Page 1 of 97
“HESI COMPREHENSIVE REVIEW FOR NCLEX-
RN EXAM PSYCHIATRIC 2026 ”LATEST EXAM
2026 – 2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
HESI Comprehensive Review for NCLEX-RN Exam Psychiatric
The nurse notes multiple burns on the arms and chest of a 2-year-old
Vietnamese child who is being treated for dehydration. When questioned, the
child's father states that he treated the child's vomiting with the cultural
practice termed coining, which resulted in burned areas. Which expected
outcome statement has the highest priority?
A. The child will be protected from further harm.
B. The family's cultural values will be respected.
C. The parents will express regret at harming their child.
D. The parents will demonstrate an ability to care for burn wounds.
A. The child will be protected from further harm.
The nurse's highest priority is to ensure that no further harm befalls the child.
Options B, C, and D are also important objectives but are secondary to option A.
The nurse arrives to the unit at 2300 hours to start an 8-hour shift. A coworker
scheduled to work with the nurse who started at 1900, appears to be under the
influence of a central nervous system depressant. Which assessment findings,
in combination with each other, lead the nurse to this conclusion? (Select all
that apply.)
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A. Drowsiness
B. Irritability
C. Unsteady gait
D. Insomnia
E. Slurred speech
A. Drowsiness
B. Irritability
C. Unsteady gait
E. Slurred speech
CNS depressants can take many forms such as alcohol, benzodiazepines, and
barbiturates. The coworker is demonstrating signs of impairment with all of the signs
except for insomnia.
The nurse encounters a client with bipolar disorder in an aggressive state.
What is the priority nursing action for this client?
A. State to the client, "You need to settle down now!"
B. Say, "If you throw that lamp you will need to stay in your room for 1 hour."
C. Call an alert to summon security and prepare a sedative.
D. Place the client in a restraint vest and in a quiet room.
B. Say, "If you throw that lamp you will need to stay in your room for 1 hour."
The nurse needs to indicate to the client the consequences of aggressive behavior.
Stating you need to settle down is nontherapeutic for the aggressive client. Calling
security can precipitate more agitation. A restraint vest and a quiet room is a last
resort for the aggressive client and should be used only when the client is at risk for
harm to self or others. There is no indication in the stem that there is a risk for harm,
only aggression.
A client is admitted with a medical diagnosis of dissociative identity disorder.
The nurse will build the client's care plan based on which understanding of the
personalities?
A. The host personality makes fun with the alternates.
B. The alternate personalities are fully aware of each other.
C. The host personality ignores the alternate personalities.
D. The alternate personalities are aware of the host.
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D. The alternate personalities are aware of the host.
The alternate personalities are aware of the host personality, but the host personality
is not aware of the alternate personalities. The nurse needs to build the client's plan
of care around this understanding.
The clinic nurse notes bruises in various stages of healing on the client's back
and legs. What questions must the nurse include in the client's assessment?
(Select all that apply.)
A. "Those bruises are shocking! What happened to you?"
B. "Is anyone hurting your back and legs?"
C. "I see you have lots of bruises. Are you very clumsy?"
D. "When you and your spouse disagree, what happens to you?"
E. "Has your spouse ever threatened you verbally or with violence?"
B. "Is anyone hurting your back and legs?"
D. "When you and your spouse disagree, what happens to you?"
E. "Has your spouse ever threatened you verbally or with violence?"
Developing trust in providing a calm, nonjudgmental approach is essential when
working with suspected abuse victims. By stating, "Those bruises are shocking" is
alarmist, and does not place the client at ease. Asking if the client is clumsy give the
client a way to not identify if abuse is occurring. The remaining questions are
appropriate to assess for physical abuse.
An adult client who lives in a residential facility is mentally delayed and has a
history of bipolar disorder. During the past week, the client has refused to
wear clothes and frequently engages in exposure to other residents. Which
action should the nurse take first?
A. Establish a one-to-one relationship to discuss the behavior.
B. Redirect the client to physically demanding activities.
C. Encourage the client to verbalize thoughts when acting out.
D. Restrict social interactions with other residents in the facility.
B. Redirect the client to physically demanding activities.
The client is exhibiting manic behavior related to bipolar disorder, and the nurse
should redirect the client to activities that are physically demanding so that energy
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can be expended in a socially acceptable manner. Psychotic clients are not capable
of option A. When exhibiting acting-out behavior, the client is distracted and option C
is difficult. Option D is likely to increase manic behaviors, such as mood swings and
acting-out behaviors.
A middle-aged client tells the clinic nurse, "I'm again starting to feel
overwhelmed and anxious with all my responsibilities. I don't know what to
do." What is the nurse's best response?
A. "Describe in more detail your feelings about being overwhelmed."
B. "Why don't you give up some of your commitments?"
C. "What has worked for you in the past?"
D. "I know, but it is important to take time for yourself."
C. "What has worked for you in the past?"
A nurse can help the client solve problems by identifying past coping mechanisms
that could be transferred into current situations that the client finds to be
overwhelming. The client has already expressed some degree of hopelessness
(overwhelmed and anxious), so option A is redundant. Option B is advice giving and
may not be possible for the person, and this response does not encourage the client
to employ known methods of coping. Option D is also considered advice giving, with
an implied value judgment.
The client with Stage 3 Alzheimer's disease suddenly becomes agitated. What
actions will the nurse take to settle the client? (Select all that apply.)
A. Reassure the client.
B. Approach the client slowly.
C. Place the client alone in a brightly lit room.
D. Speak to the client using a calm tone of voice.
E. Use over exaggerated arm movements to get the client's attention.
A. Reassure the client.
B. Approach the client slowly.
D. Speak to the client using a calm tone of voice.
Decrease environmental stimuli and stay with the agitated client. Be calm and
gesture slowly to decrease agitation. The remaining actions are appropriate for
agitation.
“HESI COMPREHENSIVE REVIEW FOR NCLEX-
RN EXAM PSYCHIATRIC 2026 ”LATEST EXAM
2026 – 2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
HESI Comprehensive Review for NCLEX-RN Exam Psychiatric
The nurse notes multiple burns on the arms and chest of a 2-year-old
Vietnamese child who is being treated for dehydration. When questioned, the
child's father states that he treated the child's vomiting with the cultural
practice termed coining, which resulted in burned areas. Which expected
outcome statement has the highest priority?
A. The child will be protected from further harm.
B. The family's cultural values will be respected.
C. The parents will express regret at harming their child.
D. The parents will demonstrate an ability to care for burn wounds.
A. The child will be protected from further harm.
The nurse's highest priority is to ensure that no further harm befalls the child.
Options B, C, and D are also important objectives but are secondary to option A.
The nurse arrives to the unit at 2300 hours to start an 8-hour shift. A coworker
scheduled to work with the nurse who started at 1900, appears to be under the
influence of a central nervous system depressant. Which assessment findings,
in combination with each other, lead the nurse to this conclusion? (Select all
that apply.)
, Page 2 of 97
A. Drowsiness
B. Irritability
C. Unsteady gait
D. Insomnia
E. Slurred speech
A. Drowsiness
B. Irritability
C. Unsteady gait
E. Slurred speech
CNS depressants can take many forms such as alcohol, benzodiazepines, and
barbiturates. The coworker is demonstrating signs of impairment with all of the signs
except for insomnia.
The nurse encounters a client with bipolar disorder in an aggressive state.
What is the priority nursing action for this client?
A. State to the client, "You need to settle down now!"
B. Say, "If you throw that lamp you will need to stay in your room for 1 hour."
C. Call an alert to summon security and prepare a sedative.
D. Place the client in a restraint vest and in a quiet room.
B. Say, "If you throw that lamp you will need to stay in your room for 1 hour."
The nurse needs to indicate to the client the consequences of aggressive behavior.
Stating you need to settle down is nontherapeutic for the aggressive client. Calling
security can precipitate more agitation. A restraint vest and a quiet room is a last
resort for the aggressive client and should be used only when the client is at risk for
harm to self or others. There is no indication in the stem that there is a risk for harm,
only aggression.
A client is admitted with a medical diagnosis of dissociative identity disorder.
The nurse will build the client's care plan based on which understanding of the
personalities?
A. The host personality makes fun with the alternates.
B. The alternate personalities are fully aware of each other.
C. The host personality ignores the alternate personalities.
D. The alternate personalities are aware of the host.
, Page 3 of 97
D. The alternate personalities are aware of the host.
The alternate personalities are aware of the host personality, but the host personality
is not aware of the alternate personalities. The nurse needs to build the client's plan
of care around this understanding.
The clinic nurse notes bruises in various stages of healing on the client's back
and legs. What questions must the nurse include in the client's assessment?
(Select all that apply.)
A. "Those bruises are shocking! What happened to you?"
B. "Is anyone hurting your back and legs?"
C. "I see you have lots of bruises. Are you very clumsy?"
D. "When you and your spouse disagree, what happens to you?"
E. "Has your spouse ever threatened you verbally or with violence?"
B. "Is anyone hurting your back and legs?"
D. "When you and your spouse disagree, what happens to you?"
E. "Has your spouse ever threatened you verbally or with violence?"
Developing trust in providing a calm, nonjudgmental approach is essential when
working with suspected abuse victims. By stating, "Those bruises are shocking" is
alarmist, and does not place the client at ease. Asking if the client is clumsy give the
client a way to not identify if abuse is occurring. The remaining questions are
appropriate to assess for physical abuse.
An adult client who lives in a residential facility is mentally delayed and has a
history of bipolar disorder. During the past week, the client has refused to
wear clothes and frequently engages in exposure to other residents. Which
action should the nurse take first?
A. Establish a one-to-one relationship to discuss the behavior.
B. Redirect the client to physically demanding activities.
C. Encourage the client to verbalize thoughts when acting out.
D. Restrict social interactions with other residents in the facility.
B. Redirect the client to physically demanding activities.
The client is exhibiting manic behavior related to bipolar disorder, and the nurse
should redirect the client to activities that are physically demanding so that energy
, Page 4 of 97
can be expended in a socially acceptable manner. Psychotic clients are not capable
of option A. When exhibiting acting-out behavior, the client is distracted and option C
is difficult. Option D is likely to increase manic behaviors, such as mood swings and
acting-out behaviors.
A middle-aged client tells the clinic nurse, "I'm again starting to feel
overwhelmed and anxious with all my responsibilities. I don't know what to
do." What is the nurse's best response?
A. "Describe in more detail your feelings about being overwhelmed."
B. "Why don't you give up some of your commitments?"
C. "What has worked for you in the past?"
D. "I know, but it is important to take time for yourself."
C. "What has worked for you in the past?"
A nurse can help the client solve problems by identifying past coping mechanisms
that could be transferred into current situations that the client finds to be
overwhelming. The client has already expressed some degree of hopelessness
(overwhelmed and anxious), so option A is redundant. Option B is advice giving and
may not be possible for the person, and this response does not encourage the client
to employ known methods of coping. Option D is also considered advice giving, with
an implied value judgment.
The client with Stage 3 Alzheimer's disease suddenly becomes agitated. What
actions will the nurse take to settle the client? (Select all that apply.)
A. Reassure the client.
B. Approach the client slowly.
C. Place the client alone in a brightly lit room.
D. Speak to the client using a calm tone of voice.
E. Use over exaggerated arm movements to get the client's attention.
A. Reassure the client.
B. Approach the client slowly.
D. Speak to the client using a calm tone of voice.
Decrease environmental stimuli and stay with the agitated client. Be calm and
gesture slowly to decrease agitation. The remaining actions are appropriate for
agitation.
