sunscreen. (B, C, and D)
indicate accurate knowledge. Alcohol acts synergistically
with Prolixin (B). (C) lists signs of agranulocytosis, which is
also a side effect of Prolixin. In order to avoid
extrapyramidal symptoms (EPS), anticholinergic drugs,
such as Cogentin, are often prescribed prophylactically
with Prolixin.
Correct Answer(s): A
2.
A male client is admitted to the mental health unit because
he was feeling depressed about the loss of his wife and
job. The client has a history of alcohol dependency and
admits that he was drinking alcohol 12 hours ago. Vital
signs are: temperature, 100° F, pulse 100, and BP
142/100. The nurse plans to give the client lorazepam
(Ativan) based on which priority nursing diagnosis?
A) Risk for injury related to suicidal ideation.
B) Risk for injury related to alcohol detoxification.
C) Knowledge deficit related to ineffective coping.
D) Health seeking behaviors related to personal crisis. -
Answers-The most important nursing diagnosis is related
,3|Page
to alcohol detoxification (B) because the client has
elevated vital signs, a sign of alcohol detoxification.
Maintaining client safety related to (A) should be
addressed after giving the client Ativan for elevated vital
signs secondary to alcohol withdrawal. (C and D) can be
addressed when immediate needs for safety are met.
Correct Answer(s): B
3.
The charge nurse is collaborating with the nursing staff
about the plan of care for a client who is very depressed.
What is the most important intervention to implement
during the first 48 hours after the client's admission to the
unit?
A) Monitor appetite and observe intake at meals.
B) Maintain safety in the client's milieu.
C) Provide ongoing, supportive contact.
D) Encourage participation in activities. - Answers-The
most important reason for closely observing a depressed
client immediately after admission is to maintain safety
(B), since suicide is a risk with depression. (A, C, and D)
are all important interventions, but safety is the priority.
, 4|Page
Correct Answer(s): B
4.
A 38-year-old female client is admitted with a diagnosis of
paranoid schizophrenia. When her tray is brought to her,
she refuses to eat and tells the nurse, "I know you are
trying to poison me with that food." Which response is
most appropriate for the nurse to make?
A) I'll leave your tray here. I am available if you need
anything else.
B) You're not being poisoned. Why do you think someone
is trying to poison you?
C) No one on this unit has ever died from poisoning.
You're safe here.
D) I will talk to your healthcare provider about the
possibility of changing your diet. - Answers-(A) is the best
choice cited. The nurse does not argue with the client nor
demand that she eat, but offers support by agreeing to "be
there if needed", e.g., to warm the food. (B and C) are
arguing with the client's delusions, and (B) asks "why"
which is usually not a good question for a psychotic client.
(D) has nothing to do with the actual problem; i.e., the
