NURl 208/l NUR208l HESIl –l Mentall
Healthl Nursingl V2|l Fortisl (Latestl 2026/l
2027l Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Afterl receivingl treatmentl forl anorexia,l al studentl asksl thel schooll RNl forl
permissionl tol workl inl thel schooll cafeterial asl partl ofl thel school'sl workl studyl program.l
Whatl actionl shouldl thel RNl take?
Answer:
Recommendl assignmentl tol thel receptionist'sl office.
Q:l Thel Rnl acceptsl al transferl tol thel metall healthl unitl andl understandsl thatl thel clientl
isl distractiblel andl isl exhibitingl al decreasedl abilityl tol concentrate.l Thel RNl onlyl hasl 15l
minutesl tol talkl tol thel client.l Tol developl treatmentl planl forl thisl client,l whichl
assessmentl isl mostl importantl forl thel RN
tol obtain
Answer:
Mentall statusl examination
Q:l Al malel clientl whol recentlyl lostl al lovedl onel arrivesl atl thel mentall healthl centerl
andl tellsl thel RNl hel isl nol longerl interestedl isl hisl usuall activitiesl andl hasl notl sleptl forl
severall days.l Whichl priorityl nursingl probleml shouldl thel RNl includel inl thel client'sl planl
ofl care?
Answer:
Sleepl deprivation
Q:l Al malel clientl withl longl historyl ofl alcoholl dependencyl arrivesl inl thel emergencyl
department
describingl thel feelingsl ofl bugsl crawlingl onl hisl body.l Hisl bloodl pressurel isl 170/102,l
hisl pulse
,ratel isl 110l bpm,l andl isl bloodl alcoholl levell isl 0mg/dL.l Whichl prescriptionl shouldl thel
RN
administer?
Answer:
Lorazepaml (Ativan)
Q:l Al clientl whol refusesl antipsychoticl medicationsl disruptsl groupl activities,l talksl withl
nonsensical
wordsl andl wandersl intol client'sl rooms.l Thel RNl decidesl thatl thel clientl needsl constant
observationl basedl onl whichl ofl thesel assessmentl findings?
Answer:
Wandersl intol thel clientsl rooms
Q:l Al clientl withl schizophrenial explainsl thatl shel hasl 20l childrenl andl thenl veryl
seriouslyl pointsl to
thel RNl andl explainsl thatl shel isl onel ofl them.l Whatl isl thel mostl therapeuticl responsel
forl thel RNl to
provide
Answer:
"Myl namel tagl showsl thatl Il aml al RNl here."
Q:l Al highl schooll girll revealsl tol thel highl schooll RNl thatl shel hasl beenl engagingl inl
self-induced
vomitingl asl weight-controll measure.l Whichl initiall assessmentl shouldl thel RNl focusl onl
withl this
adolescent?
Answer:
Frequencyl ofl bingeingl andl purgingl behaviors.
Q:l Narcanl wasl administeredl tol anl adultl clientl followingl al suicidel attemptl withl anl
overdosel of
hydrocodonel bitartratel (Vicodin).l Withinl 15l minutes,l thel clientl isl alertl andl oriented.l Inl
planning
nursingl care,l whichl interventionl hasl thel highestl priorityl atl thisl time?
,Answer:
Observel thel clientl forl furtherl narcoticl effects.
Q:l Followingl surgery,l al malel clientl withl antisociall personalityl disorderl frequentlyl
requestsl thatl a
specificl RNl bel assignedl tol isl carel andl isl belligerentl whenl anotherl RNl isl assigned.l
Whatl action
shouldl thel chargel RNl implement
Answer:
Advisel thel clientl thatl assignmentsl arel notl basedl onl thel client'sl request.
Q:l Whenl preparingl tol administerl al prescribedl medicationl tol al homelessl malel atl al
communityl clinic,
thel clientl tellsl thel RNl thatl hel usuallyl takesl al differentl dosage.l Whatl actionl shouldl thel
RNl take?
Answer:
Withholdl thel medicationl untill thel dosagel canl bel confirmed.
Q:l Thel nursel orientsl al femalel clientl withl depressionl tol thel newl rooml onl thel mentall
healthl unit.l The
clientl statesl "Itl seemsl strangel thatl Il don'tl havel al T.Vl inl myl room."l Whichl statementl
wouldl be
bestl forl thel RNl tol provide?
Answer:
"It'sl importantl tol bel outl ofl youl rooml andl talkingl tol others."
Q:l Al clientl admittedl withl al closedl headl injuryl afterl al falll hasl al bloodl alcoholl levell
ofl 0.28l (28%)
andl isl difficultl tol arouse.l Whichl interventionl duringl thel firstl 6l hoursl followingl
admissionl should
thel RNl identifyl asl thel priority?
Answer:
Placel inl al sidel lyingl positionl withl headl ofl bedl elevated
, Q:l Thel RNl isl completingl thel admissionl assessmentl ofl anl underweightl adolescentl
whol isl admittedl to
al psychiatricl unitl withl al diagnosisl ofl depression.l Whichl findingl requiresl notificationl tol
the
HCP?
Answer:
Potassiuml levell ofl 2.9l mEq/dl
Q:l Thel Rnl isl planningl clientl teachingl forl al 35-year-oldl clientl withl alcoholicl
cirrhosis.l Whichl self-
carel measurel shouldl thel RNl emphasizel forl thel client'sl recovery?
Answer:
Alcoholl abstinence.
Q:l Al teenagerl hasl lostl 20l poundsl inl thel lastl threel monthsl isl admittedl tol thel
hospitall with
hypotensionl andl tachycardia.l Thel clientl reportsl irregularl mensesl andl hairl loss.l Which
interventionl isl mostl importantl forl thel RNl tol includel inl thel clientsl planl ofl care?
Answer:
Initiatel caloricl andl nutritionall therapy
Q:l Whilel interviewingl al client,l thel nursel takesl notesl tol assistl withl accuratel
documentationl later.
Whichl statementl isl mostl accuratel regardingl note-takingl duringl anl interview?
Answer:
Thel RN'sl abilityl tol directlyl observel thel client'sl non-verball communicationl isl limitedl
withl notel taking.
Q:l Al clientl isl receivingl substitutionl therapyl duringl withdrawall froml benzodiazepines.l
Which
expectedl outcomel statementl hasl thel highestl priorityl whenl planningl nursingl care?
Answer:
Healthl Nursingl V2|l Fortisl (Latestl 2026/l
2027l Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Afterl receivingl treatmentl forl anorexia,l al studentl asksl thel schooll RNl forl
permissionl tol workl inl thel schooll cafeterial asl partl ofl thel school'sl workl studyl program.l
Whatl actionl shouldl thel RNl take?
Answer:
Recommendl assignmentl tol thel receptionist'sl office.
Q:l Thel Rnl acceptsl al transferl tol thel metall healthl unitl andl understandsl thatl thel clientl
isl distractiblel andl isl exhibitingl al decreasedl abilityl tol concentrate.l Thel RNl onlyl hasl 15l
minutesl tol talkl tol thel client.l Tol developl treatmentl planl forl thisl client,l whichl
assessmentl isl mostl importantl forl thel RN
tol obtain
Answer:
Mentall statusl examination
Q:l Al malel clientl whol recentlyl lostl al lovedl onel arrivesl atl thel mentall healthl centerl
andl tellsl thel RNl hel isl nol longerl interestedl isl hisl usuall activitiesl andl hasl notl sleptl forl
severall days.l Whichl priorityl nursingl probleml shouldl thel RNl includel inl thel client'sl planl
ofl care?
Answer:
Sleepl deprivation
Q:l Al malel clientl withl longl historyl ofl alcoholl dependencyl arrivesl inl thel emergencyl
department
describingl thel feelingsl ofl bugsl crawlingl onl hisl body.l Hisl bloodl pressurel isl 170/102,l
hisl pulse
,ratel isl 110l bpm,l andl isl bloodl alcoholl levell isl 0mg/dL.l Whichl prescriptionl shouldl thel
RN
administer?
Answer:
Lorazepaml (Ativan)
Q:l Al clientl whol refusesl antipsychoticl medicationsl disruptsl groupl activities,l talksl withl
nonsensical
wordsl andl wandersl intol client'sl rooms.l Thel RNl decidesl thatl thel clientl needsl constant
observationl basedl onl whichl ofl thesel assessmentl findings?
Answer:
Wandersl intol thel clientsl rooms
Q:l Al clientl withl schizophrenial explainsl thatl shel hasl 20l childrenl andl thenl veryl
seriouslyl pointsl to
thel RNl andl explainsl thatl shel isl onel ofl them.l Whatl isl thel mostl therapeuticl responsel
forl thel RNl to
provide
Answer:
"Myl namel tagl showsl thatl Il aml al RNl here."
Q:l Al highl schooll girll revealsl tol thel highl schooll RNl thatl shel hasl beenl engagingl inl
self-induced
vomitingl asl weight-controll measure.l Whichl initiall assessmentl shouldl thel RNl focusl onl
withl this
adolescent?
Answer:
Frequencyl ofl bingeingl andl purgingl behaviors.
Q:l Narcanl wasl administeredl tol anl adultl clientl followingl al suicidel attemptl withl anl
overdosel of
hydrocodonel bitartratel (Vicodin).l Withinl 15l minutes,l thel clientl isl alertl andl oriented.l Inl
planning
nursingl care,l whichl interventionl hasl thel highestl priorityl atl thisl time?
,Answer:
Observel thel clientl forl furtherl narcoticl effects.
Q:l Followingl surgery,l al malel clientl withl antisociall personalityl disorderl frequentlyl
requestsl thatl a
specificl RNl bel assignedl tol isl carel andl isl belligerentl whenl anotherl RNl isl assigned.l
Whatl action
shouldl thel chargel RNl implement
Answer:
Advisel thel clientl thatl assignmentsl arel notl basedl onl thel client'sl request.
Q:l Whenl preparingl tol administerl al prescribedl medicationl tol al homelessl malel atl al
communityl clinic,
thel clientl tellsl thel RNl thatl hel usuallyl takesl al differentl dosage.l Whatl actionl shouldl thel
RNl take?
Answer:
Withholdl thel medicationl untill thel dosagel canl bel confirmed.
Q:l Thel nursel orientsl al femalel clientl withl depressionl tol thel newl rooml onl thel mentall
healthl unit.l The
clientl statesl "Itl seemsl strangel thatl Il don'tl havel al T.Vl inl myl room."l Whichl statementl
wouldl be
bestl forl thel RNl tol provide?
Answer:
"It'sl importantl tol bel outl ofl youl rooml andl talkingl tol others."
Q:l Al clientl admittedl withl al closedl headl injuryl afterl al falll hasl al bloodl alcoholl levell
ofl 0.28l (28%)
andl isl difficultl tol arouse.l Whichl interventionl duringl thel firstl 6l hoursl followingl
admissionl should
thel RNl identifyl asl thel priority?
Answer:
Placel inl al sidel lyingl positionl withl headl ofl bedl elevated
, Q:l Thel RNl isl completingl thel admissionl assessmentl ofl anl underweightl adolescentl
whol isl admittedl to
al psychiatricl unitl withl al diagnosisl ofl depression.l Whichl findingl requiresl notificationl tol
the
HCP?
Answer:
Potassiuml levell ofl 2.9l mEq/dl
Q:l Thel Rnl isl planningl clientl teachingl forl al 35-year-oldl clientl withl alcoholicl
cirrhosis.l Whichl self-
carel measurel shouldl thel RNl emphasizel forl thel client'sl recovery?
Answer:
Alcoholl abstinence.
Q:l Al teenagerl hasl lostl 20l poundsl inl thel lastl threel monthsl isl admittedl tol thel
hospitall with
hypotensionl andl tachycardia.l Thel clientl reportsl irregularl mensesl andl hairl loss.l Which
interventionl isl mostl importantl forl thel RNl tol includel inl thel clientsl planl ofl care?
Answer:
Initiatel caloricl andl nutritionall therapy
Q:l Whilel interviewingl al client,l thel nursel takesl notesl tol assistl withl accuratel
documentationl later.
Whichl statementl isl mostl accuratel regardingl note-takingl duringl anl interview?
Answer:
Thel RN'sl abilityl tol directlyl observel thel client'sl non-verball communicationl isl limitedl
withl notel taking.
Q:l Al clientl isl receivingl substitutionl therapyl duringl withdrawall froml benzodiazepines.l
Which
expectedl outcomel statementl hasl thel highestl priorityl whenl planningl nursingl care?
Answer:
