2023-2024 HESI MENTAL HEALTH RN EXAM QUESTIONS WITH
COMPLETE VERIFIED SOLUTIONS
A client on the mental health unit is becoming more agitated, shouting at the
staff, and pacing in the hallway. When the PRN medication is offered, the client
refuses the medication and defiantly sits on the floor in the middle of the unit
hallway. What nursing intervention should the RN implement first?
Take other clients in the area to the client lounge.
A client is admitted to the mental health unit and reports taking extra antianxiety
medication because, "I'm so stressed out. I just want to go to sleep." The RN
should plan one-on-one observation of the client based on which statement?
"I don't want to walk. Nothing matters anymore."
A male hospital employee is pushed out the way by a female employee because
of an oncoming gurney. The pushed employee becomes very angry and swings at
the female employee. Both employees are referred for counseling with the staff
psychiatric RN. Which factor in the pushed employee'shistory is most related to
the reaction that occurred?
Was physically abused by his mother.
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 the television talks to her. The RN should document
these assessment findings in which section of the mental status exam
Insight and judgement
,A client is admitted to the mental health unit reports shortness of breath and
dizziness. The client tells the RN, "I feel like I'm going to die". Which nursing
problem should the RN include in this client's plan of care?
Moderate anxiety
A female client who is wearing dirty clothes and has foul body odor, comes to the
clinic reporting feeling scared because she is being stalked. What action is most
important for the RN to take?
Offer the client a safe place to relax before interviewing her.
The RN leading a group session of adolescent clients gives the members a
handout about anger management. One of the male clients is fidgety, interrupts
peers when they try and talk, and talks about his pets at home. What nursing
action is best for the RN to take?
Redirect him by encouraging him to read from the handout
A male adolescent was admitted to the unit two days ago for depression. When
the mental health RN tries to interview the client to establish rapport, he becomes
very irritated and sarcastic. Which action is best for the RN to take? A. Report the
behavior to the next shift.
Offer to play a game of cards with the client.
A male adult is admitted because of an acetaminophen (Tylenol) overdose. After
transfer to the mental health unit, the client is told he has liver damage. Which
information is most important for the nurse to include in the client's discharge
plan?
Do not take any over the counter meds
,After receiving treatment for anorexia, a student asks the school RN for
permission to work in the school cafeteria as part of the school's work study
program. What action should the RN take?
Recommend assignment to the receptionist's office.
The Rn accepts a transfer to the metal health unit and understands that the client
is distractible and is exhibiting a decreased ability to concentrate. The RN only
has 15 minutes to talk to the client. To develop treatment plan for this client,
which assessment is most important for the RN to obtain?
Mental status examination.
A male client who recently lost a loved one arrives at the mental health center and
tells the RN he is no longer interested is his usual activities and has not slept for
several days. Which priority nursing problem should the RN include in the client's
plan of care?
Sleep deprivation.
A male client with long history of alcohol dependency arrives in the emergency
department describing the feelings of bugs crawling on his body. His blood
pressure is 170/102, his pulse rate is 110 bpm, and is blood alcohol level is
0mg/dL. Which prescription should the RN administer?
Lorazepam (Ativan)
A client who refuses antipsychotic medications disrupts group activities, talks
with nonsensical words and wanders into client's rooms. The RN decides that the
client needs constant observation based on which of these assessment findings?
Wanders into the clients rooms.
, A client with schizophrenia explains that she has 20 children and then very
seriously points to the RN and explains that she is one of them. What is the most
therapeutic response for the RN to provide/ A."Let'sgo ask another RN is this
istrue."
"My name tag shows that I am a RN here."
A high school girl reveals to the high school RN that she has been engaging in
self-induced vomiting as weight-control measure. Which initial assessment
should the RN focus on with this adolescent?
Frequency of bingeing and purging behaviors.
Narcan was administered to an adult client following a suicide attempt with an
overdose of hydrocodone bitartrate (Vicodin). Within 15 minutes, the client is
alert and oriented. In planning nursing care, which intervention has the highest
priority at this time?
Observe the client for further narcotic effects
Following surgery, a male client with antisocial personality disorder frequently
requests that a specific RN be assigned to is care and is belligerent when another
RN is assigned. What action should the charge RN implement?
Advise the client that assignments are not based on the client's request
When preparing to administer a prescribed medication to a homeless male at a
community clinic, the client tells the RN that he usually takes a different dosage.
What action should the RN take?
Withhold the medication until the dosage can be confirmed.
COMPLETE VERIFIED SOLUTIONS
A client on the mental health unit is becoming more agitated, shouting at the
staff, and pacing in the hallway. When the PRN medication is offered, the client
refuses the medication and defiantly sits on the floor in the middle of the unit
hallway. What nursing intervention should the RN implement first?
Take other clients in the area to the client lounge.
A client is admitted to the mental health unit and reports taking extra antianxiety
medication because, "I'm so stressed out. I just want to go to sleep." The RN
should plan one-on-one observation of the client based on which statement?
"I don't want to walk. Nothing matters anymore."
A male hospital employee is pushed out the way by a female employee because
of an oncoming gurney. The pushed employee becomes very angry and swings at
the female employee. Both employees are referred for counseling with the staff
psychiatric RN. Which factor in the pushed employee'shistory is most related to
the reaction that occurred?
Was physically abused by his mother.
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 the television talks to her. The RN should document
these assessment findings in which section of the mental status exam
Insight and judgement
,A client is admitted to the mental health unit reports shortness of breath and
dizziness. The client tells the RN, "I feel like I'm going to die". Which nursing
problem should the RN include in this client's plan of care?
Moderate anxiety
A female client who is wearing dirty clothes and has foul body odor, comes to the
clinic reporting feeling scared because she is being stalked. What action is most
important for the RN to take?
Offer the client a safe place to relax before interviewing her.
The RN leading a group session of adolescent clients gives the members a
handout about anger management. One of the male clients is fidgety, interrupts
peers when they try and talk, and talks about his pets at home. What nursing
action is best for the RN to take?
Redirect him by encouraging him to read from the handout
A male adolescent was admitted to the unit two days ago for depression. When
the mental health RN tries to interview the client to establish rapport, he becomes
very irritated and sarcastic. Which action is best for the RN to take? A. Report the
behavior to the next shift.
Offer to play a game of cards with the client.
A male adult is admitted because of an acetaminophen (Tylenol) overdose. After
transfer to the mental health unit, the client is told he has liver damage. Which
information is most important for the nurse to include in the client's discharge
plan?
Do not take any over the counter meds
,After receiving treatment for anorexia, a student asks the school RN for
permission to work in the school cafeteria as part of the school's work study
program. What action should the RN take?
Recommend assignment to the receptionist's office.
The Rn accepts a transfer to the metal health unit and understands that the client
is distractible and is exhibiting a decreased ability to concentrate. The RN only
has 15 minutes to talk to the client. To develop treatment plan for this client,
which assessment is most important for the RN to obtain?
Mental status examination.
A male client who recently lost a loved one arrives at the mental health center and
tells the RN he is no longer interested is his usual activities and has not slept for
several days. Which priority nursing problem should the RN include in the client's
plan of care?
Sleep deprivation.
A male client with long history of alcohol dependency arrives in the emergency
department describing the feelings of bugs crawling on his body. His blood
pressure is 170/102, his pulse rate is 110 bpm, and is blood alcohol level is
0mg/dL. Which prescription should the RN administer?
Lorazepam (Ativan)
A client who refuses antipsychotic medications disrupts group activities, talks
with nonsensical words and wanders into client's rooms. The RN decides that the
client needs constant observation based on which of these assessment findings?
Wanders into the clients rooms.
, A client with schizophrenia explains that she has 20 children and then very
seriously points to the RN and explains that she is one of them. What is the most
therapeutic response for the RN to provide/ A."Let'sgo ask another RN is this
istrue."
"My name tag shows that I am a RN here."
A high school girl reveals to the high school RN that she has been engaging in
self-induced vomiting as weight-control measure. Which initial assessment
should the RN focus on with this adolescent?
Frequency of bingeing and purging behaviors.
Narcan was administered to an adult client following a suicide attempt with an
overdose of hydrocodone bitartrate (Vicodin). Within 15 minutes, the client is
alert and oriented. In planning nursing care, which intervention has the highest
priority at this time?
Observe the client for further narcotic effects
Following surgery, a male client with antisocial personality disorder frequently
requests that a specific RN be assigned to is care and is belligerent when another
RN is assigned. What action should the charge RN implement?
Advise the client that assignments are not based on the client's request
When preparing to administer a prescribed medication to a homeless male at a
community clinic, the client tells the RN that he usually takes a different dosage.
What action should the RN take?
Withhold the medication until the dosage can be confirmed.
