HESI PN MENTAL HEALTH EXAM
2021 EXIT EXAM
1. A nurse is collecting data from a client who has dementia and whose family expresses concern about
his increasing “memory problems.” Which of the following findings should the nurse identify as the
priority?
Answer: The client sometimes wandersfrom the house
2. A nurse is contributing to the plan of care for a client who has antisocial personality
disorder. Which of the following short-term goalsshould the nurse recommend be included in
the plan?
Answer: The client will discussfeelings that cause hostility
3. A nurse is planning to collect data from a group of clients. The nurse should expect threat
which of the following clients is likely to exhibit speech pattern alterations?
Answer: A client who has schizophrenia
4. A nurse in a community center is caring for a client who has histrionic personality disorder.
Which of the following findings should the nurse expect?
Answer: Impulsive behavior
5. A nurse isreinforcing teaching with a client who has a new prescription for phenelzine. The
nurse should instruct the client that eating foods containing tyramine can cause which of the
following adverse reactions wit this medication?
Answer: Hypertensive crisis
6. A nurse is caring for a client who reports recent amphetamine use. Which of the following
manifestations should the nurse expect?
Answer: Paranoia
7. A nurse is caring for a client who has a depressive disorder and declines electroconvulsive
therapy (ECT) despite the provider’srecommendation. Which of the following ethical principles
is the nurse demonstrating by supporting the client’s decision?
Answer: Autonomy
8. A nurse isreinforcing teaching with an adolescent client who has a history of aggressive
behavior. Which of the following statements should the nurse make?
, Answer: Have you considered participating in a sport to help control your aggression
9. A nurse on an inpatient mental health unit is supervising a group of clients in the unit’s
dayroom. The nurse failsto respond to the escalating, aggressive behavior of a client eventually
becomes violent and injures another client. For which of the following isthe nurse liable?
Answer: Negligence
10. A nurse is reviewing the medical record of a client who has schizophrenia. For which of the
following findingsshould the nurse withhold the client’s medications and notify the provider?
Answer: WBC count
11. A nurse on a mental health unit is caring for four clients who have schizophrenia. Which of
the following clients should the nurse see first?
Answer: The client who is experiencing command hallucinations
12. A nurse isreinforcing teaching about stress management techniques with a client who has
mild anxiety. Which of the following statements should the nurse make?
Answer: You should listen to music when you feel stress
13. A nurse is caring for a client who is undergoing outpatient electroconvulsive therapy (ECT) to
treat rapid-cycling bipolar disorder. Following the procedure, which of the following action
should the nurse take?
Answer: Administer oxygen to the client
14. A nurse is caring for a client who has psychiatric symptom disorder. Which of the following
actions should the nurse take?
Answer: Encourage the client to examine how hisillness behavior affects hisfamily
15. A nurse is caring for a client who recently lost his child in a motor-vehicle crash. The client is
expressing feelings of hopelessness. Which of the following questions is the most important for
the nurse to ask?
Answer: Have you had any thoughts of harming yourself
16. A nurse is caring for a client who has dementia. Which of the following actions should the
nurse take?
Answer: Stand in front of the client when speaking
17. A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the
following medications should the nurse anticipate the provider to prescribe?
Answer: Naloxone
18. A nurse is assisting with the admission of a client who has an eating disorder. During data
2021 EXIT EXAM
1. A nurse is collecting data from a client who has dementia and whose family expresses concern about
his increasing “memory problems.” Which of the following findings should the nurse identify as the
priority?
Answer: The client sometimes wandersfrom the house
2. A nurse is contributing to the plan of care for a client who has antisocial personality
disorder. Which of the following short-term goalsshould the nurse recommend be included in
the plan?
Answer: The client will discussfeelings that cause hostility
3. A nurse is planning to collect data from a group of clients. The nurse should expect threat
which of the following clients is likely to exhibit speech pattern alterations?
Answer: A client who has schizophrenia
4. A nurse in a community center is caring for a client who has histrionic personality disorder.
Which of the following findings should the nurse expect?
Answer: Impulsive behavior
5. A nurse isreinforcing teaching with a client who has a new prescription for phenelzine. The
nurse should instruct the client that eating foods containing tyramine can cause which of the
following adverse reactions wit this medication?
Answer: Hypertensive crisis
6. A nurse is caring for a client who reports recent amphetamine use. Which of the following
manifestations should the nurse expect?
Answer: Paranoia
7. A nurse is caring for a client who has a depressive disorder and declines electroconvulsive
therapy (ECT) despite the provider’srecommendation. Which of the following ethical principles
is the nurse demonstrating by supporting the client’s decision?
Answer: Autonomy
8. A nurse isreinforcing teaching with an adolescent client who has a history of aggressive
behavior. Which of the following statements should the nurse make?
, Answer: Have you considered participating in a sport to help control your aggression
9. A nurse on an inpatient mental health unit is supervising a group of clients in the unit’s
dayroom. The nurse failsto respond to the escalating, aggressive behavior of a client eventually
becomes violent and injures another client. For which of the following isthe nurse liable?
Answer: Negligence
10. A nurse is reviewing the medical record of a client who has schizophrenia. For which of the
following findingsshould the nurse withhold the client’s medications and notify the provider?
Answer: WBC count
11. A nurse on a mental health unit is caring for four clients who have schizophrenia. Which of
the following clients should the nurse see first?
Answer: The client who is experiencing command hallucinations
12. A nurse isreinforcing teaching about stress management techniques with a client who has
mild anxiety. Which of the following statements should the nurse make?
Answer: You should listen to music when you feel stress
13. A nurse is caring for a client who is undergoing outpatient electroconvulsive therapy (ECT) to
treat rapid-cycling bipolar disorder. Following the procedure, which of the following action
should the nurse take?
Answer: Administer oxygen to the client
14. A nurse is caring for a client who has psychiatric symptom disorder. Which of the following
actions should the nurse take?
Answer: Encourage the client to examine how hisillness behavior affects hisfamily
15. A nurse is caring for a client who recently lost his child in a motor-vehicle crash. The client is
expressing feelings of hopelessness. Which of the following questions is the most important for
the nurse to ask?
Answer: Have you had any thoughts of harming yourself
16. A nurse is caring for a client who has dementia. Which of the following actions should the
nurse take?
Answer: Stand in front of the client when speaking
17. A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the
following medications should the nurse anticipate the provider to prescribe?
Answer: Naloxone
18. A nurse is assisting with the admission of a client who has an eating disorder. During data
