HESI RN MENTAL HEALTH HESI REVIEW - MULTIPLE
CHOICE, HESI MH COMPREHENSIVE TEST PRACTICE EXAM
2026 -2027 \NEWEST VERSION A WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS\VERIFIED
100%
The RN is providing education about strategies for a safety plan for a
female client who is a victim of intimate partner violence. Which
strategies should be included in the safety plan? (Select all that apply)
A. Purchase a gun to use for protection.
B. Establish a code with family and friends to signify violence.
C. Take a self-defense course that retaliates the abuser with injury.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
B. Establish a code with family and friends to signify violence.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
The RN is admitting a male client who takes lithium carbonate (Eskalith)
twice a day. Which information should the RN report to the HCP
immediately?
A. Short term memory loss.
B. Five pound weight gain
C. Decreased affect.
D. Nausea and vomiting.
D. Nausea and vomiting.
,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.
A. Allow the client to rest and sleep.
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.
B. Remain alcohol free for 12 hours prior to first dose.
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
psychiatricunit?
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.
B. I am here because the police thought I was doing something wrong.
,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.
B. Mood and affect.
C. Remote memory.
D. Level of concentration.
A. Insight and judgement.
An older ale client with schizophrenia is found smearing feces on 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
C. Escort the client out of the bathroom.
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
takingolanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequent days with diarrhea.
D. Alerted liver function test.
A. Weight gain of 75 lbs.
, Following involvement in a MVC, a middle aged adult client is admitted to
the hospital with multiple facial fractures. The client's blood alcohol level is
high on admission. Which PRN prescription should be administered if the
client begins toexhibit signs and symptoms of delirium tremens (DTs)?
A. Prochlorperazine (Compazine) 5 mg IM.
B. Hydromorphone (Dialuadid) 2 mg IM.
C. Chlorpromazine (Thorazine) 50 mg IM.
D. Lorazepam (Ativan) 2 mg IM.
D. Lorazepam (Ativan) 2 mg IM.
The RN is preparing medications for a client with bipolar disorder and
notices that the client discontinued antipsychotic medication for several
days. Which medication should also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
b. Benzotropine (Cogentin).
The RN on the day shift receive report about a client with depression
who was in bed most of the weekend. The RN walks into the client's
room in the morning and finds the client in bed. What intervention is
best for the RN to implement?
A. Monitor the client's appetite and pattern of sleep.
B. Assess the client's feelings about the hospital stay.
C. Assist the client to get out of bed and involved in an activity.
D. Explain that staff will check on the client every 30 minutes.
C. Assist the client to get out of bed and involved in an activity.
CHOICE, HESI MH COMPREHENSIVE TEST PRACTICE EXAM
2026 -2027 \NEWEST VERSION A WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS\VERIFIED
100%
The RN is providing education about strategies for a safety plan for a
female client who is a victim of intimate partner violence. Which
strategies should be included in the safety plan? (Select all that apply)
A. Purchase a gun to use for protection.
B. Establish a code with family and friends to signify violence.
C. Take a self-defense course that retaliates the abuser with injury.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
B. Establish a code with family and friends to signify violence.
D. Have a bag ready that has extra clothes for self and children.
E. Plan an escape route to use if the abuser blocks the main exit.
The RN is admitting a male client who takes lithium carbonate (Eskalith)
twice a day. Which information should the RN report to the HCP
immediately?
A. Short term memory loss.
B. Five pound weight gain
C. Decreased affect.
D. Nausea and vomiting.
D. Nausea and vomiting.
,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.
A. Allow the client to rest and sleep.
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.
B. Remain alcohol free for 12 hours prior to first dose.
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
psychiatricunit?
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.
B. I am here because the police thought I was doing something wrong.
,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.
B. Mood and affect.
C. Remote memory.
D. Level of concentration.
A. Insight and judgement.
An older ale client with schizophrenia is found smearing feces on 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
C. Escort the client out of the bathroom.
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
takingolanzapine?
A. Weight gain of 75 lbs.
B. Thoughts of wanting to hurt himself.
C. Frequent days with diarrhea.
D. Alerted liver function test.
A. Weight gain of 75 lbs.
, Following involvement in a MVC, a middle aged adult client is admitted to
the hospital with multiple facial fractures. The client's blood alcohol level is
high on admission. Which PRN prescription should be administered if the
client begins toexhibit signs and symptoms of delirium tremens (DTs)?
A. Prochlorperazine (Compazine) 5 mg IM.
B. Hydromorphone (Dialuadid) 2 mg IM.
C. Chlorpromazine (Thorazine) 50 mg IM.
D. Lorazepam (Ativan) 2 mg IM.
D. Lorazepam (Ativan) 2 mg IM.
The RN is preparing medications for a client with bipolar disorder and
notices that the client discontinued antipsychotic medication for several
days. Which medication should also be discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).
b. Benzotropine (Cogentin).
The RN on the day shift receive report about a client with depression
who was in bed most of the weekend. The RN walks into the client's
room in the morning and finds the client in bed. What intervention is
best for the RN to implement?
A. Monitor the client's appetite and pattern of sleep.
B. Assess the client's feelings about the hospital stay.
C. Assist the client to get out of bed and involved in an activity.
D. Explain that staff will check on the client every 30 minutes.
C. Assist the client to get out of bed and involved in an activity.
